Annals of Rehabilitation Medicine-ARM最新文献

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Correction: A Fully Immersive Virtual Reality Method for Upper Limb Rehabilitation in Spinal Cord Injury. 纠正:一种用于脊髓损伤上肢康复的完全沉浸式虚拟现实方法。
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2025-01-20 DOI: 10.5535/arm.19181.e
Da Young Lim, Dong Min Hwang, Kang Hee Cho, Chang Won Moon, So Young Ahn
{"title":"Correction: A Fully Immersive Virtual Reality Method for Upper Limb Rehabilitation in Spinal Cord Injury.","authors":"Da Young Lim, Dong Min Hwang, Kang Hee Cho, Chang Won Moon, So Young Ahn","doi":"10.5535/arm.19181.e","DOIUrl":"https://doi.org/10.5535/arm.19181.e","url":null,"abstract":"","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012581","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}
引用次数: 0
Letter to the Editor: Efficacy and Safety of High Density LED Irradiation Therapy for Patients With Hand Osteoarthritis: A Single-Center Clinical Study. 致编辑的信:高密度LED照射治疗手部骨关节炎的疗效和安全性:一项单中心临床研究。
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2025-01-20 DOI: 10.5535/arm.240063
Vanshika Agarwal, Jeyanthi S, Adarsh Sharma
{"title":"Letter to the Editor: Efficacy and Safety of High Density LED Irradiation Therapy for Patients With Hand Osteoarthritis: A Single-Center Clinical Study.","authors":"Vanshika Agarwal, Jeyanthi S, Adarsh Sharma","doi":"10.5535/arm.240063","DOIUrl":"https://doi.org/10.5535/arm.240063","url":null,"abstract":"","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013628","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}
引用次数: 0
Factors Affecting Life Satisfaction Among People With Physical Disabilities During COVID-19: Observational Evidence From a Korean Cohort Study. 影响 COVID-19 期间肢体残疾人生活满意度的因素:来自韩国队列研究的观察证据。
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2024-12-01 Epub Date: 2024-11-13 DOI: 10.5535/arm.240056
Myoungsuk Kim, Seung Hee Ho, Hayeon Kim, Jaemin Park
{"title":"Factors Affecting Life Satisfaction Among People With Physical Disabilities During COVID-19: Observational Evidence From a Korean Cohort Study.","authors":"Myoungsuk Kim, Seung Hee Ho, Hayeon Kim, Jaemin Park","doi":"10.5535/arm.240056","DOIUrl":"10.5535/arm.240056","url":null,"abstract":"<p><strong>Objective: </strong>To determine the factors influencing the life satisfaction of people with physical disabilities during the COVID-19 pandemic, considering demographics, disability-related characteristics, health behaviors, and psychosocial characteristics.</p><p><strong>Methods: </strong>We used cross-sectional data from 301 respondents of the 2021/2022 survey of the Korean Health Cohort Study for People with Physical Disabilities. Descriptive statistics were used to analyze the research subjects' characteristics, and chi-square tests and multiple logistic regression were used to identify the determinants of life satisfaction.</p><p><strong>Results: </strong>Among socio demographic variables, occupation had a strong association with life satisfaction. Significant health behavior variables included daily regular meals, weight control effort, and chronic pain. All psychosocial characteristics (perceived stress, depression, suicidal ideation, cognitive function assessment, subjective health status, family satisfaction, income satisfaction) were strongly associated with life satisfaction. Results of the analysis of factors affecting life satisfaction showed that unemployment, lack of regular exercise, elevated stress, suicidal thoughts, and dissatisfaction with family contributed to increased life dissatisfaction.</p><p><strong>Conclusion: </strong>Economic support through job creation that considers the specific characteristics of people with disabilities, and social access through community integration services that encourage participation in social activities, should be prioritized.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"377-388"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630359","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}
引用次数: 0
Genetics of Cerebral Palsy: Diagnosis, Differential Diagnosis, and Beyond. 脑瘫的遗传学:诊断、鉴别诊断及其他。
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.5535/arm.240081
Dae-Hyun Jang, Jaewon Kim, Aloysia Leisanne Schwabe, Timothy Edward Lotze
