{"title":"Shoulder joint rotational range of motion characteristics among the elderly.","authors":"Daisuke Toyoda, Tomohiro Mizuno, Kenji Iwatate","doi":"10.1589/jpts.37.372","DOIUrl":"10.1589/jpts.37.372","url":null,"abstract":"<p><p>[Purpose] We characterized the range of rotational motion around the three most used positions in elderly adults and developed an objective index for shoulder joint evaluation. [Participants and Methods] We investigated the range of rotational motion in the first, second, third, and transitional positions in 60 healthy young adults (60 shoulders) and 30 elderly adults (30 shoulders). We also examined changes in rotational range with variations in limb position. [Results] In older adults, the internal rotation range of motion was significantly lower at 30° abduction, 60° abduction, second position, 30° horizontal flexion, and third position. External rotational range of motion in elderly adults was also significantly lower in the first, second, 30° horizontal flexion, 60° horizontal flexion, third, 60° flexion, and 30° flexion positions. [Conclusion] The findings of this study provide objective measures of changes in rotational range of motion associated with different limb positions that may serve as an index for understanding age-related changes in shoulder mobility over time.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"372-375"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540662","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":"Correlation between respiratory muscle strength and arm muscle strength of the unaffected side in patients with sub-acute stroke.","authors":"Daiki Mizubata, Motoyuki Abe, Naohiro Ozeki","doi":"10.1589/jpts.37.320","DOIUrl":"10.1589/jpts.37.320","url":null,"abstract":"<p><p>[Purpose] To prospectively examine the relationship between respiratory muscle strength and proximal and distal arm muscle strength on the unaffected side in patients with sub-acute stroke during rehabilitation. [Participants and Methods] Twenty patients with hemiplegic stroke admitted to a post-acute rehabilitation unit were included. Maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), shoulder flexion strength (index of the proximal portion), and handgrip strength (index of the distal portion) were measured bilaterally on admission and at one month and two months post-admission. [Results] MIP and MEP were significantly increased two months post-admission, particularly MEP. Bilateral arm muscle strength significantly increased in the proximal and distal portions during intensive rehabilitation. On the unaffected side, the strength of the proximal portion was lower than that of the distal portion. Positive correlations were observed between MIP and MEP, and arm muscle strength on the unaffected side, at each time point. Notably, the correlation coefficient tended to be higher with MEP than with MIP. [Conclusion] MIP and MEP correlated with arm muscle strength on the unaffected side during sub-acute rehabilitation.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"320-325"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540652","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":"Gait function progress in a patient with a femoral neck fracture who underwent rehabilitation during prolonged surgical waiting time: a case study.","authors":"Takahiro Toriyama, Takahiro Miyashita, Keita Tomii, Toshiyasu Sakurai, Hiroyuki Kodaira","doi":"10.1589/jpts.37.376","DOIUrl":"10.1589/jpts.37.376","url":null,"abstract":"<p><p>[Purpose] We report the case of an 81-year-old woman with a femoral neck fracture whose gait function improved with in-hospital physical therapy prior to surgery. [Participants and Methods] The patient's planned bipolar hip arthroplasty was postponed due to suspected metal allergy, and she commenced rehabilitation on hospital day 4. [Results] On day 7, the patient stood and was transferred with assistance. Subsequently, owing to pain, she only left her bed during rehabilitation. On day 10, the fracture was externally fixed using a soft-conforming lumbar immobilization orthosis, which relieved the pain. The patient was allowed to stand and was transferred under supervision. On day 22, surgery was scheduled after obtaining a negative metal patch test result. On day 23, the patient was able to walk 25 m using a walker. Bipolar hip arthroplasty was performed on day 28. On day 30, she walked 10 m using a walker with light assistance. On day 52, the patient walked independently using a cane. The patient was discharged on day 63. [Conclusion] External lumbar immobilization bandages effectively reduced motion-related fracture pain. The high frequency of rehabilitation while waiting for surgery effectively prevented perioperative complications and promoted early postoperative walking recovery.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"376-381"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540659","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":"Corrigendum: Changes in trunk displacement and ground reaction force during right-left hand-behind-back movement.","authors":"","doi":"10.1589/jpts.37.274c","DOIUrl":"https://doi.org/10.1589/jpts.37.274c","url":null,"abstract":"<p><p>[This corrects the article on p. 274 in vol. 37 PMC12153240.].