Physical therapy research最新文献_第2页

Time-updated Prediction of Discharge Functional Independence in Patients with Stroke and Low Functional Independence Measure in a Convalescent Rehabilitation Ward: Comparison between Admission and 3-week Models. 康复病房卒中患者出院功能独立性和低功能独立性的时间更新预测：入院和3周模型的比较

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-06-04 DOI: 10.1298/ptr.25-E10391

Koichi Ikeue, Keisuke Funabiki, Yuya Nakatani

{"title":"Time-updated Prediction of Discharge Functional Independence in Patients with Stroke and Low Functional Independence Measure in a Convalescent Rehabilitation Ward: Comparison between Admission and 3-week Models.","authors":"Koichi Ikeue, Keisuke Funabiki, Yuya Nakatani","doi":"10.1298/ptr.25-E10391","DOIUrl":"https://doi.org/10.1298/ptr.25-E10391","url":null,"abstract":"Objectives: This study aimed to develop 2 multiple linear regression models to predict the Functional Independence Measure (FIM) motor score at discharge in patients with stroke and low FIM at admission (total FIM score ≤55) admitted to a convalescent rehabilitation ward, and to compare their predictive accuracy and internal validity. Model 1 used admission assessments only, whereas Model 2 combined admission assessments with reassessment information at 3 weeks after admission.Methods: Participants were 104 patients with stroke admitted with a total FIM score of ≤55. The outcome was the discharge FIM motor score (continuous variable). Candidate predictors included basic information and measures of physical and cognitive function. Models were developed using multiple linear regression, and internal validity was evaluated through bootstrap resampling. In Model 1, predictors were age, days since onset, the Berg Balance Scale, and admission FIM motor and cognitive scores. In Model 2, predictors were age, days since onset, admission FIM cognitive score, and the FIM motor score at 3 weeks after admission.Results: Model 2 showed a higher adjusted R2 (0.71) and smaller prediction errors than Model 1 across the evaluated error metrics, indicating superior predictive accuracy. The calibration of Model 2 was also improved compared with Model 1 based on internal validation.Conclusions: Incorporating reassessment information at 3 weeks improved time-updated prediction of discharge activities of daily living outcomes in this single-center cohort. However, given limited generalizability, external validation using multicenter data (and, if necessary, model updating) is required before broader clinical application.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"133-142"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119650","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

A Variation of Observation-to-imitate Plus Practice Intervention to Decrease Latency to Exercise Initiation and Increase Exercise Completion in Neurological Patients. 观察-模仿加练习干预减少神经系统患者运动开始潜伏期和增加运动完成的变化。

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-07-07 DOI: 10.1298/ptr.25-E10388

Darci D Davis, Kayla R Randall

{"title":"A Variation of Observation-to-imitate Plus Practice Intervention to Decrease Latency to Exercise Initiation and Increase Exercise Completion in Neurological Patients.","authors":"Darci D Davis, Kayla R Randall","doi":"10.1298/ptr.25-E10388","DOIUrl":"https://doi.org/10.1298/ptr.25-E10388","url":null,"abstract":"Objectives: Some patients referred to physical therapy demonstrate deficits in initiation and completion of physical therapy exercises during appointments. These challenges may create a barrier to benefitting from therapy. We evaluated the effect of observation-to-imitate plus practice (OTI + PP) on decreasing latency to exercise initiation and increasing exercise completion for 2 participants referred for inpatient rehabilitation physical therapy.Methods: We used an AB multiple-baseline single-case research design to compare the OTI + PP intervention to each participant's baseline condition for their latency to exercise initiation and completion.Results: Visual inspection indicates some improvement for 1 of the 2 participants to produce more consistent responding during OTI + PP, but there is an insufficient demonstration of a functional relation due to the small number of participants and lack of effect using visual analysis. The percentage of all nonoverlapping data indicates moderate to large effect sizes of OTI + PP to decrease latency to exercise initiation and increase completion.Conclusions: It is possible that OTI + PP could decrease latency to exercise initiation and increase completion, but individual variability, insufficient replication, and the small number of participants could limit conclusions and should be considered.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"187-192"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119819","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

