Annals of Rehabilitation Medicine-ARM最新文献_第3页

Predictive Factors Associated With Dysphagia in Patients With Traumatic Brain Injury. 外伤性脑损伤患者吞咽困难的相关预测因素。

IF 2.8

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-04-01 Epub Date: 2026-04-17 DOI: 10.5535/arm.250157

Shu-Mei Yang, Ting-Ju Lai, Ya-Chu Hsu, Yu-Lin Lu, Hsing-Yu Chen, Hsiao-Ting Tsai, Sheng-Hao Cheng, Ming-Yen Hsiao, Meng-Ting Lin

{"title":"Predictive Factors Associated With Dysphagia in Patients With Traumatic Brain Injury.","authors":"Shu-Mei Yang, Ting-Ju Lai, Ya-Chu Hsu, Yu-Lin Lu, Hsing-Yu Chen, Hsiao-Ting Tsai, Sheng-Hao Cheng, Ming-Yen Hsiao, Meng-Ting Lin","doi":"10.5535/arm.250157","DOIUrl":"10.5535/arm.250157","url":null,"abstract":"Objective: To identify early clinical predictors associated with dysphagia and delayed swallowing recovery in patients with traumatic brain injury (TBI).Methods: In this retrospective study, we enrolled adult TBI patients admitted to the rehabilitation unit of a tertiary medical center between June 2019 and June 2023. Data on baseline characteristics, neurological status, imaging findings, and rehabilitation-related variables were collected. Swallowing function was assessed using two indicators: (1) nasogastric (NG) tube retention and (2) the Functional Oral Intake Scale (FOIS) scores at 1, 4, and 12 weeks post-injury. Regression analyses were conducted to identify predictors associated with dysphagia and swallowing recovery.Results: A total of 160 patients were included. At 1 week post-injury, longer intensive care unit (ICU) stay, poor initial sitting balance and use of sedative medication in ICU were associated with NG tube retention. At 4 weeks, lower initial Rancho Los Amigos Scale (RLAS) scores, immobility-related complications, longer hospitalization, and temporal lobe hematomas were associated with persistent NG tube dependence. By 12 weeks, older age, delayed ability to follow commands, and poor initial sitting balance remained associated with NG tube retention. FOIS outcomes were also associated with older age, delayed time to follow commands, impaired initial sitting balance, prolonged ICU stay, temporal lobe hematomas, lower initial RLAS scores, immobility-related complications, prolonged endotracheal tube placement and extended hospital stays.Conclusion: Impaired cognitive status, poor physical function, immobility-related complications, and temporal lobe hematomas were key factors associated with dysphagia and delayed oral intake in individuals with TBI.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"117-128"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700349","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

Constraint-Induced Movement Therapy in Children With Hemiplegic Cerebral Palsy: A Scoping Review of Functional Outcomes and Neuroplasticity-Related Evidence. 约束诱导运动治疗偏瘫性脑瘫儿童：功能结局和神经可塑性相关证据的范围回顾。

IF 2.8

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-04-01 Epub Date: 2026-04-22 DOI: 10.5535/arm.250165

Maria Grazia Maggio, Maria Chiara Valeri, Raffaela Maione, Angela Militi, Alex Martino Cinnera, Irene Ciancarelli, Rocco Salvatore Calabrò, Giovanni Morone

{"title":"Constraint-Induced Movement Therapy in Children With Hemiplegic Cerebral Palsy: A Scoping Review of Functional Outcomes and Neuroplasticity-Related Evidence.","authors":"Maria Grazia Maggio, Maria Chiara Valeri, Raffaela Maione, Angela Militi, Alex Martino Cinnera, Irene Ciancarelli, Rocco Salvatore Calabrò, Giovanni Morone","doi":"10.5535/arm.250165","DOIUrl":"10.5535/arm.250165","url":null,"abstract":"Objective: To synthesize the available evidence on the effects of constraint-induced movement therapy (CIMT) in children with hemiplegic cerebral palsy (CP), focusing on upper limb functional outcomes and neuroplasticity-related changes assessed through direct or indirect measures.Methods: This scoping review was conducted in accordance with PRISMA-ScR guidelines and was prospectively registered on the Open Science Framework (DOI: 10.17605/OSF.IO/DU8RE). A search of four databases (PubMed, Scopus, Embase, and Web of Science) was performed to identify studies involving children (0-18 years) with CP who received CIMT as the primary intervention. Eligible studies assessed neuroplasticity through neuroimaging or neurophysiological techniques.Results: Eleven studies involving 221 children met the inclusion criteria. CIMT protocols varied in duration, intensity, and setting (e.g., clinical, home-based, camp-based). Across studies, CIMT was associated with improvements in upper limb function and spontaneous use. Neuroplastic changes included increased activation in the contralateral sensorimotor cortex, normalization of somatosensory responses, and structural brain adaptations. Adjunctive therapies such as repetitive transcranial magnetic stimulation, transcutaneous auricular vagus nerve stimulation, or occupational therapy further enhanced outcomes.Conclusion: CIMT is an effective intervention that promotes cortical reorganization and improves motor function in children with hemiplegic CP. Customizing rehabilitation based on neurophysiological profiles may optimize clinical outcomes.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"50 2","pages":"94-104"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785622","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

