Physical therapy research最新文献_第10页

Incidence of postoperative complications and non- periprosthetic fractures after total hip arthroplasty: A more than 10-year follow-up retrospective cohort study. 全髋关节置换术后并发症和非假体周围骨折的发生率:一项超过10年的随访回顾性队列研究。

Physical therapy research Pub Date : 2020-11-13 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10043

Kazunari Ninomiya, Naonobu Takahira, Shunsuke Ochiai, Takashi Ikeda, Koji Suzuki, Ryoji Sato, Hiroyuki Ike, Kazuo Hirakawa

{"title":"Incidence of postoperative complications and non- periprosthetic fractures after total hip arthroplasty: A more than 10-year follow-up retrospective cohort study.","authors":"Kazunari Ninomiya, Naonobu Takahira, Shunsuke Ochiai, Takashi Ikeda, Koji Suzuki, Ryoji Sato, Hiroyuki Ike, Kazuo Hirakawa","doi":"10.1298/ptr.E10043","DOIUrl":"https://doi.org/10.1298/ptr.E10043","url":null,"abstract":"Objective: Postoperative complications and non-periprosthetic fractures (NPPFs), which was defined as a fracture existing non- periprosthetic implant, after total hip arthroplasty (THA) have a negative effect on the patients' ability to perform activities of daily living. Thus, investigating these incidences of patients after THA will be valuable as it lead to a more strategic physical therapy interventions and advanced research to prevent these problems. The purpose of this study was to investigate the incidence of postoperative complications related to implants and NPPFs in patients after THA, a more than 10-year follow-up.Methods: This is a retrospective cohort study. A total 892 patients with hip osteoarthritis who underwent primary THA were analyzed (age at surgery was 45-79 years; 805 women; the average follow-up period was 12.4-year). The postoperative complications related to implants and NPPFs were calculated using data from their medical records.Results: The postoperative complications occurred in 37 patients, and NPPFs occurred in 72 patients, who were significantly older, and hip and knee OA diagnosis, compared to patients without NPPFs ( p <.05). The most common cause of NPPFs was minor trauma. In patients aged ≧ 65 years, significantly more NPPFs occurred during the first year after surgery( p <.05).Conclusion: More than 10-year after THA, the incidence of NPPFs was higher than that of postoperative complications related to implants. Older patients who had hip and knee OA were a significantly higher risk of developing NPPFs due to falls within the first year after surgery.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 1","pages":"77-83"},"PeriodicalIF":0.0,"publicationDate":"2020-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111408/pdf/ptr-24-01-0077.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38975773","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}

引用次数: 0

Risks of Muscle Atrophy in Patients with Malignant Lymphoma after Autologous Stem Cell Transplantation. 自体干细胞移植后恶性淋巴瘤患者肌肉萎缩的风险。

Physical therapy research Pub Date : 2020-11-13 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10041

Keisuke Hirota, Hiroo Matsuse, Shunji Koya, Ryuki Hashida, Masafumi Bekki, Yoko Yanaga, Kiyoko Johzaki, Mami Tomino, Fumihiko Mouri, Satoshi Morishige, Shuki Oya, Yoshitaka Yamasaki, Koji Nagafuji, Naoto Shiba

{"title":"Risks of Muscle Atrophy in Patients with Malignant Lymphoma after Autologous Stem Cell Transplantation.","authors":"Keisuke Hirota, Hiroo Matsuse, Shunji Koya, Ryuki Hashida, Masafumi Bekki, Yoko Yanaga, Kiyoko Johzaki, Mami Tomino, Fumihiko Mouri, Satoshi Morishige, Shuki Oya, Yoshitaka Yamasaki, Koji Nagafuji, Naoto Shiba","doi":"10.1298/ptr.E10041","DOIUrl":"https://doi.org/10.1298/ptr.E10041","url":null,"abstract":"Objective: Muscle atrophy is associated with autologous stem cell transplantation (ASCT)-related outcomes in patients with malignant lymphoma (ML). However, the impact of ASCT on muscle mass remains unclear in patients with ML. The aims of this study were to investigate changes in muscle mass and risk profiles for muscle atrophy after ASCT.Method: We enrolled 40 patients with refractory ML (age 58 [20-74] years, female/male 16/24, body mass index (BMI) 21.1 kg/m2 [17.1-29.6]). Psoas muscle mass was assessed using the psoas muscle index (PMI) before and after ASCT.Statistical analysis used: Independent factors associated with a severe decrease rate of change in PMI were evaluated by decision-tree analysis, respectively.Results: PMI was significantly decreased after ASCT (4.61 vs. 4.55 cm2/m2; P=0.0425). According to the decision-tree analysis, the regimen was selected as the initial split. The rates of change in PMI were -5.57% and -3.97% for patients administered MCEC and LEED, respectively. In patients who were administered LEED, the second branching factor was BMI. In patients with BMI < 20.3 kg/m2, the rate of change in PMI was -7.16%. On the other hand, the rate of change in PMI was 4.05% for patients with BMI ≥ 20.3 kg/m2.Conclusion: We demonstrated that muscle mass decreased after ASCT in patients with ML. Patients who received MCEC and patients with low BMI were at risk for a decrease in muscle mass.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 1","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"2020-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111411/pdf/ptr-24-01-0069.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38975772","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}

