Ashwag S Alsharidah, FatmaAlzahraa H Kamel, Afrah A Alanazi, Enas A Alhawsah, Hajar K Alharbi, Zahrah O Alrshedi, Maged A Basha
{"title":"A Pulmonary Telerehabilitation Program Improves Exercise Capacity and Quality of Life in Young Females Post-COVID-19 Patients.","authors":"Ashwag S Alsharidah, FatmaAlzahraa H Kamel, Afrah A Alanazi, Enas A Alhawsah, Hajar K Alharbi, Zahrah O Alrshedi, Maged A Basha","doi":"10.5535/arm.23060","DOIUrl":"10.5535/arm.23060","url":null,"abstract":"<p><strong>Objective: </strong>To examine the impact of telerehabilitation training on exercise capacity, lung function, and health-related quality of life (HRQOL) in comparison to no rehabilitation for post-COVID-19 symptoms in adult females.</p><p><strong>Methods: </strong>A randomized controlled trial of 48 females after mild to moderate COVID-19 survival were equally and randomly assigned to one of two groups: intervention group or control group. Three sessions per week for 6 weeks of a telerehabilitation program provided via a smartphone to the intervention group. Spirometry was used to quantify lung function, a 6-minute walk test (6MWT) measured in meters to measure exercise capacity, and the Short Form Health Survey-36 was used to assess HRQOL.</p><p><strong>Results: </strong>After treatment, there was no statistically significant difference in forced vital capacity (FVC) or forced expiratory volume in 1 second (FEV1) between groups (p>0.05), but the 6MWT of the intervention group increased significantly more than that of the control group (p=0.001). The percent of change in 6MWT for the intervention group and control group was 14.22% and 4.21%, respectively. After therapy, the intervention group's HRQOL significantly improved when compared to the control group's (p=0.001).</p><p><strong>Conclusion: </strong>This study showed that a telerehabilitation programs improved exercise capacity and HRQOL in young females post-COVID-19 compared to no rehabilitation.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"502-510"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association Between Mobilization Level And Activity of Daily Living Independence in Critically Ill Patients.","authors":"Shinichi Watanabe, Keibun Liu, Ryo Kozu, Daisetsu Yasumura, Kota Yamauchi, Hajime Katsukawa, Keisuke Suzuki, Takayasu Koike, Yasunari Morita","doi":"10.5535/arm.23056","DOIUrl":"10.5535/arm.23056","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between the mobilization level during intensive care unit (ICU) admission and independence in activity of daily living (ADL), defined as Barthel Index (BI)≥70.</p><p><strong>Methods: </strong>This was a post-hoc analysis of the EMPICS study involving nine hospitals. Consecutive patients who spend >48 hours in the ICU were eligible for inclusion. Mobilization was performed at each hospital according to the shared protocol and the highest ICU mobility score (IMS) during the ICU stay, baseline characteristics, and BI at hospital discharge. Multiple logistic regression analysis, adjusted for baseline characteristics, was used to deter-mine the association between the highest IMS (using the receiver operating characteristic [ROC]) and ADL.</p><p><strong>Results: </strong>Of the 203 patients, 143 were assigned to the ADL independence group and 60 to the ADL dependence group. The highest IMS score was significantly higher in the ADL independence group than in the dependence group and was a predictor of ADL independence at hospital discharge (odds ratio, 1.22; 95% confidence interval, 1.07-1.38; adjusted p=0.002). The ROC cutoff value for the highest IMS was 6 (specificity, 0.67; sensitivity, 0.70; area under the curve, 0.69).</p><p><strong>Conclusion: </strong>These results indicate that, in patients who were in the ICU for more than 48 hours, that patients with good function in the ICU also exhibit good function upon discharge. However, prospective, multicenter trials are needed to confirm this conclusion.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"519-527"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291987","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}
Minwoo Woo, Doyoung Yuk, Seo Won Choi, Jongmin Lee, Hyun Haeng Lee
