Annals of Rehabilitation Medicine-ARM最新文献

{"title":"Disaster Response and Management: The Integral Role of Rehabilitation.","authors":"Bhasker Amatya,&nbsp;Fary Khan","doi":"10.5535/arm.23071","DOIUrl":"https://doi.org/10.5535/arm.23071","url":null,"abstract":"<p><p>With the increasing frequency of disasters and the significant upsurge of survivors with severe impairments and long-term disabling conditions, there is a greater focus on the importance of rehabilitation in disaster management. During disasters, rehabilitation services confront a greater load due to the influx of victims, management of persons with pre-existing disabilities and chronic conditions, and longer-term care continuum. Despite robust consensus amongst the international disaster response and management community for the rehabilitation-inclusive disaster management process, rehabilitation is still less prioritised. Evidence supports the early involvement of rehabilitation professionals in disaster response and management for minimising mortality and disability, and improving clinical outcomes and participation in disaster survivors. In the last two decades, there have been substantial developments in disaster response/management processes including the World Health Organization Emergency Medical Team (EMT) initiative, which provides a standardized structured plan to provide effective and coordinated care during disasters. However, rehabilitation-inclusive disaster management plans are yet to be developed and/or implemented in many disaster-prone countries. Strong leadership and effective action from national and international bodies are required to strengthen national rehabilitation capacity (services and skilled workforce) and empower international and local EMTs and health services for comprehensive disaster management in future calamities. This narrative review highlights the role of rehabilitation and current developments in disaster rehabilitation; challenges and key future perspectives in this area.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 4","pages":"237-260"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/1b/arm-23071.PMC10475811.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159589","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":"Refined Diagnostic Protocol for Diabetic Polyneuropathy: Paving the Way for Timely Detection.","authors":"Byung-Mo Oh","doi":"10.5535/arm.23122","DOIUrl":"https://doi.org/10.5535/arm.23122","url":null,"abstract":"This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. I carefully studied the proposal from Lee et al. [1] describing a nerve conduction study (NCS) algorithm for grading the severity of diabetic distal symmetric sensorimotor polyneuropathy (DSPN). Despite the article’s brevity, it was evident that the authors put substantial effort into research and contemplation on the topic. Henceforth, I will refer to this diagnostic NCS algorithm as “Lee’s Severity System” or “Lee’s algorithm.” In 2020, the estimated prevalence of diabetes mellitus among Korean adults was 16.7% [2]. Diabetic neuropathy, which affects approximately one-third of the patients with type 1 or type 2 diabetes, increases the risk of painless foot ulcers leading to amputations [3]. Although the NCS is the most comprehensive and accurate diagnostic tool for DSPN, it is not routinely integrated into standard clinical care for diabetic patients. This reluctance is understandable; without concrete evidence that NCS enhances clinical outcomes, the associated costs, time commitments, and potential patient discomfort might deter clinicians. In this regard, Lee’s algorithm is primarily efficient, offering several advantages. Using this algorithm, NCS of the lower extremities that are more vulnerable at an earlier stage of DSPN can be first performed. If these results are within normal limits, the examination can be completed with only a tibial F-wave study in the contralateral lower limb. In addition, Lee’s algorithm suggests that the contralateral lower extremity or non-dominant upper extremity can be examined only when there is an additional need. Taken together, Lee’s Severity System has the potential to significantly reduce the NCS examination time, especially in patients with early-stage to mild DSPN. Applying these streamlined algorithms will minimize the time, cost, and discomfort associated with NCS, allowing its application to most patients with diabetes. The NCS is more sensitive than the Semmes-Weinstein monofilament test and can comprehensively assess the entire sensory and motor systems. It would greatly benefit if the NCS could be completed in as little as 30 minutes. Lee’s Severity System employs an ordinal scale that classifies DSPN severity into five stages based on NCS outcomes. This framework offers significant clinical utility, presenting a nuanced understanding of disease severity rather than a simple binary diagnosis of the presence or absence of DSPN. Furthermore, it identifies “early stage” DSPN, potentially a pivotal therapeutic juncture. Baba et al. introduced a comparable DSPN severity scale [4]. The mild, moderate, and severe grades in Lee’s Severity System mirror grades 2, 3, and 4 of Baba’s classification, diagnosR","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 4","pages":"234-236"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/46/arm-23122.PMC10475809.