{"title":"Genetics of Cerebral Palsy: Diagnosis, Differential Diagnosis, and Beyond.","authors":"Dae-Hyun Jang, Jaewon Kim, Aloysia Leisanne Schwabe, Timothy Edward Lotze","doi":"10.5535/arm.240081","DOIUrl":"https://doi.org/10.5535/arm.240081","url":null,"abstract":"<p><p>Cerebral palsy (CP) is the most common motor disability in children, characterized by diverse clinical manifestations and often uncertain etiology, which has spurred increasing interest in genetic diagnostics. This review synthesizes findings from various studies to enhance understanding of CP's genetic underpinnings. The discussion is structured around five key areas: monogenic causes and copy number variants directly linked to CP, differential genetic disorders including atypical CP and mimics, ambiguous genetic influences, co-occurrence with other neurodevelopmental disorders, and polygenic risk factors. Case studies illustrate the clinical application of these genetic insights, underscoring the complexity of diagnosing CP due to the phenotypic overlap with other conditions and the potential for misdiagnosis. The review highlights the significant role of advanced genetic testing in distinguishing CP from similar neurodevelopmental disorders and assessing cases with unclear clinical presentations. Furthermore, it addresses the ongoing challenges in establishing a consensus on genetic contributors to CP, the need for comprehensive patient phenotyping, and the integration of rigorous genetic and functional studies to validate findings. This comprehensive examination of CP genetics aims to pave the way for more precise diagnostics and personalized treatment plans, urging continued research to overcome the current limitations and refine diagnostic criteria within this field.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 6","pages":"369-376"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907786","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}
引用次数: 0
Discordance Between Spine-Hip and Paretic-Nonparetic Hip Bone Mineral Density in Hemiplegic Stroke Patients: A Multicenter Retrospective Study. 中风偏瘫患者脊柱-髋部和瘫痪-非瘫痪髋部骨矿物质密度的不一致性:一项多中心回顾性研究
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2024-12-01 Epub Date: 2024-12-20 DOI: 10.5535/arm.240079
Seung Don Yoo, Tae-Woo Kim, Byung-Mo Oh, Seung Ah Lee, Chanwoo Kim, Ho Yeon Chung, Jung Eun Son, Ji Yeon Lee, Hyunji Lee, Hoo Young Lee
{"title":"Discordance Between Spine-Hip and Paretic-Nonparetic Hip Bone Mineral Density in Hemiplegic Stroke Patients: A Multicenter Retrospective Study.","authors":"Seung Don Yoo, Tae-Woo Kim, Byung-Mo Oh, Seung Ah Lee, Chanwoo Kim, Ho Yeon Chung, Jung Eun Son, Ji Yeon Lee, Hyunji Lee, Hoo Young Lee","doi":"10.5535/arm.240079","DOIUrl":"https://doi.org/10.5535/arm.240079","url":null,"abstract":"<p><strong>Objective: </strong>To identify the prevalence and factors associated with T-score discordance between the spine and hip, as well as between the paretic and non-paretic hips in hemiplegic stroke patients, this study investigated bone mineral density (BMD) patterns. Bone loss predominantly affects the paretic hip after a stroke, and typical clinical assessments using dual-energy X-ray absorptiometry (DXA) that scan the lumbar spine (LS) and a single hip may overlook an osteoporosis diagnosis. This oversight could potentially lead to suboptimal treatment for stroke patients.</p><p><strong>Methods: </strong>This study was a multicenter retrospective analysis of 540 patients admitted for stroke rehabilitation between October 2014 and February 2022, who underwent DXA of LS and bilateral hips.</p><p><strong>Results: </strong>The prevalence rates of concordance, low LS discordance, and low hip discordance between the LS and hips were 48.2%, 12.2%, and 39.6%, respectively. The discordance rate between bilateral hips was 17.0%. The paretic side had significantly lower total hip T-scores than the non-paretic side (p<0.001). Notably low paretic hip discordance was more prevalent during the chronic phase. DXA scans of the LS and both hips revealed a 0.7%-0.9% higher major discordance compared to LS and single hip DXA scans. The multivariate analysis revealed a significant correlation between a low paretic hip discordance and cognitive impairment (adjusted odds ratio 0.071, 95% confidence interval 0.931-1.003, p<0.05).</p><p><strong>Conclusion: </strong>Since stroke survivors are at high risk for hip fractures, comprehensive BMD assessments, which include LS and bilateral hips, should be considered for post-stroke osteoporosis care to enhance diagnostic accuracy and timely treatment.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 6","pages":"413-422"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907785","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}
