Japanese journal of comprehensive rehabilitation science最新文献

{"title":"Bone Mineral Density Characteristics of Paraplegic Patients Wearing Paraplegic Walking Apparatus","authors":"Han Linlin, Liu Xidong, Zhou Jihe, Wang Shuai, Tang Ming, Huang Chenglin, Liu Siyu","doi":"10.11648/j.rs.20220701.11","DOIUrl":"https://doi.org/10.11648/j.rs.20220701.11","url":null,"abstract":"","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76169468","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":"Association between external ophthalmoplegia with diplopia due to brain injury and FIM motor items: a case-control study.","authors":"Takayuki Watabe,&nbsp;Marina Abe,&nbsp;Rikitaro Sako,&nbsp;Hisayoshi Suzuki,&nbsp;Mitsumasa Yoda,&nbsp;Nobuyuki Kawate","doi":"10.11336/jjcrs.12.58","DOIUrl":"https://doi.org/10.11336/jjcrs.12.58","url":null,"abstract":"<p><p>Watabe T, Abe M, Sako R, Suzuki H, Yoda M, Kawate N. Association between external ophthalmoplegia with diplopia due to brain injury and FIM motor items: a case-control study. Jpn J Compr Rehabil Sci 2021; 12: 58-63.</p><p><strong>Objectives: </strong>This study aimed to determine the association between the presence of external ophthalmoplegia with diplopia due to brain injury and Functional Independence Measure (FIM) motor items in a case-control study.</p><p><strong>Methods: </strong>The subjects were patients with brain injury, admitted to a convalescent rehabilitation ward, who were able to walk under supervision and had preserved intellectual function. The correlation between the strabismus angle of the external ophthalmoplegia group and the total points of FIM motor items were examined. In addition, the total points and sub-items were compared between the external ophthalmoplegia group and control group using statistical processing.</p><p><strong>Results: </strong>There were 78 subjects: 34 in the external ophthalmoplegia group and 44 in the control group. Strabismus angle and the total points of FIM motor items of the external ophthalmoplegia group were significantly negatively correlated. Compared with the control group, the external ophthalmoplegia group had significantly lower levels of independence in bathing, dressing (lower body), toileting, transfer to the chair, transfer to the toilet, transfer to the bathroom, and locomotion (walking).</p><p><strong>Conclusions: </strong>External ophthalmoplegia with diplopia is associated with FIM motor items.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"12 ","pages":"58-63"},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545038/pdf/jjcrs-12-58.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687262","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":"The Effect of a School Backpack Mass Back Carried on the Features of Body Posture in the Frontal Plane of 7-year-old Students of Both Sexes","authors":"M. Mrozkowiak, M. Stępień-Słodkowska","doi":"10.21203/rs.3.rs-1132659/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1132659/v1","url":null,"abstract":"\u0000 BackgroundThe lifestyle of children has a significant impact on the future health of the whole society. Therefore, health education, prevention and monitoring of health determinants is important at every stage of ontogenesis. This requires a thorough knowledge of the schoolchild's environment, perceived as a wide set of stressors, including not only genetic but also epigenetic factors. One of them is the issue of the correct and abnormal body posture at school and on the way there.MethodBody posture tests were carried out in a group of 65 students aged 7 years, using the projection moiré method in 4 positions: 1-habitual posture, 2-posture after 10-minute of asymmetric axial load, 3-a posture after one minute of the load removal, 4- a posture after two minutes of the load removal. Physical fitness was measured with the Sekita test. ResultsThe significance of differences between the 1st and 2nd measurements was analyzed to determine the impact of the backpack load and the correlation with physical fitness, and to study its influence on the value of the differences in posture features. ConclusionsCarrying school supplies on the back induces significant changes in the value of the features describing the body posture in the frontal plane. It should be assumed that the greater the weight of the container and, carrying time and intensity of physical effort is the greater the changes will be. Relatedly, it is not recommended to carry school supplies weighing more than 4 kg by first-grade students.Physical fitness has a various and sex-dependent influence on the value of changes in body posture features because of carrying school supplies. Among