Journal of Rehabilitation Medicine最新文献_第5页

The effects of moderate-intensity aerobic exercise on cognitive function in individuals with stroke-induced mild cognitive impairment: a randomized controlled pilot study. 中等强度有氧运动对中风所致轻度认知障碍患者认知功能的影响：随机对照试验研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-07-02 DOI: 10.2340/jrm.v56.33001

Yuanling Huang, Haining Ou, Weijian Zhao, Qiang Lin, Yajing Xue, Rui Xia, Zhouchun Tan, Xiaofang Zhao, Lifang Xiong, Zeqin Yan, Zubin Zheng, Junbin Wen

{"title":"The effects of moderate-intensity aerobic exercise on cognitive function in individuals with stroke-induced mild cognitive impairment: a randomized controlled pilot study.","authors":"Yuanling Huang, Haining Ou, Weijian Zhao, Qiang Lin, Yajing Xue, Rui Xia, Zhouchun Tan, Xiaofang Zhao, Lifang Xiong, Zeqin Yan, Zubin Zheng, Junbin Wen","doi":"10.2340/jrm.v56.33001","DOIUrl":"10.2340/jrm.v56.33001","url":null,"abstract":"Objective: To assess the impact of moderate-intensity aerobic exercise on working memory in stroke-induced mild cognitive impairment (MCI).Design: Randomized, double-blind controlled study.Subjects and methods: Twenty MCI patients from the Fifth Affiliated Hospital of Guangzhou Medical University (December 2021 to February 2023), aged 34-79, 2-12 months post-stroke, were divided into an experimental group (EG) and a control group (CG), each with 10 participants. The EG underwent standard rehabilitation plus 40 minutes of aerobic exercise, while the CG received only standard therapy, 5 times weekly for 2 weeks. Working memory was tested using the n-back task, and overall cognitive function was measured with the MOCA and MMSE Scales before and after the intervention.Results: The EG showed higher 3-back correctness (71.80 ± 14.53 vs 56.50 ± 13.66), MOCA scores (27.30 ± 1.57 vs 24.00 ± 3.13), and improved visuospatial/executive (4.60 ± 0.52 vs 3.30 ± 1.06) and delayed recall (4.30 ± 0.82 vs 3.00 ± 1.56) on the MOCA scale compared with the CG.Conclusion: Moderate-intensity aerobic exercise may enhance working memory, visuospatial/executive, and delayed recall functions in stroke-induced MCI patients.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11247515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-07-02 DOI: 10.2340/jrm.v56.18670

Ulf Bodechtel, Thea Koch, Lars Heubner, Peter Spieth, Ines Rößler, Jan Mehrholz

{"title":"Health-related quality of life and participation after inpatient rehabilitation of sepsis survivors with severe sequelae: a cohort study.","authors":"Ulf Bodechtel, Thea Koch, Lars Heubner, Peter Spieth, Ines Rößler, Jan Mehrholz","doi":"10.2340/jrm.v56.18670","DOIUrl":"10.2340/jrm.v56.18670","url":null,"abstract":"Objective: To describe health-related quality of life and participation after rehabilitation of severely affected sepsis survivors.Design: Cohort study.Subjects/patients: Patients with severe sequelae after sepsis treated in a multidisciplinary rehabilitation pathway were included.Methods: Patient characteristics at the time of diagnosis, and the outcome 3 months after discharge from rehabilitation are described. At that time, health-related quality of life, social participation, and the rate of living at home were measured.Results: Of the 498 patients enrolled, 100 severely impaired patients were transferred for a multidisciplinary rehabilitation approach. Fifty-five of them were followed up at 3 months. Descriptive and inference statistics showed that 69% were living at home with or without care. Health-related quality of life and participation scores were 0.64 ± 0.32 for the EQ-5D utility index and 54.98 ± 24.97 for the Reintegration of Normal Living Index. A multivariate regression model explaining health-related quality of life at 3 months included age, lower limb strength, and walking ability during rehabilitation (r2 = 0.5511). Participation at 3 months was explained by age, body mass index, lower limb strength, and duration of tracheal intubation (r2 = 0.6229).Conclusion: Patients who have experienced serious sepsis with severe sequelae can achieve a moderate level of quality of life and participation within a multidisciplinary pathway.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11247512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-polio syndrome - somatosensory dysfunction and its relation to pain: a pilot study with quantitative sensory testing. 小儿麻痹症后综合征--躯体感觉功能障碍及其与疼痛的关系：定量感觉测试试验研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-25 DOI: 10.2340/jrm.v56.26192