{"title":"Prognostic Value of Electroneuronography in Severe Cases of Facial Palsy.","authors":"Minwoo Woo, Doyoung Yuk, Seo Won Choi, Jongmin Lee, Hyun Haeng Lee","doi":"10.5535/arm.23082","DOIUrl":"10.5535/arm.23082","url":null,"abstract":"<p><strong>Objective: </strong>To examine the prognostic value of electroneuronography (ENoG) in predicting functional recovery in severe cases of acute facial palsy.</p><p><strong>Methods: </strong>Patients with severe degrees of facial palsy (initial House-Brackmann [HB] grades IV to VI) with available electrodiagnostic studies conducted 2-4 weeks after symptom onset were reviewed retrospectively. The patients were categorized into \"good recovery\" and \"poor recovery\" groups, with the former showing mild to no dysfunction (HB I to III) and the latter exhibiting moderate to severe dysfunction (HB IV to VI) on follow-up evaluation, 2 months after onset. ENoG amplitudes in four facial muscles (frontalis, nasalis, orbicularis oculi, and orbicularis oris), as well as age, sex, affected side, disease etiology, comorbidities, and laboratory findings, were compared between the two groups.</p><p><strong>Results: </strong>Thirty-seven patients were included. Twenty-nine of the patients showed \"good recovery,\" and eight showed \"poor recovery\" at 2 months after symptom onset. Univariate analysis yielded no significant difference in age, sex, affected side, disease etiology, comorbidities, and laboratory findings between the two groups. Preserved ENoG amplitudes (individual, average, and trimmed means) were significantly higher in the good recovery group than in the poor recovery group (p<0.005). Sex (p=0.038) and the ENoG of the nasalis muscle, acquired 2-4 weeks from symptom onset (p=0.004), showed significant differences in multivariate regression analysis.</p><p><strong>Conclusion: </strong>This study suggests that the female sex and lower ENoG of the nasalis muscle, acquired 2-4 weeks from symptom onset, have negative prognostic value for the 2-month functional outcome of severe facial palsy cases.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"511-518"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comprehensive Physical Work Capacity Evaluations for Korean Farmers Assessed in Healthy Volunteers.","authors":"Seungsu Jeong, Gowun Kim, Hee-Won Park, Sora Baek","doi":"10.5535/arm.23055","DOIUrl":"10.5535/arm.23055","url":null,"abstract":"<p><strong>Objective: </strong>To establish the lower limits of normative values of the physical work capacity for Korean farmers in healthy working individual.</p><p><strong>Methods: </strong>We developed a comprehensive set of physical work capacity evaluation items that encompass common farming tasks. These items include measurements of trunk flexion/extension angles, strength (hand grip, trunk flexion/extension, leg/back lifting, and pushing/pulling), and positional tolerances. We calculated the normative values for the items and defined the normal range in 124 healthy volunteers aged 20-79 years. We calculated the intraclass correlation coefficient (ICC) to validate the test-retest reliability of the measurements protocol.</p><p><strong>Results: </strong>The normal values for each measurement item were as follows: trunk flexion and extension angle (65.3°±11.6° and 29.6°±6.6°), dominant hand grip strength (32.2±10.5 kgf), trunk flexion and extension strength (288.4±119.0 N and 297.3±129.9 N), leg and back lifting strength (452.9±233.5 N and 349.2±166.7 N), pushing and pulling strength (214.7±75.1 N and 221.7±63.3 N), and positional tolerance time (squat: 76.8±9.0 seconds, front: 73.8±7.7 seconds, twist: 82.2±8.8 seconds, upward: 71.9±11.3 seconds). Regarding test-retest reliability, all strength measurements demonstrated excellent absolute agreement (ICC, 0.91-0.96). However, positional tolerance showed poor-to-moderate absolute agreement (ICC, 0.37-0.58).</p><p><strong>Conclusion: </strong>We conducted measurements of muscle strength and positional tolerance in healthy participants of various ages, focusing on tasks commonly performed by Korean farmers. The outcomes hold significant value as they offer a pertinent instrument for assessing the appropriateness of workers, thereby carrying implications for rehabilitation objectives, legal evaluations, and work capacity assessments within the agricultural domain.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"468-482"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291988","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}
Minjung Kook, Insuh Kim, Jeongyeon Seo, Hyundong Kim, Heesung Nam, Nami Han
