Journal of Rehabilitation Medicine最新文献_第9页

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":"56 ","pages":"jrm35279"},"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":"56 ","pages":"jrm17738"},"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

Commentary on: Home-based telerehabilitation for community-dwelling persons with stroke during the Covid-19 pandemic: a pilot study". 评论：在 Covid-19 大流行期间为居住在社区的中风患者提供基于家庭的远程康复服务：一项试点研究"。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-11 DOI: 10.2340/jrm.v56.40662

Farheen Haider, Manju Devi

引用次数: 0

Building academic capacity in physical and rehabilitation medicine. A background paper by a working group of the european academy of rehabilitation medicine. 建设物理和康复医学的学术能力。欧洲康复医学学会工作组背景文件。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-11 DOI: 10.2340/jrm.v56.40468

Bengt Sjölund

引用次数: 0

Commentary on: Preliminary study: efficacy of focused shockwave therapy in patients with moderate-to-severe carpal tunnel syndrome. 评论：初步研究：聚焦冲击波疗法对中重度腕管综合征患者的疗效。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-11 DOI: 10.2340/jrm.v56.40610

Juhi Singh, Digvijay Sharma, Adarsh Kumar Srivastav

引用次数: 0

Diaphragmatic strengthening exercises for patients with post COVID-19 condition after mild-to-moderate acute COVID-19 infection: a randomized controlled study. 轻度至中度急性 COVID-19 感染后 COVID-19 后遗症患者的横膈膜强化训练：随机对照研究。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-11 DOI: 10.2340/jrm.v56.25491

Tamer I Abo Elyazed, Ahmed Abd El-Moneim Abd El-Hakim, Ola I Saleh, Marwa Mostafa Fadel Sonbol, Hoda Assad Eid, Eman Moazen, Mohammad Hamad Alhassoon, Seham Ezzat Fathy Elfeky

{"title":"Diaphragmatic strengthening exercises for patients with post COVID-19 condition after mild-to-moderate acute COVID-19 infection: a randomized controlled study.","authors":"Tamer I Abo Elyazed, Ahmed Abd El-Moneim Abd El-Hakim, Ola I Saleh, Marwa Mostafa Fadel Sonbol, Hoda Assad Eid, Eman Moazen, Mohammad Hamad Alhassoon, Seham Ezzat Fathy Elfeky","doi":"10.2340/jrm.v56.25491","DOIUrl":"10.2340/jrm.v56.25491","url":null,"abstract":"Objective: To assess the clinical effects of incentive spirometry (IS) and diaphragmatic breathing (DB) in patients with post COVID-19 condition and diaphragmatic dysfunction as compared with the standard care alone.Methods: The present longitudinal randomized study included 60 patients with post COVID-19 condition and diaphragmatic dysfunction. Patients were equally randomized to receive standard care plus IS (G1), standard care plus DB (G2) or standard care alone (G3) for 8 weeks. The primary outcome is clinical improvement as evaluated by the modified Medical Research Council (mMRC) dyspnoea scale.Results: Comparison between the studied groups revealed significant improvement in G1 and G2 in all parameters at the end of follow-up. However, no significant improvement was found in G3. At the end of follow-up, 15 patients (75.0%) in G1, 11 patients (55.0%) in G2, and 3 patients (15.0%) in G3 showed improvement on the mMRC dyspnoea scale. Multivariate logistic regression analysis identified mild acute COVID-19 infection (p = 0.009), use of IS (p < 0.001), and use of DB (p = 0.023) as significant predictors of improvement on the mMRC dyspnoea scale.Conclusions: IS or DB training in addition to the standard care in post COVID-19 condition was associated with better clinical improvement as compared with the standard care alone.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm25491"},"PeriodicalIF":2.5,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302125","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

Handcycling with concurrent lower body low-frequency electromyostimulation significantly increases acute oxygen uptake in elite wheelchair basketball players: an acute crossover trial. 手骑自行车同时进行下半身低频肌电刺激可显著提高轮椅篮球精英运动员的急性摄氧量：一项急性交叉试验。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-08 DOI: 10.2340/jrm.v56.40028

Ludwig Rappelt, Steffen Held, Florian Micke, Tim Wiedenmann, Jan-Philip Deutsch, Heinz Kleinöder, Lars Donath

