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

Robot-Assisted Gait Training in Individuals With Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 脊髓损伤患者的机器人辅助步态训练：随机对照试验的系统回顾和元分析》。

IF 2.1

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-06-01 Epub Date: 2024-06-28 DOI: 10.5535/arm.230039

Jong Mi Park, Yong Wook Kim, Su Ji Lee, Ji Cheol Shin

{"title":"Robot-Assisted Gait Training in Individuals With Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Jong Mi Park, Yong Wook Kim, Su Ji Lee, Ji Cheol Shin","doi":"10.5535/arm.230039","DOIUrl":"10.5535/arm.230039","url":null,"abstract":"Spinal cord injury (SCI) rehabilitation emphasizes locomotion. Robotic-assisted gait training (RAGT) is widely used in clinical settings because of its benefits; however, its efficacy remains controversial. We conducted a systematic review and meta-analysis to investigate the efficacy of RAGT in patients with SCI. We searched international and domestic databases for articles published until April 18, 2024. The meta-analysis employed a random effects model to determine the effect size as either mean difference (MD) or standardized MD (SMD). Evidence quality was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Twenty-three studies with a total of 690 participants were included in the final analysis. The overall pooled effect size for improvement in activities of daily living was 0.24, with SMD (95% confidence interval [95% CI], 0.04-0.43; GRADE: high) favoring RAGT over conventional rehabilitation. Muscular strength (MD, 0.23; 95% CI, 0.02-0.44; GRADE: high), walking index for SCI (MD, 0.31; 95% CI, 0.07-0.55; GRADE: moderate) and 6 min walk test distance (MD, 0.38; 95% CI, 0.14-0.63; GRADE: moderate) showed significant improvement in the robot group. Subgroup analysis revealed that subacute patients and intervention periods >2 months were more effective. This meta-analysis revealed that RAGT significantly improved activities of daily living, muscular strength, and walking abilities. Additional studies are needed to identify the optimal treatment protocol and specific patient groups for which the protocol is most effective.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 3","pages":"171-191"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477712","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

Measurement of Knee Extensor Torque During Repetitive Peripheral Magnetic Stimulation: Comparison of the Forces Induced by Different Stimulators. 重复性外周磁刺激时膝关节伸展力矩的测量：比较不同刺激器的作用力

IF 2.1

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-06-01 Epub Date: 2024-05-08 DOI: 10.5535/arm.230025

Masanori Kamiue, Akio Tsubahara, Tomotaka Ito, Yasuhiro Koike

{"title":"Measurement of Knee Extensor Torque During Repetitive Peripheral Magnetic Stimulation: Comparison of the Forces Induced by Different Stimulators.","authors":"Masanori Kamiue, Akio Tsubahara, Tomotaka Ito, Yasuhiro Koike","doi":"10.5535/arm.230025","DOIUrl":"10.5535/arm.230025","url":null,"abstract":"Objective: To investigate the factors that induce strong contractions during repetitive peripheral magnetic stimulation (rPMS) and compare the muscle torque induced by two stimulators (Stim A and Stim B) with different coil properties.Methods: rPMS was applied to the right vastus lateralis of 30 healthy young adults. Stim A contained a 10.1 cm2 rectangular iron core coil, while Stim B contained a 191 cm2 round coil. The knee extensor torque (KET) induced by rPMS at 30 Hz was measured isometrically and divided by the maximum voluntary contraction (MVC) to obtain a relative value of MVC (%MVC). KET at 100% intensity of Stim A (A100%, 1.08 T) was compared to those at 100% or 70% intensity of Stim B (B100%, 1.47 T vs. B70%, 1.07 T). Additionally, we conducted a comprehensive literature search for studies that measured the KET during rPMS.Results: Both the mean values of %MVC using B100% and B70% were significantly greater than that using A100%. Furthermore, the KET induced by Stim B was found to be larger than that described in previous reports, unless booster units were used to directly stimulate the main trunk of the femoral nerve.Conclusion: Stim B induced a stronger muscle contraction force than Stim A did. This may be because the larger the coil area, the wider the area that can be stimulated. Additionally, a circular coil allows for deeper stimulation.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"203-210"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877658","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

