Physical therapy research最新文献_第4页

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":"Objectives: 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.Methods: 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.Results: 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.Conclusions: 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.","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":"Objectives: 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.Methods: 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).Results: 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.Conclusions: 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.","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":"Objectives: 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.Methods: 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.Results: 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.Conclusions: 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.","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":"Objectives: 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).Methods: 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.Results: 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).Conclusions: 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.","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":"Objective: 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).Methods: 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.Results: 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.Conclusion: 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.","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

Improvement of Physical Functions in Elderly Patients with Heart Failure Depends on the Hepatic Reserve. 老年心力衰竭患者身体功能的改善依赖于肝储备。

Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-03-10 DOI: 10.1298/ptr.E10328

Daisuke Kuwahara, Takuya Umehara, Nobuhiro Kito

{"title":"Improvement of Physical Functions in Elderly Patients with Heart Failure Depends on the Hepatic Reserve.","authors":"Daisuke Kuwahara, Takuya Umehara, Nobuhiro Kito","doi":"10.1298/ptr.E10328","DOIUrl":"https://doi.org/10.1298/ptr.E10328","url":null,"abstract":"Objectives: In recent years, the number of elderly heart failure patients with multiorgan failure has been increasing. Furthermore, the combination of heart failure and decreased hepatic reserve can cause severe skeletal muscle impairment and decreased survival rates. This study investigated whether the degree of improvement in the five repetitions of sit-to-stand (5STS) and walking speed (WS) differs depending on hepatic reserve in elderly heart failure patients.Methods: The patients were divided into the following two groups: good hepatic reserve (albumin-bilirubin score [ALBI score] ≤-2.25) and poor hepatic reserve (ALBI score >-2.25). Propensity score matching was performed using the brain natriuretic peptide level. A two-way analysis of variance (ANOVA) was performed to examine the main effects of the hepatic reserve and time points (admission or discharge).Results: After propensity score matching, 28 out of the 33 (84.8%) patients in the good hepatic reserve (age, 83.74 ± 9.25 years and ALBI score, -2.55 ± 0.19 points) and 27 out of 40 (67.5%)patients in the poor hepatic reserve (age, 85.85 ± 7.53 years and ALBI score, -1.93 ± 0.26 points) were analyzed. Two-way ANOVA showed that the 5STS (p = 0.04) and WS (p = 0.01) in poor hepatic reserve tended to be worse than in good hepatic reserve. Furthermore, the 5STS (p = 0.04) and WS tended to improve at discharge in both groups. However, the improvement in WS was not significant (p = 0.15).Conclusions: Our study suggests that the hepatic reserve in elderly heart failure patients may be an important factor in the assessment of physical functions.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 1","pages":"45-53"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045050","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

Reliability of Resting Heart Rate-based Target Heart Rate for Exercise Prescription after Acute Myocardial Infarction. 急性心肌梗死后静息心率为基础的目标心率运动处方的可靠性。

Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-11-22 DOI: 10.1298/ptr.25-E10371

Yuya Utsumi, Koji Takase, Naoya Murakami, Tokiko Nakagawa, Takuya Obayashi, Riyo Ogura, Shinobu Hosokawa

{"title":"Reliability of Resting Heart Rate-based Target Heart Rate for Exercise Prescription after Acute Myocardial Infarction.","authors":"Yuya Utsumi, Koji Takase, Naoya Murakami, Tokiko Nakagawa, Takuya Obayashi, Riyo Ogura, Shinobu Hosokawa","doi":"10.1298/ptr.25-E10371","DOIUrl":"10.1298/ptr.25-E10371","url":null,"abstract":"Objectives: Anaerobic threshold (AT) assessment using cardiopulmonary exercise testing (CPX) during hospitalization is considered ideal for prescribing exercise regimens in patients with acute myocardial infarction (AMI). However, practical limitations often hinder its implementation. This study evaluated strategies for prescribing exercise based on resting heart rate (RHR).Methods: A total of 194 consecutive male patients with AMI who underwent CPX within 13 days of hospitalization were enrolled. Bland-Altman analysis was performed to assess the agreement between the heart rate (HR) at AT (ATHR) and RHR +20, +25, and +30 beats. Multiple regression analysis was conducted to identify factors influencing ΔHR (ATHR-RHR). Decision-tree analysis was used to establish thresholds for appropriate exercise prescriptions based on RHR.Results: Regardless of β-blocker use, the RHR + 25 formula most closely approximated the ATHR in patients who underwent early CPX after AMI. Multivariate analysis identified RHR and hemoglobin (Hb) as significant predictors of ΔHR. Decision-tree analysis indicated that RHR + 25 was appropriate when RHR <91 bpm and Hb ≥12.0 g/dL.Conclusions: RHR + 25 is a practical alternative for determining the target HR in post-AMI rehabilitation among male patients, particularly in those with RHR <91 bpm and Hb ≥12.0 g/dL, when CPX is not feasible.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 3","pages":"206-214"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12778352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936614","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

Take Fatigue or Fatigues into Account in Physiotherapy Interventions? A Rapid Scoping Review. 在物理治疗干预中考虑疲劳或疲劳？快速范围审查。

Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-11-15 DOI: 10.1298/ptr.R0038