{"title":"Handcycling with concurrent lower body low-frequency electromyostimulation significantly increases acute oxygen uptake in elite wheelchair basketball players: an acute crossover trial.","authors":"Ludwig Rappelt, Steffen Held, Florian Micke, Tim Wiedenmann, Jan-Philip Deutsch, Heinz Kleinöder, Lars Donath","doi":"10.2340/jrm.v56.40028","DOIUrl":"10.2340/jrm.v56.40028","url":null,"abstract":"Objective: Wheelchair basketball (WCB) demands high-intensity training due to its intermittent nature. However, acute oxygen uptake (V˙O2) in handcycling is restricted. Combining handcycling with low-frequency electromyostimulation (LF-EMS) may enhance V˙O2 in elite WBC athletes.Design: Randomized crossover trail.Subjects: Twelve German national team WCB players (age: 25.6 [5.6] years, height: 1.75 [0.16] m, mass: 74.0 [21.7] kg, classification: 2.92 [1.26]).Method: Participants underwent 2×5 min of handcycling (60 rpm, ¾ bodyweight resistance in watts) (HANDCYCLE) and 2×5 min of handcycling with concurrent LF-EMS (EMS_HANDCYCLE). LF-EMS (4Hz, 350µs, continuous stimulation) targeted gluteal, quadriceps, and calf muscles, adjusted to individual pain thresholds (buttocks: 69.5 [22.3] mA, thighs: 66.8 [20.0] mA, calves: 68.9 [31.5] mA).Results: Significant mode-dependent differences between HANDCYCLE and EMS_HANDCYCLE were found in V˙O2 (17.60 [3.57] vs 19.23 [4.37] ml min-1 kg-1, p = 0.001) and oxygen pulse (16.69 [4.51] vs 18.41 [5.17] ml, p = 0.002). ΔLactate was significantly lower in HANDCYCLE (0.04 [0.28] vs 0.31 [0.26] mmol l-1). Although perceived effort did not differ (p = 0.293), discomfort was rated lower in HANDCYCLE (1.44 [1.28] vs 3.94 [2.14], p = 0.002).Conclusion: LF-EMS applied to the lower extremities increases oxygen demand during submaximal handcycling. Thus, longitudinal application of LF-EMS should be investigated as a potential training stimulus to improve aerobic capacity in wheelchair athletes.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm40028"},"PeriodicalIF":2.5,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288949","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

Physical strain of walking in people with neuromuscular diseases is high and relates to step activity in daily life. 神经肌肉疾病患者行走时的体力消耗很大，这与日常生活中的步数活动有关。

IF 3.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-06-07 DOI: 10.2340/jrm.v56.40026

Sander Oorschot, Eric Voorn, Annerieke Van Groenestijn, Frans Nollet, Merel Brehm

{"title":"Physical strain of walking in people with neuromuscular diseases is high and relates to step activity in daily life.","authors":"Sander Oorschot, Eric Voorn, Annerieke Van Groenestijn, Frans Nollet, Merel Brehm","doi":"10.2340/jrm.v56.40026","DOIUrl":"10.2340/jrm.v56.40026","url":null,"abstract":"Objective: To determine the physical strain of walking and assess its relationship with daily steps and intensity of daily activity in people with neuromuscular diseases.Design: Cross-sectional study.Subjects/patients: Sixty-one adults with neuromuscular diseases.Methods: Physical strain of walking, defined as oxygen consumption during comfortable walking relative to peak oxygen uptake. Daily step count and daily time spent in moderate and vigorous physical activity were assessed using accelerometry and heart rate measurements, respectively. Regression analyses assessed the relationships between log daily step count and log daily time spent in moderate and vigorous physical activity, and physical strain of walking.Results: The mean (standard deviation) physical strain of walking was 73 (20)% Log daily step count and physical strain were negatively associated (β = -0.47). No association was found with log daily time spent in moderate and vigorous physical activity.Conclusions: The highly increased physical strain of comfortable walking indicates that walking is very demanding for people with neuromuscular diseases and is associated with a reduction in daily step activity. The absence of a relationship between intensity of activities and physical strain indicates that, despite a reduction in daily step activity, strenuous daily activities may still be performed.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm40026"},"PeriodicalIF":3.5,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288950","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

Unmet rehabilitation needs in the first 6 months post-injury in a trauma centre population with moderate-to-severe traumatic injuries. 创伤中心中度至重度创伤患者伤后 6 个月内未得到满足的康复需求。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-05-27 DOI: 10.2340/jrm.v56.40078

