Progress in rehabilitation medicine最新文献

{"title":"Disease-nonspecific Activity Outcome Measures for Adult Rehabilitation Populations: A COSMIN-based Systematic Review of Psychometric Properties.","authors":"Shoji Kinoshita, Shigehito Shiota, Shunsuke Taito, Ryo Momosaki, Yukio Mikami, Masahiko Mukaino, Naoshi Ogata, Yohei Otaka, Masahiro Abo","doi":"10.2490/prm.20260048","DOIUrl":"10.2490/prm.20260048","url":null,"abstract":"<p><strong>Objectives: </strong>This study identified and characterized disease-nonspecific, clinician-administered, or performance-based activity outcome measures used in adult rehabilitation and evaluated their measurement properties using the COSMIN framework.</p><p><strong>Methods: </strong>We systematically searched MEDLINE, CINAHL, PsycINFO, Web of Science, the Cochrane Library, and Ichushi-Web. We included peer-reviewed original studies in adult rehabilitation samples that evaluated at least one measurement property of disease-nonspecific, clinician-administered, or performance-based activity measures, in which at least 50% of items assessed basic movements, mobility, or self-care. We excluded patient-reported or disease-specific instruments and pediatric samples. Two reviewers independently screened records, extracted instrument characteristics and measurement properties, and assessed methodological quality using the COSMIN Risk of Bias checklist. The certainty of evidence for each measurement property was graded using the COSMIN-modified GRADE approach.</p><p><strong>Results: </strong>We included 83 studies reporting on 20 measures. The Barthel Index (BI), Modified Barthel Index (MBI), Functional Independence Measure (FIM), and de Morton Mobility Index (DEMMI) accounted for most psychometric evaluations. Internal consistency and inter-rater or test-retest reliability were generally acceptable, whereas evidence for structural validity, construct validity, responsiveness, and measurement error was limited and heterogeneous. Content mapping indicated substantial variation in coverage of basic movements, mobility, and self-care, with only a subset of instruments demonstrating relatively broad activity coverage.</p><p><strong>Conclusions: </strong>Only a limited set of generic activity measures has, at best, moderate-certainty evidence for internal consistency and reliability in adult rehabilitation. These findings provide a practical basis for selecting measures by care phase and highlight priority targets for future disease-nonspecific activity measures.</p>","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260048"},"PeriodicalIF":1.3,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148908171","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}

{"title":"Modified Constraint-induced Movement Therapy with Stepwise Spasticity Management Using RESWT and Kinesthetic Illusion: A Case Report.","authors":"Masatoshi Tahara, Kana Osada, Erika Yamamoto, Kayoko Takahashi","doi":"10.2490/prm.20260047","DOIUrl":"10.2490/prm.20260047","url":null,"abstract":"","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260047"},"PeriodicalIF":1.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868197","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}

{"title":"Hybrid Assistive Limb Training for Pediatric Acute Hyperextension-induced Myelopathy: A Case Report.","authors":"Suzuka Okuyama, Kiyoshi Aoki, Hirofumi Akazawa, Shinichiro Takao, Yusuke Ogasa, Masanori Hamada, Yoshimi Katayama, Toshifumi Ozaki","doi":"10.2490/prm.20260046","DOIUrl":"10.2490/prm.20260046","url":null,"abstract":"","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260046"},"PeriodicalIF":1.3,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841605","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}

