Physical therapy research最新文献_第9页

Physical Therapy for Adults with Heart Failure. 成人心力衰竭的物理治疗。

Physical therapy research Pub Date : 2023-01-01 Epub Date: 2023-03-28 DOI: 10.1298/ptr.R0024

Yi-Chen Wu, Chiao-Nan Chen

引用次数: 0

Frailty and Environmental Attributes in Older Adults: Insight from an Ecological Model. 老年人的虚弱与环境属性：生态模型的启示

Physical therapy research Pub Date : 2023-01-01 Epub Date: 2023-11-18 DOI: 10.1298/ptr.R0027

Kazuki Uemura, Tsukasa Kamitani, Minoru Yamada

{"title":"Frailty and Environmental Attributes in Older Adults: Insight from an Ecological Model.","authors":"Kazuki Uemura, Tsukasa Kamitani, Minoru Yamada","doi":"10.1298/ptr.R0027","DOIUrl":"https://doi.org/10.1298/ptr.R0027","url":null,"abstract":"Many studies on frailty have primarily focused on individual-level risk factors such as demographics and lifestyle. While guidelines for frailty management recommend modifications to an individual's lifestyle, their lifestyle behaviors are significantly influenced by their surroundings. Recently, the association between frailty and environmental attributes has drawn attention as a result of the increase in evidence that multiple factors affect health conditions and behaviors associated with frailty. These findings can be organized based on an ecological model involving five nested levels that influence an individual's behaviors, namely, an intrapersonal/individual core (age, education, and attitude), an interpersonal level (persons and groups), an organizational/institutional level (organization and workplace), a community level (natural, built, and social environments), and a system/public policy level (public policies from local to national). This study reviewed possible factors associated with frailty from the onset and its progression at each level of the ecological model and their implications regarding frailty prevention. Additionally, we introduce a policy-level approach for frailty prevention in Japan-which encourages residents to engage in the local society by participating in community places or groups that are referred to as \"Kayoi-no-ba\"-and aggregate its status from a government report. This perspective on community building is consistent with the concept of an ecological model. However, few studies have verified the effects of policy- or system-level approaches on disability and frailty prevention. Further studies from an ecological perspective are needed to fulfill multilevel interventions for frailty prevention.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 3","pages":"71-77"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10730123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138835937","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

Leg Cycling Leads to Improvement of Spasticity by Enhancement of Presynaptic Inhibition in Patients with Cerebral Palsy. 下肢循环通过增强脑瘫患者的突触前抑制导致痉挛的改善。

Physical therapy research Pub Date : 2023-01-01 DOI: 10.1298/ptr.E10228

Senshu Abe, Yuichiro Yokoi, Naoki Kozuka

{"title":"Leg Cycling Leads to Improvement of Spasticity by Enhancement of Presynaptic Inhibition in Patients with Cerebral Palsy.","authors":"Senshu Abe, Yuichiro Yokoi, Naoki Kozuka","doi":"10.1298/ptr.E10228","DOIUrl":"https://doi.org/10.1298/ptr.E10228","url":null,"abstract":"Objective: The purpose of this study was to investigate if leg cycling could reduce lower extremity spasticity in patients with cerebral palsy (CP). In addition, we investigated whether the intervention could cause changes in the modulation of presynaptic inhibition.Methods: This study was a quasi-experimental study, with pretest-posttest for 1 group. Participants in this experiment were eight adult patients with CP with lower extremity spasticity. Spasticity parameters assessed were the amplitude of soleus maximum Hoffmann's reflex (Hmax) and maximum angular velocity (MAV) of knee flexion measured using the pendulum test. D1 inhibition, which seems to be related to the presynaptic inhibition, was recorded by measuring soleus Hoffmann's reflex (H-reflex) with conditioned electric stimuli to the common peroneal nerve.Results: D1 inhibition was significantly enhanced immediately by the cycling intervention. The amplitude of the soleus Hmax was significantly depressed, and there was significant difference in Hmax/maximum M-wave. The MAV was increased due to inhibition of the stretch reflex.Conclusion: Leg cycling suppressed stretch reflex and H-reflex, and caused plasticity of inhibitory circuits in patients with CP with lower extremity spasticity. These findings strongly suggest that lower extremity spasticity can be improved by cycling movements.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 2","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10062406","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

Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation. 因冠状病毒病 2019 年大流行而宣布紧急状态后，III 期心脏康复患者运动耐受性一年过渡期的特征和相关因素。