</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"383"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540654","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 hypoxia-inducible factor 1 alpha inhibitor on immobilization-induced muscle fibrosis related to muscle contracture.","authors":"Yasuhiro Kajiwara, Yuichiro Honda, Ayumi Takahashi, Seima Okita, Jumpei Miyake, Yudai Ishiki, Chiaki Seguchi, Junya Sakamoto, Minoru Okita","doi":"10.1589/jpts.37.348","DOIUrl":"10.1589/jpts.37.348","url":null,"abstract":"<p><p>[Purpose] To test the effect of the hypoxia-inducible factor 1-alpha (HIF-1α) inhibitor, YC-1, on the upregulation of HIF-1α that leads to immobilization-induced muscle fibrosis underlying muscle contracture. [Materials and Methods] Rats were divided into control, immobilization (immobilization only), and YC-1 (immobilization and YC-1 injection) groups. The soleus muscles were the specimens. [Results] The HIF-1α protein expression in the control, immobilization, and YC-1 groups was 0.26 ± 0.11, 0.94 ± 0.28, and 0.66 ± 0.15, respectively. The expression of HIF-1α protein in the immobilization and YC-1 groups was significantly higher than in the control group and it was lower in the YC-1 group than in the immobilization group. There were strong positive correlations between HIF-1α protein expression and transforming growth factor (TGF)-β1 mRNA expression, TGF-β1 and α-smooth muscle actin (SMA) mRNA expressions, and between α-SMA mRNA expression and hydroxyproline content. A strong negative correlation was found between hydroxyproline content and range of motion on dorsiflexion at four-weeks. [Conclusion] Inhibition of HIF-1α may contribute to suppressing the overexpression of fibrosis-related molecules triggered by upregulation of HIF-1α, which may mitigate immobilization-induced muscle fibrosis related to muscle contracture.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"348-354"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540655","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}
Ken Kouda, Yuta Sakurai, Shohei Araki, Izumi Yoshioka, Motohiko Banno, Yoshi-Ichiro Kamijo, Yukio Mikami, Yasunori Umemoto, Fumihiro Tajima
{"title":"Acute effects of 10-minute robotic leg movements on a dynamic tilt table in patients with chronic stroke.","authors":"Ken Kouda, Yuta Sakurai, Shohei Araki, Izumi Yoshioka, Motohiko Banno, Yoshi-Ichiro Kamijo, Yukio Mikami, Yasunori Umemoto, Fumihiro Tajima","doi":"10.1589/jpts.37.330","DOIUrl":"10.1589/jpts.37.330","url":null,"abstract":"<p><p>[Purpose] We previously reported that a combination of stepping and functional electrical stimulation on a dynamic tilt table with robotic leg movement improved walking speed in patients with stroke. The purpose of this study was to assess the effect of a single bilateral lower limb exercise session using a dynamic tilt table with robotic leg movement without functional electrical stimulation on walking speed in patients with chronic stroke. [Participants and Methods] Ten patients with chronic stroke who were capable of walking independently (73 ± 44 months post stroke onset) were included. The participants performed passive lower extremity walking for 10 minutes in a standing position on the dynamic tilt table with robotic leg movement. The effects of the intervention on walking speed, cadence, and Modified Ashworth Scale score for the quadriceps muscle on the paralyzed side were assessed using the 10-meter walking test. [Results] The 10-minute intervention significantly increased the walking speed (baseline: 0.49 ± 0.17 m/sec, after: 0.56 ± 0.23 m/sec) and cadence (baseline: 96 ± 22 steps/min, after: 99 ± 24 steps/min); however, it had no effect on the Modified Ashworth Scale score for the paralyzed quadriceps muscle. [Conclusion] This study highlights the potential of the dynamic tilt table with robotic leg movement without functional electrical stimulation in rehabilitation therapy for patients with chronic stroke.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"330-335"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540642","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 different balance practice methods on motor learning in unstable environments: a randomized pre-post experimental design.","authors":"Noriko Sato, Hitomi Nishizawa, Teiji Kimura","doi":"10.1589/jpts.37.361","DOIUrl":"10.1589/jpts.37.361","url":null,"abstract":"<p><p>[Purpose] To verify and compare the effects of different training methods on balance retention during early motor learning in unstable standing environments. [Participants and Methods] Twenty-six healthy adults were randomly assigned to three groups for a balance maintenance task involving holding a tandem standing position on a slackline. The active assistance (AA) group held a cane in each hand, the passive assistance (PA) group had the participant manually assisted by a therapist, and the no assistance (NA) group had no canes or assistance. Tandem standing time (TST) was measured before, immediately after, and one week after the three weeks training period. [Results] Intra-group comparisons revealed that the AA and PA groups showed significant improvements in TST immediately after practice, with the PA group maintaining this significant improvement one week later. No significant differences were observed between groups at any time point. [Conclusion] Our findings suggest, that in the early stages of motor learning for balance in an unstable standing environment, practicing with manual assistance may be more effective for developing an accurate perception of optimal balance.