Application of a Behavioral Change Approach to a Pediatric Patient Undergoing Transfemoral Amputation. 行为改变方法在小儿经股截肢患者中的应用。

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-05-21 DOI: 10.1298/ptr.25-E10348

Miwa Goto, Sayaka Fujiwara, Teruki Shibata, Kazuhiko Yokota, Mitsuteru Hiwatari, Hiroshi Kobayashi, Nobuhiko Haga

{"title":"Application of a Behavioral Change Approach to a Pediatric Patient Undergoing Transfemoral Amputation.","authors":"Miwa Goto, Sayaka Fujiwara, Teruki Shibata, Kazuhiko Yokota, Mitsuteru Hiwatari, Hiroshi Kobayashi, Nobuhiko Haga","doi":"10.1298/ptr.25-E10348","DOIUrl":"https://doi.org/10.1298/ptr.25-E10348","url":null,"abstract":"Background: There are no reports on physiotherapy to promote behavioral changes in the immediate postoperative period for lower limb amputees.Patient: A 7-year-old girl patient underwent transfemoral amputation as a treatment for osteosarcoma located at the proximal fibula.Course of physiotherapy: As a result of continuous physiotherapy for the patient from prior to surgery, she was able to obtain a prosthetic gait without support before the end of chemotherapy. The intervention was performed according to the mental state and behavioral change status of this patient, who was reluctant to undergo physiotherapy while undergoing chemotherapy.Conclusion: In this patient, increasing self-efficacy and improving motivation for prosthetic gait can be attributed to many interventions, such as continuous physiotherapy from before surgery, self-monitoring after surgery, behavioral goal-setting methods appropriate for self-assessment, interaction with other lower limb amputee patients, accumulation of positive experiences, and discussion of collaborative problem-solving methods. The combination of a behavioral change approach in physiotherapy for a pediatric patient undergoing transfemoral amputation was useful.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"172-180"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119886","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

Impact of Rehabilitation on Time to Home Discharge after Hip Fracture Surgery: A Retrospective Observational Study Using the Japanese Nationwide Database of Diagnosis Procedure Combination. 康复对髋部骨折术后出院时间的影响：一项使用日本全国诊断程序组合数据库的回顾性观察研究

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-02-20 DOI: 10.1298/ptr.25-E10360

Daiki Kato, Kunio Tarasawa, Koki Abe, Kiyohide Fushimi, Kenji Fujimori

{"title":"Impact of Rehabilitation on Time to Home Discharge after Hip Fracture Surgery: A Retrospective Observational Study Using the Japanese Nationwide Database of Diagnosis Procedure Combination.","authors":"Daiki Kato, Kunio Tarasawa, Koki Abe, Kiyohide Fushimi, Kenji Fujimori","doi":"10.1298/ptr.25-E10360","DOIUrl":"10.1298/ptr.25-E10360","url":null,"abstract":"Objectives: The impact of rehabilitation (RH) started on postoperative day 0 (Day 0) and the association between intensive RH and time to home discharge after hip fracture surgery remain unclear. We aimed to investigate the influence of the RH starting date and RH provision volume on time to home discharge.Methods: Using the Diagnosis Procedure Combination database, we retrospectively analyzed patients who underwent surgery within 7 days of admission between April 2020 and March 2022. RH starting date was classified as Day 0, postoperative day 1 (Day 1), postoperative day 2 (Day 2), or postoperative day 3 or later (≥Day 3). RH provision volume was calculated as the average number of daily RH units. Time to home discharge was used as the outcome, with home discharge as the event occurrence. Cox proportional hazards regression models were used to examine these associations.Results: A total of 207450 patients were included. Both variables had a statistically significant association with time to home discharge. The adjusted hazard ratio based on RH started on ≥Day 3 was 0.97 (95% confidence interval: 0.93-1.02) for Day 2, 1.05 (1.01-1.09) for Day 1, and 1.18 (1.10-1.27) for Day 0. The adjusted hazard ratio based on the lowest dose (0-1.0 units/day) was 1.12 (1.08-1.15) for 1.1-2.0 units/day, 1.10 (1.06-1.14) for 2.1-3.0 units/day, 1.04 (1.00-1.08) for 3.1-4.0 units/day, 1.09 (1.04-1.14) for 4.1-5.0 units/day, and 1.11 (1.06-1.17) for ≥5.1 units/day.Conclusions: Starting RH on Day 0 was suggested to potentially facilitate faster or easier home discharge. Additionally, providing at least one unit of RH appears effective.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"31-41"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847207","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