Physical therapy research Pub Date : 2023-01-01 Epub Date: 2023-04-27 DOI: 10.1298/ptr.E10232

Tatsuro Kitayama, Taishi Tsuji, Kenta Mikami, Naoto Usui, Ryo Emori, Yasuyuki Maruyama, Tadanori Harada

{"title":"Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation.","authors":"Tatsuro Kitayama, Taishi Tsuji, Kenta Mikami, Naoto Usui, Ryo Emori, Yasuyuki Maruyama, Tadanori Harada","doi":"10.1298/ptr.E10232","DOIUrl":"10.1298/ptr.E10232","url":null,"abstract":"Objective: This study aimed to understand the long-term transition of exercise tolerance in patients on phase III cardiac rehabilitation (CR) and clarify the characteristics of patients with a high risk of declined exercise tolerance during the first emergency declaration.Methods: Patients who participated in phase III outpatient CR before the first emergency declaration and those who performed cardiopulmonary exercise testing were at ≥2-time points: before and at 3 or 12 months post-emergency declaration. Exercise tolerance transition at 3-time points was analyzed, and whether different social background factors affected the peak oxygen uptake (V̇O2) transition method remains to be examined.Results: A total of 101 (median age 74.0 years, 69% men), and both peak V̇O2 and anaerobic threshold (AT) significantly declined from pre-declaration to 3 months post-declaration but recovered to levels likely similar from pre-declaration at 12 months (peak V̇O2: from 17.3 to 16.7 to 18.7 mL/min/kg; AT: from 11.8 to 11.2 to 11.6 mL/min/kg). Further, patients with multiple comorbidities at pre-declaration had a significantly lower peak V̇O2 at 3 months (-1.0 mL/min/kg, p = 0.025) and it remained significantly low in those with a slower gait speed at 12 months after lifting the emergency declaration (-2.5 mL/min/kg, p = 0.009).Conclusion: The emergency declaration declined the exercise tolerance in patients on phase III CR but improved to pre- declaration levels over time, but more likely declined in patients with multiple comorbidities during pre-declaration and those with low-gait speeds were less likely to improve their declined exercise tolerance.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 2","pages":"50-57"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10061899","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

Characteristics of Older Patients with Heart Failure Readmitted due to Acute Exacerbations within the Past Year. 过去一年内因急性加重而再次入院的老年心力衰竭患者的特征。

Physical therapy research Pub Date : 2023-01-01 Epub Date: 2022-12-28 DOI: 10.1298/ptr.E10187

Yuki Nonaka, Takayuki Oike, Shinichiro Tanaka, Kazuyuki Tabira

{"title":"Characteristics of Older Patients with Heart Failure Readmitted due to Acute Exacerbations within the Past Year.","authors":"Yuki Nonaka, Takayuki Oike, Shinichiro Tanaka, Kazuyuki Tabira","doi":"10.1298/ptr.E10187","DOIUrl":"10.1298/ptr.E10187","url":null,"abstract":"Objective: We aimed to examine the relationship between physical performance and readmission among older patients with heart failure (HF) over the past year.Methods: This retrospective cohort study included 325 patients with HF who were aged ≥65 years and were hospitalized for acute exacerbation between November 2017 and December 2021. We investigated age, sex, body mass index, length of hospital stay, initiation of rehabilitation, New York Heart Association (NYHA) class, Charlson comorbidity index (CCI) score, medications, cardiac/renal function, nutrition, maximal quadriceps isometric strength, grip strength, and Short Physical Performance Battery (SPPB) score. Data were analyzed using the χ2 test, Mann-Whitney U test, and logistic regression analysis.Results: Altogether, 108 patients met the inclusion criteria and were divided into the non-readmission (n = 76) and readmission (n = 32) groups. The readmission group exhibited longer hospital stay, more severe NYHA class, higher CCI score, higher brain natriuretic peptide (BNP) levels, lower muscle strength, and lower SPPB score compared to the non-readmission group. In the logistic regression model, BNP level and SPPB score were independent factors associated with readmission.Conclusion: BNP level and SPPB score were associated with readmission in patients with HF within the past year.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9468206","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

