Physical therapy research最新文献

{"title":"Predictive Sub-items and Cutoff Scores of the Functional Assessment for Control of Trunk (FACT) for Gait Independence in Patients with Acute Stroke.","authors":"Hiroto Mashiko, Daiki Kato, Aki Kaneko, Hwa Young, Rika Ikezawa","doi":"10.1298/ptr.25-E10384","DOIUrl":"10.1298/ptr.25-E10384","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we aimed to identify the predictive subitems and cutoff values of the Functional Assessment for Control of the Trunk (FACT) for independent gait in patients with acute stroke.</p><p><strong>Methods: </strong>This retrospective observational study included 110 stroke patients. The FACT was assessed early after mobilization. Logistic regression analysis was conducted with independent gait at discharge as the dependent variable and 11 independent variables, including FACT subitems 3-10 and potential confounding factors. Receiver-operating characteristic (ROC) analysis was used to determine cutoff values for the total FACT score in predicting independent gait.</p><p><strong>Results: </strong>For level-ground gait, FACT items 4 and 5 (odds ratios: 4.71 and 2.89, respectively) were significant predictors. For uneven-ground gait, FACT item 8 (odds ratio: 1.87) was significant. The cutoff values were 11 points (sensitivity: 84.0%; specificity: 93.3%; area under the curve [AUC]: 0.95) for level-ground gait and 15 points (sensitivity: 77.8%; specificity: 95.0%; AUC: 0.89) for uneven-ground gait.</p><p><strong>Conclusions: </strong>Early FACT scores predicted independent gait. For level-ground gait, coordinated movement of the lower limbs and trunk during forward and lateral weight shifts and extensive lateral weight-shifting ability (items 4 and 5) were key. For uneven-ground gait, the rotational ability of the bilateral lower trunk during extensive lateral weight shifts (item 8) was crucial. The present findings suggest that these predictors and cutoff values can assist in guiding the prioritization of trunk assessment and devising tailored intervention plans aimed at functional gait acquisition during the early physical therapy phase following stroke onset.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"42-52"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847180","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":"Effects of Sit-to-stand Exercise Instruction and Goal-setting on Reducing Sitting Time in Chronic Stroke Survivors: A Randomized Crossover Trial.","authors":"Mitsutaka Shibuya, Kazuhiro Harada, Yohsuke Yamashita, Katsuki Takaoka, Keiji Ikewaki, Kenichi Hirashima, Haruo Uguisu","doi":"10.1298/ptr.25-E10362","DOIUrl":"https://doi.org/10.1298/ptr.25-E10362","url":null,"abstract":"<p><strong>Objectives: </strong>This study compared the effects of sit-to-stand exercise instruction (STS instruction) and participant-led goal-setting on sedentary behavior in chronic stroke survivors with reduced walking ability. We hypothesized that STS instruction would reduce prolonged sitting bouts more effectively than goal-setting.</p><p><strong>Methods: </strong>Twelve chronic stroke survivors completed a randomized crossover trial consisting of two 2-week interventions (STS instruction and participant-led goal-setting) separated by a 1-month washout. Physical activity time was measured using a thigh-worn activPAL4 accelerometer. The primary outcomes were the number and total duration of prolonged sitting bouts ≥30 min. Secondary outcomes included total sitting/lying time, standing/walking time, sit-to-stand transitions, and prolonged sitting bouts ≥60 min.</p><p><strong>Results: </strong>A significant intervention × time interaction was observed for prolonged sitting bouts ≥30 min (p = 0.049), with different pre-post patterns between intervention phases (STS: 8.4-7.0/day; goal-setting: 8.1-9.3/day). The interaction for the total duration of ≥30-min bouts was not statistically significant (p = 0.156). No significant intervention × time interactions were observed for total sedentary time, standing/walking time, or for the number or total duration of sitting bouts ≥60 min.</p><p><strong>Conclusions: </strong>STS instruction may contribute to modifying sitting patterns in chronic stroke survivors with limited walking ability, even without changes in total sedentary or upright time. These preliminary findings suggest that a simple, task-oriented approach may help modify sedentary patterns, although clear superiority over participant-led goal-setting was not demonstrated. Larger and longer-term trials are needed.