Physical therapy research最新文献

筛选
英文 中文
Modulating Cortico-cortical Networks with Transcranial Alternating Current Stimulation: A Minireview. 经颅交流电刺激调节皮质-皮质网络:综述。
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-03-10 DOI: 10.1298/ptr.R0035
Ryoki Sasaki
{"title":"Modulating Cortico-cortical Networks with Transcranial Alternating Current Stimulation: A Minireview.","authors":"Ryoki Sasaki","doi":"10.1298/ptr.R0035","DOIUrl":"https://doi.org/10.1298/ptr.R0035","url":null,"abstract":"<p><p>Advancements in brain imaging and analytical methods have demonstrated that behavior arises from the coordinated activity of multiple brain regions within cortico-cortical networks. Transcranial alternating current stimulation (tACS), a noninvasive brain stimulation (NIBS) technique, applies weak sinusoidal alternating currents to specific brain regions using scalp-mounted electrodes. Traditionally, tACS has been used to target single brain regions to enhance functions such as motor, sensory, and cognitive abilities. However, recent findings indicate its potential for simultaneously stimulating 2 brain regions, thereby modulating cortico-cortical network strength through neural entrainment-where brain oscillations synchronize with external rhythmic stimuli. Despite this potential, tACS applications remain primarily focused on individual brain regions. Given that behavior stems from dynamic interactions within cortico-cortical networks rather than isolated regions, this minireview explores the role of these networks in shaping behavior through functional connectivity as identified by neuroimaging. It also provides an in-depth analysis of tACS as a tool for modifying cortico-cortical networks via neural entrainment, offering promising applications in neurorehabilitation for brain disorders linked to network dysfunction. This highlights tACS as a novel approach for targeted modulation of cortico-cortical networks, distinguishing it from traditional NIBS techniques.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037808","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
Postoperative Effects of Somatosensory Foot Training on Balance and Walking Ability in Proximal Femoral Fractures: A Single-case Design Analysis. 体感足训练对股骨近端骨折患者术后平衡和行走能力的影响:单例设计分析。
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-09-11 DOI: 10.1298/ptr.25-E10349
Tomoki Hakamata, Junichi Suganuma, Kazuhiro Chidori
{"title":"Postoperative Effects of Somatosensory Foot Training on Balance and Walking Ability in Proximal Femoral Fractures: A Single-case Design Analysis.","authors":"Tomoki Hakamata, Junichi Suganuma, Kazuhiro Chidori","doi":"10.1298/ptr.25-E10349","DOIUrl":"10.1298/ptr.25-E10349","url":null,"abstract":"<p><strong>Objectives: </strong>By using a single-case design, we aimed to assess the impact of postoperative somatosensory foot training on walking balance and speed compared with conventional physical therapy interventions in 3 patients with proximal femoral fractures.</p><p><strong>Methods: </strong>This study included 3 patients in their 70s who sustained left proximal femoral fractures due to falls and underwent open reduction and internal fixation or hemiarthroplasty. An AB-type single-case design was employed, with phase A consisting of conventional physical therapy interventions and phase B involving additional somatosensory training. Each phase lasted for 6 days. The outcome measures included the Timed Up-and-Go (TUG) test and 10-m maximum walking speed. To determine interventional effects, effect sizes were calculated using the percentage of nonoverlapping data (PND) and the Tau-U coefficient.</p><p><strong>Results: </strong>Our PND analysis indicated a large effect size for the TUG and 10-m maximum walking speed outcome measures in all cases. Additionally, the Tau-U analysis showed that all patients exhibited significantly shorter TUG times and higher 10-m maximum walking speeds in phase B compared with phase A (p <0.05).</p><p><strong>Conclusions: </strong>Postoperative somatosensory foot training may be effective in improving walking balance and speed in patients with proximal femoral fractures.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 3","pages":"225-230"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12778362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936606","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
In-hospital Cardiac Arrest Following Spinal Cord Injury: A Scoping Review. 脊髓损伤后的院内心脏骤停:一项范围审查。
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-03-15 DOI: 10.1298/ptr.E10329
Daisuke Kubo, Tatsuya Okawa
