Progress in rehabilitation medicine最新文献_第6页

Effect of One Session of Muscle Blood Flow Restriction Training Versus Normal Training on Blood Lactate Level. 一次肌肉血流限制训练与正常训练对血液乳酸水平的影响

Progress in rehabilitation medicine Pub Date : 2024-05-01 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240017

Hiroji Fukuta

{"title":"Effect of One Session of Muscle Blood Flow Restriction Training Versus Normal Training on Blood Lactate Level.","authors":"Hiroji Fukuta","doi":"10.2490/prm.20240017","DOIUrl":"https://doi.org/10.2490/prm.20240017","url":null,"abstract":"Objectives: Blood flow restriction training (BFRT) is useful for improving muscle strength. However, it involves a long training time and is unsuitable for vigorous exercise. Muscle blood flow restriction training (MBFRT), which uses multiple parallel pneumatic cuffs (MPCs) to compress large areas of the extremities and restrict blood flow, was subsequently developed to address these issues. This study compared the effects of MBFRT with normal training (NT).Methods: Ten healthy adults underwent low-intensity MBFRT. MPC pressure was increased to 200 mmHg just before training. The exercise was a bodyweight half-squat. Three sets of 30 squats were performed. Two weeks later, the participants underwent NT with the same exercise. Blood lactate levels were measured before the start of training and at 1 and 5 min after training. The Borg index was also measured at the end of the training.Results: The blood lactate level was elevated at 1 min after MBFRT and NT. The elevated blood lactate level was maintained at 5 min after MBFRT, whereas the lactate level was significantly decreased at 5 min after NT. The Borg index at the end of the training was significantly higher in MBFRT than in NT.Conclusions: Lactic acid accumulates in the muscles during low-intensity MBFRT, thereby initiating type II fiber activity.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240017"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871750","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

Validity of the Functional Classification of the Upper Extremities for Duchenne Muscular Dystrophy 杜兴氏肌肉萎缩症上肢功能分类的有效性

Progress in rehabilitation medicine Pub Date : 2024-04-25 DOI: 10.2490/prm.20240016

Yuta Miyazaki, T. Hara, Kazuki Hagiwara, Takuya Nakamura, Akiko Kamimura, Eri Takeshita, Hirofumi Komaki, Katsuhiro Mizuno, Tetsuya Tsuji, Masahiro Abo

{"title":"Validity of the Functional Classification of the Upper Extremities for Duchenne Muscular Dystrophy","authors":"Yuta Miyazaki, T. Hara, Kazuki Hagiwara, Takuya Nakamura, Akiko Kamimura, Eri Takeshita, Hirofumi Komaki, Katsuhiro Mizuno, Tetsuya Tsuji, Masahiro Abo","doi":"10.2490/prm.20240016","DOIUrl":"https://doi.org/10.2490/prm.20240016","url":null,"abstract":"ABSTRACT Objectives: Some upper-limb function assessments can evaluate treatments in the non-ambulatory stage of Duchenne muscular dystrophy (DMD). The Functional Classification of the Upper Extremities (FCUE) was developed for DMD in Japan. The FCUE is easier to use than the Performance of Upper Limb (PUL) and is more detailed than the Brooke Upper Extremity Scale. This study aimed to determine the concurrent validity of FCUE with other methods of assessment for DMD. Methods: This retrospective study reviewed the medical records of 39 boys with DMD from the National Center of Neurology and Psychiatry to evaluate the concurrent validity of the FCUE and PUL using non-parametric Spearman rank correlation (ρ). We also determined the concurrent validity of the Brooke Upper Extremity Scale and PUL for comparison. Results: The ρ value between the FCUE and PUL was −0.914 (P<0.001). The FCUE showed robust concurrent validity with the PUL. That correlation between the FCUE and Brooke Upper Extremity Scale gave a ρ value of −0.854 (P<0.001). Conclusions: The FCUE had a higher concurrent validity with the PUL than with the Brooke Upper Extremity Scale. The FCUE is considered a valid assessment tool of upper-limb function in boys with DMD. Selecting the best assessment method depends on the severity of the patient’s condition and a balance between assessment accuracy and evaluation time.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"80 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140655070","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