Shotaro Tachibana, Clémence Kiho Bourgeois Yoshioka

{"title":"Take Fatigue or Fatigues into Account in Physiotherapy Interventions? A Rapid Scoping Review.","authors":"Shotaro Tachibana, Clémence Kiho Bourgeois Yoshioka","doi":"10.1298/ptr.R0038","DOIUrl":"10.1298/ptr.R0038","url":null,"abstract":"Fatigue is one of the most common symptoms encountered in rehabilitation and during physical therapy interventions. Although this phenomenon is known and experienced by everyone, its assessment is not straightforward. The lack of consensus on its definition, complex etiology, and multidimensional nature means that a large number of outcomes exist and continue to be reviewed. However, it seems essential that its assessment be better defined and standardized to understand the effects of physical therapy. To provide an initial exploratory overview, we conducted a rapid scoping review of the various fatigue assessments used in physiotherapy interventions or performed by physical therapists. A total of 139 articles published between 2020 and July 31, 2025 were included and explored. We found 43 different outcomes used across 46 population groups. While the most well-known chronic conditions such as cancer, multiple sclerosis (MS), and coronavirus disease 2019 (COVID-19) are representative, their assessment methods do not appear to be harmonized. These findings from the study support the idea that fatigue remains a complex phenomenon to assess. However, it appears that the lack of justification for the choice of an outcome prevents a better understanding of the reproducible effects on fatigue in physiotherapy interventions.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 3","pages":"157-173"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12778359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936647","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 Effects of Sensory Electrical Stimulation and Local Vibration on Motor Learning and Motor Function. 感觉电刺激和局部振动对运动学习和运动功能的影响。

Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-03-13 DOI: 10.1298/ptr.R0036

Wan-Yan Tseng, I-Hsiang Tseng, Li-Wei Chou

{"title":"The Effects of Sensory Electrical Stimulation and Local Vibration on Motor Learning and Motor Function.","authors":"Wan-Yan Tseng, I-Hsiang Tseng, Li-Wei Chou","doi":"10.1298/ptr.R0036","DOIUrl":"https://doi.org/10.1298/ptr.R0036","url":null,"abstract":"Sensory afferent inputs play a crucial role in neuromuscular control. Enhancing sensory input through electrical or mechanical stimulation of the limbs may improve motor function and facilitate motor learning. This scoping review synthesizes literature investigating the effects of sensory electrical stimulation (SES) and local vibration (LV) on motor function and learning in both healthy individuals and those with musculoskeletal or neurological disorders. The findings suggest that SES can enhance motor learning and improve motor function. Furthermore, its efficacy is maximized when combined with rehabilitation programs and motor training rather than being used as a stand-alone intervention. Similarly, LV applied to muscle or tendon regions enhances proprioceptive input, thereby improving motor control and learning. The clinical benefits of LV, like those of SES, can be augmented by incorporating it into motor training regimens. Future research should focus on optimizing stimulation parameters and determining the most effective integration strategies for rehabilitation programs to maximize therapeutic outcomes.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 1","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065349","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

Skeletal Muscle Oxygen Dynamics during Rehabilitation of Children with Congenital Heart Disease: A Comparative Study of Two Cases. 两例先天性心脏病患儿康复期骨骼肌氧动力学的比较研究

Physical therapy research Pub Date : 2025-01-01 Epub Date: 2025-05-30 DOI: 10.1298/ptr.25-E10341

Yusuke Kawamura, Hironori Matsuhisa, Yuki Nonaka, Tetsuya Fukuda, Yosuke Ikeda, Kazuyuki Tabira

{"title":"Skeletal Muscle Oxygen Dynamics during Rehabilitation of Children with Congenital Heart Disease: A Comparative Study of Two Cases.","authors":"Yusuke Kawamura, Hironori Matsuhisa, Yuki Nonaka, Tetsuya Fukuda, Yosuke Ikeda, Kazuyuki Tabira","doi":"10.1298/ptr.25-E10341","DOIUrl":"10.1298/ptr.25-E10341","url":null,"abstract":"Objectives: The need for early postoperative rehabilitation in patients with congenital heart disease (CHD) is increasing. However, rehabilitation settings in the pediatric intensive care unit (PICU) are usually determined subjectively by therapists. To address the lack of objective measurements, we sought to determine the effectiveness of near-infrared spectroscopy (NIRS) in evaluating skeletal muscles during rehabilitation of patients in the PICU. This case series aimed to clarify the characteristics of skeletal muscle oxygenation during exercise in 2 postoperative patients with CHD.Methods: The participants were two 6-month-female infant: one had undergone the Yasui operation (Case 1), and the other had undergone a bidirectional Glenn anastomosis (Case 2). Vital signs and tissue oxygen saturation (StO2) were measured during each exercise task, and the muscle oxygen extraction ratio (MOER), an index of the intramuscular oxygen extraction rate, was calculated. The results were compared between the two cases.Results: Case 1 showed no significant changes in vital signs, StO2, or MOER, whereas Case 2 had low oxygen saturation at rest and low StO2 during the exercise tasks. MOER increased during the exercise tasks.Conclusions: The results showed that sitting did not impose a strong cardiopulmonary load on postoperative patients. However, in children with cyanotic cardiac disease, such as in Case 2, skeletal muscle oxygenation should be considered, and NIRS monitoring may be useful for safely performing rehabilitation.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"28 2","pages":"150-155"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115333","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