Effects of Botulinum Toxin-A for Spasticity and Nociceptive Pain in Individuals with Spinal Cord Injury: A Systematic Review and Meta-Analysis. 肉毒杆菌毒素 A 治疗脊髓损伤患者痉挛和痛觉疼痛的效果：系统回顾与元分析》。

IF 2.1

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-06-01 Epub Date: 2024-06-28 DOI: 10.5535/arm.240034

Dewan Md Sumsuzzman, Zeeshan Ahmad Khan, Irin Sultana Nila, Vanina Myuriel Villagra Moran, Madhuvilakku Rajesh, Won Jong Yang, Yonggeun Hong

{"title":"Effects of Botulinum Toxin-A for Spasticity and Nociceptive Pain in Individuals with Spinal Cord Injury: A Systematic Review and Meta-Analysis.","authors":"Dewan Md Sumsuzzman, Zeeshan Ahmad Khan, Irin Sultana Nila, Vanina Myuriel Villagra Moran, Madhuvilakku Rajesh, Won Jong Yang, Yonggeun Hong","doi":"10.5535/arm.240034","DOIUrl":"10.5535/arm.240034","url":null,"abstract":"We conducted a systematic review and meta-analysis to examine the protective effects of botulinum toxin-A (Botox-A) on spasticity and nociceptive pain in individuals with spinal cord injuries (SCIs). PubMed, Embase, and Cochrane Library databases were searched from inception to July 2023. The primary outcome of interest was spasticity and nociceptive pain. We pooled the available data using the generic inverse variance method, and we used a fixed-effect/random-effects model. We then calculated standardized mean difference (SMD) and 95% confidence intervals (95% CIs) to estimate the effect size. A total of fourteen studies meeting the inclusion criteria comprised two randomized controlled trials, five pre-post studies, and seven case reports. Across the various study designs, the majority of trials were assessed to have fair to high quality. The meta-analysis shows that Botox-A significantly decreased spasticity (SMD, -1.73; 95% CI, -2.51 to -0.95; p<0.0001, I2=48%) and nociceptive pain (SMD, -1.79; 95% CI, -2.67 to -0.91; p<0.0001, I2=0%) in SCI patients. Furthermore, Botox-A intervention improved motor function, activities of daily living (ADL), and quality of life. Our study suggests that Botox-A may alleviate spasticity and nociceptive pain in SCI patients. Moreover, the observed improvements in motor function, ADL, and overall quality of life following Botox-A intervention underscore its pivotal role in enhancing patient outcomes.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 3","pages":"192-202"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477711","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

Changes in Health-Related Quality of Life by Patient Education and Rehabilitation Based on a Behavior Change Program in Knee Osteoarthritis. 基于行为改变计划的膝关节骨性关节炎患者教育与康复对健康相关生活质量的影响

IF 2.1

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-06-01 Epub Date: 2024-06-19 DOI: 10.5535/arm.240010

