Annals of Rehabilitation Medicine-ARM最新文献

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Change of Femoral Anteversion Angle in Children With Intoeing Gait Measured by Three-Dimensional Computed Tomography Reconstruction: 3-Year Follow-Up Study. 三维计算机断层扫描重建测量儿童入行步态股骨前倾角的变化:3年随访研究。
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-06-01 DOI: 10.5535/arm.23043
Yeongchae Park, Hayoung Byun, Mi-Ji Kim, Heesuk Shin
{"title":"Change of Femoral Anteversion Angle in Children With Intoeing Gait Measured by Three-Dimensional Computed Tomography Reconstruction: 3-Year Follow-Up Study.","authors":"Yeongchae Park,&nbsp;Hayoung Byun,&nbsp;Mi-Ji Kim,&nbsp;Heesuk Shin","doi":"10.5535/arm.23043","DOIUrl":"https://doi.org/10.5535/arm.23043","url":null,"abstract":"<p><strong>Objective: </strong>To investigate long-term changes in femoral anteversion angle (FAA) in children with intoeing gait and to identify factors that affect FAA changes.</p><p><strong>Methods: </strong>We retrospectively analyzed three-dimensional computed tomography data from 2006 to 2022 of children with intoeing gait with ≥3 years of follow-up without active treatment. The study examined the mean changes in FAA, the effects of sex, age, and initial FAA on FAA change, and mean FAAs by age. Changes in FAA severity up to eight years of age were also observed and analyzed by sex.</p><p><strong>Results: </strong>A total of 126 lower limbs of 63 children (30 males, 33 females) with intoeing gait were included, with a mean age of 5.11±1.05 years and a mean follow-up period of 43.59±7.74 months. The initial FAA was 41.42°±8.29° and the follow-up FAA was 33.25°±9.19°, indicating a significant decrease (p<0.001). Significant correlations were observed between age and changes in FAA, as well as between initial FAA and changes in FAA (r=0.248, p=0.005; r=-0.333, p<0.001). At age 8 years, only 22 limbs were classified as having mild FAA severity.</p><p><strong>Conclusion: </strong>During the follow-up period, children with intoeing gait had a significant decreased in FAA. No significant difference in FAA change was found between sex, but younger children and those with greater initial FAA were more likely to have decreased FAA. However, most children retained moderate to severe severity of increased FAA. Further studies are required to validate these findings.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 3","pages":"182-191"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/9f/arm-23043.PMC10326397.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766584","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
Early Neurodevelopmental Assessments of Neonates Discharged From the Neonatal Intensive Care Unit: A Physiatrist's Perspective. 从新生儿重症监护病房出院的新生儿早期神经发育评估:一个物理医生的观点。
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-06-01 DOI: 10.5535/arm.23038
Sung Eun Hyun, Jeong-Yi Kwon, Bo Young Hong, Jin A Yoon, Ja Young Choi, Jiyeon Hong, Seong-Eun Koh, Eun Jae Ko, Seung Ki Kim, Min-Keun Song, Sook-Hee Yi, AhRa Cho, Bum Sun Kwon
{"title":"Early Neurodevelopmental Assessments of Neonates Discharged From the Neonatal Intensive Care Unit: A Physiatrist's Perspective.","authors":"Sung Eun Hyun,&nbsp;Jeong-Yi Kwon,&nbsp;Bo Young Hong,&nbsp;Jin A Yoon,&nbsp;Ja Young Choi,&nbsp;Jiyeon Hong,&nbsp;Seong-Eun Koh,&nbsp;Eun Jae Ko,&nbsp;Seung Ki Kim,&nbsp;Min-Keun Song,&nbsp;Sook-Hee Yi,&nbsp;AhRa Cho,&nbsp;Bum Sun Kwon","doi":"10.5535/arm.23038","DOIUrl":"https://doi.org/10.5535/arm.23038","url":null,"abstract":"<p><p>The survival rate of children admitted in the neonatal intensive care unit (NICU) after birth is on the increase; hence, proper evaluation and care of their neurodevelopment has become an important issue. Neurodevelopmental assessments of individual domains regarding motor, language, cognition, and sensory perception are crucial in planning prompt interventions for neonates requiring immediate support and rehabilitation treatment. These assessments are essential for identifying areas of weakness and designing targeted interventions to improve future functional outcomes and the quality of lives for both the infants and their families. However, initial stratification of risk to select those who are in danger of neurodevelopmental disorders is also important in terms of cost-effectiveness. Efficient and robust functional evaluations to recognize early signs of developmental disorders will help NICU graduates receive interventions and enhance functional capabilities if needed. Several age-dependent, domain-specific neurodevelopmental assessment tools are available; therefore, this review summarizes the characteristics of these tools and aims to develop multidimensional, standardized, and regular follow-up plans for NICU graduates in Korea.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 3","pages":"147-161"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/83/arm-23038.PMC10326396.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9761043","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
