{"title":"Sex-based differences in body composition and functional independence affecting discharge destination in patients undergoing convalescent rehabilitation.","authors":"Minami Sato, Masahiro Ishizaka, Yoshiaki Endo, Masahiro Hirose, Kazuya Ohira, Akira Kubo","doi":"10.1589/jpts.37.367","DOIUrl":"10.1589/jpts.37.367","url":null,"abstract":"<p><p>[Purpose] To determine sex-based differences in body composition, based on discharge destination of patients admitted to a convalescent rehabilitation unit. [Participants and Methods] A total of 135 patients admitted to a convalescent rehabilitation unit were included. Body composition, motor function subscale of the Functional Independence Measure (mFIM) score, length of stay, and mean number of rehabilitation sessions per day were measured and compared between home and non-home discharge groups. [Results] The home and non-home discharge groups comprised 112 (45 males and 67 females) and 23 (nine males and 14 females) participants, respectively. Differences were observed in phase angle (PhA), skeletal muscle mass index (SMI), extracellular water to total body water ratio, and mFIM score for both sexes, based on discharge destination. Binomial logistic regression analysis with discharge destination as the dependent variable showed that the mFIM score and length of stay were influencing factors for males and females, respectively. [Conclusion] PhA and SMI are promising new tools for assessing common discharge destinations in both sexes, suggesting an impact of recovery in the mFIM score and on length of stay in male and female patients, respectively.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"367-371"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540661","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":"Associations between footwear fit and developmental milestones in toddlers: a cross-sectional study.","authors":"Kenji Takaki, Yasuaki Kusumoto, Eri Takahashi","doi":"10.1589/jpts.37.336","DOIUrl":"https://doi.org/10.1589/jpts.37.336","url":null,"abstract":"<p><p>[Purpose] To investigate the relationship between footwear characteristics and motor development in toddlers walking independently. [Participants and Methods] A total of 13 toddlers (mean age: 26.5 ± 4.5 months) were included. Footwear characteristics, including size, presence of a heel counter, and flex point alignment, were assessed. Motor development was evaluated using the Enjoji Analytical Developmental Test. [Results] Improperly fitted footwear was frequently observed. A significant positive correlation was identified between appropriately sized footwear and locomotor development. [Conclusion] These findings underscore the importance of correctly fitted footwear to support optimal motor development in toddlers.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"336-340"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540643","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":"Predictors of walking ability at discharge post proximal femoral fracture in an acute care hospital.","authors":"Tomoyasu Endo, Yukinori Tsukuda, Atsushi Oishi, Masanari Hamasaki","doi":"10.1589/jpts.37.341","DOIUrl":"10.1589/jpts.37.341","url":null,"abstract":"<p><p>[Purpose] To identify factors immediately post surgical treatment of proximal femoral fractures that can predict walking ability at discharge from an acute care hospital within one month. [Participants and Methods] A total of 122 patients >50 years, admitted to our institution with a fractured proximal femur, were able to walk independently or with a cane or walker prior to admission, and were prescribed physical therapy, post-surgery, were evaluated. Each patient was assigned to one of two groups: those who could walk with a cane or independently at discharge (walking group; n=35) and those who could not walk with the assistance of a cane at discharge (non-walking group; n=87). Multivariate regression analysis was performed to identify predictors of walking ability at discharge. [Results] Age, sex, pre-injury Functional Independence Measure motor (FIMm) score, and pre-injury Functional Independence Measure cognitive (FIMc) score were significantly related to walking ability. In the multivariate regression analysis, the FIMc score was a significant predictor of walking ability. [Conclusion] A detailed assessment of cognitive function on admission may enable predictions regarding the feasibility of direct discharge and the provision of appropriate rehabilitation.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 7","pages":"341-347"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540660","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 cognitive behavioral therapy combined with physical therapy on improving outcomes in chronic low back pain.","authors":"Thị Hang Tran, Van Minh Pham","doi":"10.1589/jpts.37.291","DOIUrl":"10.1589/jpts.37.291","url":null,"abstract":"<p><p>[Purpose] This study aimed to investigate the effect of cognitive behavioral therapy (CBT) combined with physical therapy on improving outcomes in chronic low back pain (CLBP). [Participants and Methods<b>]</b> Participants were divided into two groups: Group A (31 participants) received CBT combined with physical therapy, and Group B (32 participants) received only physical therapy. Outcome measures at baseline and post-treatment were assessed using the Numeric Pain Rating Scale (NPRS), Oswestry Disability Index, Tampa Scale for Kinesiophobia, Pain Self-Efficacy Questionnaire, and Depression Anxiety Stress Scale-21. [Results] After 12 weeks of intervention, the pain relief effect, as measured using the NPRS, indicated that Group A experienced a reduction of 79.0% compared with the pretreatment period, whereas Group B showed a decrease of 58.0% during the same timeframe. However, Group A demonstrated a more significant improvement than did Group B. Additionally, enhancements in self-confidence during daily activities, reduction in motor avoidance, and overall psychological well-being were all more pronounced in Group A than in Group B. [Conclusion] Both groups demonstrated improvement following treatment; however, CBT combined with physical therapy resulted in greater enhancements in pain relief, psychological status, kinesiophobia, and daily functioning in patients with CLBP compared with that via physical therapy alone after 12 weeks of intervention.