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159107","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 of Diaphragm Thickness and Respiratory Muscle Strength With Indices of Sarcopenia.","authors":"Yookyung Lee,&nbsp;Sunhan Son,&nbsp;Don-Kyu Kim,&nbsp;Myung Woo Park","doi":"10.5535/arm.23081","DOIUrl":"https://doi.org/10.5535/arm.23081","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the relationship between respiratory muscle strength, diaphragm thickness (DT), and indices of sarcopenia.</p><p><strong>Methods: </strong>This study included 45 healthy elderly volunteers (21 male and 24 female) aged 65 years or older. Sarcopenia indices, including hand grip strength (HGS) and body mass index-adjusted appendicular skeletal muscle (ASM/BMI), were measured using a hand grip dynamometer and bioimpedance analysis, respectively. Calf circumference (CC) and gait speed were also measured. Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) were obtained using a spirometer, as a measure of respiratory muscle strength. DT was evaluated through ultrasonography. The association between indices of sarcopenia, respiratory muscle strength, and DT was evaluated using Spearman's rank correlation test, and univariate and multiple regression analysis.</p><p><strong>Results: </strong>ASM/BMI (r=0.609, p<0.01), CC (r=0.499, p<0.01), HGS (r=0.759, p<0.01), and gait speed (r=0.319, p<0.05) were significantly correlated with DT. In the univariate linear regression analysis, MIP was significantly associated with age (p=0.003), DT (p<0.001), HGS (p=0.002), CC (p=0.013), and gait speed (p=0.026). MEP was significantly associated with sex (p=0.001), BMI (p=0.033), ASM/BMI (p=0.003), DT (p<0.001), HGS (p<0.001), CC (p=0.001) and gait speed (p=0.004). In the multiple linear regression analysis, age (p=0.001), DT (p<0.001), and ASM/BMI (p=0.008) showed significant association with MIP. DT (p<0.001) and gait speed (p=0.050) were associated with MEP.</p><p><strong>Conclusion: </strong>Our findings suggest that respiratory muscle strength is associated with DT and indices of sarcopenia. Further prospective studies with larger sample sizes are needed to confirm these findings.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 4","pages":"307-314"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/c4/arm-23081.PMC10475812.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159586","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":"Reliability and Validity of Caregivers' Fear of Falling Index When Caring for Home-Based Rehabilitation Patients With Fall-Related Fractures.","authors":"Tomohiro Kakehi,&nbsp;Masashi Zenta,&nbsp;Takuya Ishimori,&nbsp;Naoki Tamura,&nbsp;Hiromu Wada,&nbsp;Masahiko Bessho,&nbsp;Wataru Kakuda","doi":"10.5535/arm.23052","DOIUrl":"https://doi.org/10.5535/arm.23052","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the reliability and validity of this new measure, called the caregivers' fear of falling index (CFFI).</p><p><strong>Methods: </strong>The study surveyed home-based rehabilitation patients with fall-related fracture, and their primary caregivers. The characteristics of these patients were evaluated, and the caregivers were surveyed using the CFFI and Falls Efficacy Scale-International (FES-I). The reliability of the CFFI was assessed using item-total correlation, while the validity of the CFFI was evaluated through correlation coefficients calculated between the CFFI and the FES-I.</p><p><strong>Results: </strong>The participants were 51 patient-caregiver pairs. The internal consistency of the CFFI showed an alpha coefficient of 0.904. No items were excluded in the corrected item-total correlations. The CFFI showed a moderate correlation with FES-I (r=0.432, p=0.002).</p><p><strong>Conclusion: </strong>This study found the CFFI to be a reliable and valid tool for measuring the primary caregivers' fear. The CFFI may be a useful tool for healthcare professionals to identify and supporting these primary caregivers.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 4","pages":"300-306"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/5e/arm-23052.PMC10475813.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10532305","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":"The Effect of Home-Based Cardiac Rehabilitation on Cardiovascular Risk Factors Management.","authors":"Chul Kim,&nbsp;Seok Hyeon Lee","doi":"10.5535/arm.23041","DOIUrl":"https://doi.org/10.5535/arm.23041","url":null,"abstract":"<p><strong>Objective: </strong>To compare the efficacy of home-based cardiac rehabilitation (HBCR) and center-based cardiac rehabilitation (CBCR) in cardiovascular risk factor management.</p><p><strong>Methods: </strong>We performed retrospective review of the electronic medical records of 72 patients who were hospitalized for acute coronary syndrome and participated in a cardiac rehabilitation (CR) program for the first time. The participants were stratified into the HBCR group, receiving educational programs and performing self-exercise at home, and the CBCR group, participating in electrocardiogram monitoring monitoring exercise training in hospital settings. The results of the Lifestyle Questionnaire survey were investigated at baseline, 3 months, and 6 months.