Takako Nagai, Hiroshi Uei, Kazuyoshi Nakanishi

{"title":"Changes in Health-Related Quality of Life by Patient Education and Rehabilitation Based on a Behavior Change Program in Knee Osteoarthritis.","authors":"Takako Nagai, Hiroshi Uei, Kazuyoshi Nakanishi","doi":"10.5535/arm.240010","DOIUrl":"10.5535/arm.240010","url":null,"abstract":"Objective: The purpose of this study was to examine how rehabilitation and patient education for knee osteoarthritis improves health-related quality of life (HRQOL) and to identify factors influencing HRQOL.Methods: Between May 2020 and March 2022, 30 patients with osteoarthritis of the knee were treated conservatively and rehabilitated with a patient education program. The patient education program was based on the health belief model by Sedlak et al., and patient education using pamphlets was provided during the rehabilitation intervention. The survey items were patient basic information, instrumental activities of daily living (ADL) (FAI), fear of falling (FES), degree of depression (GDS), HRQOL (SF-8), knee function assessment (JOA score), and X-ray classification (K-L classification), and the survey method was a self-administered questionnaire at the start of rehabilitation, 1 month after the intervention, and at the end of the rehabilitation intervention. We examined factors affecting the physical component summary (PCS) and mental component summary (MCS) of HRQOL scores.Results: JOA score, FES, FAI, GDS, and SF-8 improved significantly (p<0.01). MCS was also negatively correlated with FES and age (r=-0.486, -0.368). Sex was extracted as a factor for PCS as a factor affecting HRQOL (p<0.01). MCS was extracted with FES as a factor (p=0.046).Conclusion: A rehabilitation intervention incorporating patient education in osteoarthritis of the knee showed improvement in HRQOL and may be useful for improving depression, fear of falling, and instrumental ADL.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"211-219"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421428","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

Predictors for Failed Removal of Nasogastric Tube in Patients With Brain Insult. 脑损伤患者鼻胃管拔除失败的预测因素

IF 2.1

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.5535/arm.230011

Shih-Ting Huang, Tyng-Guey Wang, Mei-Chih Peng, Wan-Ming Chen, An-Tzu Jao, Fuk Tan Tang, Yu-Ting Hsieh, Chun Sheng Ho, Shu-Ming Yeh

{"title":"Predictors for Failed Removal of Nasogastric Tube in Patients With Brain Insult.","authors":"Shih-Ting Huang, Tyng-Guey Wang, Mei-Chih Peng, Wan-Ming Chen, An-Tzu Jao, Fuk Tan Tang, Yu-Ting Hsieh, Chun Sheng Ho, Shu-Ming Yeh","doi":"10.5535/arm.230011","DOIUrl":"10.5535/arm.230011","url":null,"abstract":"Objective: To construct a prognostic model for unsuccessful removal of nasogastric tube (NGT) was the aim of our study.Methods: This study examined patients with swallowing disorders receiving NGT feeding due to stroke or traumatic brain injury in a regional hospital. Clinical data was collected, such as age, sex, body mass index (BMI), level of activities of daily living (ADLs) dependence. Additionally, gather information regarding the enhancement in Functional Oral Intake Scale (FOIS) levels and the increase in food types according to the International Dysphagia Diet Standardization Initiative (IDDSI) after one month of swallowing training. A stepwise logistic regression analysis model was employed to predict NGT removal failure using these parameters.Results: Out of 203 patients, 53 patients (26.1%) had experienced a failed removal of NGT after six months of follow-up. The strongest predictors for failed removal were age over 60 years, underweight BMI, total dependence in ADLs, and ischemic stroke. The admission prediction model categorized patients into high, moderate, and low-risk groups for removal failure. The failure rate of NGT removal was high not only in the high-risk group but also in the moderate-risk groups when there was no improvement in FOIS levels and IDDSI food types.Conclusion: Our predictive model categorizes patients with brain insults into risk groups for swallowing disorders, enabling advanced interventions such as percutaneous endoscopic gastrostomy for high-risk patients struggling with NGT removal, while follow-up assessments using FOIS and IDDSI aid in guiding rehabilitation decisions for those at moderate risk.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"220-227"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238767","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

Chronic Neck Pain Prevalence Before and After COVID-19 Restrictions and Its Relationship With Digital Device Screen Viewing: A Population Study. COVID-19 限制前后的慢性颈痛患病率及其与观看数字设备屏幕的关系：一项人口研究。

IF 1.3

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-04-01 Epub Date: 2024-04-22 DOI: 10.5535/arm.230030

