Japanese journal of comprehensive rehabilitation science最新文献

{"title":"Actual situation of nutritional management and factors related to activities of daily living ability at discharge in convalescent rehabilitation ward.","authors":"Tsukasa Saito, Masafumi Kamachi","doi":"10.11336/jjcrs.15.71","DOIUrl":"10.11336/jjcrs.15.71","url":null,"abstract":"<p><p>Saito T, Kamachi M. Actual situation of nutritional management and factors related to activities of daily living ability at discharge in convalescent rehabilitation ward. Jpn J Compr Rehabil Sci 2024; 15: 71-78.</p><p><strong>Objective: </strong>In this study, we aimed to investigate changes in the Geriatric Nutritional Risk Index (GNRI), a nutrition-related prognostic indicator, in our convalescent rehabilitation ward and determine how this index relates to activities of daily living (ADL) ability at discharge.</p><p><strong>Methods: </strong>We retrospectively analyzed data of 107 patients admitted to our convalescent rehabilitation ward between April and September 2023. We used the GNRI as the nutritional risk index and Functional Independence Measure (FIM) as the ADL index.</p><p><strong>Results: </strong>The patients' mean age was 80.0 ± 10.3 years; 38 were males and 69 females. The patients' mean body weight at admission was 51.2 ± 10.2 kg, which significantly decreased to 50.2 ± 9.4 kg at discharge (<i>p</i> = 0.0006). Their mean body mass index (BMI) also significantly decreased from 21.4 ± 3.4 at admission to 20.0 ± 8.2 at discharge (<i>p</i> = 0.002). The mean GNRI significantly decreased from 93.1 ± 8.6 at admission to 91.7 ± 8.4 at discharge (<i>p</i> = 0.023). The mean body weight decreased until the fourth month after admission; however, no decreasing trend after the fifth month was observed. The mean monthly energy intake gradually increased after admission and reached the calculated energy requirement of 1,415 ± 22 kcal at the fifth month. Multivariate analysis demonstrated that at discharge, the GNRI score was positively associated with the FIM score (<i>β</i> = 0.21, <i>p</i> = 0.0008).</p><p><strong>Conclusion: </strong>Body weight and GNRI scores decreased after admission but stopped decreasing after the fifth month due to a gradual increase in energy intake. At discharge, the FIM score was positively associated with the GNRI score. We expected that active nutritional therapy from the beginning of hospitalization would increase the GNRI by the time of discharge and eventually improve ADL ability at discharge.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"71-78"},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485110","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 comparative study of changes in H_max/M_max under spinning permanent magnet stimulation, repetitive peripheral magnetic stimulation, and transcutaneous electrical nerve stimulation in healthy individuals.","authors":"Akifumi Kiso, Hirofumi Maeda, Yohei Otaka, Hitoshi Mori, Hitoshi Kagaya","doi":"10.11336/jjcrs.15.58","DOIUrl":"10.11336/jjcrs.15.58","url":null,"abstract":"<p><p>Kiso A, Maeda H, Otaka Y, Mori H, Kagaya H. A comparative study of changes in H_max/M_max under spinning permanent magnet stimulation, repetitive peripheral magnetic stimulation, and transcutaneous electrical nerve stimulation in healthy individuals. Jpn J Compr Rehabil Sci 2024; 15: 58-62.</p><p><strong>Objective: </strong>We have developed a compact device using a spinning permanent magnet (SPM) that induces an electrical field by changing the magnetic flux. We hypothesized that SPM stimulation also reduced spasticity, comparable with repetitive peripheral magnetic stimulation (rPMS) and transcutaneous electrical nerve stimulation (TENS). This study evaluated the effect of a single session of SPM stimulation and compared it with those of rPMS and TENS in healthy individuals.</p><p><strong>Methods: </strong>Eleven healthy adult men participated in this study. The active electrode was placed on the soleus muscle, and the reference electrode was placed at 5 cm distal from the active electrode on the medial side of the Achilles tendon. The stimulating electrodes were fixed on the popliteal fossa to stimulate the tibial nerve. The maximum H-reflex (H_max) and the maximum motor response (M_max) were measured, and H_max/M_max was calculated under the following conditions: a) 15 min SPM stimulation, b) 30 min SPM stimulation, c) 10,000 pulses rPMS, d) 15 min TENS, and e) 15 min rest (control). The devices for SPM, rPMS, and TENS were applied to the belly of the soleus muscle in the prone position.