boys it significantly affects the asymmetry of the torso bend, shoulder height, the waist triangles height and width, whereas among girls it affects the asymmetry of the shoulders and the distance of the angles of the lower shoulder blades from the line of the spinous processes of the spine. Among boys the changes in the value of posture features are mostly influenced by endurance and speed, but strength, power and agility are of lower influence, whereas among girls only agility matters.","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90950032","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":"Study on the Efficacy of Hydrotherapy Exercise Prescription on Walking Ability of Patients with Spastic Cerebral Palsy","authors":"Liao Xiaohua, Chen Wei, L. Yi, Liu Yating, G. Shi, Guo Xueliang, Zhang Xiaopei, Wang Chengshuang, He Xia","doi":"10.11648/J.RS.20210604.12","DOIUrl":"https://doi.org/10.11648/J.RS.20210604.12","url":null,"abstract":"Objective: Spastic cerebral palsy is the most common type of cerebral palsy and is characterized by increased skeletal muscle tone throughout the body, especially in the lower extremities. Long-term muscle spasticity and muscle strength imbalance can cause different degrees of fixed deformities in the lower extremities of cerebral palsy patients, which can seriously affect their walking ability and even their daily life. In this study, we will conduct hydrotherapy exercise prescription rehabilitation training for patients with spastic cerebral palsy aged 20-40 years old and analyze the effect of hydrotherapy exercise prescription on patients' walking ability using gait analysis system to provide a new idea of treatment for improving walking ability of cerebral palsy patients. Methods: Thirty-two patients with spastic cerebral palsy admitted to our hospital from January 2017 to February 2018 were selected as the experimental group, and a walking tank manufactured by HYDRO PHYSIO, UK, was used to maintain the water temperature at 34-40°C. 32 patients were rehabilitated with hydrotherapy exercise prescription for 8 weeks, 1 time/day, 20-30 min/time. In the experimental group, gait data were collected in Vicon 3D gait analysis system after 8 weeks. The gait data of 32 normal subjects in the control group and the gait data of the experimental group before and after treatment were compared and analyzed to study the effect of hydrotherapy exercise prescription on the walking ability of patients with spastic cerebral palsy aged 20-40 years. Results: After 8 weeks of treatment, the patients' gait data in frequency, stride length, stride speed, single support and double support were significantly improved (p < 0.05). Conclusion Hydrotherapy exercise prescription is effective in the treatment of walking ability in patients with spastic cerebral palsy and helps patients' lower limb balance and stability, which is worthy of application and promotion.","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"11 7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82884800","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":"Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report","authors":"T. Koc, Jenna Tucker, Christopher Durante, Razija Hasanovic, Sara Gotthold, Timothy Marshall","doi":"10.11648/J.RS.20210604.11","DOIUrl":"https://doi.org/10.11648/J.RS.20210604.11","url":null,"abstract":"Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78922739","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":"Improvement in activities of daily living and exercise tolerance in a patient with severe COVID-19 and femoral nerve palsy after Kaifukuki rehabilitation: a case report.","authors":"Toshihiro Yashiro,&nbsp;Yoshitaka Wada,&nbsp;Mizuki Sugiyama,&nbsp;Hidetsugu Tateno,&nbsp;Fumihito Kasai,&nbsp;Nobuyuki Kawate","doi":"10.11336/jjcrs.12.53","DOIUrl":"https://doi.org/10.11336/jjcrs.12.53","url":null,"abstract":"<p><p>Yashiro T, Wada Y, Sugiyama M, Tateno H, Kasai F, Kawate N. Improvement in activities of daily living and exercise tolerance in a patient with severe COVID-19 and femoral nerve palsy after Kaifukuki rehabilitation: a case report. Jpn J Compr Rehabil Sci 2021; 12: 53-57.</p><p><strong>Introduction: </strong>There have been many reports on rehabilitation techniques for patients with coronavirus disease 2019 (COVID-19). However, few have reported on the use of Kaifukuki rehabilitation for severe COVID-19 cases with complications of femoral nerve palsy after veno-venous extracorporeal membrane oxygenation (VV-ECMO) management.