Tomas Nakazato, Pablo Quezada, César Gutiérrez, Franco Romaní

{"title":"Chronic Neck Pain Prevalence Before and After COVID-19 Restrictions and Its Relationship With Digital Device Screen Viewing: A Population Study.","authors":"Tomas Nakazato, Pablo Quezada, César Gutiérrez, Franco Romaní","doi":"10.5535/arm.230030","DOIUrl":"https://doi.org/10.5535/arm.230030","url":null,"abstract":"Objective: To estimate the prevalence of chronic neck pain (CNP) among the adult population in Peru during the post-coronavirus disease 2019 (COVID-19) restriction period compared with that during the pre-pandemic period and evaluate its association with prolonged digital devices connected to the internet (DDCI) screen viewing.Methods: We conducted a cross-sectional study using a representative sample of adults living in Peru in November 2022. A structured survey was employed to identify CNP, and the exposure variable was set as the duration of DDCI screen viewing. The McNemar test was used to compare CNP prevalence pre- and post-COVID-19 restrictions, and ordinal logistic regression was used to evaluate its association with prolonged screen viewing.Results: A total of 1,202 individuals participated, with 52.8% females and 79.9% residing in urban areas. Following the restrictions, the prevalence of CNP occurring daily or almost daily and at least once a week was 14.8% and 27.8%, respectively (95% confidence Interval [95% CI], 12.6-17.3 and 24.9-30.9), representing a significant increase (p<0.001) compared with pre-pandemic estimates. Notably, among those viewing DDCI screens for ≥8 hours, the odds ratio for CNP frequency escalation compared with those who did not or rarely view screens was 1.61 (95% CI, 1.04-2.50; p=0.033).Conclusion: Approximately 4 of 10 adults in Peru experienced CNP following the lifting of COVID-19 social restrictions, more than double the pre-pandemic prevalence. Furthermore, prolonged viewing of DDCI screens increased the risk of having this condition.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 2","pages":"124-134"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872076","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

Applying ICF Framework to Explore the Factors That Influence Quality of Life in Patients After Lung Surgery. 应用 ICF 框架探讨影响肺部手术后患者生活质量的因素。

IF 1.3

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-04-01 Epub Date: 2024-04-30 DOI: 10.5535/arm.23109

Xinping Li, Yi Chen, Shuangchun Liu, Mingsheng Zhang

{"title":"Applying ICF Framework to Explore the Factors That Influence Quality of Life in Patients After Lung Surgery.","authors":"Xinping Li, Yi Chen, Shuangchun Liu, Mingsheng Zhang","doi":"10.5535/arm.23109","DOIUrl":"https://doi.org/10.5535/arm.23109","url":null,"abstract":"Objective: To explore the relationship between pulmonary function, physical activity, and health-related quality of life (QoL) in resected lung cancer patients based on the International Classification of Functioning, Disability, and Health (ICF) framework developed by the World Health Organization to describe health and health-related states.Methods: A quantitative study was designed with postoperative lung cancer survivors to assess personal characteristics. We also assessed functional impairment related to the lung using forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV1), activity limitations using maximal oxygen consumption (VO2max), anaerobic threshold (AT) and 6-minute walking distance (6MWD), and participation restriction using the 36-item Short Form Health Survey V1 (SF-36). Data analyses were conducted using the multivariate method and Smart- PLS to examine path coefficient among the measures.Results: Forty-one patients were enrolled in this study. FVC and FEV1 were poorly correlated with QoL, and 6MWD, AT, or VO2max were positively associated with QoL. AT or VO2max showed a significant (p<0.01) direct path with SF-36 in the ICF model. Although age and body mass index were not strongly correlated with QoL, these personal factors had a medium to large effect on perceived QoL.Conclusion: Disability is a complex in patients with lung resection, and physical activity plays an important role in enabling participation. Improving VO2max and AT is needed to improve the QoL of resected lung cancer patients. We should also pay more attention to contextual factors that have a significant impact on social participation.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 2","pages":"155-162"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861070","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