Evidence and Recommendations for Acute Stroke Rehabilitation from the Japan Stroke Society: Abridged Secondary Publication of the Japanese-language Version 日本卒中协会关于急性卒中康复的证据和建议：日语版节选二次出版

Progress in rehabilitation medicine Pub Date : 2024-04-24 DOI: 10.2490/prm.20240015

Wataru Kakuda, Makoto Nakajima, Koichi Oki, Tetsuo Koyama, Naoki Oyama, Masatoshi Koga, Makoto Hayase, Tsuyoshi Ohta, Yasuyuki Iguchi, Shigeru Fujimoto, Tomohiro Omori, Koichi Matsumoto, Yoichiro Hashimoto, Ryo Itabashi, M. Niimi, Hirokazu Ashiga, Fumihiro Tajima, Kuniaki Ogasawara

{"title":"Evidence and Recommendations for Acute Stroke Rehabilitation from the Japan Stroke Society: Abridged Secondary Publication of the Japanese-language Version","authors":"Wataru Kakuda, Makoto Nakajima, Koichi Oki, Tetsuo Koyama, Naoki Oyama, Masatoshi Koga, Makoto Hayase, Tsuyoshi Ohta, Yasuyuki Iguchi, Shigeru Fujimoto, Tomohiro Omori, Koichi Matsumoto, Yoichiro Hashimoto, Ryo Itabashi, M. Niimi, Hirokazu Ashiga, Fumihiro Tajima, Kuniaki Ogasawara","doi":"10.2490/prm.20240015","DOIUrl":"https://doi.org/10.2490/prm.20240015","url":null,"abstract":"ABSTRACT Objectives: In Japan, acute stroke rehabilitation has been expanding more steadily than previously with the nationwide establishment of primary stroke centers. However, Japan previously had no established guidelines for the rehabilitation. Consequently, rehabilitation programs and the provision systems for acute stroke varied among the facilities. To equalize and standardize acute stroke rehabilitation in Japan, it is necessary to develop clinical recommendations for rehabilitation. Therefore, the rehabilitation project team of the Japan Stroke Society aimed to develop the first recommendations for acute stroke rehabilitation in Japan. Methods: The recommendations are based on the results of a survey on the current status of acute stroke rehabilitation at primary stroke centers in Japan, which was completed in 2022, and on a literature review conducted by the rehabilitation project team. Results: The recommendations consist of 19 clinical questions regarding the following topics of acute stroke rehabilitation: (1) head elevation and mobilization training, (2) acute complications, (3) training time and frequency for acute stroke rehabilitation, (4) dysphagia in the acute phase, and (5) acute rehabilitation during pandemics of novel and re-emerging infections, particularly novel coronavirus disease 2019 (COVID-19). The team members agreed on all answers for these 19 clinical questions. Conclusions: These recommendations suggest broad principles of rehabilitative intervention in the acute phase of stroke. In the near future, it is expected that the dissemination of these recommendations will result in an increase in the quality of acute stroke rehabilitation in Japan.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"67 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663790","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

Probable Respiratory Sarcopenia Decreases Activities of Daily Living in Older Patients Hospitalized with Respiratory Diseases: A Cross-sectional Study 疑似呼吸道肌肉疏松症会降低因呼吸道疾病住院的老年患者的日常生活能力：横断面研究

Progress in rehabilitation medicine Pub Date : 2024-04-13 DOI: 10.2490/prm.20240014

Toshiyuki Moriyama, Mizuki Tokunaga, Ryoko Hori, H. Itoh, Akiko Hachisuka, Mitsuhiro Ochi, Y. Matsushima, Satoru Saeki