</p><p><strong>Case: </strong>A male in his 50s who underwent VV-ECMO management during the course of his treatment for COVID-19 developed femoral nerve palsy due to iliopsoas hematoma. From day 120 after admission, he underwent Kaifukuki rehabilitation focusing on exercise therapy, activities of daily living (ADL) training, and respiratory rehabilitation to improve ADL and exercise tolerance. His respiratory function, functional independence measure scores, and 6-min walk test results improved. The patient was discharged on day 196. His recovery progressed without any further deterioration.</p><p><strong>Discussion: </strong>Kaifukuki rehabilitation, focusing on respiratory rehabilitation, contributed to the improvement of ADL and exercise tolerance in a patient with severe COVID-19. In addition, attention should be paid to femoral nerve palsy after VV-ECMO.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"12 ","pages":"53-57"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545033/pdf/jjcrs-12-53.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687270","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":"Rehabilitation Nursing Care of a Child with Congenital Heart Disease with Cerebral Infarction After Valve Replacement: A Case Report","authors":"Yuena Zeng, Fengxia Yan","doi":"10.11648/J.RS.20210603.12","DOIUrl":"https://doi.org/10.11648/J.RS.20210603.12","url":null,"abstract":"Background: Cerebral infarction is a chronic and rare complication for children who regularly take warfarin after valve surgery of congenital heart disease, which affects their health and quality of life. There are few reports on the rehabilitation nursing experience of children with cerebral infarction after congenital heart valve surgery. Objective: We reported on an 11-year-old child who was diagnosed with cerebral infarction and had undergone rehabilitation care for congenital heart disease and valve replacement. Method: During the period of hospitalization and discharge, rehabilitation care of the children such as functional exercises, language, cognition, daily living ability training and psychological counseling were carried out. Result: In this case, through rehabilitation nursing, the patient's vital signs were stable. His blood pressure fluctuates between 101-124/68-91 mmHg. The weakness of the right limb was relieved compared with the previous one, and the aphasia was improved compared with the previous one. The skin was intact and no bleeding occurred. After 28 days in hospital, the patient was discharged. Conclusion: We summarized the experience of rehabilitation nursing, to provide effective guidance and suggestions for the rehabilitation nursing of children with cerebral infarction after valve replacement.","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74485770","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":"Effectiveness of gait training with lower limb orthosis for a patient with severe Guillain-Barré syndrome at a Kaifukuki rehabilitation ward.","authors":"Midori Tanaka,&nbsp;Yoshitaka Wada,&nbsp;Nobuyuki Kawate","doi":"10.11336/jjcrs.12.48","DOIUrl":"https://doi.org/10.11336/jjcrs.12.48","url":null,"abstract":"<p><p>Tanaka M, Wada Y, Kawate N. Effectiveness of gait training with lower limb orthosis for a patient with severe Guillain-Barré syndrome at a Kaifukuki rehabilitation ward. Jpn J Compr Rehabil Sci 2021; 12: 48-52.</p><p><strong>Introduction: </strong>We report the case of a patient with severe Guillain-Barré syndrome (GBS), whose ambulation recovered despite requiring total assistance on admission to a Kaifukuki rehabilitation ward. Gait training using knee-ankle-foot and ankle-foot orthoses was highly effective, based on the improvement in lower extremity muscle strength.</p><p><strong>Case: </strong>A female in her 20s was previously diagnosed with GBS and was transferred to a Kaifukuki rehabilitation ward on hospitalization day 57. On admission, the lower extremities had a manual muscle test grade of 1, and the functional independence measure motor score (mFIM) was 13. She began training to stand upright using a tilt table and a knee-ankle-foot orthosis. Gait training with an adjustable posterior strut ankle-foot orthosis was initiated from 9 weeks after admission, with the fixed, brake, resistance, and freedom settings of the orthosis for the ankle joint adjusted according to the improvement in lower extremity muscle strength. At discharge, she was ambulatory without assistive devices and foot orthoses, and her mFIM had improved to 91. She returned to work 2 months later.</p><p><strong>Discussion: </strong>This report describes the effectiveness of standing and gait training with a foot orthosis in improving ambulation in a severe GBS patient admitted to a Kaifukuki rehabilitation ward. Medical management and high-intensity rehabilitation are essential for patients with severe GBS during Kaifukuki rehabilitation.