引用次数: 2

Effects of physical activity on quality of life and physical function in postoperative patients with gastrointestinal cancer. 运动对胃肠道肿瘤术后患者生活质量和身体功能的影响。

Physical therapy research Pub Date : 2020-10-26 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10048

Masaya Kajino, Eiki Tsushima

{"title":"Effects of physical activity on quality of life and physical function in postoperative patients with gastrointestinal cancer.","authors":"Masaya Kajino, Eiki Tsushima","doi":"10.1298/ptr.E10048","DOIUrl":"https://doi.org/10.1298/ptr.E10048","url":null,"abstract":"Objectives: This study was to clarify changes in physical function and quality of life (QOL) for postoperative, and to examine the influence of the amount of physical activity on these variables.Methods: This study included 29 patients who underwent gastrointestinal cancer surgery. The QOL measurement was used to the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for preoperative and 2nd and 4th postoperative weeks. Physical function measured knee extension strength, 4 m walk time, 5 times sit-to-stand test, and 6-minute walk for preoperative and 1st and 2nd postoperative weeks. The amount of physical activity score was based on METs-hours, which is estimated from cumulative physical activity. As basic characteristics were investigated cancer stage, comorbidities and complications, and operative. Statistical analysis was repeated measures analysis of variance was performed to observe postoperative changes in physical function and QOL. Furthermore, stepwise multiple regression analysis was used to the parameters of physical function and QOL affected by the physical activity score were investigated.Results: Physical function decreased postoperatively and generally improved 2nd postoperative week. Though scores on the QOL functional scales improved, some items did not improve sufficiently. Multiple regression analysis showed that physical activity score had an effect on constipation and emotion functioning.Conclusions: Improvement in symptom scales is not sufficient in a short period of time, and they need to be followed up by increasing the amount of physical activity and promoting instantaneous exercise.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 1","pages":"43-51"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111413/pdf/ptr-24-01-0043.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38975770","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}

引用次数: 0

Estimation of minimal clinically important difference for quadriceps and inspiratory muscle strength in older outpatients with chronic obstructive pulmonary disease: a prospective cohort study. 估计老年慢性阻塞性肺疾病门诊患者股四头肌和吸气肌力量的最小临床重要差异:一项前瞻性队列研究

Physical therapy research Pub Date : 2020-10-12 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10049

Masahiro Iwakura, Kazuki Okura, Mika Kubota, Keiyu Sugawara, Atsuyoshi Kawagoshi, Hitomi Takahashi, Takanobu Shioya