{"title":"The Relationship Between Low Back Pain and Sagittal Spinal Alignment and Back Muscle Mass in Korean Fishery Workers.","authors":"Minjung Kook, Insuh Kim, Jeongyeon Seo, Hyundong Kim, Heesung Nam, Nami Han","doi":"10.5535/arm.23075","DOIUrl":"10.5535/arm.23075","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between low back pain (LBP) and sagittal spino-pelvic parameters along with the relationship between LBP and back muscle mass in Korean male and female fishery workers.</p><p><strong>Methods: </strong>This retrospective study included a total of 146 subjects who underwent Fishermen's health survey conducted between June 2018 and August 2020. LBP was evaluated through visual analogue scale (VAS) and Oswestry Disability Index (ODI). Sagittal spino-pelvic parameters were measured from whole spine standing X-rays. Back muscle cross-sectional areas were identified through lumbar spine magnetic resonance imaging and body composition was analyzed through bioelectrical impedance analysis.</p><p><strong>Results: </strong>The study included 75 males and 71 females, with an average age of 58.33 years for males and 56.45 years for females. Female subjects exhibited higher VAS and ODI scores, larger pelvic tilt (PT) and trunk fat mass and smaller trunk muscle mass compared to males. In female, ODI positively correlated with sagittal vertical axis (SVA) and PT. No significant correlations were found between ODI scores and body composition in either sex. The high ODI group showed greater SVA, PT, and pelvic incidence-lumbar lordosis and higher trunk fat/muscle ratio. Psoas muscle mass, total and skeletal muscle mass and trunk muscle mass of that group were smaller than those of low ODI group.</p><p><strong>Conclusion: </strong>Spino-pelvic parameters and back muscle mass were associated with ODI and there were differences between Korean male and female fishery workers.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"459-467"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138291990","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}
Da Hye Kim, Eun Sol Cho, Young Sook Park, Hyun Jung Chang, Jin Gee Park, Jae Yeon Kim, Jeong Hwan Lee
{"title":"Changes in Lower Extremity Muscle Quantity and Quality in Patients with Subacute Stroke.","authors":"Da Hye Kim, Eun Sol Cho, Young Sook Park, Hyun Jung Chang, Jin Gee Park, Jae Yeon Kim, Jeong Hwan Lee","doi":"10.5535/arm.23091","DOIUrl":"10.5535/arm.23091","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the changes in muscle mass and quality with time on the paretic and non-paretic sides in subacute stroke patients and identify correlations between the variation of muscle mass and quality and lower limb functions.</p><p><strong>Methods: </strong>Thirty hemiplegia patients diagnosed with stroke participated in this study. To evaluate poststroke muscle changes, longitudinal measurement of muscle mass and quality was conducted with bilateral lower limbs. The elastic shear modulus was measured using shear wave elastography and muscle thickness (MT) of rectus femoris, vastus intermedius, vastus lateralis (VL), vastus medialis, tibialis anterior, and gastrocnemius (GCM) muscles. Functional evaluation was performed using Berg Balance Scale (BBS), Five Times Sit to Stand Test (FTSST). Follow-up was performed at discharge. The muscle mass and quality were compared according to time. We analyzed whether muscle quantity and quality were related to function.</p><p><strong>Results: </strong>MT demonstrated no significant change with time. The elastic shear modulus increased significantly in the paretic VL and GCM muscles and did not change significantly in the muscles on the non-paretic side. Correlation analysis detected that elastic shear modulus in the VL has a cross-sectional negative relationship between BBS and positive relationship between FTSST. There were significant correlation between variation of FTSST and the variation of the elastic shear modulus in VL.</p><p><strong>Conclusion: </strong>Only paretic VL and GCM muscle quality changed in subacute stroke patients and muscle's property related to lower limb functions. Therefore, the lower extremity requires an approach to muscle quality rather than quantity for subacute stroke patients.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"493-501"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fact Sheet on Cardiac Rehabilitation for Cardiovascular Disease in South Korea.","authors":"Ki-Hong Kim, Jae-Young Han","doi":"10.5535/arm.23050","DOIUrl":"10.5535/arm.23050","url":null,"abstract":"<p><p>Cardiovascular disease (CVD) poses a significant health challenge globally, including in Korea, due to its status as a leading cause of death and its impact on cardiopulmonary function. Cardiac rehabilitation (CR) is a well-established program that not only aids in restoring cardiopulmonary function, but also improves physical and social conditions. The benefits of CR are widely recognized, and it is implemented globally. While the effectiveness of CR has been proven in Korea, it is underutilized. This fact sheet summarizes the current status of CR in Korea, including the prevalence of CVD, the clinical practice guidelines for CR programs, and the challenges of implementing CR in Korea.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 5","pages":"318-325"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427940","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}