</p><p><strong>Results: </strong>Both groups showed significant improvements in serum low-density lipoprotein levels, frequency of alcohol consumption, eating habits and psychological status. Moderate-intensity exercise duration and the maximal metabolic equivalents values improved significantly in both groups but slightly more in the CBCR group. However, the number of current smokers increased in both groups, and no significant changes were found in body mass index, serum glycated hemoglobin levels, serum high-density lipoprotein levels, or high-intensity exercise duration.</p><p><strong>Conclusion: </strong>Regardless of the CR program type, a patient's lifestyle can be modified. Therefore, patients should continue participating in any type of CR program.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 4","pages":"272-281"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/93/arm-23041.PMC10475815.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159590","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":"Diabetic Distal Symmetric Sensorimotor Polyneuropathy: A Proposal of New Electrodiagnostic Evaluation.","authors":"Hang Jae Lee,&nbsp;Dong Hwee Kim,&nbsp;Ki Hoon Kim","doi":"10.5535/arm.23099","DOIUrl":"https://doi.org/10.5535/arm.23099","url":null,"abstract":"According","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 4","pages":"231-233"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/58/d3/arm-23099.PMC10475810.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159588","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":"Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson's Disease.","authors":"Halimatul Abd Ghani,&nbsp;Alia A Alghwiri,&nbsp;Hafifi Hisham,&nbsp;Haidzir Manaf","doi":"10.5535/arm.23067","DOIUrl":"https://doi.org/10.5535/arm.23067","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effects of lower limb muscle fatigue on spatiotemporal gait parameters and turning difficulty characteristics during the extended Timed Up and Go (extended TUG) test in individuals with different severity stages of Parkinson's disease (PD).</p><p><strong>Methods: </strong>Forty individuals with PD, classified as Hoehn and Yahr (H&Y) stages 2 and 3 participated in this pre- and post-experimental study design. The participants performed a continuous sit-to-stand task from a chair based on 30 cycles/min set-up to induce lower limb muscle fatigue. They performed extended TUG test immediately before and after completing the fatigue protocol. Spatiotemporal gait parameters and turning difficulty characteristics were recorded using two GoPro® Hero 4 Silver cameras. Data were subjected to a repeated-measure ANOVA.</p><p><strong>Results: </strong>Individuals with PD experience significant changes in spatiotemporal gait parameters, specifically stride velocity and length, under conditions of lower limb muscle fatigue (p=0.001). These changes were more pronounced in individuals with PD in the H&Y stage 3 group. Additionally, both PD groups exhibited difficulty with turning, requiring more than five steps to complete a 180° turn and taking more than 3 seconds to accomplish it.</p><p><strong>Conclusion: </strong>These findings highlight the impact of muscle fatigue on gait performance in PD and suggest that individuals in later stages of the disease may be particularly affected. Further research is needed to explore interventions that can mitigate these gait impairments and improve mobility in individuals with PD.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 4","pages":"282-290"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ad/16/arm-23067.PMC10475814.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159912","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":"Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease.","authors":"Chul Kim,&nbsp;Jun Hyeong Song,&nbsp;Seung Hyoun Kim","doi":"10.5535/arm.23019","DOIUrl":"https://doi.org/10.5535/arm.23019","url":null,"abstract":"<p><strong>Objective: </strong>To assess the accuracy of recently commercialized wearable devices in heart rate (HR) measurement during cardiopulmonary exercise test (CPX) under gradual increase in exercise intensity, while wearable devices with HR monitors are reported to be less accurate in different exercise intensities.</p><p><strong>Methods: </strong>CPX was performed for patients with coronary artery disease (CAD). Twelve lead electrocardiograph (ECG) was the gold standard and Apple watch 7 (AW7), Galaxy watch 4 (GW4) and Bio Patch Mobicare 200 (MC200) were applied for comparison. Paired absolute difference (PAD), mean absolute percentage error (MAPE) and intraclass correlation coefficient (ICC) were evaluated for each device.</p><p><strong>Results: </strong>Forty-four participants with CAD were included. All the devices showed MAPE under 2% and ICC above 0.9 in rest, exercise and recovery phases (MC200=0.999, GW4=0.997, AW7=0.998). When comparing exercise and recovery phase, PAD of MC200 and AW7 in recovery phase were significantly bigger than PAD of exercise phase (p<0.05). Although not significant, PAD of GW4 tended to be bigger in recovery phase, too. Also, when stratified by HR 20, ICC of all the devices were highest under HR of 100, and ICC decreased as HR increased. However, except for ICC of GW4 at HR above 160 (=0.867), all ICCs exceeded 0.9 indicating excellent accuracy.