Impact of Extra-Corporeal Membrane Oxygenation and Blood Purification Therapy on Early Mobilization in the Intensive Care Unit: Retrospective Cohort Study. 体外膜氧合和血液净化治疗对重症监护室早期活动的影响:回顾性队列研究。
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-06-01 DOI: 10.5535/arm.22153
Shinichi Watanabe, Yuki Iida, Jun Hirasawa, Yuji Naito, Motoki Mizutani, Akihiro Uemura, Shogo Nishimura, Keisuke Suzuki, Yasunari Morita
{"title":"Impact of Extra-Corporeal Membrane Oxygenation and Blood Purification Therapy on Early Mobilization in the Intensive Care Unit: Retrospective Cohort Study.","authors":"Shinichi Watanabe,&nbsp;Yuki Iida,&nbsp;Jun Hirasawa,&nbsp;Yuji Naito,&nbsp;Motoki Mizutani,&nbsp;Akihiro Uemura,&nbsp;Shogo Nishimura,&nbsp;Keisuke Suzuki,&nbsp;Yasunari Morita","doi":"10.5535/arm.22153","DOIUrl":"https://doi.org/10.5535/arm.22153","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect on early mobilization in patients undergoing extra-corporeal membrane oxygenation (ECMO) and acute blood purification therapy in the intensive care unit (ICU).</p><p><strong>Methods: </strong>We conducted this multicenter retrospective cohort study by collecting data from six ICUs in Japan. Consecutive patients who were admitted to the ICU, aged ≥18 years, and received mechanical ventilation for >48 hours were eligible. The analyzed were divided into two groups: ECMO/blood purification or control group. Clinical outcomes; time to first mobilization, number of total ICU rehabilitations, mean and highest ICU mobility scale (IMS); and daily barrier changes were also investigated.</p><p><strong>Results: </strong>A total of 204 patients were included in the analysis, 43 in the ECMO/blood purification group and 161 in the control group. In comparison of clinical outcome, the ECMO/blood purification group had a significantly longer time to first mobilization: ECMO/blood purification group 6 vs. control group 4 (p=0.003), higher number of total ICU rehabilitations: 6 vs. 5 (p=0.042), lower mean: 0 vs. 1 (p=0.043) and highest IMS: 2 vs. 3 (p=0.039) during ICU stay. Circulatory factor were most frequently described as barriers to early mobilization on days 1 (51%), 2 (47%), and 3 (26%). On days 4 to 7, the most frequently described barrier was consciousness factors (21%, 16%, 19%, and 21%, respectively).</p><p><strong>Conclusion: </strong>The results of this study comparing the ECMO/blood purification group and the untreated group in the ICU showed that the ECMO/blood purification group had significantly longer days to mobilization and significantly lower mean and highest IMS.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 3","pages":"173-181"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/37/arm-22153.PMC10326390.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9819629","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: 1
Correction: Reliability and Validity of the Korean Version of the Duchenne Muscular Dystrophy Functional Ability Self-Assessment Tool. 更正:韩国版杜氏肌萎缩症功能能力自我评估工具的信度和效度。
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-06-01 DOI: 10.5535/arm.23013.e
Kyunghyun Lee, Sung Eun Hyun, Hyung-Ik Shin, Hye Min Ji
{"title":"Correction: Reliability and Validity of the Korean Version of the Duchenne Muscular Dystrophy Functional Ability Self-Assessment Tool.","authors":"Kyunghyun Lee,&nbsp;Sung Eun Hyun,&nbsp;Hyung-Ik Shin,&nbsp;Hye Min Ji","doi":"10.5535/arm.23013.e","DOIUrl":"https://doi.org/10.5535/arm.23013.e","url":null,"abstract":"","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 3","pages":"228-229"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/f4/arm-23013-e.PMC10326392.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9751954","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
Effect of Treadmill Backward Walking Training on Motor Capacity in Cerebral Palsy: A Randomized Controlled Study. 跑步机后退行走训练对脑瘫患者运动能力的影响:一项随机对照研究。
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-04-01 DOI: 10.5535/arm.22154
Halis Doğan, Fatma Mutluay
