Physical therapy research最新文献_第6页

The Feasibility of a Newly Developed Local Network System for Cardiac Rehabilitation (the CR-GNet) in Disease Management and Physical Fitness after Acute Coronary Syndrome. 新开发的心脏康复局部网络系统(CR-GNet)在急性冠脉综合征后疾病管理和身体健康中的可行性

Physical therapy research Pub Date : 2022-01-01 DOI: 10.1298/ptr.e10155

Takahiro Ando, Takatomo Watanabe, Saori Matsuo, Tomoki Samejima, Junya Yamagishi, Takanobu Bito, G. Naruse, Akihiro Yoshida, S. Minatoguchi, Haruhiko Akiyama, K. Nishigaki, S. Minatoguchi, Hiroyuki Okura

{"title":"The Feasibility of a Newly Developed Local Network System for Cardiac Rehabilitation (the CR-GNet) in Disease Management and Physical Fitness after Acute Coronary Syndrome.","authors":"Takahiro Ando, Takatomo Watanabe, Saori Matsuo, Tomoki Samejima, Junya Yamagishi, Takanobu Bito, G. Naruse, Akihiro Yoshida, S. Minatoguchi, Haruhiko Akiyama, K. Nishigaki, S. Minatoguchi, Hiroyuki Okura","doi":"10.1298/ptr.e10155","DOIUrl":"https://doi.org/10.1298/ptr.e10155","url":null,"abstract":"OBJECTIVE To examine the Cardiac Rehabilitation Gifu Network (CR-GNet) feasibility in managing diseases and assisting patients in attaining physical fitness, and its impact on long-term outcomes after acute coronary syndrome (ACS). METHODS In this prospective observational study, we enrolled 47 patients with ACS registered in the CR-GNet between February 2016 and September 2019. 37, 29, and 21 patients underwent follow-up assessments for exercise capacity (peak oxygen uptake) at 3 months, 6 months, and 1 year after discharge, respectively. Major adverse cardiac events (MACE) were compared with controls not registered in the CR-GNet. RESULTS The coronary risk factors, except blood pressure, improved at 3 and 6 months, and 1 year after discharge. These risk factors in each patient significantly reduced from 2.9 at admission to 1.6, 1.4, and 1.9 at 3 months, 6 months, and 1 year after discharge (p<0.05), respectively. Peak oxygen uptake was significantly higher at 3 months (17.5±4.9 ml/kg/min), 6 months (17.9±5.1 ml/kg/min), and 1 year (17.5±5.5 ml/kg/min) after discharge than that at discharge (14.7±3.6 ml/kg/min) (p<0.05). During follow-up, there was no significant difference; MACE did not occur in any patients in the CR-GNet but occurred in controls. CONCLUSION CR-GNet is a feasible option for the long-term management of ACS patients.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 1 1","pages":"18-25"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66344159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Ward-dedicated Physical Therapy Staffing on Outcomes among General Medical Patients in an Acute Hospital: A Difference-in-difference Analysis. 某急症医院普通内科患者病房专用物理治疗人员配置对预后的影响:差异中差异分析

Physical therapy research Pub Date : 2022-01-01 Epub Date: 2022-08-12 DOI: 10.1298/ptr.E10168

Kosho Ohta, Kazuaki Uda, Fujii Asumu, Shingo Muranaga, So Nakaji, Koichi Miyakoshi

{"title":"Effect of Ward-dedicated Physical Therapy Staffing on Outcomes among General Medical Patients in an Acute Hospital: A Difference-in-difference Analysis.","authors":"Kosho Ohta, Kazuaki Uda, Fujii Asumu, Shingo Muranaga, So Nakaji, Koichi Miyakoshi","doi":"10.1298/ptr.E10168","DOIUrl":"https://doi.org/10.1298/ptr.E10168","url":null,"abstract":"Objective: The study aimed to examine the effect of dedicated physical therapy (PT) staffing on the outcomes of patients admitted to a general medical ward with acute cholangitis.Methods: This retrospective observational study was conducted in an 865-bed tertiary-care hospital in Japan. Patients with acute cholangitis between September 2015 and August 2017 were enrolled. Patients admitted to a ward with dedicated PT staffing were included in the dedicated group, while those admitted to a ward without dedicated PT staffing were included in the non-dedicated group. Each group was further divided into pre-dedicated and post-dedicated period based on September 1, 2016, at which PT staffing was implemented. The primary outcome was absolute functional gain (AFG), which was defined as the difference between Barthel index at discharge and that at admission. A difference-in-difference analysis was conducted to examine the changes in AFG associated with ward-dedicated PT staffing.Results: We identified 456 patients with acute cholangitis. Complete case analysis was applied, resulting in 252 patients in the final analysis. Patients were assigned to the dedicated group in the pre-dedicated period (n = 66) and post-dedicated period (n = 52), and to the non-dedicated group in the pre-dedicated period (n = 60) and post-dedicated period (n = 74). The adjusted difference-in-difference estimator was 17.1 (95% confidence interval: 5.6 to 28.5, p = 0.003) for AFG.Conclusion: Ward-dedicated PT staffing may improve the AFG of general medical patients in an acute hospital. Ward-dedicated PT staffing should be among the strategies utilized in the acute care process.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"25 2","pages":"75-83"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9437933/pdf/ptr-25-75.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40366840","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