引用次数: 0
Ultrasonography for Assessment and Intervention With Botulinum Toxin Injection for Tremors. 超声波检查用于评估和干预肉毒杆菌毒素注射治疗震颤。
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2024-12-01 Epub Date: 2024-12-16 DOI: 10.5535/arm.240065
So-Hyun Park, Joon-Ho Shin
{"title":"Ultrasonography for Assessment and Intervention With Botulinum Toxin Injection for Tremors.","authors":"So-Hyun Park, Joon-Ho Shin","doi":"10.5535/arm.240065","DOIUrl":"10.5535/arm.240065","url":null,"abstract":"<p><strong>Objective: </strong>Tremors are caused by contractions of reciprocally innervated muscles. The role of ultrasound in diagnosing tremors has not yet been investigated, although it appears to be promising because it can visualize muscle movements. In the present study, we report four cases of tremor (Holmes' tremor, extremity tremor associated with palatal myoclonus, dystonic tremor, and tremor associated with dystonia), which were evaluated using ultrasound and treated with botulinum toxin injections.</p><p><strong>Methods: </strong>The muscles of patients with tremors were examined using B- or M-mode ultrasound while they were in the supine position. Tremor was determined by involuntary muscular contraction (B-mode) or fasciculation (M-mode) from recorded sonography clips. Thereafter, tremors were measured as frequency and amplitude of specific muscles. Ultrasound-guided botulinum toxin type A injection was administered, and follow-up ultrasonography was used to assess tremors.</p><p><strong>Results: </strong>Tremors, which manifest as a specific set of muscle contractions, were measured using ultrasonography and treated with botulinum toxin injection. Follow-up ultrasonography revealed improved tremors as seen with decreased frequency and amplitude of specific muscle after the intervention, which included medication and botulinum toxin injections.</p><p><strong>Conclusion: </strong>Ultrasonography is an effective assessment tool for tremors, allowing further information regarding tremor characteristics with high sensitivity, playing a role in detecting specific muscles that are affected by tremors, and guiding an exact intervention with botulinum toxin.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"396-404"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830516","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}
引用次数: 0
Muscle Pathology Associated With Cardiac Function in Duchenne Muscular Dystrophy. 与杜兴氏肌肉萎缩症心脏功能相关的肌肉病理学
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2024-12-01 Epub Date: 2024-12-16 DOI: 10.5535/arm.240006
Jin A Yoon, Heirim Lee, In Sook Lee, You Seon Song, Byeong-Ju Lee, Soo-Yeon Kim, Yong Beom Shin
{"title":"Muscle Pathology Associated With Cardiac Function in Duchenne Muscular Dystrophy.","authors":"Jin A Yoon, Heirim Lee, In Sook Lee, You Seon Song, Byeong-Ju Lee, Soo-Yeon Kim, Yong Beom Shin","doi":"10.5535/arm.240006","DOIUrl":"10.5535/arm.240006","url":null,"abstract":"<p><strong>Objective: </strong>To compare the progression of muscle fibrosis of various site and its relation between cardiac deterioration in Duchenne muscular dystrophy (DMD). In this study aimed to examine the associations between echocardiogram-based cardiac function indices and fibrosis of the abdominal and lower extremity muscles in patients with DMD to facilitate early detection of cardiac dysfunction and identify its predictors.</p><p><strong>Methods: </strong>Twenty-one patients with DMD patients were enrolled in the study. The association between cardiac dysfunction and fibrosis of the abdominal and lower extremity muscles was determined by analyzing the echocardiography and elastography. Non-parametric Spearman rank correlation coefficients were used to examine the pairwise relationships between cardiac function and muscle elasticity.