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"143-149"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119864","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":"Is There a Difference in Factors Affecting Rest Pain and Pain Intensity during Movement at 1 Year Post-total Knee Arthroplasty?","authors":"Yuta Tomooka, So Tanaka, Akira Mibu, Hirofumi Yamashita, Masahiro Manfuku, Masami Tokunaga, Takaaki Yoshimoto, Tomohiko Nishigami","doi":"10.1298/ptr.25-E10373","DOIUrl":"10.1298/ptr.25-E10373","url":null,"abstract":"<p><strong>Objectives: </strong>Total knee arthroplasty (TKA) effectively improves motor function and reduces pain in patients with osteoarthritis (OA). However, recent research emphasizes the distinction between rest pain and post-TKA pain due to their impact on treatment and recovery. This study aimed to identify factors associated with rest pain and pain intensity during movement 1 year post-TKA.</p><p><strong>Methods: </strong>A total of 126 individuals (103 females, average age: 72.3 ± 8.1 years) undergoing TKA were included. All variables were assessed 1 year postoperatively. Multiple regression analyses were performed using rest pain and pain intensity during movement as dependent variables. Independent variables included age, sex, body mass index (BMI), short form of Central Sensitization Inventory (CSI-9) score, the Fremantle Knee Awareness Questionnaire (FreKAQ) score, inappropriate femorotibial angle, and <i>β</i> angle.</p><p><strong>Results: </strong>Multiple regression analyses demonstrated that FreKAQ score was a significant independent predictor for both rest pain (<i>β</i> = 0.583, 95% confidence interval [CI]: 0.72-1.34) and pain intensity during movement (<i>β</i> = 0.486, 95% CI: 0.72-1.52). Additionally, CSI-9 score (<i>β</i> = 0.183, 95% CI: 0.02-0.93) and the <i>β</i> angle (<i>β</i> = -0.218, 95% CI -3.17 to -0.60) were significant independent predictors for pain intensity during movement only.</p><p><strong>Conclusions: </strong>Specific treatments addressing disturbed body perception may benefit patients with rest pain. Conversely, pain intensity during movement was found to be influenced by various factors, including coronal alignment of the knee joint, central sensitization (CS)-related symptoms, and disturbed body perception. This suggests a need for more comprehensive treatment strategies for pain intensity during movement.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"6-15"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847197","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":"Square-stepping Exercise for Older Adults Attending a Daycare Service Facility: A Feasibility Study.","authors":"Ryota Uchida, Takashi Kurosaki, Ryosuke Shigematsu, Hiroyuki Sasai, Yuto Hikiji, Jessica Koschate-Storm, Svenja Tietgen, Masaki Nakagaichi","doi":"10.1298/ptr.25-E10387","DOIUrl":"https://doi.org/10.1298/ptr.25-E10387","url":null,"abstract":"<p><strong>Objectives: </strong>Square-stepping exercise (SSE) is a preventive program that reduces the risk of falls and improves physical function and agility in community-dwelling older adults. Although SSE has shown benefits in community-dwelling older adults, its feasibility in Japanese daycare service facilities, where physical and cognitive conditions may differ, remains unclear. This study aimed to assess its implementation and acceptability among older adults in daycare service facilities.</p><p><strong>Methods: </strong>A single-arm, 4-week intervention was conducted at Daycare Service Facility A in Kagoshima, Japan. Participants performed SSE once weekly for 4 weeks, with each session lasting 60 min. Safety (absence of injuries or illnesses), program completion rates, and session attendance rates were monitored throughout the intervention, and one-on-one semi-structured interviews were conducted to assess acceptability.</p><p><strong>Results: </strong>The participants were 21 older adults (mean age 87.4 ± 4.6 years). Adherence was high, with a 95.2% completion rate and 100% attendance rate. No injuries were observed. All participants completed the exercises by following the step patterns, as instructed. Interviews revealed positive psychological changes, such as enjoyment and a sense of accomplishment, and physical improvements, including better lower-limb conditions and overall health.</p><p><strong>Conclusions: </strong>The findings suggest that SSE may be safely implemented with high adherence in older females with care levels of 3 or below in daycare service facilities and may also promote positive psychological changes. It is necessary to conduct a more detailed evaluation of its effectiveness.