{"title":"Differences of Physical Functions and Gait Kinematics in Selection of Strategies for Increasing Gait Speed in Older Adults: A Cross-sectional Study.","authors":"Takasuke Miyazaki, Ryoji Kiyama, Yasufumi Takeshita, Sota Araki, Yuki Nakai, Masayuki Kawada, Hyuma Makizako","doi":"10.2490/prm.20260044","DOIUrl":"https://doi.org/10.2490/prm.20260044","url":null,"abstract":"<p><strong>Objectives: </strong>This cross-sectional study aimed to examine the differences among strategies for improving gait speed, gait kinematics, and physical function in community-dwelling older adults.</p><p><strong>Methods: </strong>This study included 383 community-dwelling older adults. Spatiotemporal and kinematic gait parameters during preferred and fast walking were measured using inertial measurement units. Participants were classified into three groups based on the differences in step length and time between preferred and fast walking: time group (primarily decreasing step time), length group (primarily increasing step length), and intermediate group (intermediate strategies between time and length groups). The five-times sit-to-stand test was performed to assess lower-limb function. Two-way analysis of variance was conducted to compare physical functions and gait parameters between groups (time, intermediate, and length groups) and walking conditions (preferred and fast).</p><p><strong>Results: </strong>No significant interaction effect of group and sex was found for strategies for increasing gait speed (P = 0.875). The length group showed lower preferred and fast walking speeds (P <0.001) and longer sit-to-stand time (P = 0.006) than the time group. The length group also showed smaller trailing limb angle (defined by the location of the ankle joint relative to the hip joint in the sagittal plane) and smaller ankle plantar flexion angle at the pre-swing phase during preferred walking than the time group (P = 0.002).</p><p><strong>Conclusions: </strong>Strategies for increasing gait speed differed depending on lower-limb function and gait kinematics during preferred walking. These findings provide direction for the implementation of tailored gait interventions to prevent a decline in gait speed in older adults.</p>","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260044"},"PeriodicalIF":1.3,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13482481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802674","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}

{"title":"Development of a Therapist-worn Gait Training Support System: A Pilot Feasibility Study.","authors":"Koshiro Sawada, Norikazu Hishikawa, Yuki Nakanishi, Yuki Iwasaki, Yasuo Mikami","doi":"10.2490/prm.20260043","DOIUrl":"https://doi.org/10.2490/prm.20260043","url":null,"abstract":"<p><strong>Objectives: </strong>Efficient gait training requires optimization of both the training intensity and training quantity; however, objective real-time feedback during gait training remains insufficient in clinical rehabilitation settings. To address this limitation, we developed a therapist-worn gait training support system based on the use of smart glasses. The aim of this pilot study was to evaluate the feasibility and preliminary effects of this system on gait training parameters.</p><p><strong>Methods: </strong>This study included 12 patients with post-stroke hemiplegia. Gait training was performed for 20 min on separate days under two conditions: conventional gait training and therapist-worn gait training with the use of smart glasses. Participants were equipped with wearable sensors, and the step count, gait distance, gait speed, and heart rate were measured during each session. Statistical analyses were performed using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>Compared with conventional gait training, therapist-worn gait training resulted in significant increases in the total step count, total gait distance, mean gait speed, and mean heart rate (all P <0.05). No adverse events were observed during therapist-worn gait training.</p><p><strong>Conclusions: </strong>The therapist-worn gait training support system may contribute to improving both the intensity and quantity of gait training in rehabilitation medicine by enabling real-time monitoring of gait and physiological parameters, thereby facilitating more objective and efficient gait training.</p>","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260043"},"PeriodicalIF":1.3,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13478782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802544","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}