Paving the Path to Universal Health Coverage: Incorporating Rehabilitation Into Primary Healthcare. 为全民健康覆盖铺平道路：将康复纳入初级卫生保健。

IF 2.9

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-02-11 DOI: 10.5535/arm.240075

Eesha Yaqoob, Dua Abbas Zaidi, Shajia Khan, Nimirta Sahitia, Maryum Mallick, Shahzad Ali Khan, Zia Ullah Khan Dawar, Bipin Chaurasia, Saad Javed

{"title":"Paving the Path to Universal Health Coverage: Incorporating Rehabilitation Into Primary Healthcare.","authors":"Eesha Yaqoob, Dua Abbas Zaidi, Shajia Khan, Nimirta Sahitia, Maryum Mallick, Shahzad Ali Khan, Zia Ullah Khan Dawar, Bipin Chaurasia, Saad Javed","doi":"10.5535/arm.240075","DOIUrl":"https://doi.org/10.5535/arm.240075","url":null,"abstract":"Objective: To explore the integration of rehabilitation services into primary care, with discussions guided by open-ended questions to allow detailed responses on various aspects of this integration was the objective of the study. The integration of rehabilitative services into primary care in Pakistan, a nation attempting to attain universal health coverage (UHC) and facing major healthcare issues, is the primary focus of this study.Methods: This qualitative study gathered insights from five experts in health systems, public health, and rehabilitation through semi-structured interviews. The data were analyzed using thematic analysis, identifying key themes such as integration challenges, financial planning, service delivery, and the roles of primary care providers.Results: It has become clear that timely and efficient patient care requires the integration of general care with rehabilitation services, with primary care physicians being crucial in starting and managing rehabilitation initiatives. Another important subject was financial sustainability, highlighting the necessity of long-term budgeting and planning to provide equal and ongoing access to rehabilitation services. Experts also emphasized the importance of rehabilitation within healthcare systems, urging more public and professional awareness to enhance resource allocation and policy support.Conclusion: In order to improve rehabilitation services, the study emphasizes the need for strong health information systems, strategic policy frameworks, and raised awareness. A resilient healthcare system that serves the needs of every person can be built, and UHC can be a reality, by addressing the obstacles that have been identified and capturing integration possibilities.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158823","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

Correction: High-Intensity Interval Training Enhances Cardiovascular and Functional Outcomes Compared With Moderate-Intensity Continuous Training in Higher-Functioning Chronic Stroke. 修正：与中等强度连续训练相比，高强度间歇训练可提高高功能慢性卒中患者的心血管和功能预后。

IF 2.9

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-02-01 Epub Date: 2026-01-21 DOI: 10.5535/arm.250098.e

Hyun-Min Moon

引用次数: 0

Impact of Social Restrictions During the Coronavirus Disease 2019 Pandemic on Functional Recovery After Musculoskeletal Surgery. 2019冠状病毒病大流行期间社会限制对肌肉骨骼手术后功能恢复的影响

IF 2.8

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-02-01 Epub Date: 2026-02-19 DOI: 10.5535/arm.250137

Yuki Kurokawa, Satoshi Kato, Tamon Kabata, Hidenori Matsubara, Noriaki Yokogawa, Takaki Shimizu, Satoru Demura