</p><p><strong>Results: </strong>All patients were male and non-ambulant. Their mean age was 18.45±4.28 years. The strain ratios of the abdominal muscle and quadriceps muscles were significantly higher than those of the medial gastrocnemius. The strain ratio of the rectus abdominis muscle has a significant negative correlation with left ventricular ejection fraction. Cardiac function and valvular insufficiency were not significantly correlated with muscle strain ratio. According to the result of our study, the only skeletal muscle which showed significant correlation with cardiac dysfunction was degree abdominal muscle fibrosis.</p><p><strong>Conclusion: </strong>The degree of fibrosis of respiratory muscles was also significantly associated with cardiac dysfunction; therefore, it can be used as a predictor of cardiac dysfunction in patients with DMD in clinical practice.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"405-412"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830515","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}
引用次数: 0
The Assessment of Muscle Strength and Cardiorespiratory Parameters Using Simple Tests in Older Adults With Recovery From Mild COVID-19. 使用简单测试评估轻度COVID-19恢复的老年人肌肉力量和心肺参数
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2024-12-01 Epub Date: 2024-12-10 DOI: 10.5535/arm.240033
Patchareeya Amput, Sirima Wongphon
{"title":"The Assessment of Muscle Strength and Cardiorespiratory Parameters Using Simple Tests in Older Adults With Recovery From Mild COVID-19.","authors":"Patchareeya Amput, Sirima Wongphon","doi":"10.5535/arm.240033","DOIUrl":"10.5535/arm.240033","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate muscle strength and cardiorespiratory parameters, this study uses simple tests in older adults, including those who have and have not recovered from mild coronavirus disease 2019 (COVID-19).</p><p><strong>Methods: </strong>Eighty older adults (age≥60 years old) were divided into two groups: those without previous COVID-19 (control group, n=40) and those with recovery from mild COVID-19 (recovered group, n=40). Muscle strength was assessed using a handgrip strength test and the sit-to-stand test (STS10). Cardiorespiratory parameters were evaluated with a 1-minute sitto- stand (1-min STS) test and a 6-minute walk test (6MWT).</p><p><strong>Results: </strong>Both groups had normal values for body mass index, blood pressure, heart rate, and pulse oxygen saturation. The recovered group showed significant differences in handgrip strength test (24.73±6.99 vs. 22.03±4.36, p=0.041) and duration for the STS10 (25.15±6.11 vs. 33.40±7.56, p<0.001) when compared to the control group. Furthermore, the recovered group had significantly decreased repetitions of a 1-min STS (31.38±4.89 vs. 21.25±3.64, p<0.001) and increased the rate of perceived exertion (RPE) (7.43±1.20 vs. 8.95±1.01, p=0.01) and leg fatigue (1.49±1.13 vs. 3.00±1.04, p=0.03) after performing a 1-min STS when compared with the control group. Moreover, the recovered group had also significantly decreased distances for the 6MWT (421.68±8.28 vs. 384.35±6.17, p<0.001) and increased the post-test RPE (7.63±1.37 vs. 12.05±1.63, p<0.001) and the post-test leg fatigue (1.71±0.88 vs. 5.28±0.91, p<0.001) compared with the control group.</p><p><strong>Conclusion: </strong>Older adults with recovery from mild COVID-19 reported reduced muscle strength and exercise tolerance when compared with older adults without COVID-19.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"389-395"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802704","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}
引用次数: 0
Change in Plantar Pressure and Plain Radiography in Pediatric Flexible Flatfoot: A Retrospective Cohort Study. 小儿灵活型扁平足患者足底压力和平片的变化:回顾性队列研究
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2024-10-01 Epub Date: 2024-10-31 DOI: 10.5535/arm.240041
Sungjoon Kim, Yong Gyun Kim, Jun Yup Kim, Si-Bog Park, Kyu Hoon Lee