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 6","pages":"291-297"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285057","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":"Association between changes in body composition and weight at admission and discharge from convalescent rehabilitation wards.","authors":"Minami Sato, Masahiro Ishizaka, Yoshiaki Endo, Masahiro Hirose, Kazuya Ohira, Yu Terauchi, Akira Kubo","doi":"10.1589/jpts.37.279","DOIUrl":"10.1589/jpts.37.279","url":null,"abstract":"<p><p>[Purpose] Effective nutritional management is essential for inpatient rehabilitation. This study aimed to examine changes in body composition in relation to weight gain or loss between admission and discharge from convalescent rehabilitation wards. [Participants and Methods] A total of 91 patients (39 men and 52 women) admitted to convalescent rehabilitation wards were included. Body composition, height, and weight were measured during admission and discharge using a device which allows measurements in seated or supine positions (InBody S10). Patients were classified into three groups based on whether they gained, maintained, or lost at least 3% of their body weight. [Results] Thirteen participants (six men and seven women) were categorized into the weight gain group, 58 (24 men and 34 women) into the unchanged group, and 20 (nine men and 11 women) into the weight loss group. Significant differences in the percentage change in the amount of body fat in men and change in the skeletal muscle mass index in women were observed. [Conclusion] In men, changes in body fat mass were observed, while in women, skeletal muscle mass changes were observed, which were linked to weight variations. These findings underscore the gender-specific differences in body composition changes during inpatient rehabilitation.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 6","pages":"279-283"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285054","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":"Changes in gait parameters using two types of step training in a patient following hemiplegic stroke.","authors":"Kenji Iida, Taishi Kikkawa, Takashi Murakami","doi":"10.1589/jpts.37.316","DOIUrl":"10.1589/jpts.37.316","url":null,"abstract":"<p><p>[Purpose] We report a case of stroke hemiplegia in which two types of step training affected gait parameters. [Participant and Methods] A 50-year-old man presented with right-sided hemiplegia caused by a left putaminal hemorrhage. Four months after the onset of asymmetric gait, he practiced stepping in the anterior-posterior directions on a 20-cm platform. Step training was conducted over three 5-day periods. Gait parameters were evaluated on the day following the completion of each training period. Data on the maximum walking speed, single- and double-leg support phases, and step length were collected. Furthermore, the symmetry ratio and trailing limb angle were calculated. [Results] Post-training improvements were noted in gait symmetry, and the trailing limb angle on the affected side improved after anterior-posterior step training. [Conclusion] Anterior-posterior step training may improve gait parameters following a hemiplegic stroke.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 6","pages":"316-319"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285055","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":"Survey of feeding issues experienced by patients with spinal muscular atrophy type 2 in Japan.","authors":"Yuu Uchio, Tetsuo Ikai","doi":"10.1589/jpts.37.270","DOIUrl":"10.1589/jpts.37.270","url":null,"abstract":"<p><p>[Purpose] This study aimed to clarify the eating difficulties experienced by patients with spinal muscular atrophy type 2 in Japan. [Participants and Methods] This cross-sectional study was part of a larger survey of Japanese patients with spinal muscular atrophy that included the use of a questionnaire. The feeding questionnaire was developed by a medical professional and validated before survey administration. Of 221 patients who completed and returned the questionnaire, 62 had spinal muscular atrophy type 2. The average age of the study patients was 17.6 years (± 11.7 years). To identify feeding problems experienced by patients with spinal muscular atrophy type 2 by age, the participants were divided into the following three groups: 0-11 years, 12-19 years, and 20 years or older. [Results] The frequency of choking episodes during meals in Japanese patients with type 2 spinal muscular atrophy was 66.1% and increased with age. [Conclusion] Ongoing swallowing evaluation and feeding instructions are necessary for patients with spinal muscular atrophy type 2.