{"title":"Probable Respiratory Sarcopenia Decreases Activities of Daily Living in Older Patients Hospitalized with Respiratory Diseases: A Cross-sectional Study","authors":"Toshiyuki Moriyama, Mizuki Tokunaga, Ryoko Hori, H. Itoh, Akiko Hachisuka, Mitsuhiro Ochi, Y. Matsushima, Satoru Saeki","doi":"10.2490/prm.20240014","DOIUrl":"https://doi.org/10.2490/prm.20240014","url":null,"abstract":"ABSTRACT Objectives: Respiratory sarcopenia is characterized by low respiratory muscle mass and respiratory muscle strength, but its impact on activities of daily living (ADL) remains unknown. We aimed to investigate the association between respiratory sarcopenia and decreased ADL. Methods: This retrospective cross-sectional study included older inpatients (≥65 years old) with respiratory diseases who underwent rehabilitation. Because the evaluation of respiratory muscle mass is challenging, probable respiratory sarcopenia was defined according to low appendicular skeletal muscle index (<7 kg/m2 for men, <5.7 kg/m2 for women) and peak expiratory flow rate (<4.4 L/s for men, <3.21 L/s for women). ADL was assessed on the first day of rehabilitation using the baseline Barthel Index (BI). Results: Of 111 inpatients (median age 75 years; 57 women), 13 (11.7%) had probable respiratory sarcopenia. Forty-five patients (40.5%) had sarcopenia and 12 of these had probable respiratory sarcopenia. Pulmonary functions (Forced Vital Capacity and expiratory volume in 1 s) were significantly lower in patients with probable respiratory sarcopenia than those without. Spearman’s rank coefficient analysis showed probable respiratory sarcopenia did not significantly correlate with age, phase angle, Charlson Comorbidity Index (CCI), or hemoglobin (Hb). Multivariate linear regression analysis with baseline BI revealed probable respiratory sarcopenia (β −0.279 and P=0.004) was the significant factor after adjusting for age, sex, body mass index, chronic obstructive pulmonary disease, CCI, and Hb. Conclusions: Probable respiratory sarcopenia was independently associated with decreased ADL in patients aged 65 years and older who were hospitalized with respiratory diseases.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"19 S28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140708327","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

Does Prehabilitation Reduce Postoperative Length of Hospital Stay after Esophageal Cancer Surgery? 术前康复能否缩短食管癌手术后的住院时间？

Progress in rehabilitation medicine Pub Date : 2024-04-10 DOI: 10.2490/prm.20240013

Fumihito Kasai, Takahisa Kobayashi, Eriko Hoshi, T. Nagai, Takeshi Yamashita, K. Otsuka, Masahiko Murakami, Nobuyuki Kawate

{"title":"Does Prehabilitation Reduce Postoperative Length of Hospital Stay after Esophageal Cancer Surgery?","authors":"Fumihito Kasai, Takahisa Kobayashi, Eriko Hoshi, T. Nagai, Takeshi Yamashita, K. Otsuka, Masahiko Murakami, Nobuyuki Kawate","doi":"10.2490/prm.20240013","DOIUrl":"https://doi.org/10.2490/prm.20240013","url":null,"abstract":"ABSTRACT Objectives: At our hospital, prehabilitation has been provided to patients undergoing esophageal cancer surgery since October 2019. This study explored the effects of prehabilitation based on the accumulated database of these patients. Methods: This retrospective cohort study included 621 patients who underwent thoracoscopic subtotal esophagectomy. Multiple linear regression analysis was performed using postoperative hospital stay as the objective variable and age, sex, body mass index (BMI), preoperative ventilatory impairment, left ventricular ejection fraction, preoperative hemoglobin A1c, clinical stage, histological type, operative time, surgical blood loss, postoperative complications, and prehabilitation as explanatory variables. We also performed a multivariate analysis in the subgroup of patients who developed postoperative complications and adjusted for possible confounding factors. Postoperative complications and postoperative hospital stay were compared between patients without (n=416) and with (n=205) prehabilitation. Results: Postoperative complications, age, blood loss, BMI, and ventilatory impairment influenced the overall length of hospital stay. When the analysis was restricted to patients with complications, prehabilitation was added to that list of factors as a substitute for BMI. The rate of postoperative complications was not affected by prehabilitation (P=0.1675). The number of hospital days did not change with or without prehabilitation in the overall population, but when restricted to patients with complications, the number of hospital days was significantly decreased in the prehabilitation group (P=0.0328). Conclusions: Prehabilitation as a perioperative approach has the potential to reduce the postoperative length of hospital stay in patients undergoing esophageal cancer surgery, and active intervention is recommended.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"1994 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140719150","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