{"title":"In-hospital Cardiac Arrest Following Spinal Cord Injury: A Scoping Review.","authors":"Daisuke Kubo, Tatsuya Okawa","doi":"10.1298/ptr.E10329","DOIUrl":"https://doi.org/10.1298/ptr.E10329","url":null,"abstract":"<p><strong>Objectives: </strong>This review aimed to examine the characteristics of patients with spinal cord injury (SCI) who experience in-hospital cardiac arrest (IHCA), as well as the timing, circumstances, and interventions associated with these events.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across multiple databases, including PubMed, Scopus, Cochrane Library, and Igaku Chuo Zasshi Web (in Japanese), for studies published up to 2024. Two independent reviewers screened the literature. Data were extracted from the selected studies regarding the characteristics of patients with SCI who experienced IHCA, the timing of IHCA, the circumstances under which it occurred, and the interventions provided.</p><p><strong>Results: </strong>A total of 56 studies met the inclusion criteria. IHCA most commonly occurs in patients with complete cervical SCI. The time frame for IHCA occurrence ranged from 1 day and 2.5 months post-injury. IHCA frequently occurs during endotracheal suctioning or postural changes. The most commonly reported intervention for IHCA was the use of a pacemaker.</p><p><strong>Conclusions: </strong>In patients with SCI, IHCA is more prevalent among those with severe cervical injuries and is often triggered by procedures such as suctioning or postural adjustments. Physical therapist needs to implement robust risk management strategies. These findings are crucial for both clinical practice and future research.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 1","pages":"68-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060618","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
Associations of Changes in Skeletal Muscle Mass on Computed Tomography with Improvements of Muscle Strength and Physical Activity after Sleeve Gastrectomy: A Pilot Study. 袖套胃切除术后计算机断层扫描骨骼肌质量变化与肌肉力量和体力活动改善的关系:一项初步研究。
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-09-02 DOI: 10.1298/ptr.25-E10351
Misuzu Kuba, Shinichiro Ueda
{"title":"Associations of Changes in Skeletal Muscle Mass on Computed Tomography with Improvements of Muscle Strength and Physical Activity after Sleeve Gastrectomy: A Pilot Study.","authors":"Misuzu Kuba, Shinichiro Ueda","doi":"10.1298/ptr.25-E10351","DOIUrl":"10.1298/ptr.25-E10351","url":null,"abstract":"<p><strong>Objective: </strong>Sleeve gastrectomy (SG) effectively reduces food intake and enhances health and longevity, although weight loss often involves reductions in body fat and skeletal muscle. Hence, we examined how changes in skeletal muscle density relate to muscle strength and physical activity before and after SG.</p><p><strong>Methods: </strong>This pilot observational study included 173 patients (mean age: 46 ± 11 years) who attended the hospital before and 1 year after undergoing SG between December 2018 and July 2022. Muscle cross-sectional area (cm<sup>2</sup>), skeletal muscle density, and fat cross-sectional area (cm<sup>2</sup>) at the 3rd lumbar vertebra were measured on computed tomography (CT) images. The psoas muscle index (PMI) was calculated as the cross-sectional area of both psoas muscles (cm<sup>2</sup>) divided by height squared (m<sup>2</sup>), and CT values for skeletal muscle density of the psoas and multifidus muscles, visceral fat area (VFA), and subcutaneous fat area (SFA) were obtained. Relative and absolute muscle strengths, sitting time, and total physical activity from the International Physical Activity Questionnaire were also assessed.</p><p><strong>Results: </strong>Although VFA, SFA, PMI, and absolute muscle strength decreased significantly after SG compared to those before SG (p <0.001), skeletal muscle density, relative muscle strength, and total physical activity increased significantly after SG, with a significant reduction in sitting time (p <0.001). There were significant positive correlations between changes in skeletal muscle density and changes in relative muscle strength and total physical activity.</p><p><strong>Conclusions: </strong>Improving skeletal muscle density with SG may be associated with increased relative muscle strength and improved physical activity.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 3","pages":"181-187"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12778353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936592","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
Physiotherapy in the Polyclinic during Tokyo 2020 Olympic Games: A Detailed Analysis of Care Provided for 808 Athletes. 2020年东京奥运会期间综合医院的物理治疗:808名运动员护理的详细分析
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-03-13 DOI: 10.1298/ptr.E10332
Marie-Elaine Grant, Kathrin Steffen, Debbie Palmer, Torbjørn Soligard, Alexandre Dias Lopes