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"109-116"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119681","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":"Relationship between Trunk Muscle Fat Infiltration and Aspiration Pneumonia after Hip Fracture in Older Women: An Exploratory Study.","authors":"Takahiro Fujimoto, Shigeharu Tanaka","doi":"10.1298/ptr.26-E00009","DOIUrl":"https://doi.org/10.1298/ptr.26-E00009","url":null,"abstract":"<p><strong>Objectives: </strong>This exploratory study investigated the association between trunk muscle quality assessed at admission, including muscle fat infiltration, and the development of aspiration pneumonia within 12 months after hip fracture in older women.</p><p><strong>Methods: </strong>This retrospective, single-center study included women aged ≥75 years with hip fracture who underwent abdominal computed tomography at admission. Trunk muscle quality, including muscle fat infiltration and the proportions of normal-attenuation and low-attenuation muscle, was assessed. Participants were classified according to the occurrence of aspiration pneumonia within 12 months after hip fracture, and trunk muscle characteristics were compared between groups.</p><p><strong>Results: </strong>Women who developed aspiration pneumonia showed a significantly higher intramuscular adipose tissue/total attenuation muscle area index in the erector spinae at admission. In multivariable logistic regression analysis, reduced muscle quality of the erector spinae was associated with the subsequent development of aspiration pneumonia (odds ratio, 1.29; 95% confidence interval, 1.05-1.60).</p><p><strong>Conclusions: </strong>Fat infiltration in the erector spinae muscle may be associated with the subsequent development of aspiration pneumonia in older women with hip fracture. Trunk muscle quality at admission may reflect underlying vulnerability. However, these findings should be interpreted with caution given the exploratory design, small sample size, and potential residual confounding; no causal relationship can be established.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"165-171"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119374","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":"Intra- and Inter-examiner Reliability of Diaphragmatic Ultrasound Parameters in People with Stable Chronic Obstructive Pulmonary Disease.","authors":"Takako Tanaka, Kenneth Wu, Yorihide Yanagita, Tatsuya Morishita, Shusuke Toyama, Fumiya Nagata, Kazuya Shingai, Tomoyuki Ikeuchi, Kentaro Mori, Kazuaki Suyama, Sunita Mathur, Ryo Kozu","doi":"10.1298/ptr.26-E00013","DOIUrl":"https://doi.org/10.1298/ptr.26-E00013","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the intra- and inter-examiner reliability of ultrasound-derived diaphragm thickness (Tdi) and diaphragmatic excursion (DE) in individuals with chronic obstructive pulmonary disease (COPD).</p><p><strong>Methods: </strong>This prospective cross-sectional study included outpatients with stable COPD. Six participants were analyzed for intra-examiner reliability and 16 for inter-examiner reliability. Two trained examiners performed diaphragmatic ultrasound using a same-day standardized protocol. In the intra-examiner phase, 1 examiner performed 2 repeated measurements in 6 participants on the same day. In the inter-examiner phase, 2 examiners performed 2 measurements in 16 participants under the same-day standardized protocol. Tdi was measured at functional residual capacity (FRC), residual volume (RV), and total lung capacity (TLC), and DE was measured from resting expiration to maximal inspiration. Intra-examiner reliability was assessed using intraclass correlation coefficients (ICCs; ICC [1,1]), and inter-examiner reliability was evaluated using ICC (2,1); standard error of measurement and minimal detectable change were also calculated.</p><p><strong>Results: </strong>Intra-examiner ICCs ranged from 0.70 to 0.98. Tdi at TLC (Tdi_TLC) and DE demonstrated high intra-examiner reliability (ICCs ≥0.83 for both examiners). Inter-examiner analysis showed high agreement for Tdi_TLC and DE (ICCs = 0.83 and 0.88, respectively), whereas Tdi at FRC and RV showed moderate agreement (ICCs = 0.57 and 0.59, respectively).</p><p><strong>Conclusions: </strong>Ultrasound-derived diaphragm parameters-particularly Tdi_TLC and DE-demonstrated high intra- and inter-examiner reliability in individuals with stable COPD under a same-day standardized protocol. This suggests the potential clinical utility of diaphragmatic ultrasound for the reliable evaluation and short-term monitoring of diaphragmatic function in clinical and research settings.