{"title":"Effect of Treadmill Backward Walking Training on Motor Capacity in Cerebral Palsy: A Randomized Controlled Study.","authors":"Halis Doğan,&nbsp;Fatma Mutluay","doi":"10.5535/arm.22154","DOIUrl":"https://doi.org/10.5535/arm.22154","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate treadmill backward walking training (BWT) effects on walking speed, balance, mobility, and walking endurance in children with cerebral palsy (CP).</p><p><strong>Methods: </strong>The study evaluated 41 children with CP (age, 6-18; Gross Motor Function Classification System levels I and II). They were randomly allocated into control and BWT groups. BWT was applied (two sessions/week, 15 min/session for 8-week) to BWT group after the neurodevelopmental-based physiotherapy program routinely followed by all participants while the control group did not receive BWT. 10-Meter Walk Test (10MWT), Pediatric Balance Scale (PBS), Timed Up and Go Test (TUG), and Two-Minute Walk Test (2MWT) were selected as outcome measures for assessing walking speed, balance, mobility and endurance respectively.</p><p><strong>Results: </strong>In BWG, 2MWT distance (3.5%), PBS (3.5%) increased significantly, and TUG decreased by 5.1% (all p<0.001) after training, 10MWT was shorter by 6.1% for BWG, corresponding to 7.4% faster walking speed (p<0.01). Control group assessment variations were stationary and not statistically significant.</p><p><strong>Conclusion: </strong>Backward treadmill walking training induces small but statistically significant motor capacity improvements in children with CP.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 2","pages":"89-97"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/27/arm-22154.PMC10164516.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9781353","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
Clinical and Swallowing Characteristics Related With Respiratory Infection in Parkinsonism Patients. 帕金森病患者呼吸道感染的临床及吞咽特征
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-04-01 DOI: 10.5535/arm.22152
Ji Su Jung, Heewon Jeon, Byung-Mo Oh, Han Gil Seo
{"title":"Clinical and Swallowing Characteristics Related With Respiratory Infection in Parkinsonism Patients.","authors":"Ji Su Jung,&nbsp;Heewon Jeon,&nbsp;Byung-Mo Oh,&nbsp;Han Gil Seo","doi":"10.5535/arm.22152","DOIUrl":"https://doi.org/10.5535/arm.22152","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical and swallowing characteristics related to respiratory infection in patients with parkinsonism.</p><p><strong>Methods: </strong>One hundred and forty-two patients with parkinsonism who underwent videofluoroscopic swallowing studies (VFSS) were enrolled in this study. The initial clinical and VFSS characteristics were compared between patients with and without a history of respiratory infection in the past year. A multivariate logistic regression model was applied to identify clinical and swallowing characteristics related to respiratory infections.</p><p><strong>Results: </strong>Patients with respiratory infections were older (74.75±10.20 years vs. 70.70±8.83 years, p=0.037), had a higher Hoehn and Yahr (H&Y) stage (stage IV-V, 67.9% vs. 49.1%; p=0.047), and were more likely to have a diagnosis of idiopathic Parkinson's disease (IPD) (67.9% vs. 41.2%, p=0.011) than those without respiratory infections. Among VFSS findings, bolus formation, premature bolus loss, oral transit time, pyriform sinus residues, pharyngeal wall coatings, and penetration/aspiration were significantly worse in patients with respiratory infections (p<0.05). Regarding clinical characteristics, higher H&Y stage (odds ratio [OR], 3.174; 95% confidence interval [CI], 1.226-8.216; p=0.017) and diagnosis of IPD (OR, 0.280, 95% CI, 0.111-0.706; p=0.007) were significantly related to respiratory infections in the multivariate analysis. Among VFSS findings, pyriform sinus residue (OR, 14.615; 95% CI, 2.257-94.623; p=0.005) and premature bolus loss (OR, 5.151; 95% CI, 1.047-25.338; p=0.044) were also significantly associated with respiratory infection.</p><p><strong>Conclusion: </strong>This study suggests that disease severity, diagnosis, pyriform sinus residue, and premature bolus loss observed in VFSS are associated with respiratory infection in patients with parkinsonism.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 2","pages":"138-146"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/95/arm-22152.PMC10164519.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9429332","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