{"title":"Change in Plantar Pressure and Plain Radiography in Pediatric Flexible Flatfoot: A Retrospective Cohort Study.","authors":"Sungjoon Kim, Yong Gyun Kim, Jun Yup Kim, Si-Bog Park, Kyu Hoon Lee","doi":"10.5535/arm.240041","DOIUrl":"10.5535/arm.240041","url":null,"abstract":"<p><strong>Objective: </strong>To investigate longitudinal changes in plantar pressure examinations and plain radiographs and to assess the correlations between these two modalities in pediatric patients with flexible flatfoot (FFF).</p><p><strong>Methods: </strong>Pediatric patients diagnosed with FFF were analyzed in this retrospective cohort study. Medical records were reviewed to collect data on plain radiographs and plantar pressure examinations. Changes in radiographic angles and plantar pressure parameters were analyzed over a follow-up period exceeding 1 year. Statistical analyses included paired t-test, Wilcoxon signed rank test, and Spearman's correlation analysis.</p><p><strong>Results: </strong>A total of 52 subjects was included in the plantar pressure analysis, with a mean age of 9.9 years at the first visit and a median follow-up duration of 52 months. The lateral tarso-first metatarsal angle decreased by 1.3° (p<0.001) and calcaneal inclination angle increased by 2.5° (p<0.001) in these patients. The percentage value of midfoot width (WMF) divided by forefoot width (WFF) decreased by an average of 9.8% p (p<0.001), and the maximal pressure on the medial midfoot (MMF) decreased by 1.6 N/cm2 (p<0.001). However, no correlations were found between plantar pressure and radiographic changes.</p><p><strong>Conclusion: </strong>During follow-up of patients with FFF, the maximal pressure on the MMF and the ratio of WMF to WFF decreased in successive plantar pressure examinations. Changes observed in plantar pressure and plain radiographs were not consistent, indicating that these two testing modalities can complement each other.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 5","pages":"352-359"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577128","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}
引用次数: 0
Coexistence of Non-Lower Body Mass Index and Exercise Habits Reduce Readmission in Older Patients With Heart Failure. 非低体重指数与运动习惯并存可减少老年心力衰竭患者的再入院率
IF 2.1
Annals of Rehabilitation Medicine-ARM Pub Date : 2024-10-01 Epub Date: 2024-10-11 DOI: 10.5535/arm.240023
Tetsuya Ozawa, Tatsuro Inoue, Takashi Naruke, Kosei Sato, Yuki Izuoka, Ryuichi Sato, Naoshi Shimoda, Masaru Yuge
{"title":"Coexistence of Non-Lower Body Mass Index and Exercise Habits Reduce Readmission in Older Patients With Heart Failure.","authors":"Tetsuya Ozawa, Tatsuro Inoue, Takashi Naruke, Kosei Sato, Yuki Izuoka, Ryuichi Sato, Naoshi Shimoda, Masaru Yuge","doi":"10.5535/arm.240023","DOIUrl":"10.5535/arm.240023","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the impact of body mass index (BMI) and exercise habits on readmission rates among older patients with heart failure.</p><p><strong>Methods: </strong>Ninety-seven older patients admitted for heart failure (median age: 81 years; 57.7% male) were included in the study. Patients were categorized into four groups based on the presence or absence of lower BMI and/or the absence of exercise habits. Lower BMI was defined as BMI<20.3 kg/m2 at discharge and exercise habits were defined as engaging in 30 or more minutes of moderate or vigorous exercise at least once a week. The primary outcome was all-cause readmission during the 1-year follow-up period.</p><p><strong>Results: </strong>The patients were distributed across four groups: lower BMI/non-exerciser (n=24, 24.7%), lower BMI/exerciser (n=22, 22.7%), non-lower BMI/non-exerciser (n=21, 21.6%), and non-lower BMI/exerciser (n=30, 30.9%). Forty-six patients (47.4%) experienced readmission during the 1-year follow-up period. In a cox proportional hazard analysis, non-lower BMI/exerciser remained an independent prognostic factor even after adjusting for confounding factors (non-lower BMI/exerciser vs. lower BMI/non-exerciser: hazard ratio, 0.26; 95% confidence interval, 0.08-0.83; p=0.022).</p><p><strong>Conclusion: </strong>The coexistence of non-lower BMI and regular exercise habits may reduce readmission during the 1-year in older patients with heart failure. Therefore, it is imperative to conduct appropriate nutritional assessments for patients with lower BMI at discharge. Additionally, promoting and monitoring sustained physical activity after discharge is crucial for older patients with heart failure.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"344-351"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401524","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}
引用次数: 0
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