{"title":"Physiotherapy in the Polyclinic during Tokyo 2020 Olympic Games: A Detailed Analysis of Care Provided for 808 Athletes.","authors":"Marie-Elaine Grant, Kathrin Steffen, Debbie Palmer, Torbjørn Soligard, Alexandre Dias Lopes","doi":"10.1298/ptr.E10332","DOIUrl":"https://doi.org/10.1298/ptr.E10332","url":null,"abstract":"<p><strong>Objectives: </strong>The study provided a comprehensive analysis exploring the association between athletes' injury characteristics and the choice of physiotherapy treatments applied at the Polyclinic Tokyo 2020.</p><p><strong>Methods: </strong>Data from all physiotherapy treatments offered in the Polyclinic Olympic Village in Tokyo between 13 July and 10 August were recorded electronically. The physiotherapy team consisted of approximately 150 Japanese physiotherapists. Physiotherapy modalities analyzed were cryotherapy, electrotherapy, exercise therapy, laser therapy, manual therapy, shockwave therapy, taping, and ultrasound therapy. Logistic regression assessed the association between athletes' injury characteristics and the physiotherapy treatment the Polyclinic Physiotherapy Services offered at the Tokyo 2020 Olympic Games using odds ratio.</p><p><strong>Results: </strong>This study analyzed 808 athletes who received physiotherapy, of which 66.6% (n = 1023) were for lower limb chronic injuries affecting muscles and tendons (72.8%, n = 1209) and were the most prevalent ones treated. Chronic injuries accounted for 56.7% (n = 942). Manual therapy was associated with trunk injuries (odds ratio 1.8, 95% confidence interval 1.4-2.3) and chronic injuries (1.5, 1.2-1.9). Ultrasound therapy was associated with injuries of the upper limbs (3.6, 1.9-6.7) and lower limbs (3.0, 1.7-5.2). Taping was associated with bone/joint/ligament injuries (2.1, 1.4-3.0). Shockwave was associated with muscle/tendon injuries (2.0, 1.2-3.4). Cryotherapy was related to acute injuries (1.8, 1.1-3.0) and lower limbs (3.6, 1.4-9.4). Laser was associated with bone/joint/ligament injuries (14.4, 4.5-45.8).</p><p><strong>Conclusions: </strong>Chronic injuries affecting lower limb muscles and tendons were the most prevalent musculoskeletal injuries treated at the Tokyo 2020 Polyclinic. Overall, Japanese physiotherapists used manual therapy, taping, exercise, and ultrasound therapy to treat athlete injuries.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 1","pages":"61-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001718","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
Recovery of Physical Function during Hospitalization among Heart Failure Patients with and without Cachexia. 合并和不合并恶病质心力衰竭患者住院期间身体功能的恢复。
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-11-14 DOI: 10.1298/ptr.25-E10364
Takuya Umehara, Akinori Kaneguchi, Yuji Nakashima, Yosuke Yamamoto, Nobuhisa Katayama, Nobuhiro Kito
{"title":"Recovery of Physical Function during Hospitalization among Heart Failure Patients with and without Cachexia.","authors":"Takuya Umehara, Akinori Kaneguchi, Yuji Nakashima, Yosuke Yamamoto, Nobuhisa Katayama, Nobuhiro Kito","doi":"10.1298/ptr.25-E10364","DOIUrl":"10.1298/ptr.25-E10364","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to clarify the impact of cachexia on physical function recovery during hospitalization among patients with heart failure using the new Asian Working Group for Cachexia criteria and to identify the characteristics of heart failure patients with cachexia.</p><p><strong>Methods: </strong>Cachexia at discharge was defined by low body mass index combined with one or more of the following: low handgrip strength, elevated C-reactive protein, or anorexia. Physical function was assessed at admission and discharge. Two-way analysis of variance (ANOVA) was performed to examine the interaction and main effects of the presence of cachexia and duration factors (admission and discharge) on physical function. Hierarchical logistic regression analysis was performed to explore factors associated with the presence of cachexia.</p><p><strong>Results: </strong>Of the 96 patients analyzed, 26 were heart failure patients with cachexia, and 70 were heart failure patients without cachexia. The results of the 2-way ANOVA indicated that heart failure patients without cachexia exhibited improved physical function at discharge compared to that at admission. In contrast, heart failure patients with cachexia showed no improvement in physical function during hospitalization. Hierarchical logistic regression analysis revealed that a low geriatric nutritional risk index (GNRI) and low muscle power were associated with the presence of cachexia in patients with heart failure.</p><p><strong>Conclusions: </strong>Our results suggest that heart failure patients with cachexia experience poor recovery of physical function during hospitalization, and that reduced muscle power and deterioration in nutritional status, as indicated by a low GNRI, were associated with the presence of cachexia.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 3","pages":"188-197"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12778356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936618","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
Co-occurrence of Whole-body Muscle Wasting and Respiratory Muscle Weakness Affecting the Clinical Characteristics of Patients with Chronic Obstructive Pulmonary Disease. 慢性阻塞性肺疾病患者全身肌萎缩与呼吸肌无力共现对临床特征的影响