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 6","pages":"270-273"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285070","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 controlled clinical trial of leg thermal therapy in conjunction with standard cardiac rehabilitation in patients with decompensated heart failure.","authors":"Tomoyuki Ogino, Hideyuki Kondo, Makoto Okada, Hiroyuki Tanaka","doi":"10.1589/jpts.37.262","DOIUrl":"10.1589/jpts.37.262","url":null,"abstract":"<p><p>[Purpose] Leg thermal therapy (LTT) using far-infrared-ray dry sauna stimulation improves hemodynamics in patients with heart failure (HF); however, its additive effect when combined with cardiac rehabilitation (CR) remains unknown. This study aimed to investigate whether incorporating LTT into acute-phase CR confers exercise capacity in hospitalized patients with HF. [Participants and Methods] Seventeen patients with decompensated HF (median age 75 years) admitted between June 2018 and November 2019 were prospectively assigned to the CR plus LTT (11 participants) or the CR group (6 participants). Both groups performed structured exercise sessions for 40 min, five times a week. The LTT group received additional leg heating at 45°C for 20 min. Cardiopulmonary function and blood tests were performed before and after the intervention. [Results] At one month, peak oxygen uptake was equal between groups. However, anaerobic threshold oxygen uptake increased in the CR plus LTT group, noradrenaline levels decreased, and no complications were observed. [Conclusion] The addition of LTT to CR did not improve overall exercise capacity in hospitalized patients with HF, but it contributes to specific physiological improvements. Hence, this could be a potential approach to optimize cardiac rehabilitation for patients with decompensated HF.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 6","pages":"262-269"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285051","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 dual task training on attention and executive functioning in hemodialysis patients: a preliminary study.","authors":"Sadami Asano, Akihiko Murayama, Tomoharu Yamaguchi, Kohkichi Morimoto, Takashi Yasuda, Yorimitsu Furukawa","doi":"10.1589/jpts.37.245","DOIUrl":"10.1589/jpts.37.245","url":null,"abstract":"<p><p>[Purpose] This study aimed to investigate the effects of aerobic exercise and dual-task training on the attention and executive functions of hemodialysis patients using the Trail Making Test B and to make recommendations for clinical practice. [Participants and Methods] Patients were randomly assigned to one of three groups, with 10 individuals in each group. The first group, designated the dual-task group, performed both motor and cognitive tasks in addition to regular dialysis treatment. The second group, designated the exercise group, performed only motor tasks in addition to regular dialysis treatment. The third group served as the control group and underwent regular dialysis. The performance on the Trail Making Test B was compared among the dual-task, exercise, and control groups. [Results] The dual-task group exhibited a significantly shorter completion time for the Trail Making Test B after the intervention period than at the pre-intervention baseline. However, no significant differences were observed between the exercise and control groups. [Conclusion] The findings of this study indicate that dual tasks may facilitate improvements in attention and executive function in hemodialysis patients. We conclude that dual-task training is effective in enhancing the attention and executive functions of hemodialysis patients.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 6","pages":"245-249"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285058","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":"Measurement properties of observational gait analysis in patients with stroke: a systematic review.","authors":"Yugo Takeda, Aisuke Takahashi, Taishi Kitsu, Katsuhiro Furukawa","doi":"10.1589/jpts.37.303","DOIUrl":"10.1589/jpts.37.303","url":null,"abstract":"<p><p>[Purpose] This study aimed to conduct a systematic review the measurement properties of standardized observational gait analysis (OGA) tools for patients with stroke. [Participants and Methods] A systematically search was conducted in PubMed, Cochrane Library, and PEDro databases using stroke- and gait-related keywords. No time restrictions were applied. Studies evaluating OGA using gait analysis tools were included. The methodological quality of the selected studies was assessed using the COSMIN Risk of Bias checklist. [Results] A total of eighteen studies utilizing four gait analysis tools were identified. Sixteen studies employed video-based measurements. The GAIT and WGS tools were assessed for reliability, validity, responsiveness, and interpretability. However, the overall methodological quality of these assessments was not rated as high. [Conclusion] Video-based OGA holds significant potential for clinical applications, but several challenges remain to be met. Standardizing video recording protocols and measurement methods are essential and additional research is needed to determine the qualifications and expertise of the evaluators. Although some studies have shown video-based OGA are effective, determining clinically relevant indicators, such as the Minimal Clinically Important Difference (MCID), is necessary to enhance its applicability in clinical practice.</p>","PeriodicalId":16834,"journal":{"name":"Journal of Physical Therapy Science","volume":"37 6","pages":"303-315"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285067","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}