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"158-164"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119845","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":"Preoperative Functional Disability and Perioperative Life-space Mobility in Older Patients with Lumbar Spinal Stenosis: A Generalized Linear Mixed-effects Model Analysis.","authors":"Daigo Ishizuka, Susumu Nozaki, Hiroshi Minezaki, Tsuyoshi Ota, Yasuyoshi Asakawa","doi":"10.1298/ptr.25-E10369","DOIUrl":"10.1298/ptr.25-E10369","url":null,"abstract":"<p><strong>Objectives: </strong>This prospective cohort study investigated the relationship between preoperative functional disability, as determined by the Oswestry Disability Index (ODI), and perioperative Life-Space Assessment (LSA) scores using generalized linear mixed-effects models (GLMM).</p><p><strong>Methods: </strong>We included 262 patients (mean age, 76.1 ± 6.0 years; male, n = 140; female, n = 122) with lumbar spinal stenosis scheduled for surgery. LSA was examined preoperatively and at 3 and 6 months postoperatively, while ODI was assessed preoperatively. Patients were classified based on ODI quartiles (Q1: 0%-28.89%, Q2: 28.89%-40.0%, Q3: 40.0%-53.33%, and Q4: 53.33%-86.67%). We explored the relationship between ODI and LSA using GLMM.</p><p><strong>Results: </strong>The mean preoperative ODI score was 41.2% ± 17.1%. In the crude model, ODI showed a significant negative association with LSA (β = -0.38, 95% CI: -0.58 to -0.18); this relationship remained significant in the adjusted model (β = -0.30, 95% CI: -0.49 to -0.11). Older age (β = -1.20, 95% CI: -1.76 to -0.65) and female sex (β = -11.81, 95% CI: -18.24 to -5.38) were associated with life-space restriction; body mass index, number of decompressed levels, and comorbidity burden did not show any such significant associations.</p><p><strong>Conclusions: </strong>Preoperative functional disability significantly affected perioperative life-space mobility among older patients with lumbar spinal stenosis. A comprehensive assessment from the preoperative period is important for older female patients.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"24-30"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847219","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":"Structural Analysis of Activities by Japan International Cooperation Agency Volunteer Physiotherapists: Reconstructing Practice-based Knowledge through Text Mining.","authors":"Kosuke Hamada, Akira Teramura, Hyunjae Woo, Akira Mitamura, Osamu Watanabe","doi":"10.1298/ptr.25-E10372","DOIUrl":"10.1298/ptr.25-E10372","url":null,"abstract":"<p><strong>Objectives: </strong>This study structurally analyzed physiotherapists' activity outcomes dispatched via the Japan International Cooperation Agency (JICA) volunteer program, aiming to develop future strategies for physiotherapy education, practice, and global health engagement.</p><p><strong>Methods: </strong>We analyzed Reports 1-5 from 123 JICA-dispatched physiotherapists (2014-2024), focusing primarily on the \"activity outcomes\" section of Report 5 using KH Coder for text mining. Additional variables, such as year of dispatch, gender, host country, geographic region, and number of physiotherapists at the placement site, were extracted. Regions were divided into 5 categories: Asia, Africa, Oceania, Latin America and the Caribbean, and Central Asia and the Middle East. Frequency and hierarchical cluster analyses were also performed. Utilizing clustering patterns, activity outcomes were classified into 8 categories. External variables-region and staffing levels-were used for cross-tabulations.</p><p><strong>Results: </strong>The study grouped outcomes into 2 main types: 4 categories reflecting direct support through clinical practice and technology transfer, and 3 categories representing institutional and organizational contributions rooted in logical problem solving. The small effect sizes indicated that external factors had limited influence on activity outcomes, such as a greater use of the community-based rehabilitation (CBR) approach in Latin America and areas with limited physiotherapy personnel.</p><p><strong>Conclusions: </strong>These findings indicate that JICA volunteer physiotherapists consistently fulfilled core professional roles across diverse contexts, emphasizing clinical support, capacity development, and system improvement. Despite regional and contextual differences, the weak effect sizes suggest that individual adaptability and shared professional values contribute to sustaining context-appropriate rehabilitation practices in global health settings.