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-04-23 DOI: 10.1298/ptr.E10316
Atsuyoshi Kawagoshi, Masahiro Iwakura, Yutaka Furukawa, Takeshi Kera, Hisashi Kawai, Shuichi Obuchi, Keiyu Sugawara, Takanobu Shioya
{"title":"Co-occurrence of Whole-body Muscle Wasting and Respiratory Muscle Weakness Affecting the Clinical Characteristics of Patients with Chronic Obstructive Pulmonary Disease.","authors":"Atsuyoshi Kawagoshi, Masahiro Iwakura, Yutaka Furukawa, Takeshi Kera, Hisashi Kawai, Shuichi Obuchi, Keiyu Sugawara, Takanobu Shioya","doi":"10.1298/ptr.E10316","DOIUrl":"10.1298/ptr.E10316","url":null,"abstract":"<p><strong>Objectives: </strong>The effect of the co-occurrence of whole-body muscle wasting and respiratory muscle weakness on the clinical characteristics of patients with chronic obstructive pulmonary disease (COPD) is unclear. We investigated this association in patients with chronic respiratory diseases.</p><p><strong>Methods: </strong>47 outpatients with mild to very severe COPD were classified into four groups according to their fat-free mass index and respiratory muscle strength: 19 without muscle wasting and respiratory muscle weakness (normal), 6 with muscle wasting only (MW), 11 with respiratory weakness only (RW), and 11 with muscle wasting and respiratory weakness (MW + RW). We measured their body composition, pulmonary function, lower muscle strength, submaximal exercise capacity, physical activity in daily life, nutritional status, frailty status, and health-related quality of life (QOL). Multiple linear regression analyses examined the association of muscle wasting and/or respiratory muscle weakness with participant characteristics, using each participant's characteristics as an explained variable adjusted for confounding variables (Normal as the reference).</p><p><strong>Results: </strong>The regression analysis revealed that the percentage of vital capacity, lower muscle strength, submaximal exercise capacity, nutritional status, and frailty status were worse in the MW + RW group than in the Normal group. The MR + RW group had the largest number of variables with significant differences compared to the Normal group.</p><p><strong>Conclusions: </strong>These data suggest that the co-occurrence of whole-body muscle wasting and respiratory muscle weakness was significantly associated with deteriorating clinical characteristics in patients with COPD.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 2","pages":"145-149"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115255","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
Development of a Competency Scale for Rehabilitation Professionals Supporting Kayoi-no-ba in Japan. 日本支持Kayoi-no-ba的康复专业人员能力量表的开发。
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-05-27 DOI: 10.1298/ptr.E10334
Mutsumi Nakamura, Yoshifumi Urabe
{"title":"Development of a Competency Scale for Rehabilitation Professionals Supporting Kayoi-no-ba in Japan.","authors":"Mutsumi Nakamura, Yoshifumi Urabe","doi":"10.1298/ptr.E10334","DOIUrl":"10.1298/ptr.E10334","url":null,"abstract":"<p><strong>Objectives: </strong>Recently, rehabilitation professionals in Japan have become increasingly involved in Kayoi-no-ba for long-term care prevention. However, there are significant differences in the quality and content of professional rehabilitation support. This study aimed to develop a competency scale for rehabilitation professionals who support Kayoi-no-ba.</p><p><strong>Methods: </strong>A survey was mailed to rehabilitation supervisors at 440 facilities selected from a nationwide Internet search of facilities that implement the \"community-based rehabilitation activity support project,\" and rehabilitation professionals involved in supporting Kayoi-no-ba were asked to respond to the survey. The questionnaire was self-administered, and responses were sought via a 6-point scale for the 50 proposed competency items. For statistical analysis, exploratory factor analysis was conducted to examine the factor structure of the scale. Covariance structure analysis was used to assess model fit and to evaluate the reliability and internal consistency of the scale.</p><p><strong>Results: </strong>Among the 260 facilities that responded (59.1%), 607 participants provided valid responses. The final competency scale had a 3-factor structure (knowledge and attitude, ability to coordinate groups, and clinical practice skills) comprising 20 items. Model fit and internal consistency were good.</p><p><strong>Conclusions: </strong>Our findings indicate that rehabilitation professionals who support Kayoi-no-ba should have the attitude and knowledge of supporters, the ability to coordinate groups, and the clinical practice skills of rehabilitation therapists. This competency scale could be used as a guideline to improve the quality of support.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 2","pages":"114-121"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115281","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