Phase Angle Is Associated With Handgrip Strength in Older Patients With Heart Failure. 相位角与老年心力衰竭患者握力的关系
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-04-01 DOI: 10.5535/arm.22138
Wataru Kawakami, Takuya Umehara, Yoshitaka Iwamoto, Makoto Takahashi, Nobuhisa Katayama
{"title":"Phase Angle Is Associated With Handgrip Strength in Older Patients With Heart Failure.","authors":"Wataru Kawakami,&nbsp;Takuya Umehara,&nbsp;Yoshitaka Iwamoto,&nbsp;Makoto Takahashi,&nbsp;Nobuhisa Katayama","doi":"10.5535/arm.22138","DOIUrl":"https://doi.org/10.5535/arm.22138","url":null,"abstract":"<p><strong>Objective: </strong>To assess the relationships between phase angle and muscle mass, strength, and physical function in patients with heart failure.</p><p><strong>Methods: </strong>This study used a cross-sectional design. The analysis included 51 patients with heart failure. The Short Physical Performance Battery, one-leg standing time, handgrip strength, phase angle, and skeletal muscle index were measured. To identify explanatory variables of phase angle, hierarchical multiple regression analysis was performed.</p><p><strong>Results: </strong>Handgrip strength was found to be an explanatory variable of phase angle independent of age, sex, and body mass index. This model was able to explain 30.4% of the model variance for phase angle.</p><p><strong>Conclusion: </strong>In patients with heart failure, improving muscle strength rather than muscle mass or physical function might be more important for improving phase angle. Handgrip strength is an important outcome for improving prognosis in patients with heart failure.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 2","pages":"129-137"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/be/3e/arm-22138.PMC10164521.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9427299","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
Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke. 躯干损伤量表预测年轻男性亚急性脑卒中患者腰椎骨密度。
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-04-01 DOI: 10.5535/arm.23005
Yeon Hee Cho, Hyun Seok, Sang-Hyun Kim, Seung Yeol Lee, Hyun Jung Kim
{"title":"Trunk Impairment Scale for Predicting Lumbar Spine Bone Mineral Density in Young Male Patients With Subacute Stroke.","authors":"Yeon Hee Cho,&nbsp;Hyun Seok,&nbsp;Sang-Hyun Kim,&nbsp;Seung Yeol Lee,&nbsp;Hyun Jung Kim","doi":"10.5535/arm.23005","DOIUrl":"https://doi.org/10.5535/arm.23005","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between Trunk Impairment Scale (TIS) and lumbar spine bone mineral density (BMD) in subacute stroke patients.</p><p><strong>Methods: </strong>Twenty-three subacute male stroke patients under the age of 65 were prospectively enrolled to exclude both postmenopausal and senile effects on BMD. The TIS, Berg Balance Scale, the Korean version of the Modified Barthel Index, and manual muscle test were measured at admission and 3 months after stroke onset. BMD of the bilateral lower extremities and lumbar vertebrae was measured by dual-energy X-ray absorptiometry 3 months after stroke onset.</p><p><strong>Results: </strong>TIS at baseline (TIS_B) and TIS at 3 months after stroke (TIS_3m) showed significant correlations with lumbar BMD (TIS_B, r=0.522; TIS_3m, r=0.517). Through multiple regression analysis, the TIS_B was associated with lumbar BMD (adjusted R2=0.474). However, BMD of the bilateral lower extremities was not correlated with any clinical measurements except body mass index.</p><p><strong>Conclusion: </strong>We found a relationship between TIS_B and lumbar BMD in subacute young male stroke patients. Stroke patients with poor trunk control in the early subacute stage would have low BMD of vertebral bones at 3 months. The TIS can be useful for estimating bone fragility in the lumbar vertebrae of subacute stroke patients.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 2","pages":"98-107"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/6d/arm-23005.PMC10164518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9483597","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
Effect of the Inspiratory Method and Timing of Voluntary Cough on Peak Cough Flow. 自主咳嗽的吸气方式和时间对咳流高峰的影响。
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-04-01 DOI: 10.5535/arm.22103
Fumiya Kotajima, Masakiyo Yatomi, Takeshi Hisada