{"title":"Estimation of minimal clinically important difference for quadriceps and inspiratory muscle strength in older outpatients with chronic obstructive pulmonary disease: a prospective cohort study.","authors":"Masahiro Iwakura, Kazuki Okura, Mika Kubota, Keiyu Sugawara, Atsuyoshi Kawagoshi, Hitomi Takahashi, Takanobu Shioya","doi":"10.1298/ptr.E10049","DOIUrl":"https://doi.org/10.1298/ptr.E10049","url":null,"abstract":"Objective: To estimate the minimal clinically important difference (MCID) of quadriceps and inspiratory muscle strength after a home-based pulmonary rehabilitation program (PRP) in chronic obstructive pulmonary disease (COPD).Method: Eighty-five COPD patients were included. Quadriceps maximal voluntary contraction (QMVC) was measured. We measured maximal inspiratory mouth pressure (PImax), the 6-minute walk distance (6MWD), the chronic respiratory questionnaire (CRQ) and the modified Medical Research Council dyspnoea score (mMRC). All measurements were conducted at baseline and at the end of the PRP. The MCID was calculated using anchor-based (using 6MWD, CRQ, and mMRC as possible anchor variables) and distribution-based (half standard deviation and 1.96 standard error of measurement) approaches. Changes in the five variables were compared in patients with and without changes in QMVC or PImax >MCID for each variable.Results: Sixty-nine COPD patients (age 75±6 years) were analysed. QMVC improved by 2.4 (95%CI 1.1-3.7) kgf, PImax by 5.8 (2.7-8.8) cmH2O, 6MWD by 21 (11-32) meters and CRQ by 3.9 (1.6-6.3) points. The MCID of QMVC and PImax was 3.3-7.5 kgf and 17.2-17.6 cmH2O, respectively. The MCID of QMVC (3.3 kgf) could differentiate individuals with significant improvement in 6MWD and PImax from those without.Conclusion: The MCID of QMVC (3.3 kgf) can identify a meaningful change in quadriceps muscle strength after a PRP. The MCID of PImax (17.2 cmH2O) should be used with careful consideration, because the value is estimated using distributionbased method.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 1","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2020-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111409/pdf/ptr-24-01-0035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38975769","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}

引用次数: 21

Measurement of excitation-contraction coupling time in lower extremities. 下肢兴奋-收缩耦合时间的测量。

Physical therapy research Pub Date : 2020-10-12 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10053

Yuta Asada, Tomihiro Imai

引用次数: 1

Effect of types of proximal femoral fractures on physical function such as lower limb function and Activities of Daily Living. 股骨近端骨折类型对肢体功能及日常生活活动的影响。

Physical therapy research Pub Date : 2020-09-28 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10050

Daisuke Bai, Mitsunori Tokuda, Taiki Ikemoto, Shingo Sugimori, Shoki Okamura, Yuka Yamada, Yuna Tomita, Yuki Morikawa, Yasuhito Tanaka

{"title":"Effect of types of proximal femoral fractures on physical function such as lower limb function and Activities of Daily Living.","authors":"Daisuke Bai, Mitsunori Tokuda, Taiki Ikemoto, Shingo Sugimori, Shoki Okamura, Yuka Yamada, Yuna Tomita, Yuki Morikawa, Yasuhito Tanaka","doi":"10.1298/ptr.E10050","DOIUrl":"https://doi.org/10.1298/ptr.E10050","url":null,"abstract":"Objectives: This study aimed to assess physical function such as lower limb function and Activities of Daily Living after surgery for proximal femoral fractures ( unstable medial femoral neck fracture and trochanteric fracture).Methods: This study enrolled 68 patients with proximal femoral fractures. Isometric knee extension strength (IKES), the Japanese Orthopedic Association (JOA) hip score, and the number of days required to develop straight leg raising, transfer, and T-caneassisted gait abilities to become independent were assessed. Patients were classified based on the types of proximal femoral fractures, namely unstable medial femoral neck fracture (bipolar hip arthroplasty [BHA] group), stable trochanteric fracture (S group), and unstable trochanteric fracture (US group).Results: IKES and the JOA hip score were significantly better in the BHA group than in the S and US groups. IKES and the JOA hip score were significantly worse in the US group than in the BHA and S groups. Both transfer and T-cane-assisted gait abilities of patients in the BHA and S groups were indifferent. However, all physical functions were significantly worse in the US group.Conclusions: Our study results suggested that physical therapists plan the different rehabilitation program for the patients with proximal femoral fractures who were classified into three types, namely unstable medial femoral neck fracture, stable trochanteric fracture, and unstable trochanteric fracture, instead of two types.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 1","pages":"24-28"},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111412/pdf/ptr-24-01-0024.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38975767","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}

引用次数: 0

Clinical prediction rule for early recovery of knee range of motion after total knee arthroplasty: A prospective cohort study. 全膝关节置换术后膝关节活动范围早期恢复的临床预测规则:一项前瞻性队列研究。

Physical therapy research Pub Date : 2020-09-28 eCollection Date: 2020-01-01 DOI: 10.1298/ptr.E10044