</p><p><strong>Results: </strong>Compared with the control, H_max/M_max significantly decreased under SPM stimulation for 15 and 30 min, as well as under rPMS and TENS (<i>p</i> < 0.005). The changes in H_max/M_max under 15 min SPM stimulation were significantly smaller than those under 30 min SPM stimulation and rPMS (<i>p</i> < 0.005).</p><p><strong>Conclusion: </strong>SPM stimulation reduced H_max/M_max in healthy individuals and is a potential new treatment for spasticity.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485109","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 30-day kendama program for community-dwelling elderly: Effects on participants' physical and cognitive functions and the practicality of the program.","authors":"Toyoaki Watanabe, Hirofumi Hirowatari, Yoshiyuki Tokura, Kazuya Takeda, Hideaki Hanaoka","doi":"10.11336/jjcrs.15.34","DOIUrl":"https://doi.org/10.11336/jjcrs.15.34","url":null,"abstract":"<p><p>Watanabe T, Hirowatari H, Tokura Y, Takeda K, Hanaoka H. A 30-day kendama program for community-dwelling elderly: Effects on participants' physical and cognitive functions and the practicality of the program. Jpn J Compr Rehabil Sci 2024; 15: 34-41.</p><p><strong>Purpose: </strong>This study examined the effects of a 30-day kendama program on physical and cognitive functions and the practicality of the program for community-dwelling elderly individuals to reduce the risk of dementia and musculoskeletal disorders.</p><p><strong>Method: </strong>Seventeen community-dwelling elderly persons aged ≥65 years participated in a 30-day kendama program wherein they practiced kendama in groups once a week for a total of four times and individually for at least 20 minutes a day for 30 days. The frequency and duration of the group and individual practices were surveyed to assess the practicality of the program.</p><p><strong>Results: </strong>The physical function assessment revealed that knee extension muscle strength increased significantly by 18.8% after the intervention (<i>p</i> < 0.01). Further, the cognitive function assessment showed that the time required to perform the Stroop test decreased by 10.1%, the number of Symbol Digit Modalities Tests (SDMTs) performed increased by 5.6%, and the number of correct answers in the word memory test increased by 17.8% after the intervention, with each showing a significant change (<i>p</i> < 0.05). The results of the questionnaire on the participants' 30-day kendama program showed that approximately 30% answered that the frequency of individual practice was \"a little too much,\" indicating that the program needed to be modified.</p><p><strong>Conclusion: </strong>The results of this study suggested that kendama can be enjoyed easily and is expected to be practiced continuously with friends. Therefore, kendama can serve as an exercise program for reducing the risk of dementia and musculoskeletal disorders. In the future, it will be necessary to reconsider the frequency of individual kendama practice.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"34-41"},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549992","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 a patient with severe lower limb muscle weakness due to coronavirus disease-2019.","authors":"Masanori Kamiue, Akio Tsubahara, Tomotaka Ito","doi":"10.11336/jjcrs.15.27","DOIUrl":"10.11336/jjcrs.15.27","url":null,"abstract":"<p><p>Kamiue M, Tsubahara A, Ito T. Effects of repetitive peripheral magnetic stimulation on a patient with severe lower limb muscle weakness due to coronavirus disease-2019. Jpn J Compr Rehabil Sci 2024; 15: 27-33.</p><p><strong>Introduction: </strong>A patient developed severe lower limb muscle weakness and gait disturbance after receiving mechanical ventilation in the intensive care unit (ICU) due to coronavirus disease 2019 (COVID-19). We describe the effect of repetitive peripheral magnetic stimulation (rPMS) to strengthen his lower limb muscles.</p><p><strong>Case: </strong>A 70-year-old man was mechanically ventilated due to COVID-19-related breathing difficulties. He was weaned off mechanical ventilation after 54 days, and the tracheostomy was closed after 225 days. However, his lower limbs remained significantly weak, and he was wheelchair-bound for daily activities. Despite approximately 6 months of functional training at a day-service center, his physical function and movement abilities did not improve. Therefore, 30-Hz rPMS was applied to both quadriceps for 20 minutes/day, three times a week, for 4 weeks (12 times). Knee extensor torque (KET) during maximum voluntary contraction (MVC) was greater after (right: 42.1 Nm, left: 40.7 Nm) than before the intervention (right: 33.7 Nm, left: 36.2 Nm). Before the intervention, KET induced by rPMS (rPMS-induced torque) was 0 Nm on both sides, the 30-second chair stand test (CS-30) was challenging to perform, and the walking item score of the Functional Independence Measure (FIM) was 2 points (endurance 30 m). Post-intervention, rPMS-induced torque was 6.5 Nm on the right and 4.7 Nm on the left side, CS-30 could be performed once, and the FIM walking score was improved to 6 points (endurance 60 m).