{"title":"Eight-year Progression of Locomotive Syndrome in Community-dwelling Older Adults: The Obuse Study.","authors":"Shota Ikegami, Hiroshi Horiuchi, Yuzu Ishida, Kohei Nagamine, Yu Usuda, Kazuaki Nemoto, Teruki Shirayama, Sako Yasukawa, Yusuke Tanikawa, Eri Ogawa, Shota Iida, Taiki Miyajima, Masanori Hayashi, Masashi Uehara, Jun Takahashi","doi":"10.2490/prm.20260042","DOIUrl":"10.2490/prm.20260042","url":null,"abstract":"<p><strong>Objectives: </strong>Longitudinal evidence on Locomotive Syndrome (LoS) progression in community-dwelling older adults remains limited. We examined 8-year transitions in LoS stages in a population-based Japanese cohort.</p><p><strong>Methods: </strong>Between 2014 and 2017, 415 residents aged 50-89 years were randomly enrolled. LoS stage (0-3) was assessed at baseline and at follow-up using Japanese Orthopaedic Association criteria, based on the 25-question Geriatric Locomotive Function Scale and standard performance tests. Follow-up data were available for 169 participants (40.7%) after a mean interval of 8.46 years. Baseline characteristics were compared between participants and non-participants. Stage transitions were analyzed according to baseline age, sex, and LoS stage. To address attrition bias, a multivariable model for follow-up participation, inverse probability weighting (IPW), and scenario-based sensitivity analyses were applied.</p><p><strong>Results: </strong>Advanced LoS (Stage 2 or 3) increased from 8.8% to 30.2%, indicating significant overall progression (P <0.001). Transitions were heterogeneous, with some improvement. The proportion of participants with worsening increased with age, ranging from 19.0% [95% confidence interval (CI) 10.2%-30.9%] among those aged 50-59 years to 66.7% (95% CI 34.9%-90.1%) among those aged 80-89 years. Among participants with baseline Stages 0-2, baseline Stage 0 (vs Stage 1) and older age were independently associated with worsening. Participants were younger and fitter than non-participants. Worsening was 37.3% in complete cases and 40.1% after IPW; advanced LoS at follow-up increased from 30.2% to 42.2% after IPW.</p><p><strong>Conclusions: </strong>LoS stages progressed substantially over 8 years, with a marked increase in advanced LoS. Because follow-up participation was selective, these estimates likely underestimate the true burden in the original cohort.</p>","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260042"},"PeriodicalIF":1.3,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13448133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690536","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}

{"title":"Association between Perioperative Walking Ability and Restoration of Life Space to Preoperative Levels 6 Months after Total Hip Arthroplasty.","authors":"Kento Masuda, Kazuhiro Harada, Takanobu Bito, Takahiro Ando, Takaaki Aoki, Takaki Miyagawa, Haruhiko Akiyama","doi":"10.2490/prm.20260041","DOIUrl":"https://doi.org/10.2490/prm.20260041","url":null,"abstract":"<p><strong>Objectives: </strong>: Life space (LS) is an important indicator of functional recovery after total hip arthroplasty (THA). In this study, we aimed to investigate the association between restoration of LS to preoperative levels 6 months after THA and perioperative improvements in walking performance, adjusting for demographic and clinical factors.</p><p><strong>Methods: </strong>: This retrospective cohort study included 104 patients with hip osteoarthritis undergoing primary unilateral THA between January 2019 and April 2023. Participants were classified into restoration and non-restoration groups based on whether their LS returned to preoperative levels at 6 months postoperatively. Logistic regression analysis was conducted with LS restoration as the dependent variable, perioperative changes in gait speed as the main explanatory variable, and preoperative gait speed and preoperative LS score as covariates. Model performance was assessed using the area under the receiver operating characteristic (ROC) curve.</p><p><strong>Results: </strong>: LS repair was associated with improved gait speed during the perioperative period [odds ratio (OR) 18.3, 95% confidence interval (CI) 1.44-233.0], high preoperative gait speed (OR 9.4, 95% CI 2.28-69.0), and low preoperative LS score (OR 0.967, 95% CI 0.94-0.99). The predictive model demonstrated good discriminatory ability (area under the ROC curve 0.791; 95% CI 0.699-0.883).</p><p><strong>Conclusions: </strong>: Perioperative gait speed improvement and high preoperative walking ability are major factors associated with LS restoration after THA. Conversely, patients with low preoperative LS may have a higher potential for restoration. These findings emphasize the importance of targeted interventions aimed at improving ability to promote community mobility and independence after THA.</p>","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260041"},"PeriodicalIF":1.3,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13482487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802564","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}