Sora Baek, Won-Seok Kim, Yul-Hyun Park, Yun Sun Jung, Won Kee Chang, Gowun Kim, Nam-Jong Paik
{"title":"Korean Version of the Longer-Term Unmet Needs After Stroke Questionnaire.","authors":"Sora Baek, Won-Seok Kim, Yul-Hyun Park, Yun Sun Jung, Won Kee Chang, Gowun Kim, Nam-Jong Paik","doi":"10.5535/arm.23044","DOIUrl":"10.5535/arm.23044","url":null,"abstract":"<p><strong>Objective: </strong>: To translate the 22-item Longer-term Unmet Needs after Stroke (LUNS) questionnaire, validate it in the Korean stroke population, and assess the reliability of face-to-face and telephone surveys.</p><p><strong>Methods: </strong>: Sixty-six adult patients with stroke from Seoul National University Bundang Hospital and Kangwon National University Hospital were involved in the validation. Participants were interviewed twice using the LUNS Korean version: first, a face-to-face survey for validation, and second, a telephone survey for test-retest reliability. Participants completed the Frenchay Activities Index (FAI) and Short Form 12 (SF-12) Mental and Physical Component Summary (MCS and PCS) scores at the first interview. For concurrent validity, the differences in health status (FAI, SF-12 MCS and PCS) between the groups that reported unmet needs and those that did not were analyzed for each item. Cohen's kappa and percentage of agreement between the first and second administrations were calculated for each item to determine the test-retest reliability.</p><p><strong>Results: </strong>: The average age of the participants was 61.2±12.8 years and 74.2% were male. Fifty-seven patients were involved in the second interview. Depending on the unmet needs, SF-12 MCS, PCS, and FAI were significantly different in 12 of 22 items. In the test-retest reliability test, 12 items had a kappa of 0.6 or higher, and two had a kappa of <0.4.</p><p><strong>Conclusion: </strong>: The LUNS instrument into Korean (LUNS-K) is a reliable and valid instrument for assessing unmet health needs in patients with stroke. In addition, telephone surveys can be considered reliable.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 5","pages":"367-376"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427942","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}
Seungsu Jeong, Heeju Kim, Won-Seok Kim, Won Kee Chang, Seungwoo Cha, Eunjeong Choi, Chul Kim, Sherry L Grace, Sora Baek
{"title":"Translation, Cultural Adaptation, and Validation of a Korean Version of the Information Needs in Cardiac Rehabilitation Scale.","authors":"Seungsu Jeong, Heeju Kim, Won-Seok Kim, Won Kee Chang, Seungwoo Cha, Eunjeong Choi, Chul Kim, Sherry L Grace, Sora Baek","doi":"10.5535/arm.23042","DOIUrl":"10.5535/arm.23042","url":null,"abstract":"<p><strong>Objective: </strong>: To translate and culturally adapt the Information Needs in Cardiac Rehabilitation (INCR) questionnaire into Korean and perform psychometric validation.</p><p><strong>Methods: </strong>: The original English version of the INCR, in which patients are asked to rate the importance of 55 topics, was translated into Korean (INCR-K) and culturally adapted. The INCR-K was tested on 101 cardiac rehabilitation (CR) participants at Kangwon National University Hospital and Seoul National University Bundang Hospital in Korea. Structural validity was assessed using principal component analysis, and Cronbach's alpha of the areas was computed. Criterion validity was assessed by comparing information needs according to CR duration and knowledge sufficiency according to receipt of education. Half of the participants were randomly selected for 1 month of re-testing to assess their responsiveness.</p><p><strong>Results: </strong>: Following cognitive debriefing, the number of items was reduced to 41 and ratings were added to assess participants' sufficient knowledge of each item. The INCR-K structure comprised eight areas, each with sufficient internal consistency (Cronbach's alpha>0.7). Criterion validity was supported by significant differences in mean INCR-K scores based on CR duration and knowledge sufficiency ratings according to receipt of education (p<0.05). Information needs and knowledge sufficiency ratings increased after 1 month of CR, thus supporting responsiveness (p<0.05).</p><p><strong>Conclusion: </strong>: The INCR-K demonstrated adequate face, content, cross-cultural, structural, and criterion validities, internal consistency, and responsiveness. Information needs changed with CR, such that multiple assessments of information needs may be warranted as rehabilitation progresses to facilitate patient-centered education.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 5","pages":"403-425"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427948","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}