{"title":"Impact of Social Restrictions During the Coronavirus Disease 2019 Pandemic on Functional Recovery After Musculoskeletal Surgery.","authors":"Yuki Kurokawa, Satoshi Kato, Tamon Kabata, Hidenori Matsubara, Noriaki Yokogawa, Takaki Shimizu, Satoru Demura","doi":"10.5535/arm.250137","DOIUrl":"10.5535/arm.250137","url":null,"abstract":"Objective: To investigate the effects of social restrictions imposed during the coronavirus disease 2019 (COVID-19) pandemic on postoperative functional recovery in patients who underwent surgery for degenerative musculoskeletal disorders.Methods: This longitudinal prospective cohort study included 291 patients categorized into pre-pandemic (surgery in 2018), early pandemic (2019), and late-pandemic (2020) groups based on their 1-year recovery period. The primary outcome was improvement in locomotive syndrome (LS) status 1 year after surgery. We analyzed the association between social limitations and LS improvement using multivariate logistic and segmented regression analyses.Results: The late-pandemic group exhibited the lowest LS improvement rate (50.6%) and the highest prevalence of postoperative social contact limitations (61.0%). Multivariate analysis identified the absence of postoperative social contact limitation as a highly potent independent predictor of LS improvement (odds ratio, 10.01; 95% confidence interval, 5.40-19.34; p<0.01). Segmented regression analysis revealed a time lag: social contact limitations peaked in March 2020, whereas the decline in LS improvement rates began in October 2020.Conclusion: Prolonged social restrictions negatively impacted functional recovery, particularly during the late phase of the pandemic. Social participation, specifically direct social contact, could be a critical and independent component of postoperative rehabilitation. These findings underscore the need to integrate psychosocial assessments into standard postoperative care to optimize patient outcomes.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"12-21"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221528","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

Cross-Cultural Adaptation, Reliability, and Validity of Urdu Version of Örebro Musculoskeletal Pain Screening Questionnaire in Non-Specific Low Back Pain Patients. 乌尔都语版Örebro非特异性腰痛患者肌肉骨骼疼痛筛查问卷的跨文化适应、信度和效度。

IF 2.8

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-02-01 Epub Date: 2026-02-13 DOI: 10.5535/arm.250155

Aamer Naeem, Tanja Glucina, Muhammad Umar, Imran Khan Niazi, Imran Amjad

{"title":"Cross-Cultural Adaptation, Reliability, and Validity of Urdu Version of Örebro Musculoskeletal Pain Screening Questionnaire in Non-Specific Low Back Pain Patients.","authors":"Aamer Naeem, Tanja Glucina, Muhammad Umar, Imran Khan Niazi, Imran Amjad","doi":"10.5535/arm.250155","DOIUrl":"10.5535/arm.250155","url":null,"abstract":"Objective: To translate the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) into Urdu and to determine the psychometric properties of its Urdu version.Methods: This cross-sectional study recruited 300 participants (18-60 years) with non-specific low back pain (NSLBP), who were able to read Urdu. Test-retest reliability was assessed using intra-class correlation coefficient (ICC), and reproducibility through Cronbach's α. Face and content validity were examined via individual interviews, and construct validity by correlating with relevant reference standards. Exploratory factor analysis (EFA) & confirmatory factor analysis (CFA) was also carried out.Results: ÖMPSQ was successfully translated into Urdu version with acceptable face and content validity. ÖMPSQ Urdu version showed acceptable internal consistency (α=0.789) & good test-retest reliability (ICC=0.784, 95% confidence interval, p<0.001) while good correlation was demonstrated between ÖMPSQ and Chronic Pain Grade Scale (pain and disability subscales i.e., r=0.809 and 0.807, respectively). However, Roland-Morris Disability Questionnaire showed moderate correlation (r=0.513). Additionally, no significant floor or ceiling effects were observed in the ÖMPSQ Urdu version. EFA revealed a five-factor solution using twenty items, 89.21% was the total item variance in the database, while CFA demonstrated good model fit with strong factor loadings and acceptable fit indices.Conclusion: The ÖMPSQ Urdu version is valid and reliable for assessing the risk of long-term disability & workplace absence in NSLBP patients.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"42-49"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182979","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

Psychometric Validation of the LBP-BSTv2 for Assessing Maladaptive Beliefs in Patients With Non-Specific Low Back Pain. LBP-BSTv2评估非特异性腰痛患者适应不良信念的心理计量学验证

IF 2.8

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-02-01 Epub Date: 2026-02-23 DOI: 10.5535/arm.250049

Christophe Demoulin, Thibault Desjardins, Irène Salamun, Michael Norberg, Violaine Foltz, Florian Bailly, Laurent Pitance, Jean-François Kaux, Romain Artico