Long-term Health-related Quality of Life and Physical Function of COVID-19 Survivors with ICU-acquired Weakness COVID-19 存活者的长期健康相关生活质量和身体功能（ICU 引起的虚弱

Progress in rehabilitation medicine Pub Date : 2024-04-03 DOI: 10.2490/prm.20240012

Tomoyo Taketa, Y. Uchiyama, Yohei Miyagi, Seiya Yamakawa, Tetsu Seo, Ai Yanagida, N. Sasanuma, N. Kodama, K. Domen

{"title":"Long-term Health-related Quality of Life and Physical Function of COVID-19 Survivors with ICU-acquired Weakness","authors":"Tomoyo Taketa, Y. Uchiyama, Yohei Miyagi, Seiya Yamakawa, Tetsu Seo, Ai Yanagida, N. Sasanuma, N. Kodama, K. Domen","doi":"10.2490/prm.20240012","DOIUrl":"https://doi.org/10.2490/prm.20240012","url":null,"abstract":"ABSTRACT Objectives: This study examined the long-term health-related quality of life (HRQOL) and physical function of coronavirus 2019 (COVID-19) survivors diagnosed with intensive care unit-acquired weakness (ICU-AW). The correlation between muscle weakness at ICU discharge and HRQOL was assessed. Methods: A retrospective study was conducted on COVID-19 patients admitted to the ICU at Hyogo Medical University Hospital between January 2021 and November 2021. The HRQOL was evaluated using the SF-36 questionnaire, and physical function, including muscle strength assessed by the Medical Research Council Sum Score (MRC-SS), grip strength, and the 6-min walk distance (6MWD), were assessed 18 months after the onset. ICU-AW was diagnosed in patients with an MRC-SS of less than 48 at ICU discharge. We investigated the correlations between the MRC-SS at ICU discharge and the long-term clinical outcomes. Results: We included 26 patients, with 13 having ICU-AW. In the long-term follow-up, the ICU-AW group had significantly lower scores than the no ICU-AW group in the SF-36 subscales such as Physical Functioning (PF), Role Limitation-Physical (RP), Bodily Pain (BP), Vitality (VT), Social Functioning (SF), and Role Limitation-Emotional (RE), as well as in the Physical Component Summary Score (PCS). The muscle strength was also decreased in the ICU-AW group. The MRC-SS at ICU discharge was positively correlated with PF, RP, BP, SF, RE, and PCS in SF-36 at the 18-month follow-up. Conclusions: COVID-19 survivors with ICU-AW experienced a long-term decline in HRQOL, and muscle weakness at ICU discharge was correlated with the long-term HRQOL.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"37 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140747628","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

Association of Preoperative Osteoporotic Vertebral Compression Fractures with Muscle Atrophy in Lumbar Spinal Stenosis: A Retrospective Cohort Study. 腰椎管狭窄症患者术前骨质疏松性椎体压缩骨折与肌肉萎缩的关系：回顾性队列研究

Progress in rehabilitation medicine Pub Date : 2024-03-29 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240011

Kenta Suzuki, Yasuaki Mizoguchi, Yuki Hasebe, Fumihiko Kimura, Kazuo Saita, Satoshi Ogihara