Tetsuya Amano, Ryo Tanaka, Shigeharu Tanaka

{"title":"Clinical prediction rule for early recovery of knee range of motion after total knee arthroplasty: A prospective cohort study.","authors":"Tetsuya Amano, Ryo Tanaka, Shigeharu Tanaka","doi":"10.1298/ptr.E10044","DOIUrl":"https://doi.org/10.1298/ptr.E10044","url":null,"abstract":"Objective: To derive a clinical prediction rule for early recovery of knee range of motion after total knee arthroplasty.Methods: This prospective cohort study evaluated the data of 273 individuals undergoing primary total knee arthroplasty. The individual factors, the physical and motor function data were assessed preoperatively upon admission as a baseline survey. The knee joint extension angle and knee joint flexion angle were re-evaluated on postoperative day 14 as a follow-up. The recovery group comprised individuals with a knee joint extension angle of more than -5 degrees and knee joint flexion angle of more than 110 degrees on postoperative day 14. The other patients constituted the non-recovery group. Multivariate logistic regression analysis was used for deriving a clinical prediction rule.Results: The results indicated that the use of a cane, knee joint extension and flexion angles, and Timed Up and Go test time were significant factors for predicting early recovery of knee range of motion after total knee arthroplasty. Furthermore, a clinical prediction rule was derived and included the use of a cane, knee joint extension angle ≥ -15 degrees, knee joint flexion angle ≥ 125 degrees, and a Timed Up and Go test time < 11.2 s. A total clinical prediction rule score ≥ 8 indicated a positive likelihood ratio of more than 10 for a successful outcome and the post-test probability was approximately 95%.Conclusions: The derived clinical prediction rule might be a useful screening tool for proper postoperative goal setting and the establishment of individualized physical therapy programs.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"23 2","pages":"202-208"},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814195/pdf/ptr-23-02-0202.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38775948","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}

引用次数: 0

The effect of neuromuscular electrical stimulation on muscle EMG activity and the initial phase rate of force development during tetanic contractions in the knee extensor muscles of healthy adult males. 神经肌肉电刺激对健康成年男性膝关节伸肌强直性收缩期间肌肉肌电图活动和力发展初期速率的影响。

Physical therapy research Pub Date : 2020-09-15 eCollection Date: 2020-01-01 DOI: 10.1298/ptr.E10030

Ryosuke Nakanishi, Kosuke Takeuchi, Kazunori Akizuki, Ryoma Nakagoshi, Hironobu Kakihana

{"title":"The effect of neuromuscular electrical stimulation on muscle EMG activity and the initial phase rate of force development during tetanic contractions in the knee extensor muscles of healthy adult males.","authors":"Ryosuke Nakanishi, Kosuke Takeuchi, Kazunori Akizuki, Ryoma Nakagoshi, Hironobu Kakihana","doi":"10.1298/ptr.E10030","DOIUrl":"https://doi.org/10.1298/ptr.E10030","url":null,"abstract":"Objective: Neuromuscular electrical stimulation (NMES) has been noted as an effective pre- contraction for an increase of neural and muscle factors during twitch contractions. However, it is unknown if this intervention is effective for the rate of force development (RFD), which is the ability to increase joint torque strength as quickly as possible, during tetanic contractions. NMES can be safely used by anyone, but, the strength setting of NMES requires attention so as not to cause pain. Therefore, the purpose of this study investigated whether NMES at less painful levels was effective for RFD during tetanic contractions. We also investigated effect activation by analyzing electromyogram (EMG) and RFD for each phase.Methods: Eighteen healthy males were studied. Before and after NMES intervention at 10% or 20% maximal voluntary isometric contraction (MVIC) level (10%NMES, 20%NMES respectively), EMG activity and the initial phase (30-, 50-, 100-, and 200-msec) RFD were measured. Visual analog scale (VAS) was also measured as an indicator of pain during each NMES.Results: 20%NMES increased EMG activity and 30-, 50-, and 100-msec of RFD during MVIC, but could not improve 200 msec of RFD. However, 10%NMES could be failed to increase all phases RFD, but VAS was lower than that of 20% NMES.Conclusion: These results suggest that muscle pre-contraction using 20%NMES could induce moderate pain, but could be an effective intervention to improve RFD via neural factor activity.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"23 2","pages":"195-201"},"PeriodicalIF":0.0,"publicationDate":"2020-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814212/pdf/ptr-23-02-0195.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38855386","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}

引用次数: 0

Association of objectively measured physical activity with combined bilateral knee and low-back pain in older adults with knee osteoarthritis: A cross-sectional study. 客观测量的体力活动与老年膝关节骨性关节炎患者双侧膝关节和腰痛的关联:一项横断面研究。

Physical therapy research Pub Date : 2020-09-15 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10037