{"title":"Effect of the Inspiratory Method and Timing of Voluntary Cough on Peak Cough Flow.","authors":"Fumiya Kotajima,&nbsp;Masakiyo Yatomi,&nbsp;Takeshi Hisada","doi":"10.5535/arm.22103","DOIUrl":"https://doi.org/10.5535/arm.22103","url":null,"abstract":"<p><strong>Objective: </strong>To define the effect of the inspiratory method and cough timing on peak cough flow (PCF).</p><p><strong>Methods: </strong>We investigated the effect of measurement conditions on PCF in healthy subjects (n=10). We then compared obstructive and restrictive pulmonary diseases (n=20) to assess for similar results in respiratory diseases. The PCF was measured under four conditions: before coughing, without maneuver 1 or with maneuver 2 a temporary respiratory pause (4-6 seconds) after rapid inspiration, and without maneuver 3 or with maneuver 4 a temporary respiratory pause after slow inspiration. After the measurements were completed, the PCF between the four conditions was compared for each subject group, and the effect size was calculated.</p><p><strong>Results: </strong>PCF of maneuvers 1 and 3 were significantly higher than maneuver 4 in healthy subjects (476.34±102.05 L/min and 463.44±107.14 L/min vs. 429.54±116.83 L/min, p<0.01 and p<0.05, respectively) and patients with restrictive pulmonary disease (381.96±145.31 L/min, 354.60±157.36 L/min vs. 296.94±137.49 L/min, p<0.01 and p<0.05, respectively). In obstructive pulmonary disease, maneuver 1 was significantly higher than maneuver 4 (327.42±154.73 L/min vs. 279.48±141.10 L/min, p<0.05). The largest effect sizes were shown by maneuvers 4 and 1.</p><p><strong>Conclusion: </strong>PCF depends on changes in inspiratory speed before coughing and on temporary respiratory pauses after maximal inspiration. It will become necessary to unify the measurement methods for coughing strength and present appropriate coughing methods.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 2","pages":"118-128"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/04/arm-22103.PMC10164520.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9795965","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: 1
Reliability and Validity of the Korean Version of the Duchenne Muscular Dystrophy Functional Ability Self-Assessment Tool. 韩文杜氏肌萎缩症功能能力自评工具的信度与效度。
IF 1.3
Annals of Rehabilitation Medicine-ARM Pub Date : 2023-04-01 DOI: 10.5535/arm.23013
Kyunghyun Lee, Sung Eun Hyun, Hyung-Ik Shin, Hye Min Ji
{"title":"Reliability and Validity of the Korean Version of the Duchenne Muscular Dystrophy Functional Ability Self-Assessment Tool.","authors":"Kyunghyun Lee,&nbsp;Sung Eun Hyun,&nbsp;Hyung-Ik Shin,&nbsp;Hye Min Ji","doi":"10.5535/arm.23013","DOIUrl":"https://doi.org/10.5535/arm.23013","url":null,"abstract":"<p><strong>Objective: </strong>To systematically translate the Duchenne muscular dystrophy Functional Ability Self-Assessment Tool (DMDSAT) into Korean and verify the reliability and validity of the Korean version (K-DMDSAT).</p><p><strong>Methods: </strong>The original DMDSAT was translated into Korean by two translators and two pediatric physiatrists. A total of 88 patients with genetically confirmed Duchenne muscular dystrophy (DMD) participated in the study. They were evaluated using the K-DMDSAT once as a self-assessment and once by an interviewer. The interviewer evaluated the K-DMDSAT again 1 week later using a test-retest approach. The intraclass correlation coefficient (ICC) was used to verify the interrater and test-retest reliabilities. Pearson correlation analysis between the K-DMDSAT and the Brooke or Vignos scales were used to assess validity.</p><p><strong>Results: </strong>The total score and all domains of the K-DMDSAT showed excellent interrater and test-retest reliability, with an ICC for total scores of 0.985 and 0.987, respectively. All domains had an ICC >0.90. From the Pearson correlation analysis, the total K-DMDSAT score was significantly correlated with the Vignos and Brooke scales (r=0.918 and 0.825, respectively; p<0.001), and each domain of K-DMDSAT showed significant correlation with either the Vignos or Brooke scales.</p><p><strong>Conclusion: </strong>DMDSAT was systematically translated into Korean, and K-DMDSAT was verified to have excellent reliability and validity. K-DMDSAT can help clinicians easily describe and categorize various functional aspects of patients with DMD through the entire disease progression.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 2","pages":"79-88"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/e3/arm-23013.PMC10164517.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10108160","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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