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"12 ","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545041/pdf/jjcrs-12-48.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687268","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 of an empowerment scale for inpatients in the Kaifukuki Rehabilitation Ward: validation of the validity and reliability of the scale and difference between the empowerment scale and the FIM.","authors":"Daichi Yumikawa,&nbsp;Mitsuru Sato,&nbsp;Nobutaka Kameda","doi":"10.11336/jjcrs.12.38","DOIUrl":"https://doi.org/10.11336/jjcrs.12.38","url":null,"abstract":"<p><p>Yumikawa D, Sato M, Kameda N. Development of an empowerment scale for inpatients in the Kaifukuki Rehabilitation Ward: validation of the validity and reliability of the scale and difference between the empowerment scale and the FIM. Jpn J Compr Rehabil Sci 2021; 12: 38-47.</p><p><strong>Objective: </strong>The Kaifukuki Rehabilitation Ward (KRW) provides patients with support for improving the ability to perform activities of daily living and acquiring autonomy. The ability to solve problems independently, defined as empowerment, is crucial for life after hospital discharge. The purpose of this study was to develop a new empowerment scale for KRWs and verify its validity and reliability.</p><p><strong>Methods: </strong>This new scale was created by selecting items suitable for KRWs from previous work on developing empowerment scales. The assessment of the validity and reliability of the scale and a comparison of this scale with the Functional Independence Measure (FIM) were performed based on 159 responses.</p><p><strong>Results: </strong>Although three of the 18 items showed response biases, the factor structure of the scale showed moderate validity (RMSEA = 0.083, correlation coefficient between subscale and total score = 0.61 - 0.83). The concurrent validity and internal consistency were generally good, and the test-retest reliability of the total score was 0.93 in the intraclass correlation coefficients. There was no correlation between the FIM and the new scale.</p><p><strong>Conclusion: </strong>The developed empowerment scale has certain validity and reliability and may provide a different outcome than the FIM.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"12 ","pages":"38-47"},"PeriodicalIF":0.0,"publicationDate":"2021-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545027/pdf/jjcrs-12-38.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687264","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":"Effectiveness of a knee-ankle-foot orthosis with a knee extension aid in gait training for stroke patients.","authors":"Minoru Murayama","doi":"10.11336/jjcrs.12.32","DOIUrl":"https://doi.org/10.11336/jjcrs.12.32","url":null,"abstract":"<p><p>Murayama M. Effectiveness of a knee-ankle-foot orthosis with a knee extension aid in gait training for stroke patients. Jpn J Compr Rehabil Sci 2021; 12: 32-37.</p><p><strong>Objective: </strong>To evaluate the effectiveness of a knee-ankle-foot orthosis (KAFO) with a newly developed knee extension aid in gait training for stroke patients with severe leg paralysis.</p><p><strong>Methods: </strong>The participants were 7 recovering stroke patients prescribed a KAFO. With the KAFO knee joint set to allow free flexion, knee flexion angle, lower limb muscle activity, and time of plantar ground contact were measured during assisted walking with the knee extension aid or a conventional support loop.</p><p><strong>Results: </strong>When first using the knee extension aid, knee flexion angle at initial ground contact was significantly decreased and time from heel strike on the paralyzed side to forefoot strike was prolonged compared with the support loop. After using the knee extension aid for 1 week, in addition to the two parameters above, maximum knee flexion angle during the swing phase, knee extension displacement from the maximum flexion angle to initial ground contact, and the muscle activity ratio of the biceps femoris during the swing phase were significantly increased compared with the support loop.</p><p><strong>Conclusion: </strong>This knee extension aid may be indicated for patients who have difficulty in initial heel strike due to excessive knee flexion at the end of the swing phase.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"12 ","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545044/pdf/jjcrs-12-32.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687267","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}