Daniel Dahlgren, Kristian Borg, Eva Melin

{"title":"Post-polio syndrome - somatosensory dysfunction and its relation to pain: a pilot study with quantitative sensory testing.","authors":"Daniel Dahlgren, Kristian Borg, Eva Melin","doi":"10.2340/jrm.v56.26192","DOIUrl":"10.2340/jrm.v56.26192","url":null,"abstract":"Objective: To explore and characterize somatosensory dysfunction in patients with post-polio syndrome and chronic pain, by conducting examinations with Quantitative Sensory Testing.Design: A cross-sectional, descriptive, pilot study conducted during 1 month.Subjects/patients: Six patients with previously established post-polio syndrome and related chronic pain.Methods: All subjects underwent a neurological examination including neuromuscular function, bedside sensory testing, a thorough pain anamnesis, and pain drawing. Screening for neuropathic pain was done with 2 questionnaires. A comprehensive Quantitative Sensory Testing battery was conducted with z-score transformation of obtained data, enabling comparison with published reference values and the creation of sensory profiles, as well as comparison between the study site (more polio affected extremity) and internal control site (less affected extremity) for each patient.Results: Derived sensory profiles showed signs of increased prevalence of sensory aberrations compared with reference values, especially Mechanical Pain Thresholds, with significant deviation from reference data in 5 out of 6 patients. No obvious differences in sensory functions were seen between study sites and internal control sites.Conclusion: Post-polio syndrome may be correlated with a mechanical hyperalgesia/allodynia and might be correlated to a somatosensory dysfunction. With lack of evident side-to-side differences, the possibility of a generalized dysfunction in the somatosensory system might be considered.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the impact of cognitive dysfunction, fatigue, and shortness of breath on activities of daily life after COVID-19 infection, until 1-year follow-up. 探索 COVID-19 感染后认知功能障碍、疲劳和呼吸急促对日常生活活动的影响，直至 1 年随访。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-25 DOI: 10.2340/jrm.v56.35403

Ann Björkdahl, Marie Gustafsson, Hilda Öhlén, Sara Jarl, Iolanda Santos Tavares Silva

{"title":"Exploring the impact of cognitive dysfunction, fatigue, and shortness of breath on activities of daily life after COVID-19 infection, until 1-year follow-up.","authors":"Ann Björkdahl, Marie Gustafsson, Hilda Öhlén, Sara Jarl, Iolanda Santos Tavares Silva","doi":"10.2340/jrm.v56.35403","DOIUrl":"10.2340/jrm.v56.35403","url":null,"abstract":"Objective: Despite expanding knowledge on COVID-19, the long-term effects on daily-life activities remain unclear. The prevalence and changes in fatigue, cognitive dysfunction, and activity limitations in the first year after COVID-19 infection in hospitalized and non-hospitalized patients were explored.Subjects: A total of 122 patients were recruited from hospital care and 90 from primary care.Method: Baseline data comprised the Montreal Cognitive Assessment and Trail Making Test. Participants were followed up at 3 and 12 months using these tests and a semi-structured interview to identify symptoms and how they affected participation in daily-life activities. Both within- and between-group analyses were performed to explore changes over time and compare groups.Result: High levels of fatigue and cognitive dysfunction were found in both groups, which persisted for 12 months. A significant impact on daily-life activities was also observed, with marginal change at the 12-month follow-up. The hospital care group performed worse than the primary care group in the cognitive tests, although the primary care group perceived a higher level of fatigue and cognitive dysfunction. Activity limitations were higher in the primary care group than in the hospital care group.Conclusion: These findings highlight the need for long-term follow-up and further investigation of the impact of persistent deficits on rehabilitation.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of motion sensor and heart rate monitor for assessment of physical activity intensity in stroke outpatient rehabilitation sessions: an observational study. 比较运动传感器和心率监测器对脑卒中门诊康复疗程中身体活动强度的评估：一项观察性研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-25 DOI: 10.2340/jrm.v56.40559