Rehabilitation in Animal Models of Stroke. 脑卒中动物模型的康复。

Physical therapy research Pub Date : 2023-01-01 DOI: 10.1298/ptr.R0022

Mushfiquddin Khan

{"title":"Rehabilitation in Animal Models of Stroke.","authors":"Mushfiquddin Khan","doi":"10.1298/ptr.R0022","DOIUrl":"https://doi.org/10.1298/ptr.R0022","url":null,"abstract":"Objective: The purpose of this review was to evaluate the efficacy of rehabilitation strategies in animal models of stroke and their correlation with human stroke studies.Methods: General description of a stroke, functional recovery, and rehabilitation modalities were included from published studies in the field of animal models of cerebral ischemia and ischemia-reperfusion.Results: In stroke survivors, rehabilitation plays a significant role to improve motor function, cognition, and other subtle behaviors. Targeted pharmacological agents, including neuroprotective drugs, are helpful in animal models of stroke. However, no drug has yet been found that meets the criteria that would make it the Food and Drug Administration-approved treatment for human stroke. Instead, the rehabilitation of stroke in humans is limited to physical and occupational therapy, speech therapy, environmental enrichment, and social activities, as well as spiritual and family support.Conclusion: Studies on stroke injury and the significance of stroke animals' rehabilitation, including physical and pharmacological, approaches are highlighted.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 2","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimation of Reference Values of Gait Spatiotemporal and Kinematic Parameters in the Lower Extremities and Trunk Using a Markerless Motion Capture System for Healthy Older Japanese Adults. 使用无标记运动捕捉系统估算日本健康老年人下肢和躯干的步态时空参数和运动参数参考值

Physical therapy research Pub Date : 2023-01-01 Epub Date: 2023-09-08 DOI: 10.1298/ptr.E10247

Hungu Jung, Shunsuke Yamashina, Ryo Yamasaki, Yu Inoue, Kazuaki Hamada, Kenta Hirohama, Shigeharu Tanaka, Ryo Tanaka

{"title":"Estimation of Reference Values of Gait Spatiotemporal and Kinematic Parameters in the Lower Extremities and Trunk Using a Markerless Motion Capture System for Healthy Older Japanese Adults.","authors":"Hungu Jung, Shunsuke Yamashina, Ryo Yamasaki, Yu Inoue, Kazuaki Hamada, Kenta Hirohama, Shigeharu Tanaka, Ryo Tanaka","doi":"10.1298/ptr.E10247","DOIUrl":"10.1298/ptr.E10247","url":null,"abstract":"Objective: This preliminary study aimed to explore the reference values of spatiotemporal and kinematic parameters in the lower extremities and trunk during gait for the healthy older adults.Methods: Walking speed, stride length and time, cadence, walk ratio, and step width were calculated as spatiotemporal parameters of gait. Forward tilting of the trunk (FTT), hip flexion and extension, knee flexion and extension, and their laterality were measured as peak angles during one-gait cycle. The bootstrap method was conducted to estimate the 95% confidence interval (CI).Results: This study included 334 healthy older adults (255 women). The following gait parameters were estimated with 95%CI: walking speed (95%CI 1.21-1.30), cadence (95%CI 116.35-121.20), walk ratio (95%CI 0.0055-0.0060), step width (95%CI 0.15-0.17), FTT (95%CI 1.91-4.19), hip flexion (95%CI 28.54-31.01), hip extension (95%CI 19.30-22.27), knee extension (95%CI 0.09-0.14), laterality of hip flexion (95%CI 1.31-2.02), laterality of hip extension (95%CI 1.32-1.97), laterality of knee flexion (95%CI 3.41-4.77), and laterality of knee extension (95%CI 0.07-0.13) in men, and walking speed (95%CI 1.28-1.34), walk ratio (95%CI 0.0050-0.0054), FTT (95%CI 2.54-3.73), hip flexion (95%CI 32.80-34.28), laterality of hip flexion (95%CI 1.65-2.05), laterality of hip extension (95%CI 2.06-2.57), and laterality of knee flexion (95%CI 3.04-3.89) in women.Conclusion: This study suggested provisional reference values of spatiotemporal and kinematic parameters in the lower extremities and trunk during gait for the healthy older adults.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"1 1","pages":"106-113"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10730124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66344342","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 between Hospital-acquired Disability and Clinical Outcomes in Older Patients Who Underwent Cardiac Surgical 老年心脏手术患者医院获得性残疾与临床结果的关系

Physical therapy research Pub Date : 2023-01-01 DOI: 10.1298/ptr.e10263

Hirokazu SUGIURA, Masahiro TAKAHASHI, Junichi SAKATA, Hiroki UCHIYAMA, Masanori NAKAMURA