Influence of Sex on Cognitive and Motor Dual-Task Performance Among Young Adults: A Cross-Sectional Study. 性别对青少年认知和运动双任务表现的影响：一项横断面研究

IF 1.3

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-04-01 Epub Date: 2024-04-05 DOI: 10.5535/arm.23150

Radwa Elshorbagy, Hanin Alkhaldi, Njoud Alshammari, Moataz El Semary

{"title":"Influence of Sex on Cognitive and Motor Dual-Task Performance Among Young Adults: A Cross-Sectional Study.","authors":"Radwa Elshorbagy, Hanin Alkhaldi, Njoud Alshammari, Moataz El Semary","doi":"10.5535/arm.23150","DOIUrl":"https://doi.org/10.5535/arm.23150","url":null,"abstract":"Objective: To investigate the sex-related differences in single-task performance through motor torque, cognitive tasks and walking speed, and the combined dual-task costs (DTCs) considering both motor and cognitive performance in young adults.Methods: Sixty-seven non-athletic subjects 37 females and 30 males were enrolled. The study measured their knee extension muscle torque using an isokinetic strength dynamometer and their walking speed using the one step app. these assessments were performed both with and without a cognitive task, and the DTCs were calculated.Results: The females exhibited significantly larger motor performance dual task effect through (torque-DTC, speed-DTC) compared with males while exhibiting smaller cognitive dual task effect with muscle torque and speed.Conclusion: Deterioration in motor performance during muscle force production and speed during dual tasks was large in females compared to males, whereas males experience a decline in cognitive ability when performing dual tasks compared with females.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 2","pages":"163-170"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867853","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

Outcome Measurement in Balance Problems: Berg Balance Scale. 平衡问题的结果测量：伯格平衡量表

IF 1.3

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-04-01 Epub Date: 2024-04-23 DOI: 10.5535/arm.240029

Kyung Lim Joa

引用次数: 0

Association of Nutritional Risk With Gait Function and Activities of Daily Living in Older Adult Patients With Hip Fractures. 营养风险与老年髋部骨折患者步态功能和日常生活活动的关系

IF 1.3

Annals of Rehabilitation Medicine-ARM Pub Date : 2024-04-01 Epub Date: 2024-04-22 DOI: 10.5535/arm.230015

Yasunobu Ishikawa, Takuji Adachi, Yasushi Uchiyama

{"title":"Association of Nutritional Risk With Gait Function and Activities of Daily Living in Older Adult Patients With Hip Fractures.","authors":"Yasunobu Ishikawa, Takuji Adachi, Yasushi Uchiyama","doi":"10.5535/arm.230015","DOIUrl":"https://doi.org/10.5535/arm.230015","url":null,"abstract":"Objective: To investigate the association of nutritional risk with gait function and activities of daily living (ADLs) in older adult patients with hip fractures.Methods: The retrospective data of older adult patients diagnosed with hip fractures who visited the recovery-phase rehabilitation ward between January 2019 and December 2022 were reviewed. Nutritional risk was evaluated using the Geriatric Nutritional Risk Index; gait function and ADLs were assessed using the modified Harris Hip Score subitem and Functional Independence Measure, respectively. Multivariate linear regression and path analysis with structural equation modeling were used to examine the factors associated with ADLs and the associations among the study variables.Results: This study included 206 participants (172 females and 34 males; mean age, 85.0±7.3 years). In the multivariate analysis, gait function (β=0.488, p<0.001), cognitive function (β=0.430, p<0.001), and surgery (β=-0.143, p<0.001) were identified as independent factors. Pathway analysis revealed that nutritional risk was not directly correlated with ADLs but was directly associated with gait and cognitive functions. Gait and cognitive functions, in turn, were directly related to ADLs.Conclusion: Nutritional risk was found to be associated with ADLs through an intermediary of gait and cognitive functions.","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"48 2","pages":"115-123"},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868577","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