Stéphanie Goncalves, Stéphane Mandigout, Morgane Le Bourvellec, Noémie C Duclos

{"title":"Comparison of motion sensor and heart rate monitor for assessment of physical activity intensity in stroke outpatient rehabilitation sessions: an observational study.","authors":"Stéphanie Goncalves, Stéphane Mandigout, Morgane Le Bourvellec, Noémie C Duclos","doi":"10.2340/jrm.v56.40559","DOIUrl":"10.2340/jrm.v56.40559","url":null,"abstract":"Objective: To compare the estimation of time spent on 4 categories of physical activity intensity (sedentary behaviour, light physical activity, moderate physical activity, and vigorous physical activity) between a motion sensor and a heart rate monitor during a stroke outpatient rehabilitation session.Design: A multicentre cross-sectional observational study.Subjects/patients: Participants with stroke (> 6 months) undergoing outpatient rehabilitation sessions.Methods: Participants wore the SenseWear Armband motion sensor and the Polar H10 heart rate monitor during 2 rehabilitation sessions. The times estimated by each device were compared using a generalized linear mixed model and post-hoc tests.Results: Ninety-nine participants from 29 clinics were recruited and data from 146 sessions were included in the analysis. The estimated times depended on the devices and the physical activity intensity category (F = 135, p < 0.05). The motion sensor estimated more time spent in sedentary behaviour and less time spent in moderate physical activity and vigorous physical activity than the heart rate monitor.Conclusion: The motion sensor and heart rate monitor provide different estimates of physical activity intensity during stroke rehabilitation. Further research is needed to establish the most appropriate device for each physical activity category.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceived and physiological strains of societal participation in people with multiple sclerosis: a real-time assessment study. 多发性硬化症患者参与社会活动的感知和生理压力：一项实时评估研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-24 DOI: 10.2340/jrm.v56.40838

Arianne S Gravesteijn, Maaike Ouwerkerk, Isaline C J M Eijssen, Heleen Beckerman, Vincent De Groot

{"title":"Perceived and physiological strains of societal participation in people with multiple sclerosis: a real-time assessment study.","authors":"Arianne S Gravesteijn, Maaike Ouwerkerk, Isaline C J M Eijssen, Heleen Beckerman, Vincent De Groot","doi":"10.2340/jrm.v56.40838","DOIUrl":"10.2340/jrm.v56.40838","url":null,"abstract":"Objective: To examine the relationship between perceived and physiological strains of real-time societal participation in people with multiple sclerosis.Design: Observational study.Subjects/patients: 70 people with multiple sclerosis.Methods: Perceived and physiological strain of societal participation (10 participation-at-location and 9 transport domains) were measured in real time using the Whereabouts smartphone app and Fitbit over 7 consecutive days. Longitudinal relationships between perceived (1 not strenuous to 10 most strenuous) and physiological strains (heart rate reserve) were examined using mixed-model analyses. Type of event (participation-at-location or transport) was added as covariate, with further adjustments for fatigue and walking ability.Results: Median perceived strain, summarized for all societal participation domains, varied between 3 and 6 (range: 1-10), whereas physiological strain varied between 18.5% and 33.2% heart rate reserve. Perceived strain (outcome) and physiological strain were not associated (β -0.001, 95%CI -0.008; 0.005, with a 7-day longitudinal correlation coefficient of -0.001). Transport domains were perceived as less strenuous (β -0.80, 95%CI -0.92; -0.68). Higher fatigue levels resulted in higher perceived strain (all societal participation domains) (β 0.05, 95%CI 0.02; 0.08).Conclusion: Societal participation resulted in low-to-moderate perceived and physiological strain. Perceived and physiological strain of societal participation were unrelated and should be considered different constructs in multiple sclerosis.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of chain of care and rehabilitation after stroke: a qualitative study of persons discharged to skilled nursing facilities before returning home. 中风后的连锁护理和康复体验：一项针对出院后在回家前入住专业护理机构人员的定性研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-20 DOI: 10.2340/jrm.v56.35240