Physical Therapy Japan Vol.47 (2020) ABSTRACTS 物理疗法日本第47卷（2020）摘要

Physical therapy research Pub Date : 2021-12-20 DOI: 10.1298/ptr.abstract2403

引用次数: 0

Editorial Board 编辑委员会

Physical therapy research Pub Date : 2021-12-20 DOI: 10.1298/ptr.editor2403

引用次数: 0

A Narrative Review of Alternate Gait Training Using Knee-ankle-foot Orthosis in Stroke Patients with Severe Hemiparesis. 脑卒中伴严重偏瘫患者膝-踝-足矫形器交替步态训练的述评。

Physical therapy research Pub Date : 2021-12-06 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.R0015

Hiroaki Abe, Kei Kadowaki, Naohide Tsujimoto, Toru Okanuka

引用次数: 4

The Effect of Toe-grasping Exercises on Balance Ability in Home-based Rehabilitation: A Randomized Controlled Trial by Block Randomization. 家庭康复中抓趾练习对平衡能力的影响:一项区块随机对照试验。

Physical therapy research Pub Date : 2021-10-27 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10105

Kazunori Kojima, Daisuke Kamai, Akie Yamamoto, Yuji Tsuchitani, Hiroaki Kataoka

{"title":"The Effect of Toe-grasping Exercises on Balance Ability in Home-based Rehabilitation: A Randomized Controlled Trial by Block Randomization.","authors":"Kazunori Kojima, Daisuke Kamai, Akie Yamamoto, Yuji Tsuchitani, Hiroaki Kataoka","doi":"10.1298/ptr.E10105","DOIUrl":"https://doi.org/10.1298/ptr.E10105","url":null,"abstract":"Objective: The purpose of the study was to clarify the causal effect of toe-grasping exercises on the improvement of static or dynamic balance ability in home-based rehabilitation users.Method: Our study included 34 subjects who met the criteria and were evaluable out of 98 rehabilitation service users at home nursing stations. This study was a randomized controlled trial. The intervention group performed towel gathering exercises in addition to the regular home-based rehabilitation program. The primary outcome was one-leg standing time, and the secondary outcomes were two-step test and toe grip strength.Results: Seventeen subjects were assigned to the intervention group and seventeen to the control group by block randomization. Data from 15 and 12 subjects in the intervention group and control group, respectively, who were able to complete the initial evaluation and the evaluation after 3 months, were analyzed. We compared the amount of change after 3 months of evaluation in the intervention group with the change in the control group. The results showed that the left/right mean value of oneleg standing time in the intervention group was significantly greater than that in the control group. In terms of the amount of change in the intervention period (T2-T1) within each assessment, there were significant improvements in both the toe-grip strength and the two-step values in the intervention group.Conclusion: We found that toe-grasping exercises could improve the balance ability of home-based rehabilitation users. This suggests the clinical significance of toe function in rehabilitation programs.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 3","pages":"272-279"},"PeriodicalIF":0.0,"publicationDate":"2021-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752848/pdf/ptr-24-03-0272.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39916014","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 Lower-limb Muscle Fatigue, Cardiopulmonary Fatigue, and Brain FatigueTasks on One-legged Landing Motion. 下肢肌肉疲劳、心肺疲劳和脑疲劳任务对单腿着地运动的影响。

Physical therapy research Pub Date : 2021-10-27 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10104

Yukihiro Higo, Hironobu Kuruma

{"title":"Effects of Lower-limb Muscle Fatigue, Cardiopulmonary Fatigue, and Brain FatigueTasks on One-legged Landing Motion.","authors":"Yukihiro Higo, Hironobu Kuruma","doi":"10.1298/ptr.E10104","DOIUrl":"https://doi.org/10.1298/ptr.E10104","url":null,"abstract":"Objective: Anterior cruciate ligament (ACL) injury is one of the most frequent sportsinjuries, and previous studies have shown that fatigue is a risk factor for sports injuries.This study aimed to inform prevention of ACL injury by investigating how exercise and desk tasks affect trunk and lower limb alignment and ground reaction force (GRF) during one-legged landing movements.Methods: The study subjects were 12 men who performed a one-legged landing movement from a 30-cm platform before and after fatigue tasks, including lower-limb muscle fatigue, cardiopulmonary fatigue, and brain fatigue tasks. For the measurement of joint angles and moments and GRF, a three-dimensional motion analysis device and a floor reaction-force meter were used. Statistics were performed using Wilcoxon's signed rank sum test as a multiple comparison test with Bonferroni adjustment to compare the difference in effects.Results: The maximum trunk flexion angle during landing on one leg was significantly lower in the brain fatigue group than in the control group. The time to peak vertical GRF (pGRF) was significantly shorter in the leg-muscle fatigue group than in the control group.Conclusion: Brain fatigue may have altered the postural strategy before and after landing, resulting in a decrease in trunk flexion angle. Time to pVGRF was shortened in the leg muscle fatigue group, suggesting that there may be an increased risk of ACL injury. Time to pVGRF during lower extremity muscle fatigue and trunk flexion angle during brain fatigue may be more pronounced during actual sports activities.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 3","pages":"264-271"},"PeriodicalIF":0.0,"publicationDate":"2021-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752844/pdf/ptr-24-03-0264.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39916013","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