{"title":"Psychometric Validation of the LBP-BSTv2 for Assessing Maladaptive Beliefs in Patients With Non-Specific Low Back Pain.","authors":"Christophe Demoulin, Thibault Desjardins, Irène Salamun, Michael Norberg, Violaine Foltz, Florian Bailly, Laurent Pitance, Jean-François Kaux, Romain Artico","doi":"10.5535/arm.250049","DOIUrl":"10.5535/arm.250049","url":null,"abstract":"Objective: To assess maladaptive beliefs about low back pain (LBP), valid and reliable measurement tools are required. Although some tools exist to assess them, the Low Back Pain-related Beliefs Screening Tool (LBP-BST) was developed in order to explore all different categories of misbeliefs in individuals chronic low back pain (CLBP). This study aimed to evaluate the main psychometric properties of both the short and long versions of the revised LBPBSTv2.Methods: A total of 108 patients with CLBP completed the LBP-BSTv2 to assess its potential floor/ceiling effects, internal consistency, and construct validity. The latter was evaluated by comparing scores with the Back Beliefs Questionnaire (BBQ). Test-retest reliability was assessed in 47 of the participants one week later.Results: No floor or ceiling effects were observed. The short and long versions of the LBPBSTv2 showed strong construct validity, with significant correlations with BBQ scores. Internal consistency was acceptable to good (Cronbach's alpha: 0.77-0.84), and test-retest reliability was high (intraclass correlation coefficient: 0.76-0.81).Conclusion: The LBP-BSTv2 is a valid and reliable tool for assessing maladaptive beliefs in patients with CLBP. Its integration into clinical practice could help healthcare professionals identify and address unhelpful beliefs that may hinder rehabilitation. Further research is needed to confirm its usefulness in tracking changes over time and guiding individualized interventions and to study other psychometric properties such as responsiveness.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"33-41"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277378","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

Differential Activation of the Multifidus and Erector Spinae During Asymmetric Spinal Stabilizing Exercise in Adolescent Idiopathic Scoliosis. 青少年特发性脊柱侧凸不对称脊柱稳定运动中多裂肌和竖脊肌的差异激活。

IF 2.8

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-02-01 Epub Date: 2026-02-11 DOI: 10.5535/arm.250148

Sangyoung Kim, Jee Hyun Suh, Ju Seok Ryu

{"title":"Differential Activation of the Multifidus and Erector Spinae During Asymmetric Spinal Stabilizing Exercise in Adolescent Idiopathic Scoliosis.","authors":"Sangyoung Kim, Jee Hyun Suh, Ju Seok Ryu","doi":"10.5535/arm.250148","DOIUrl":"10.5535/arm.250148","url":null,"abstract":"Objective: To identify the asymmetric spinal stabilizing exercise (ASSE) postures that selectively activate the multifidus (Mu) relative to the erector spinae (ES) in patients with adolescent idiopathic scoliosis (AIS), thereby supporting the development of curve-specific exercise programs for three-dimensional spinal deformities.Methods: Surface electromyography recordings were obtained bilaterally from the ES and Mu muscles during ASSE postures. Signals were normalized to the maximal voluntary isometric contraction. The asymmetry ratio, Mu/ES ratio, and additional asymmetric contraction of the Mu were analyzed.Results: The study included 40 patients with AIS. The Mu demonstrated greater ipsilateral activation in the side-lying posture, whereas greater contralateral activation was observed during unilateral lower extremity lifting and combined upper-lower extremity lifting in the prone posture, as well as during combined upper-lower extremity lifting in the bird-dog posture. In the prone and bird-dog postures, the Mu/ES ratio exceeded 1.0, indicating relatively stronger Mu recruitment under rotational loading. Additional asymmetric contraction of the Mu was greatest in the side-lying posture (47%), with differences<15% in all other postures.Conclusion: ASSE induces posture-specific asymmetric activation of the paraspinal muscles in patients with AIS. Although the side-lying posture produced the largest asymmetry, this reflected increased ES activity for trunk elevation rather than true selective Mu contraction. In contrast, the prone and bird-dog postures demonstrated a greater Mu contribution relative to the ES under rotational loading. These findings suggest that ASSE can be adapted to target specific paraspinal muscle components: side lying for lateral bending and bird-dog variations to enhance rotational stability.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"1-11"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158774","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

Development and Validation of a Clinically Actionable Prediction Model for Postoperative Pulmonary Complications in Cardiac Surgery: A Focus on Modifiable Risk Factors. 心脏手术术后肺部并发症临床可操作预测模型的开发和验证：关注可改变的危险因素。

IF 2.8

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-02-01 Epub Date: 2026-02-26 DOI: 10.5535/arm.250092

Ruoxi Li, Meice Tian, Chuangshi Wang, Yujia Huang, Weinan Chen, Ya Song, Bomiao Liu, Liu Du, Xue Feng