{"title":"Association of Preoperative Osteoporotic Vertebral Compression Fractures with Muscle Atrophy in Lumbar Spinal Stenosis: A Retrospective Cohort Study.","authors":"Kenta Suzuki, Yasuaki Mizoguchi, Yuki Hasebe, Fumihiko Kimura, Kazuo Saita, Satoshi Ogihara","doi":"10.2490/prm.20240011","DOIUrl":"https://doi.org/10.2490/prm.20240011","url":null,"abstract":"Objectives: Osteoporotic vertebral compression fractures (OVCFs) are common in older individuals and lead to pain, spinal deformities, and limited mobility. Paraspinal muscle function correlates with fracture severity, and this association may be more significant in patients with lumbar spinal stenosis (LSS). However, studies on the effects of OVCFs are lacking. This study aimed to investigate the relationship between OVCFs, fat infiltration, and muscle atrophy in patients with LSS.Methods: This study included 177 patients with preoperative LSS, of whom 16 had OVCFs and 161 did not. Lumbar lordosis angle, fat infiltration, and paraspinal muscle atrophy were evaluated in these patients. Information on patient characteristics such as smoking, diabetes, hemodialysis, steroid use, American Society of Anesthesiologists score, and bladder or bowel dysfunction were obtained from medical records. Logistic regression analysis was conducted to identify factors independently associated with OVCF.Results: Patients in the OVCF group were significantly older (P=0.006) than those without fractures, and a higher proportion of the OVCF group showed muscle atrophy (P=0.034). Significant variables and those with moderate effect sizes were included in the logistic regression analysis. Muscle atrophy (P=0.028) was independently associated with OVCF.Conclusions: Muscle atrophy was associated with preoperative OVCFs in patients with LSS. Identifying OVCFs in these patients may underscore the importance of tailored treatment and rehabilitation strategies for the paraspinal muscles.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240011"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10984831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872584","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 Tongue Strength Training on Patients with Mild to Moderate Sleep-disordered Breathing: A Randomized Controlled Trial. 舌肌力训练对轻度至中度睡眠呼吸障碍患者的影响：随机对照试验。

Progress in rehabilitation medicine Pub Date : 2024-03-23 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240010

Junya Yoshioka, Tatsuya Nagano, Reina Sekiya, Chihiro Mimura, Hiroki Satoh, Takehiro Otoshi, Daisuke Hazama, Naoko Katsurada, Masatsugu Yamamoto, Motoko Tachihara, Yoshihiro Nishimura, Kazuyuki Kobayashi

{"title":"Effects of Tongue Strength Training on Patients with Mild to Moderate Sleep-disordered Breathing: A Randomized Controlled Trial.","authors":"Junya Yoshioka, Tatsuya Nagano, Reina Sekiya, Chihiro Mimura, Hiroki Satoh, Takehiro Otoshi, Daisuke Hazama, Naoko Katsurada, Masatsugu Yamamoto, Motoko Tachihara, Yoshihiro Nishimura, Kazuyuki Kobayashi","doi":"10.2490/prm.20240010","DOIUrl":"10.2490/prm.20240010","url":null,"abstract":"Objectives: : Several studies have reported that oropharyngeal myofunctional therapy (OMT) reduces the severity of obstructive sleep apnea (OSA). However, because OMT protocols are often complicated, they take time and effort to implement. The aim of this study was to determine the therapeutic effect of 8 weeks of simple tongue strength training with a training device.Methods: : Twenty patients with mild to moderate sleep-disordered breathing were randomized to the control group (n=10) or intervention group (n=10). The patients in the intervention group completed 8 weeks of daily tongue strength training using a training device. After 8 weeks, we evaluated each patient for sleep-disordered breathing by portable monitoring. We also evaluated each patient's body mass index (BMI), neck circumference, Epworth Sleepiness Scale (ESS) score, and tongue pressure.Results: No significant difference was found in the change in apnea hypopnea index (AHI) from baseline to 8 weeks between the control and intervention groups (P=0.44). However, the changes in neck circumference (P=0.02) and maximum tongue pressure (P=0.03) from baseline to 8 weeks were significantly different between the two groups. No significant difference was found for changes in BMI and ESS scores from baseline to 8 weeks between the two groups.Conclusions: : Tongue strength training in patients with sleep-disordered breathing did not significantly improve AHI as measured by portable monitoring, although significant changes were observed for increased tongue pressure and reduced neck circumference.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240010"},"PeriodicalIF":0.0,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10961225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290154","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