Sofie Fors, Anna Bråndal, Hélène Pessah-Rasmussen, Ingrid Lindgren

{"title":"Experiences of chain of care and rehabilitation after stroke: a qualitative study of persons discharged to skilled nursing facilities before returning home.","authors":"Sofie Fors, Anna Bråndal, Hélène Pessah-Rasmussen, Ingrid Lindgren","doi":"10.2340/jrm.v56.35240","DOIUrl":"10.2340/jrm.v56.35240","url":null,"abstract":"Objective: To explore how people with stroke, discharged to skilled nursing facilities before returning home, experience the chain of care and rehabilitation.Design: Qualitative, semi-structured interview design.Methods: Thirteen stroke survivors discharged from a stroke unit to a skilled nursing facility before returning to independent living participated. Semi-structured telephone interviews were conducted 2-5 months after stroke and analysed with content analysis.Results: The analysis resulted in three categories, Organizational processes, critical and complex, Rehabilitation, the right support at the right time and Adaptation to the changed situation, with a total of 9 subcategories. The informants perceived low participation in planning and goalsetting and limited information. Support from the healthcare services was important to proceed with improvements although the amount of supported training varied. Factors hindering and facilitating managing everyday life were described, as well as lingering uncertainty of what the future would be like.Conclusion: Support and rehabilitation as well as individuals' needs varied, throughout the chain of care. To enable participation in the rehabilitation, assistance in setting goals and repeated information is warranted. Tailored care and rehabilitation throughout the chain of care should be provided, followed up at home, and coordinated for smooth transitions between organizations.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Usefulness of the cardiopulmonary exercise test up to the anaerobic threshold for pati-ents aged ≥ 80 years with cardiovascular disease on cardiac rehabilitation. 对年龄≥ 80 岁的心血管疾病患者进行有氧阈值的心肺运动测试对心脏康复的实用性。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-19 DOI: 10.2340/jrm.v56.19453

Yuiko Yano, Yasunori Suematsu, Takuro Matsuda, Kai Tsukahara, Miki Shirosaki, Sakiko Matsuo, Kanta Fujimi, Shin-Ichiro Miura

{"title":"Usefulness of the cardiopulmonary exercise test up to the anaerobic threshold for pati-ents aged ≥ 80 years with cardiovascular disease on cardiac rehabilitation.","authors":"Yuiko Yano, Yasunori Suematsu, Takuro Matsuda, Kai Tsukahara, Miki Shirosaki, Sakiko Matsuo, Kanta Fujimi, Shin-Ichiro Miura","doi":"10.2340/jrm.v56.19453","DOIUrl":"10.2340/jrm.v56.19453","url":null,"abstract":"Objective: A cardiopulmonary exercise test provides information regarding appropriate exercise intensity, but there have been few reports on its use in patients over 80 years of age.Design: Retrospective observational study.Patients: A total of 511 cardiovascular disease patients who performed a cardiopulmonary exercise test from February 2011 to January 2020 were investigated.Methods: Patients were stratified according to age: < 70 years, 70-79 years, and ≥ 80 years, and the results of the cardiopulmonary exercise test up to anaerobic threshold were compared.Results: Patients in the < 70 age bracket showed higher oxygen consumption, carbon dioxide output, and ventilatory volume and lower ventilation equivalents per oxygen consumption and carbon dioxide output in all time periods. However, there were no significant differences in these parameters or the work rate (70-79 years of age: 41.4 ± 11.7 watts, vs ≥ 80 years: 42.2 ± 10.9 watts, p = 0.95) or oxygen consumption per body weight at anaerobic threshold (12.2 ± 0.2 ml/min/kg, vs 12.1 ± 0.4 ml/min/kg, p = 0.97) between the 70-79 year age bracket and the ≥ 80 year age bracket.Conclusion: Even for cardiovascular disease patients age ≥ 80 years, a cardiopulmonary exercise test up to anaerobic threshold can supply useful information for guiding cardiac rehabilitation.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association between physical activity and neck circumference with cardiovascular disease risk in older wheelchair users. 老年轮椅使用者的体力活动和颈围与心血管疾病风险之间的关系。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-19 DOI: 10.2340/jrm.v56.35279