Longitudinal Effects of Snow-season Activity Decline on Physical Function in Older Adults in Rural Snowy Regions. 雪季活动减少对农村雪区老年人身体功能的纵向影响

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-04-28 DOI: 10.1298/ptr.25-E10393

Tomohito Tadaishi, Hideki Suzuki

{"title":"Longitudinal Effects of Snow-season Activity Decline on Physical Function in Older Adults in Rural Snowy Regions.","authors":"Tomohito Tadaishi, Hideki Suzuki","doi":"10.1298/ptr.25-E10393","DOIUrl":"https://doi.org/10.1298/ptr.25-E10393","url":null,"abstract":"Objectives: Physical activity levels vary seasonally, but the short-term impact of intensity-specific activity changes on older adults' physical function remains unclear. This study aimed to examine seasonal changes in physical activity and their effects on physical function among older adults in a rural, snowy region.Methods: Thirty-nine older adults from Tobetsu-cho, Hokkaido, Japan, were included. Body composition and physical function were assessed during the non-snowfall season (June-September 2023) and 1 year later (June-September 2024). Accelerometers measured step counts and activity levels during both the non-snowfall and snowfall seasons (January-February 2024). Participants were grouped by the extent of change in activity levels (greater-change vs. smaller-change). Two-way analysis of variance (ANOVA) assessed differences in 1-year changes in physical function.Results: Repeated-measures 2-way ANOVA showed a significant main effect of season on body fat percentage, appendicular skeletal muscle mass index, grip strength, and walking speed in the light-intensity physical activity (LPA) category. A significant interaction was observed for the Five Times Sit-to-Stand Test (FTSST). Bonferroni's test revealed a significant worsening of FTSST scores (p <0.01) after 1 year, but only in the group with a greater LPA decline.Conclusions: A greater decrease in LPA during the snowfall was associated with short-term declines in lower-limb function, as measured by FTSST. Given its link to fall risk and loss of independence, maintaining LPA during snowy seasons may be essential for maintaining lower-limb function in older adults.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"117-124"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119867","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

Improvement in Gait Variability over 24 Months in an Individual with Hemiparesis following Stroke: A Case Report. 卒中后偏瘫患者24个月步态变异性的改善：1例报告。

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-02-06 DOI: 10.1298/ptr.25-E10380

Taishi Kikkawa, Tsubasa Mitsutake, Takeshi Imura, Yu Inoue, Ryo Tanaka

{"title":"Improvement in Gait Variability over 24 Months in an Individual with Hemiparesis following Stroke: A Case Report.","authors":"Taishi Kikkawa, Tsubasa Mitsutake, Takeshi Imura, Yu Inoue, Ryo Tanaka","doi":"10.1298/ptr.25-E10380","DOIUrl":"10.1298/ptr.25-E10380","url":null,"abstract":"Objectives: Gait variability, related to gait stability, is crucial because it is associated with the risk of falls in patients with hemiparesis following stroke. However, there is a lack of understanding regarding changes in gait variability over time in patients with stroke. This case report aimed to describe the improvement in gait variability over 24 months in an individual with hemiparesis following stroke.Case description: A 34-year-old man was admitted to the hospital with a diagnosis of cerebral infarction due to atherosclerosis. The patient presented with severe motor paralysis of the right extremities, scoring 6 and 13 on the Fugl-Meyer Assessment for the upper and lower extremities, respectively. Data collection for patient examination started at 1 month post-stroke. Two measures were employed for quantifying gait variability: the Gait Variability Index (GVI) and the coefficient of variation (CV). Nine spatiotemporal parameters were collected for calculating the GVI and CV.Results: The patient was discharged after 5 months post-stroke. At 24 months, he was able to walk independently outdoors without using a cane or an ankle-foot orthosis. Improvements in the GVI and CV were observed during the first 4 months following stroke; however, no marked changes were noted thereafter. At 24 months, the CV for step length, single support time, and swing time demonstrated the most marked improvements.Conclusions: Gait variability in this patient showed the most improvement during the subacute phase. Additionally, improvement in gait variability may be the basis for achieving independent walking, and future research is warranted.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"60-65"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847200","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