</p><p><strong>Conclusion: </strong>The HR measurement of the devices validated in this study shows a high concordance with the ECG device, so CAD patients may benefit from the devices during high-intensity exercise under conditions where HR is measured reliably.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 4","pages":"261-271"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/eb/arm-23019.PMC10475817.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10215620","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":"Clinical Practice Guidelines for Oropharyngeal Dysphagia.","authors":"Seoyon Yang,&nbsp;Jin-Woo Park,&nbsp;Kyunghoon Min,&nbsp;Yoon Se Lee,&nbsp;Young-Jin Song,&nbsp;Seong Hee Choi,&nbsp;Doo Young Kim,&nbsp;Seung Hak Lee,&nbsp;Hee Seung Yang,&nbsp;Wonjae Cha,&nbsp;Ji Won Kim,&nbsp;Byung-Mo Oh,&nbsp;Han Gil Seo,&nbsp;Min-Wook Kim,&nbsp;Hee-Soon Woo,&nbsp;Sung-Jong Park,&nbsp;Sungju Jee,&nbsp;Ju Sun Oh,&nbsp;Ki Deok Park,&nbsp;Young Ju Jin,&nbsp;Sungjun Han,&nbsp;DooHan Yoo,&nbsp;Bo Hae Kim,&nbsp;Hyun Haeng Lee,&nbsp;Yeo Hyung Kim,&nbsp;Min-Gu Kang,&nbsp;Eun-Jae Chung,&nbsp;Bo Ryun Kim,&nbsp;Tae-Woo Kim,&nbsp;Eun Jae Ko,&nbsp;Young Min Park,&nbsp;Hanaro Park,&nbsp;Min-Su Kim,&nbsp;Jungirl Seok,&nbsp;Sun Im,&nbsp;Sung-Hwa Ko,&nbsp;Seong Hoon Lim,&nbsp;Kee Wook Jung,&nbsp;Tae Hee Lee,&nbsp;Bo Young Hong,&nbsp;Woojeong Kim,&nbsp;Weon-Sun Shin,&nbsp;Young Chan Lee,&nbsp;Sung Joon Park,&nbsp;Jeonghyun Lim,&nbsp;Youngkook Kim,&nbsp;Jung Hwan Lee,&nbsp;Kang-Min Ahn,&nbsp;Jun-Young Paeng,&nbsp;JeongYun Park,&nbsp;Young Ae Song,&nbsp;Kyung Cheon Seo,&nbsp;Chang Hwan Ryu,&nbsp;Jae-Keun Cho,&nbsp;Jee-Ho Lee,&nbsp;Kyoung Hyo Choi","doi":"10.5535/arm.23069","DOIUrl":"https://doi.org/10.5535/arm.23069","url":null,"abstract":"<p><strong>Objective: </strong>Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one's physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications. Thus a guideline was developed to provide evidence-based recommendations for assessment and management in patients with dysphagia.</p><p><strong>Methods: </strong>Nineteen key questions on dysphagia were developed. These questions dealt with various aspects of problems related to dysphagia, including assessment, management, and complications. A literature search for relevant articles was conducted using Pubmed, Embase, the Cochrane Library, and one domestic database of KoreaMed, until April 2021. The level of evidence and recommendation grade were established according to the Grading of Recommendation Assessment, Development and Evaluation methodology.</p><p><strong>Results: </strong>Early screening and assessment of videofluoroscopic swallowing were recommended for assessing the presence of dysphagia. Therapeutic methods, such as tongue and pharyngeal muscle strengthening exercises and neuromuscular electrical stimulation with swallowing therapy, were effective in improving swallowing function and quality of life in patients with dysphagia. Nutritional intervention and an oral care program were also recommended.</p><p><strong>Conclusion: </strong>This guideline presents recommendations for the assessment and management of patients with oropharyngeal dysphagia, including rehabilitative strategies.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 Suppl 1","pages":"S1-S26"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/d8/arm-23069.PMC10405672.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10330688","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":"Delirium After Traumatic Brain Injury: Prediction by Location and Size of Brain Lesion.","authors":"Soo Jeong Han, Jee Hyun Suh, Ja Young Lee, Soo Jin Kim","doi":"10.5535/arm.23008","DOIUrl":"10.5535/arm.23008","url":null,"abstract":"<p><strong>Objective: </strong>To examine (1) the location of brain lesion that would predict post-traumatic delirium and (2) the association between volume of brain lesion and occurrence of delirium in patients with traumatic brain injury (TBI).</p><p><strong>Methods: </strong>A retrospective study was conducted by reviewing medical records of 68 TBI patients, categorized into two groups: the delirious group (n=38) and non-delirious group (n=30). The location and volume of TBI were investigated with the 3D Slicer software.</p><p><strong>Results: </strong>The TBI region in the delirious group mainly involved the frontal or temporal lobe (p=0.038). All 36 delirious patients had brain injury on the right side (p=0.046). The volume of hemorrhage in the delirious group was larger by about 95 mL compared to the non-delirious group, but this difference was not statistically significant (p=0.382).</p><p><strong>Conclusion: </strong>Patients with delirium after TBI had significantly different injury site and side, but not lesion size compared to patients without delirium.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"47 3","pages":"214-221"},"PeriodicalIF":2.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/84/arm-23008.PMC10326395.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10121734","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}