</p><p><strong>Discussion: </strong>The use of rPMS improved lower limb muscle strength in a patient who developed ICU-acquired muscle weakness after COVID-19.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11252800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636416","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":"Esophageal speech training system and needs for esophageal speech training in a laryngectomy patient association in Japan.","authors":"Naomi Watanabe, Yayoi Kamakura, Junko Fukada","doi":"10.11336/jjcrs.15.17","DOIUrl":"10.11336/jjcrs.15.17","url":null,"abstract":"<p><p>Watanabe N, Kamakura Y, Fukada J. Esophageal speech training system and needs for esophageal speech training in a laryngectomy patient association in Japan. Jpn J Compr Rehabil Sci 2024; 15: 17-26.</p><p><strong>Objectives: </strong>To study the esophageal speech training system and needs for esophageal speech training in one laryngectomy patient association in Japan.</p><p><strong>Methods: </strong>The esophageal speech training system of Association X for laryngectomy patients was observed through participation. Needs for esophageal speech training were analyzed qualitatively and inductively by semi-structured interviews with 7 esophageal speech (ES) trainers, 11 ES learners, and 8 family members of the association conducted according to an interview guide.</p><p><strong>Results: </strong>Association X was organized, and its teaching system was established, by the Japan Federation of Laryngectomy Patient Associations (Nikkoren), and 12 ES trainers were appointed for esophageal speech and electrolarynx speech training. The training was based on the \"Speech Practice Manual\" published by the association, but the teaching methods and training contents and methods were left to the discretion of the individual ES trainers. The survey by Association X showed that there were needs for \"Improvement of the methods and contents of esophageal speech training\" and \"Organizational reform of the association.\" The former category included \"Improvements for evidence-based training that ensures vocalization\" and \"Improving training methods and assigning roles for advanced ES learners\"; the latter category included \"Development of a system for trainers to continue receiving training from better qualified trainers\" and \"Reforming the association to allow learners and families to voice their opinions about training.\" Each category consisted of three subcategories.</p><p><strong>Conclusions: </strong>In Association X, substitute vocalizations were taught by 12 ES trainers. \"Improvement of the methods and contents of esophageal speech training\" and \"Organizational reform of the association\" were expressed as needs for Association X concerning esophageal speech training.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"17-26"},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515802","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":"Real-Time Estimation of Lower Limb Posture and Joint Angles Using Wearable IMUs: Reproduced Hemiparetic and Normal Gait.","authors":"Shun Kanega, Yoshihiro Muraoka","doi":"10.11336/jjcrs.16.19","DOIUrl":"10.11336/jjcrs.16.19","url":null,"abstract":"<p><p>Kanega S, Muraoka Y. Real-Time Estimation of Lower Limb Posture and Joint Angles Using Wearable IMUs: Reproduced Hemiparetic and Normal Gait. Jpn J Compr Rehabil Sci 2025; 16: 19-29.</p><p><strong>Objective: </strong>A low-computational-load posture estimation method was employed, assuming integration into a functional electrical stimulation (FES) device, to estimate thigh and shank inclination angles as well as the knee joint angle during gait. The accuracy and processing time of the method were evaluated to assess its practical feasibility.</p><p><strong>Methods: </strong>Two inertial measurement units (IMUs) were mounted on the lateral thigh and shank. Two healthy adults performed level-ground gait, including normal gait and gait reproducing the characteristics of circumduction gait, which is typically observed in individuals with post-stroke hemiparesis. A custom gait pacemaker was developed to replicate the spatiotemporal asymmetry of hemiparetic gait. Posture estimation in the sagittal and frontal planes was performed on a microcontroller using a low-computational-load Madgwick filter, and the processing time was recorded. The estimation accuracy was assessed by comparing the results with optical motion capture data using root mean square error (RMSE) and cross-correlation analysis.