{"title":"Development and Validation of a Clinically Actionable Prediction Model for Postoperative Pulmonary Complications in Cardiac Surgery: A Focus on Modifiable Risk Factors.","authors":"Ruoxi Li, Meice Tian, Chuangshi Wang, Yujia Huang, Weinan Chen, Ya Song, Bomiao Liu, Liu Du, Xue Feng","doi":"10.5535/arm.250092","DOIUrl":"10.5535/arm.250092","url":null,"abstract":"Objective: To develop and validate a clinically actionable prediction model for postoperative pulmonary complications (PPCs) in cardiac surgery patients, focusing on modifiable preoperative risk factors amenable to targeted optimization.Methods: In this prospective observational cohort study, 492 adults undergoing open-chest cardiac surgery between August 15, 2023 and December 31, 2023 were analyzed. Prespecified predictors included gas exchange variables, pulmonary function, inspiratory muscle strength, and physical performance. Univariable and multivariable logistic regression analyses were used to develop the prediction model. Discrimination was assessed by the area under the receiver operating characteristic curve (AUC).Results: A total of 90 patients (14.1%) developed PPCs after surgery. Five independent predictors were identified: elevated arterial PaCO2 (odds ratio [OR] 1.12, 95% confidence interval [CI] 1.00-1.26), oxygen desaturation (SpO2<93%) (OR 12.47, 95% CI 3.51-48.13), reduced gait speed (OR 0.17, 95% CI 0.04-0.71), lower FEV1/FVC ratio (OR 0.96, 95% CI 0.92-1.00), and diminished inspiratory muscle strength (MIP % predicted) (OR 0.96, 95% CI 0.92-0.99). The model demonstrated good discriminative ability with an AUC of 0.86 (95% CI 0.80-0.93) in the training cohort and 0.87 (95% CI 0.74-0.93) in the validation cohort.Conclusion: This parsimonious model achieved high predictive accuracy using five modifiable physiological variables. By targeting abnormalities in gas exchange, pulmonary mechanics, muscle strength, and functional reserve, the model offers a practical tool to guide individualized prehabilitation strategies for reducing PPC risk in cardiac surgery patients.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"50 1","pages":"50-61"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311283","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

Effectiveness of the National Health Screening Program for Infants and Children in Detecting Neurodevelopmental Disorders: A Nationwide Population-Based Analysis. 国家婴儿和儿童健康筛查计划在检测神经发育障碍方面的有效性：一项基于全国人群的分析。

IF 2.8

Annals of Rehabilitation Medicine-ARM Pub Date : 2026-02-01 Epub Date: 2026-02-11 DOI: 10.5535/arm.250061

Seong Woo Kim, Na Yoon Yoo, Yeji Kim, Taemi Youk, Seungbeen Hong

{"title":"Effectiveness of the National Health Screening Program for Infants and Children in Detecting Neurodevelopmental Disorders: A Nationwide Population-Based Analysis.","authors":"Seong Woo Kim, Na Yoon Yoo, Yeji Kim, Taemi Youk, Seungbeen Hong","doi":"10.5535/arm.250061","DOIUrl":"10.5535/arm.250061","url":null,"abstract":"Objective: To evaluate the effectiveness of the National Health Screening Program for Infants and Children (NHSPIC) in the early diagnosis of neurodevelopmental disorders (NDDs) utilizing data from the National Health Insurance Database of South Korea.Methods: We enrolled children born between 2011 and 2018 who completed the first to fourth stages of the NHSPIC. A positive finding was defined as a recommendation for further evaluation during one or more stages. Participants were categorized into the positive and negative finding groups. Following 1:1 propensity score matching, 82,138 participants were assigned to each group.Results: Comparative analysis revealed that participants with positive findings exhibited a higher risk of developing all seven NDDs, particularly for autism spectrum disorder (hazard ratio [HR], 19.70; 95% confidence interval [CI], 17.48-22.20), intellectual disability (HR, 17.11; 95% CI, 14.69-19.93), developmental language disorder (HR, 11.74; 95% CI, 10.73- 12.84), and cerebral palsy (HR, 11.34; 95% CI, 8.67-14.84). The HR for learning disability was 4.31 (95% CI, 2.94-6.34), whereas attention-deficit hyperactivity disorder had an HR of 3.57 (95% CI, 3.37-3.78). Tic disorder had the lowest HR (HR, 1.64; 95% CI, 1.48-1.82). Additionally, HRs were calculated for each NHSPIC stage, demonstrating the utility of specific stages in the early detection of each NDD.Conclusion: Developmental screening tests in the NHSPIC contributed to the early diagnosis of NDDs. This study underscores the significance of the NHSPIC and provides foundational evidence to inform and enhance policies related to child health screenings.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"62-70"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158777","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