Jeonghyeon Kim, Inhwan Lee, Hyunsik Kang

{"title":"The association between physical activity and neck circumference with cardiovascular disease risk in older wheelchair users.","authors":"Jeonghyeon Kim, Inhwan Lee, Hyunsik Kang","doi":"10.2340/jrm.v56.35279","DOIUrl":"10.2340/jrm.v56.35279","url":null,"abstract":"Objective: To examine the association between physical activity, neck circumference, and cardiovascular disease risk in older wheelchair users.Design: A cross-sectional study.Subjects/patients: Sixty-one Korean wheelchair users aged 50 years and older.Methods: Physical activity was assessed using a self-administered questionnaire. Neck circumference was measured with a tape ruler. Cardiovascular disease risk was evaluated by calculating the Framingham risk score (FRS) for estimating 10-year cardiovascular disease risk, which was classified as low-moderate (19% or less) or high risk (20% or more).Results: The FRS for 10-year cardiovascular disease risk was inversely related to physical activity (beta [SE] = -0.213 (0.103), p = 0.043) and positively related to neck circumference (beta [SE] = 1.331 ± 0.419, p = 0.003). Binary logistic regression showed that those with low physical activity (odds ratio [95% confidence interval] = 4.256 (1.188~15.243), p = 0.026) or a large neck circumference (odds ratio [95% confidence interval] = 3.645 (1.172~11.338), p = 0.025) had a higher risk for high cardiovascular disease risk compared with those with high physical activity or normal neck circumference.Conclusion: The current study findings suggest that an intervention targeting physical inactivity and upper-body obesity should be implemented to reduce cardiovascular disease risk in older wheelchair users.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A backward cycling programme for people with Parkinson's disease: a feasibility and preliminary results study. 针对帕金森病患者的后向骑行计划：可行性和初步结果研究。

IF 3.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-11 DOI: 10.2340/jrm.v56.17738

Suzanne K O'Neal, Stephanie A Miller, Megan C Eikenberry, Elizabeth S Moore

{"title":"A backward cycling programme for people with Parkinson's disease: a feasibility and preliminary results study.","authors":"Suzanne K O'Neal, Stephanie A Miller, Megan C Eikenberry, Elizabeth S Moore","doi":"10.2340/jrm.v56.17738","DOIUrl":"10.2340/jrm.v56.17738","url":null,"abstract":"Objective: To assess the feasibility of backward cycling for people with Parkinson's disease. Secondary objectives were to assess changes in gait and balance following a 6-week program.Design: A single-group prospective pre-test, post-test study with 1-month follow-up.Subjects/patients: Twenty-six people with Parkinson's disease (mean age: 69 (7.74) years, gender: 83% males, time since diagnosis: 6 (4.44) years).Methods: Participants pedaled backward on a stationary bicycle for 30 minutes at moderate intensity twice a week for 6 weeks. Feasibility was assessed by acceptability, suitability, and burden. Data collected at pre- and post-intervention with 1-month follow-up included backward stepping response variables, forward/backward gait variables, Mini-Balance Evaluation Systems Test (MBT), and 6 Minute Walk Test.Results: There was a high retention rate (95.8%) and adherence rate (100%) with one adverse event and minimal burden. Significant improvements were seen in step count and excursion distance during backward stepping responses, forward and backward gait velocity, forward step length, and the Mini-BESTest.Conclusion: Backward cycling was a feasible intervention for people with Parkinson's disease, demonstrating low burden with high retention and adherence rates, and it is a safe exercise with the potential for benefits in gait and balance variables.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0