</p><p><strong>Results: </strong>The average total processing time, including sampling, posture estimation, and stimulation control, was 6.8 ms. The RMSE of sagittal plane posture angles was less than 4° in all cases, suggesting estimation accuracy comparable to previous studies. For the frontal plane posture angles, the estimation accuracy was relatively high during the reproduced circumduction gait, indicating that the system effectively captured the circumduction motion. Conversely, the accuracy tended to be lower during normal gait.</p><p><strong>Conclusion: </strong>Compared with previous studies, the posture estimation method used in this study, which employed the Madgwick filter, was able to estimate posture without compromising accuracy. The entire process, including sampling, posture estimation, and stimulation control, was completed within 10 ms, reflecting the feasibility of real-time processing at 100 Hz.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"16 ","pages":"19-29"},"PeriodicalIF":0.0,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251693","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":"Can AI predict walking independence in patients with stroke upon admission to a recovery-phase rehabilitation ward?","authors":"Keisuke Ono, Ryosuke Takahashi, Kazuyuki Morita, Yosuke Ara, Senshu Abe, Soichirou Ito, S. Uno, Masayuki Abe, Tomohide Shirasaka","doi":"10.11336/jjcrs.15.1","DOIUrl":"https://doi.org/10.11336/jjcrs.15.1","url":null,"abstract":"","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"27 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140709831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study on the effectiveness of training in the operation of an electric mobility aid in severely mentally and physically handicapped children.","authors":"Yoshikazu Hideshima, Toyoko Asami, Masayoshi Ichiba, K. Matsuo, Tomoyuki Murata","doi":"10.11336/jjcrs.15.8","DOIUrl":"https://doi.org/10.11336/jjcrs.15.8","url":null,"abstract":"Hideshima Y, Asami T, Ichiba M, Matsuo K, Murata T. A study on the effectiveness of training in the operation of an electric mobility aid in severely mentally and physically handicapped children. Jpn J Compr Rehabil Sci 2024; 15: 8-16.\u0000\u0000\u0000Purpose\u0000We examined whether operation training for children with severe mental and physical disabilities using recently developed electric mobility aids improves their skills in operating such aids and their daily activities. By doing so, we aimed to clarify the effectiveness of electric mobility aid operation training for children with severe mental and physical disabilities.\u0000\u0000\u0000Method\u0000Operation training and normal training using an electric mobility aid were conducted for 42 school-aged children with severe mental and physical disabilities, aged 8-18 years old. The trainee children were randomly assigned to two groups: 21 to the intervention group to receive operation training and 21 to the control group to receive general training. The intervention lasted 20 minutes/training session, with three sessions/week over a period of eight weeks. The Powered Mobility Program (PMP) and Pediatric Evaluation of Disability Inventory (PEDI) were used for pre- and post-intervention assessments, and SPSS was used for two-way analysis of variance (ANOVA).\u0000\u0000\u0000Results\u0000PMP scaled scores significantly increased (p = 0.001) in both groups, but there was no interaction effect. The PEDI scaled scores did not significantly increase in either of the two groups.\u0000\u0000\u0000Discussion\u0000The effects of the intervention and use of the electric mobility aid on the operating skills of children with severe mental and physical disabilities were explicitly demonstrated. Future long-term studies are required to clarify the effects of training in the operation of electric mobility aids on the subsequent development of severely physically and mentally handicapped children.","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"25 1","pages":"8-16"},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140752745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of cognitive impairment at admission on activities of daily living at discharge in older patients with heart failure.","authors":"Yuki Nonaka, Ren Fujii, Shinichiro Tanaka, Kazuyuki Tabira","doi":"10.11336/jjcrs.14.78","DOIUrl":"10.11336/jjcrs.14.78","url":null,"abstract":"<p><p>Nonaka Y, Fujii R, Tanaka S, Tabira K. Effect of cognitive impairment at admission on activities of daily living at discharge in older patients with heart failure. Jpn J Compr Rehabil Sci 2023; 14: 78‒83.