Anatomical Risk Factors for Lower Extremity Musculoskeletal Disorders and Proposed Prevention Strategies. 下肢肌肉骨骼疾病的解剖学危险因素及建议预防策略。

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-02-10 DOI: 10.1298/ptr.R0040

Junya Ozawa

{"title":"Anatomical Risk Factors for Lower Extremity Musculoskeletal Disorders and Proposed Prevention Strategies.","authors":"Junya Ozawa","doi":"10.1298/ptr.R0040","DOIUrl":"10.1298/ptr.R0040","url":null,"abstract":"Knee osteoarthritis (OA), patellofemoral pain, and anterior cruciate ligament (ACL) injuries are major musculoskeletal disorders often treated through conservative or postoperative physical therapy. Patellofemoral pain syndrome and patellar instability have been linked to femoral morphology specifically femoral anteversion (proximal) and trochlear groove (distal), as well as patellofemoral joint malalignment. Knee OA has been associated with an increased medial proximal tibial angle, indicating tibial varus alignment. ACL injuries are linked to abnormal bony morphology, including femoral intercondylar width, alpha angle, and posterior tibial slope angle. Preventing these abnormalities may reduce the risk of future diseases. Recent animal studies have shown that insufficient mechanical loading during growth alters bone geometry and joint alignment, which are risk factors for these musculoskeletal disorders. This review summarizes the bone morphological abnormalities and joint malalignments implicated in major lower limb musculoskeletal disorders, which have not been traditionally considered as therapeutic targets.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847150","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

Effects of Repetitive Peripheral Magnetic Stimulation on Hemodynamics Compared to Neuromuscular Electrical Stimulation. 与神经肌肉电刺激相比，重复性外周磁刺激对血流动力学的影响。

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-03-07 DOI: 10.1298/ptr.25-E10386

Takeru Echizen, Shoki Yusu, Urara Chiba, Tomoyuki Morisawa, Masakazu Saitoh, Kotaro Iwatsu, Tetsuya Takahashi

{"title":"Effects of Repetitive Peripheral Magnetic Stimulation on Hemodynamics Compared to Neuromuscular Electrical Stimulation.","authors":"Takeru Echizen, Shoki Yusu, Urara Chiba, Tomoyuki Morisawa, Masakazu Saitoh, Kotaro Iwatsu, Tetsuya Takahashi","doi":"10.1298/ptr.25-E10386","DOIUrl":"10.1298/ptr.25-E10386","url":null,"abstract":"Objectives: This study aimed to compare the effects of repetitive peripheral magnetic stimulation (rPMS) and neuromuscular electrical stimulation (NMES) on hemodynamics and obtain basic data to verify the safety of rPMS in healthy adults.Methods: rPMS and NMES were performed for 5 min in the supine position using a maximum-intensity stimulation that did not cause pain in the quadriceps femoris of 20 healthy adult males. Regarding the measurement items, the maximum inferior vena cava diameter (IVCDmax) was measured using an echocardiograph to determine the increase or decrease in venous return. Right atrial pressure (RAP) was estimated from the measured IVCDmax and respiratory collapsibility index to determine the cardiac preload. Systolic blood pressure (SBP) and heart rate (HR) were measured as indicators of cardiovascular response.Results: A significant interaction was observed for IVCDmax (p <0.05). Multiple comparison tests showed no significant change in IVCDmax for NMES but showed a significant increase during stimulation for rPMS (p <0.01). No significant changes were observed in the HR, SBP, or RAP throughout the experiment.Conclusions: rPMS may produce a stronger muscle pump action than NMES, resulting in increased venous return and IVCDmax expansion. However, since rPMS did not significantly change HR, SBP, or RAP, it is suggested that it does not cause excessive hemodynamic stress in healthy participants.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 1","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847160","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