Håkon Øgreid Moksnes, Nada Andelic, Christoph Schäfer, Audny Anke, Helene Lundgaard Soberg, Cecilie Røe, Emilie Isager Howe, Marit V Forslund, Olav Røise, Hilde Margrete Dahl, Frank Becker, Marianne Løvstad, Paul B Perrin, Juan Lu, Unni Sveen, Torgeir Hellstrøm, Mari S Rasmussen

{"title":"Unmet rehabilitation needs in the first 6 months post-injury in a trauma centre population with moderate-to-severe traumatic injuries.","authors":"Håkon Øgreid Moksnes, Nada Andelic, Christoph Schäfer, Audny Anke, Helene Lundgaard Soberg, Cecilie Røe, Emilie Isager Howe, Marit V Forslund, Olav Røise, Hilde Margrete Dahl, Frank Becker, Marianne Løvstad, Paul B Perrin, Juan Lu, Unni Sveen, Torgeir Hellstrøm, Mari S Rasmussen","doi":"10.2340/jrm.v56.40078","DOIUrl":"10.2340/jrm.v56.40078","url":null,"abstract":"Objective: To describe the needs for subacute inpatient rehabilitation and community-based healthcare services, rehabilitation, and social support in patients with moderate-to-severe traumatic injury in the first 6 months post-injury. Further, to explore associations between sociodemographic and clinical characteristics and unmet needs.Design: Multicentre prospective cohort study.Subjects: Of 601 persons (75% males), mean (standard deviation) age 47 (21) years, admitted to trauma centres in 2020 with moderate-to-severe injury, 501 patients responded at the 6-month follow-up and thus were included in the analyses.Methods: Sociodemographic and injury-related characteristics were recorded at inclusion. Estimation of needs was assessed with the Rehabilitation Complexity Scale Extended-Trauma and the Needs and Provision Complexity Scale on hospital discharge. Provision of services was recorded 6 months post-injury. Multivariable logistic regressions explored associations between baseline variables and unmet inpatient rehabilitation and community-based service needs.Results: In total, 20% exhibited unmet needs for subacute inpatient rehabilitation, compared with 60% for community-based services. Predictors for unmet community-based service needs included residing in less central areas, profound injury severity, severe head injury, and rehabilitation referral before returning home.Conclusion: Inadequate provision of healthcare and rehabilitation services, particularly in the municipalities, resulted in substantial unmet needs in the first 6 months following injury.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm40078"},"PeriodicalIF":2.5,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159293","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

Prediction of long-term functional outcome following different rehabilitation pathways after stroke unit discharge. 卒中单元出院后不同康复路径的长期功能预后。

IF 3.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2024-05-21 DOI: 10.2340/jrm.v56.19458

Malin C Nylén, Tamar Abzhandadze, Hanna C Persson, Katharina S Sunnerhagen

{"title":"Prediction of long-term functional outcome following different rehabilitation pathways after stroke unit discharge.","authors":"Malin C Nylén, Tamar Abzhandadze, Hanna C Persson, Katharina S Sunnerhagen","doi":"10.2340/jrm.v56.19458","DOIUrl":"10.2340/jrm.v56.19458","url":null,"abstract":"Objective: To investigate whether referral for different types of rehabilitation on discharge from Swedish stroke units can predict functional outcomes at 1 and 5 years after a stroke.Design: A longitudinal and registry-based study.Subjects/patients: A total of 5,118 participants with index stroke in 2011 were followed-up at 1 and 5 years after the stroke.Methods: Ordinal logistic regression models were developed to predict the category of functional outcome: independent, dependent, or dead. The primary predictors were planned rehabilitation in a home setting, inpatient rehabilitation, and outpatient rehabilitation, with no planned rehabilitation as the reference category.Results: Planned outpatient rehabilitation predicted independence (compared with death) at 1 year. Planned rehabilitation in the home setting predicted independence (compared with death) at 1 and 5 years. Compared with other planned pathways, participants planned for inpatient rehabilitation had more severe conditions, and planned inpatient rehabilitation did not predict independence.Conclusion: Planning for outpatient or home-based rehabilitation appeared to lead more effectively to participants achieving independence over the course of 1-5 years. This may have been due to the less severe nature of these participants' conditions, compared with those requiring inpatient rehabilitation.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm19458"},"PeriodicalIF":3.5,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070509","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