Bodyweight Exercise of Lower and Upper Extremities for Female Patients with Rheumatoid Arthritis and the Timed Up-and-Go Test. 类风湿性关节炎女性患者的上下肢负重锻炼和定时上下运动测试

Progress in rehabilitation medicine Pub Date : 2024-03-16 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240009

Kenta Kamo, Akihisa Haraguchi, Daiki Hama, Naoko Kamo

{"title":"Bodyweight Exercise of Lower and Upper Extremities for Female Patients with Rheumatoid Arthritis and the Timed Up-and-Go Test.","authors":"Kenta Kamo, Akihisa Haraguchi, Daiki Hama, Naoko Kamo","doi":"10.2490/prm.20240009","DOIUrl":"10.2490/prm.20240009","url":null,"abstract":"Objectives: At our hospital, orthopedic surgeons and physical and occupational therapists have developed bodyweight exercises for the lower and upper extremities (BELU) for rheumatoid arthritis (RA) patients, including walking [Timed Up-and-Go (TUG) test and figure-of-eight walking) and weight exercises. We aimed to clarify the effect of bodyweight exercise and the Health Assessment Questionnaire (HAQ) cut-off value for a TUG test result of 12 s (or longer) as a risk factor for a fall.Methods: All patients underwent BELU twice weekly at home for 6 weeks. We assessed the HAQ score, TUG time, and the strengths of quadriceps femoris, biceps brachii, handgrip, side pinch, and pulp pinch before and after the intervention.Results: We analyzed the data of 42 participants. The mean age was 67.0 ± 12.1 years. The mean Disease Activity Score-28 for rheumatoid arthritis with erythrocyte sedimentation rate was 2.91 ± 0.91. The mean HAQ score was 0.69 ± 0.62. The dominant quadriceps femoris, biceps brachii, pulp pinch, and side pinch strengths were significantly strengthened. TUG time was improved from 9.0 ± 3.0 s to 8.6 ± 3.2 s (P=0.009). The receiver operating characteristic analysis revealed the cut-off value of HAQ for a TUG time of 12 s (or longer) was 1.0 (AUC 0.903, 95% confidence interval 0.792-1.0).Conclusions: Bodyweight exercises strengthened the muscles in female patients with RA, resulting in improved TUG test results. An indicative HAQ cut-off value of 1.0 (or greater) was identified for a TUG test result of 12 s or longer.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240009"},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144820","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

Oral Intake in the Complete Lateral Position as a Compensatory Method for a Patient with Severe Dysphagia: A Case Report 以完全侧卧位进食作为严重吞咽困难患者的一种补偿方法：病例报告

Progress in rehabilitation medicine Pub Date : 2024-02-23 DOI: 10.2490/prm.20240008

Naoki Fukumura, K. Makigami

{"title":"Oral Intake in the Complete Lateral Position as a Compensatory Method for a Patient with Severe Dysphagia: A Case Report","authors":"Naoki Fukumura, K. Makigami","doi":"10.2490/prm.20240008","DOIUrl":"https://doi.org/10.2490/prm.20240008","url":null,"abstract":"ABSTRACT Background: We report a patient with severe dysphagia who was successfully treated using our newly developed swallowing rehabilitation method involving a complete lateral position. Case: This case involved a 74-year-old male patient with dysphagia caused by multiple morbidities, including sarcopenia after panperitonitis, Wallenberg syndrome, and Lewy body dementia. We attempted oral feeding in the complete lateral position and observed that the bolus was moving as intended and was swallowed without penetration or aspiration. The patient achieved oral feeding using the complete lateral position, and his physical and cognitive functions improved. He was discharged home and continued feeding orally without alternative means for more than 5 years. Discussion: In the flat (complete) lateral position, the bolus flows and pools as far as possible from the airway opening of the pharynx. Using this method, gravity aids in preventing penetration and aspiration. Therefore, eating in the complete lateral position has immediate effects that are reproducible and not dependent on the cognitive function or motor skills of the patient or the assistance skills of the caregivers.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957696","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