Tomohiro Oka, Rei Ono, Yamato Tsuboi, Osamu Wada, Takehiro Kaga, Yoriko Tamura, Kiyonori Mizuno

{"title":"Association of objectively measured physical activity with combined bilateral knee and low-back pain in older adults with knee osteoarthritis: A cross-sectional study.","authors":"Tomohiro Oka, Rei Ono, Yamato Tsuboi, Osamu Wada, Takehiro Kaga, Yoriko Tamura, Kiyonori Mizuno","doi":"10.1298/ptr.E10037","DOIUrl":"https://doi.org/10.1298/ptr.E10037","url":null,"abstract":"Objective: Knee pain (KP) and low-back pain (LBP) are common sites of pain and major public health issues among older adults. We investigated the combined association of bilateral KP and LBP with objectively measured physical activity (PA) among adults with knee osteoarthritis (OA).Methods: We recruited 150 knee OA adults and measured steps and PA intensity, including sedentary behavior (SB), low PA (LPA), and moderate-to-vigorous PA, using an accelerometer. KP and LBP were measured using a numerical rating scale. They were classified into 4 groups based on the presence of KP and LBP: with the only unilateral KP (UKP), with the combined UKP and LBP (UKP and LBP), with the bilateral KP (BKP), and with the combined bilateral KP and LBP (BKP and LBP). One-way analysis of covariance was performed to compare physical activity variables (intensity or steps) between the four groups.Results: Overall, 126 patients were enrolled. The prevalence of UKP, BKP, UKP and LBP, and BKP and LBP were 29.4%, 23.8%, 18.3%, and 28.6%. The proportion of SB was higher in the BKP and LBP group than in the other groups (F = 6.51, p < 0.01). The proportion of LPA was lower in the BKP and LBP group than in the other groups (F = 6.21, p < 0.01).Conclusions: The proportions of SB and LPA were significantly worse in knee OA adults with BKP and LBP than in those with UKP. Our findings may be a basis for considering knee OA adults for improving PA.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2020-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8113747/pdf/ptr-24-01-0017.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38981027","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}

引用次数: 0

Relationship between first mobilization following the onset of stroke and clinical outcomes in patients with ischemic stroke in the general ward of a hospital: A cohort study. 医院普通病房缺血性脑卒中患者发病后首次移动与临床预后之间的关系：一项队列研究。

Physical therapy research Pub Date : 2020-09-02 eCollection Date: 2020-01-01 DOI: 10.1298/ptr.E10022

Yu Kitaji, Hiroaki Harashima, Satoshi Miyano

{"title":"Relationship between first mobilization following the onset of stroke and clinical outcomes in patients with ischemic stroke in the general ward of a hospital: A cohort study.","authors":"Yu Kitaji, Hiroaki Harashima, Satoshi Miyano","doi":"10.1298/ptr.E10022","DOIUrl":"10.1298/ptr.E10022","url":null,"abstract":"Objective: The purpose of this study was to compare the effects of first mobilization following a stroke with independently performing the activities of daily living at discharge in acute phase ischemic stroke patients in a general ward of a hospital.Methods: A total of 158 patients with ischemic strokes were admitted to a general ward from June 1, 2014 to March 31, 2015. Of the 158 patients, 53 met the study's eligibility criteria. First mobilization was defined as the transfer of a patient from the bed to a wheelchair by a rehabilitation therapist. A favorable primary outcome at discharge was defined as a modified Rankin Scale score of < 3. The outcome was analyzed using the proportional hazards analysis and receiver operating characteristic curves.Results: The age of the participants was 78.2 ± 11.7 years, stroke severity evaluated by the National Institutes of Health Stroke Scale scores on admission was 14.3 ± 10.6 points, and first mobilization of this population was 6.4 ± 5.2 days. Thirteen [25%] patients had a favorable outcome. Hazards analysis showed a favorable outcome due to first mobilization (adjusted hazards ratio 0.80, 95% confidence interval 0.65-0.98; p < 0.05). The cutoff point for first mobilization to produce a favorable outcome was 6.5 days after the stroke onset (area under the curve 0.729; p < 0.05).Conclusion: As seen in stroke units, early first mobilization is associated with improved clinical outcomes in ischemic stroke patients admitted to a general ward.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"23 2","pages":"209-215"},"PeriodicalIF":0.0,"publicationDate":"2020-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814213/pdf/ptr-23-02-0209.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38775949","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}

引用次数: 0