{"title":"Association between Hospital-acquired Disability and Clinical Outcomes in Older Patients Who Underwent Cardiac Surgical","authors":"Hirokazu SUGIURA, Masahiro TAKAHASHI, Junichi SAKATA, Hiroki UCHIYAMA, Masanori NAKAMURA","doi":"10.1298/ptr.e10263","DOIUrl":"https://doi.org/10.1298/ptr.e10263","url":null,"abstract":"Objective: This study aimed to clarify the association between hospital-acquired disability (HAD) and prognosis in older patients who underwent cardiac surgery. Methods: This single-center, retrospective, observational study included 141 patients aged ≥65 years who underwent cardiac surgery at our hospital from November 2016 to August 2021. The primary endpoint of this study was the occurrence of major adverse cardiac and cerebrovascular events (MACCEs) within 2 years of hospital discharge. HAD was defined as a score of ≤5 on any one of the functional independence measure (FIM) subitems at discharge compared to preoperatively. Results: MACCE was observed in 16.3%, and the incidence of MACCE was significantly higher in the HAD group than that in the non-HAD group (12.1 vs. 34.5%, log-rank, p = 0.003). HAD was also significantly associated with the MACCE (hazard ratio [HD]: 2.575, 95% confidence interval [CI]: 1.001–9.655, p = 0.046). The incidence rate of HAD was 20.6%, with age (odds ratio [OR]: 1.260, 95% CI: 1.080–1.470, p = 0.004), preoperative short physical performance battery (SPPB) score (OR: 0.462, 95% CI: 0.301–0.708, p <0.001), and postoperative delirium (OR: 6.660, 95% CI: 1.480–30.000, p = 0.014) identified as significant factors. Conclusion: HAD is an independent predictor of MACCE in older patients who underwent cardiac surgery.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135560592","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 8-week Shoulder External Rotation Exercise with Low Intensity and Slow Movement on Infraspinatus. 8周低强度慢速肩部外旋运动对冈下肌的影响。

Physical therapy research Pub Date : 2023-01-01 DOI: 10.1298/ptr.E10227

Aoi Matsumura, Hiroshige Tateuchi, Masatoshi Nakamura, Noriaki Ichihashi

{"title":"Effect of 8-week Shoulder External Rotation Exercise with Low Intensity and Slow Movement on Infraspinatus.","authors":"Aoi Matsumura, Hiroshige Tateuchi, Masatoshi Nakamura, Noriaki Ichihashi","doi":"10.1298/ptr.E10227","DOIUrl":"https://doi.org/10.1298/ptr.E10227","url":null,"abstract":"Objective: Generally, low-intensity training is recommended as selective training of the infraspinatus muscle. This study aimed to investigate whether an 8-week intervention of low-intensity, slow-movement, external rotation exercise of the shoulder led to an increase in muscle strength with shoulder external rotation and cross-sectional area (CSA) infraspinatus muscle.Methods: Sixteen healthy male volunteers were randomly assigned to the low-intensity and slow-movement (LS) group (N = 8) or the normal-intensity and normal-speed (NN) group (N = 8). The LS and NN groups performed shoulder external rotation exercises with low intensity and slow movement, and normal intensity and normal speed, respectively. The exercise session consisted of three sets of 10 repetitions, which were performed three times per week for 8 weeks. We measured the CSA of the infraspinatus and muscle strength of the shoulder external rotation before and after the 8-week intervention.Results: A significant increase in infraspinatus CSA from baseline to 8 weeks was found in the LS group (7.3% of baseline) but not in the NN group. No significant differences were found in the muscle strength of shoulder external rotation.Conclusion: Our results suggest that low-intensity exercise of the infraspinatus is effective for muscle hypertrophy when performed with slow movement. This finding may help patients who should avoid excessive stress in the early phase of rehabilitation.","PeriodicalId":74445,"journal":{"name":"Physical therapy research","volume":"26 2","pages":"58-64"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069718","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

Biomechanical Characteristics of Scapular and Glenohumeral Movements during Pitching Motion in Injury-prone College Baseball Pitchers 大学棒球投手投球时肩胛骨和肱骨关节运动的生物力学特征

Physical therapy research Pub Date : 2023-01-01 DOI: 10.1298/ptr.e10254

Koji MIYASHITA, Sentaro KOSHIDA, Taro KOYAMA, Kenichiro OTA, Yusuke TANI, Ryoji OKAMUNE

引用次数: 0