{"title":"Effects of Restricted Shoulder Girdle Motion on Knee Joint Kinematics and Kinetics during Walking: Cross-sectional Study.","authors":"Ryosuke Tachibana, Wataru Yamazaki, Tatsuya Kono, Yoshitsugu Tanino","doi":"10.2490/prm.20260040","DOIUrl":"10.2490/prm.20260040","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the effects of restricted shoulder girdle motion on knee joint kinematics and kinetics during walking, as a preliminary step toward clarifying the role of trunk function in individuals with knee osteoarthritis.</p><p><strong>Methods: </strong>Twenty healthy male participants walked along a 7.0-m straight pathway under three conditions-neutral, flexed, and extended shoulder girdle positions-while wearing a clavicle band to restrict shoulder girdle motion. Kinematic and kinetic data for the knee joint and trunk were collected using a three-dimensional motion analysis system and a force plate.</p><p><strong>Results: </strong>In both the flexed and extended shoulder girdle positions, the ranges of motion of shoulder flexion-extension and pelvic rotation decreased. In the flexed shoulder girdle position, increased knee flexion angle was associated with a statistically significant reduction in the first peak of the external knee adduction moment (KAM), although the effect sizes were small.</p><p><strong>Conclusions: </strong>These findings suggest that experimentally manipulated restricted shoulder girdle motion is associated with significant changes in KAM. They may also provide preliminary evidence of a relationship between upper-body and lower-limb kinematics and kinetics. However, given the small effect sizes observed, these findings should be interpreted with caution.</p>","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260040"},"PeriodicalIF":1.3,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674895","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}

{"title":"Retraction Note: Associations between Baseline Hyponatremia and Activities of Daily Living and Muscle Health in Convalescent Stroke Patients.","authors":"Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Ayaka Matsumoto, Sayuri Shimazu, Ai Shiraishi, Yoshifumi Kido, Takahiro Bise, Aomi Kuzuhara, Kota Hori, Takenori Hamada, Kouki Yoneda, Kenichiro Maekawa","doi":"10.2490/prm.20260039","DOIUrl":"https://doi.org/10.2490/prm.20260039","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.2490/prm.20240019.].</p>","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260039"},"PeriodicalIF":1.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13416262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623054","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}

{"title":"Prognostic Significance of Gait Recovery after Mechanical Circulatory Support Weaning in Acute Myocardial Infarction: A 14-Day Landmark Analysis.","authors":"Satoru Hanada, Yunosuke Matsuura, Shohei Koyama, Tomohiro Kanzaki, Shota Miyazaki, Michikazu Nakai, Hironao Iwakiri, Koichi Kaikita","doi":"10.2490/prm.20260038","DOIUrl":"10.2490/prm.20260038","url":null,"abstract":"<p><strong>Objectives: </strong>: Gait function is associated with prognosis in patients with acute myocardial infarction (AMI). This study aimed to examine whether achieving ambulation of 50 m within 14 days after weaning from mechanical circulatory support (MCS) is associated with clinical outcomes in AMI patients treated with percutaneous coronary intervention (PCI) and MCS.</p><p><strong>Methods: </strong>: In this retrospective single-center cohort study, we included 91 patients with AMI who underwent primary PCI and required MCS between April 2015 and June 2023 and survived at least 14 days after MCS weaning. Gait ability at 14 days after MCS weaning was classified as gait recovery (walking ≥50 m), gait initiation (walking <50 m), or non-gait. The primary outcome was a composite of all-cause mortality or cardiovascular/cerebrovascular hospitalization within 1 year. Clinical outcomes were compared among groups using Kaplan-Meier analysis and the log-rank test.</p><p><strong>Results: </strong>: Of the 91 patients who survived 14 days after MCS weaning, 50 (55%) achieved gait recovery. These patients had more favorable clinical and functional profiles both at ICU admission and at the time of MCS weaning. Patients who achieved gait recovery had a lower incidence of 1-year clinical events than those in the gait initiation and non-gait groups, whereas outcomes in the gait initiation group were comparable to those in the non-gait group. No significant temporal differences were observed in gait recovery rates or clinical outcomes.</p><p><strong>Conclusions: </strong>: Achieving ambulation of at least 50 m within 14 days after MCS weaning was associated with better 1-year clinical outcomes in AMI patients requiring MCS.</p>","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"11 ","pages":"20260038"},"PeriodicalIF":1.3,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13406969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610911","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}