Preoperative Physical Inactivity Affects the Postoperative Course of Surgical Patients with Lung Cancer. 术前缺乏运动对肺癌手术患者术后病程的影响

Physical therapy research Pub Date : 2021-10-13 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10127

Yuki Kuroyama, Eiichi Geshi

{"title":"Preoperative Physical Inactivity Affects the Postoperative Course of Surgical Patients with Lung Cancer.","authors":"Yuki Kuroyama, Eiichi Geshi","doi":"10.1298/ptr.E10127","DOIUrl":"https://doi.org/10.1298/ptr.E10127","url":null,"abstract":"Objective: Preoperative performance status is an important factor in thoracic surgery, but little is known about the effect of preoperative physical activity (PA) on the postoperative course. This study investigated the associations between preoperative PA and postoperative complications and clinical outcomes of lung cancer surgery.Methods: This prospective observational study included patients who underwent surgery for lung cancer at a single institution. PA was measured before hospitalization for 5 consecutive days and then after surgery until hospital discharge. The daily step count and time spent performing moderate intensity activity (> 3 metabolic equivalents) were measured with an accelerometer. We examined the correlations between PA and preoperative pulmonary function and physical fitness, and examined the relationship between postoperative complication and PA. Finally, a multivariate analysis was performed with pre-hospital PA as the dependent variable.Results: Forty-two patients were analyzed. Univariate analysis found no correlation between pre-hospital PA and preoperative pulmonary function, but found significant positive correlations between pre-hospital PA and time spent performing moderate intensity activity, in-hospital PA, preoperative 6-minute walk distance, and maximum gait speed (r > 0.5, p < 0.01). The nine patients who developed postoperative complications had significantly lower pre-hospital and postoperative step count than the patients with no complication (p = 0.04). Multiple regression analysis showed that pre-hospital PA was significantly associated with time spent performing moderate intensity activity, maximum gait speed, and postoperative complication.Conclusions: Evaluation of pre-hospital PA is useful in predicting the postoperative course after lung cancer surgery.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 3","pages":"256-263"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752956/pdf/ptr-24-03-0256.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826115","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: 1

The Past, Present, and Future of American Cancer Rehabilitation. 美国癌症康复的过去、现在和未来。

Physical therapy research Pub Date : 2021-09-29 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.R0016

Jack B Fu

引用次数: 0

Effect of Interventions for Improving Lumbar Motor Control on Low Back Pain in Sedentary Office Workers: A Randomized Controlled Trials. 改善腰椎运动控制的干预措施对久坐上班族腰痛的影响:一项随机对照试验。

Physical therapy research Pub Date : 2021-09-29 eCollection Date: 2021-01-01 DOI: 10.1298/ptr.E10121

Takaaki Nishimura, Masayasu Tanaka, Natsuko Morikoshi, Tamaki Yoshizawa, Ryo Miyachi

{"title":"Effect of Interventions for Improving Lumbar Motor Control on Low Back Pain in Sedentary Office Workers: A Randomized Controlled Trials.","authors":"Takaaki Nishimura, Masayasu Tanaka, Natsuko Morikoshi, Tamaki Yoshizawa, Ryo Miyachi","doi":"10.1298/ptr.E10121","DOIUrl":"https://doi.org/10.1298/ptr.E10121","url":null,"abstract":"Objective: To clarify the effect of intervention with dynamic motor control exercise (DMCE) for the lumbar region on low back pain in sedentary office workers (SOWs).Methods: The participants comprised 32 SOWs with low back pain who were randomly categorized into two groups: the DMCE group and the normal trunk exercise (NTE) group. Both groups performed each exercise for three days per week for 8 weeks. The primary endpoints were evaluated for the lumbar and hip flexion angles during trunk forward bending, effect of low back pain on activities of daily living (using the Oswestry Disability Index), and intensity of low back pain (using the Visual Analog Scale) pre- and post-intervention. The extent of changes was calculated by subtracting the pre-intervention value from the post-intervention value and was compared between the two groups using an unpaired t-test.Results: The extent of changes in the lumbar flexion and hip flexion angles at 10° of trunk forward bending were significantly greater in the DMCE group than in the NTE group, and no significant differences were noted between the two groups at other angles of trunk forward bending. The extent of changes in the Oswestry Disability Index and the Visual Analog Scale scores were significantly greater in the DMCE group than in the NTE group.Conclusion: DMCE is effective in improving motor control in the lumbar region and hip joints, thereby ameliorating low back pain in SOWs.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"24 3","pages":"240-248"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752866/pdf/ptr-24-03-0240.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826113","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