</p><p><strong>Objective: </strong>Hasegawa's Dementia Scale-Revised (HDS-R) is widely used as a screening test for cognitive function in older adults. In this study, we examined the effect of cognitive impairment (CI) at admission on activities of daily living (ADL) at discharge in older patients with heart failure (HF).</p><p><strong>Methods: </strong>This retrospective observational study included 394 patients hospitalized for acute decompensated HF between April 2016 and December 2022. Data on age, sex, body mass index, length of hospital stay, initiation of rehabilitation, New York Heart Association (NYHA) class, Charlson Comorbidity Index, medication, brain natriuretic peptide levels, left ventricular ejection fraction, renal function, hemoglobin level, serum albumin level, Geriatric Nutritional Risk Index (GNRI), Barthel Index (BI), and HDS-R score were analyzed using the χ² test, unpaired <i>t</i> test, Mann-Whitney <i>U</i> test, and multiple linear regression.</p><p><strong>Results: </strong>Among 394 patients, 102 who met the final inclusion criteria were included in the study. Based on previous studies, patients were divided into a high BI group (<i>N</i> = 44) and a low BI group (<i>N</i> = 58). Multiple linear regression analysis showed that CI at admission independently affected BI at discharge even after adjusting for confounding effects of age, NYHA class, GNRI, and BI at admission.</p><p><strong>Conclusions: </strong>Our study showed that the presence or absence of CI may influence ADL improvement in rehabilitation interventions aimed at improving ADL in older patients with HF.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"14 ","pages":"78-83"},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10776209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405897","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":"Prealbumin level is a predictor of activities of daily living at discharge in older patients with heart failure who became ADL-independent after hospitalization: - Acute and early recovery cardiac rehabilitation trials.","authors":"Takaaki Chiba, Junichi Yokota, Ren Takahashi, Kosuke Sasaki, Hiroto Suzuki","doi":"10.11336/jjcrs.14.69","DOIUrl":"https://doi.org/10.11336/jjcrs.14.69","url":null,"abstract":"<p><p>Chiba T, Yokota J, Takahashi R, Sasaki K, Suzuki H. Prealbumin level is a predictor of activities of daily living at discharge in older patients with heart failure who became ADL-independent after hospitalization - Acute and early recovery cardiac rehabilitation trials. Jpn J Compr Rehabil Sci 2023; 14: 69-77.</p><p><strong>Objective: </strong>To determine the relationship between prealbumin level and activities of daily living (ADL) at discharge in patients with heart failure (HF) and assess the usefulness of prealbumin measurement in predicting discharge Barthel Index (BI) in older patients with HF who become non-independent in ADL after hospital admission.</p><p><strong>Methods: </strong>Patients with HF, aged ≥75 years, who were admitted to an acute hospital and underwent acute and early recovery cardiac rehabilitation (CR) were studied retrospectively. The exclusion criteria were non-independent ADL before admission (BI < 85 points) and independent ADL at the start of CR (BI ≥ 85 points). The usefulness of prealbumin level in predicting discharge BI was compared between four models. Albumin and Controlling Nutritional Status (CONUT) were used as comparison variables. The models and independent variables were model 1 (covariates only), model 2 (prealbumin + covariates), model 3 (albumin + covariates), and model 4 (CONUT score + covariates). Adjusted <i>R</i>², a measure of model fit, was used to compare predictive ability.</p><p><strong>Results: </strong>A total of 152 patients were included in the analysis. Prealbumin level was a significant variable for BI at discharge but not albumin or CONUT. The adjusted <i>R</i>² was higher in model 2 with the addition of prealbumin than that in model 1 (0.362 vs. 0.347).</p><p><strong>Conclusion: </strong>Prealbumin levels are useful in predicting discharge BI in older patients with HF who become non-independent in ADL after hospitalization.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"14 ","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10654348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465370","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}