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"361-366"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540657","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":"Functional independence during hospitalization in patients with intensive care unit-acquired weakness.","authors":"Shinichi Watanabe, Tomohiro Yoshikawa, Yoshie Hirota, Yuji Naito, Daisetsu Yasumura, Kota Yamauchi, Keisuke Suzuki, Takayasu Koike, Yasunari Morita","doi":"10.1589/jpts.37.355","DOIUrl":"10.1589/jpts.37.355","url":null,"abstract":"<p><p>[Purpose] To examine the association between intensive care unit-acquired weakness and functional disability, specifically hospitalization-associated disability. [Participants and Methods] This <i>post-hoc</i> analysis of an investigation of the physical activity of mechanical ventilated patients in intensive care units involved nine hospitals. Consecutive patients, intubated in the intensive care unit for >48 h, were eligible. The exposure variable was intensive-care-unit-acquired weakness. The primary outcomes were the Barthel Index and incidence of hospitalization-associated disability. Multiple logistic regression analysis was used to analyze the association between intensive-care-unit-acquired weakness and both outcomes. [Results] Of the 121 patients, 46 were assigned to the intensive-care-unit-acquired weakness group and 75 to the non-intensive-care-unit-acquired weakness group. The Barthel Index scores were consistently different between intensive care unit discharge and hospital discharge. No significant difference in the incidence of hospitalization-associated disability was found from intensive care unit discharge to 28 days post-ICU discharge. A significant difference between the two groups was observed only at the time of hospital discharge. The Medical Research Council score correlated linearly with the Barthel Index at 7, 14, and 28 days and with hospital discharge. [Conclusion] Intensive-care-unit-acquired weakness is significantly associated with functional disability and hospitalization-associated disability in critically ill patients admitted with acute illness.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"355-360"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540658","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":"Corrigendum: Changes in scapular and trunk angles and postural control during right-left hand-behind-back movement.","authors":"","doi":"10.1589/jpts.36.564c","DOIUrl":"https://doi.org/10.1589/jpts.36.564c","url":null,"abstract":"<p><p>[This corrects the article on p. 564 in vol. 36 PMC11374172.].</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"382"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540653","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}
Christina Foi, Charalampos Matzaroglou, Georgios Vlachopoulos, Dionysios J Papachristou
{"title":"Effectiveness of therapeutic exercise and platelet-rich plasma in the case of knee osteoarthritis.","authors":"Christina Foi, Charalampos Matzaroglou, Georgios Vlachopoulos, Dionysios J Papachristou","doi":"10.1589/jpts.37.326","DOIUrl":"10.1589/jpts.37.326","url":null,"abstract":"<p><p>[Purpose] Osteoarthritis is the most common form of arthritis worldwide and has detrimental effects on an individual's quality of life. We compared two interventions-an exercise program alone and an exercise program combined with the intra-articular platelet-rich plasma (PRP) injection-focusing on pain and functionality in patients with mild knee osteoarthritis. [Participants and Methods] A total of 76 patients (41 men and 35 women) participated in the study. They were divided equally into the control and intervention groups. To assess knee functionality in both groups, we used state-of-the-art assessment tools, namely the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Knee Injury and Osteoarthritis Outcome Score (KOOS). [Results] The results revealed that following the eight-week exercise program, the intervention group showed significantly better values in the WOMAC scale and in three of the four components of the KOOS scale (pain, symptoms, and activities of daily living). Additionally, we observed that the improvement in WOMAC and KOOS scores was significantly better in the intervention group than in the control group. [Conclusion] Combining PRP and exercise therapy can help improve patients' quality of life. However, PRP preparation protocols and exercise prescriptions must be optimized and tailored to individual patient needs.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"326-329"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540656","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}