Changes in Arthrogenic Stiffness Associated with Prolonged Joint Immobilization. 关节源性僵硬与长期关节固定相关的变化。

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-06-20 DOI: 10.1298/ptr.26-E00007

Masanori Watanabe, Satoshi Kojima

{"title":"Changes in Arthrogenic Stiffness Associated with Prolonged Joint Immobilization.","authors":"Masanori Watanabe, Satoshi Kojima","doi":"10.1298/ptr.26-E00007","DOIUrl":"https://doi.org/10.1298/ptr.26-E00007","url":null,"abstract":"Objectives: This study aimed to investigate how changes in torque curves and histological alterations in joint structures occur in relation to the duration of immobilization, using a rat knee joint contracture model.Methods: A total of 58 male Wistar rats were divided into 6 groups: 3 immobilization groups with knee joints immobilized for 4, 8, or 16 weeks and 3 control groups receiving only standard housing until the same age. After each immobilization period, the torque curves during knee extension were measured. From the torque curves, the knee extension angle at 10, 30, 60, and 120 mNm and the slope of the linear region were calculated and compared among groups. Subsequently, the articular complex structures were histologically examined. The length of the posterior joint capsule and the flatness of the tibial articular surface were calculated from tissue images and compared among groups.Results: As the immobilization duration increased, the knee extension angle significantly decreased at all torque values, and the slope of the linear region became significantly gentler. The length of the posterior joint capsule was significantly shorter in the immobilized groups than in the control groups. Additionally, the tibial articular surface was significantly flatter in the immobilized groups than in the control groups. However, no significant differences were observed between the immobilized groups.Conclusions: With joint immobilization, the shape of the torque curve changes, which is influenced by the posterior joint capsule and other factors.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"150-157"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119907","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

Overview of Cancer Rehabilitation Provided in Palliative Care Units in Japan: A Nationwide Survey. 日本姑息治疗单位提供的癌症康复概况：一项全国性调查。

Physical therapy research Pub Date : 2026-01-01 Epub Date: 2026-06-04 DOI: 10.1298/ptr.25-E10376

Takuya Fukushima, Tetsuya Tsuji, Kazunori Takashima, Jiro Nakano

{"title":"Overview of Cancer Rehabilitation Provided in Palliative Care Units in Japan: A Nationwide Survey.","authors":"Takuya Fukushima, Tetsuya Tsuji, Kazunori Takashima, Jiro Nakano","doi":"10.1298/ptr.25-E10376","DOIUrl":"https://doi.org/10.1298/ptr.25-E10376","url":null,"abstract":"Objectives: We aimed to clarify the current state of cancer rehabilitation in palliative care units (PCUs) in Japan, thus helping to improve cancer rehabilitation and effectively address patients' complex needs.Methods: A nationwide questionnaire survey was conducted, targeting 462 hospitals in Japan that met the eligibility criteria for reimbursement of inpatient fees for PCUs and had submitted notifications to local health authorities. The survey focused on cancer types, intervention types, duration and frequency of interventions, and other characteristics of cancer rehabilitation in PCUs.Results: Responses were received from 265 facilities (response rate, 57.4%), of which 242 (91.3%) provided cancer rehabilitation in their PCU. Cancer rehabilitation in Japanese PCUs primarily targeted patients with lung, hepatobiliary and pancreatic, colorectal, gastric, and breast cancers. Interventions included relaxation therapy, walking, basic mobility training, resistance exercises, and range-of-motion exercises. Support for quality of life, ikigai (a Japanese concept for a sense of meaning and purpose in life), and temporary discharge from the PCU were identified as distinctive elements of rehabilitation in palliative care. In many facilities, sessions lasted 20-40 min, with interventions provided 3-4 times per week.Conclusions: The findings highlight the need for further evaluation of the effectiveness of interventions tailored to unmet medical needs, as well as the development of evidence stratified by cancer type and disease stage. Such evidence may inform future policies to strengthen rehabilitation within PCUs.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"29 2","pages":"125-132"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119366","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