Effect of Number of Days to Ambulation on Postoperative Daily Activities in Patients with Type A Aortic Dissection. 下床天数对A型主动脉夹层患者术后日常活动的影响。
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-05-21 DOI: 10.1298/ptr.E10308
Yutaro Ohnishi, Tsubasa Yokote, Kengo Shirado, Shota Okuno, Kenta Kawamitsu, Kazuki Yamauchi, Takatoshi Nishimura, Masaya Tanaka, Takayuki Uchida, Shoji Kawakami
{"title":"Effect of Number of Days to Ambulation on Postoperative Daily Activities in Patients with Type A Aortic Dissection.","authors":"Yutaro Ohnishi, Tsubasa Yokote, Kengo Shirado, Shota Okuno, Kenta Kawamitsu, Kazuki Yamauchi, Takatoshi Nishimura, Masaya Tanaka, Takayuki Uchida, Shoji Kawakami","doi":"10.1298/ptr.E10308","DOIUrl":"10.1298/ptr.E10308","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the effect of the number of days from surgery to ambulation on activities of daily living (ADL) at discharge in postoperative patients with type A aortic dissection (TAAD).</p><p><strong>Methods: </strong>It included patients with a diagnosis of TAAD who were independent in ADL before the onset of symptoms. ADL was assessed using the Katz Index (KI), with a KI score of 6 points at discharge defining independence and less than 6 points classified as dependence. Patients were divided into 2 groups based on independence in ADL at discharge. Logistic regression analysis was performed with independence in ADL at discharge as the object variable and the number of days from surgery to ambulation as the explanatory variable. A receiver operating characteristic curve was constructed to calculate the cutoff value.</p><p><strong>Results: </strong>A total of 100 patients were included in the analysis. There was a significant difference in the number of days to ambulation between the 2 groups. Multiple logistic regression analysis revealed that the probability of being independent in ADL at discharge was significantly lower with more days to ambulation (odds ratio: 0.93, 95% confidence interval: 0.86-0.99, P < 0.035). The cutoff value for the number of days from surgery to ambulation for independence in ADL at discharge was 8 days (area under the curve: 0.64).</p><p><strong>Conclusions: </strong>In postoperative patients with TAAD, the longer the postoperative days to start ambulation, the more difficult ADL recovery may be, but the cutoff values need further validation.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 2","pages":"106-113"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115288","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 Stroke Impairment Assessment Set and Dysphagia in the 1st Week after Acute Ischemic Stroke with Early Discharge to Home Following Endovascular Therapy: A Retrospective Observational Study. 急性缺血性脑卒中后第1周吞咽困难与血管内治疗后早期出院的相关性:一项回顾性观察研究
Physical therapy research Pub Date : 2025-01-01 Epub Date: 2024-12-24 DOI: 10.1298/ptr.E10313
Eisei Harayama, Shota Tanaka, Kota Yamauchi, Shuji Arakawa
{"title":"Association of Stroke Impairment Assessment Set and Dysphagia in the 1st Week after Acute Ischemic Stroke with Early Discharge to Home Following Endovascular Therapy: A Retrospective Observational Study.","authors":"Eisei Harayama, Shota Tanaka, Kota Yamauchi, Shuji Arakawa","doi":"10.1298/ptr.E10313","DOIUrl":"https://doi.org/10.1298/ptr.E10313","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we aimed to identify factors associated with the likelihood of early discharge to home by the 7th-day assessment in patients with ischemic stroke who underwent endovascular therapy (EVT).</p><p><strong>Methods: </strong>Among the 128 patients with ischemic stroke who underwent EVT, 2 groups were identified: an early discharge to the home group and the transfer group, with patients included in the latter group needing to be transferred to rehabilitation hospitals. Variables from the 7th day were used as explanatory variables to determine the outcome. Multiple logistic regression analysis was conducted using these variables. Receiver operating characteristic (ROC) curves for the significant factors were obtained, and cutoff values were calculated.</p><p><strong>Results: </strong>There were 19 patients (14.8%) in the early discharge to the home group and 109 patients (85.2%) in the transfer group. The Stroke Impairment Assessment Set (SIAS) (odds ratio [OR]: 1.16, 95% confidence interval [CI]: 1.02-1.32, p = 0.03) and the presence of dysphagia (OR: 8.75, 95% CI: 1.55-49.45, p = 0.01) were significant factors associated with early discharge home. The area under the ROC curve of the SIAS was 0.90, with a cutoff value of 63.5 points.</p><p><strong>Conclusion: </strong>Our results suggest that SIAS scores and the presence of dysphagia within the 1st week post-onset are significant predictors of whether patients with ischemic stroke who undergo EVT can be early discharged home.</p>","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065346","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书