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847328","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":"Kinesiopathology, a Framework for Progressive Nature of Neuromusculoskeletal Dysfunctions: Implications for Physical Therapy.","authors":"Maiko Morotani","doi":"10.1298/ptr.R0042","DOIUrl":"https://doi.org/10.1298/ptr.R0042","url":null,"abstract":"<p><p>Kinesiopathology describes how suboptimal movement patterns generate progressive mechanical stress on tissues, contributing to structural changes and the onset of neuromusculoskeletal pain conditions. The purpose of this article is to discuss kinesiopathology as a framework for understanding the progressive nature of neuromusculoskeletal dysfunctions and its implications for physical therapy practice. Empirical evidence from biomechanical and clinical research across multiple conditions supports the relationship between altered movement patterns and musculoskeletal pathology. The nervous system consolidates frequently repeated movement patterns into automatized motor programs that operate below conscious awareness, perpetuating suboptimal tissue loading over time. This supports the reframing of traditionally defined orthopedic conditions as neuromusculoskeletal conditions, in which neuromuscular activation patterns govern movement behavior and influence tissue stress. Five phases of kinesiopathology are proposed, describing the progression from subtle, asymptomatic movement patterns through repetitive tissue loading, structural changes, and symptom development to chronic neuromusculoskeletal dysfunction. This framework highlights the clinical value of the early identification and modification of suboptimal movement patterns. Systematic movement system examination-including observation of alignment, neuromuscular activation patterns, and movement strategies during functional tasks-positions physical therapists to identify and address the movement-related mechanisms underlying neuromusculoskeletal conditions. How a person moves is not incidental to their neuromusculoskeletal health, but is fundamental to it. As movement system experts, the recognition and modification of movement dysfunction in its earliest phases represent both the defining competency and the greatest clinical opportunity of the profession.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"79-86"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119882","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":"Recovery of Physical Function in a Patient with Intensive Care Unit-acquired Weakness after Valvular Surgery: A Case Report.","authors":"Kosho Ohta, Hiroshi Saito, Mami Shimizu, Hiroaki Tanabe","doi":"10.1298/ptr.25-E10366","DOIUrl":"10.1298/ptr.25-E10366","url":null,"abstract":"<p><strong>Objectives: </strong>This report describes the functional recovery of a patient who developed severe intensive care unit-acquired weakness (ICUAW) following aortic valve replacement (AVR). It focuses on the utility of preoperative physical function assessment and changes in patient-reported health-related quality of life (HRQOL).</p><p><strong>Case presentation: </strong>The patient was a woman in her 70s who developed ICUAW after undergoing AVR. Preoperative assessments included the Barthel Index (BI), Short Physical Performance Battery, gait speed, and grip strength to evaluate physical function, and the EuroQol 5 Dimensions 3 Levels (EQ-5D-3L) to assess HRQOL. A progressive rehabilitation program was initiated after the surgery. Postoperatively, we regularly assessed the Medical Research Council sum score (MRCss) and functional performance metrics, and we tracked HRQOL using the EQ-5D-3L over time.</p><p><strong>Discussion: </strong>The MRCss of the patient was 16 at ICU discharge, indicating severe muscle weakness. Based on preoperative assessments, tailored rehabilitation goals were set, and the patient was transferred to a post-acute rehabilitation facility. The HRQOL trajectory reached its lowest score on postoperative day (POD) 27 (EQ-5D-3L: -0.166) but gradually improved over time. By POD 102, the patient had achieved near-complete functional recovery with an MRCss of 57, BI of 95, gait speed of 1.33 m/s, and EQ-5D-3L of 0.746 and was discharged.</p><p><strong>Conclusions: </strong>Functional recovery may be possible even in cases of severe ICUAW with marked muscle weakness at ICU discharge. Preoperative physical function assessments may provide valuable insights into recovery potential and guide rehabilitation planning, thereby contributing to an improved quality of care.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847168","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}