Progress in rehabilitation medicine最新文献_第7页

Association between Active Hobby before Hospitalization and Frailty at Discharge in Patients with Acute Cardiovascular Disease. 急性心血管疾病患者住院前的业余爱好与出院时体质虚弱之间的关系

Progress in rehabilitation medicine Pub Date : 2024-02-22 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240007

Chihiro Nakane, Tsubasa Yokote, Takatoshi Nishimura, Shoichiro Furukawa, Shujiro Inoue

{"title":"Association between Active Hobby before Hospitalization and Frailty at Discharge in Patients with Acute Cardiovascular Disease.","authors":"Chihiro Nakane, Tsubasa Yokote, Takatoshi Nishimura, Shoichiro Furukawa, Shujiro Inoue","doi":"10.2490/prm.20240007","DOIUrl":"10.2490/prm.20240007","url":null,"abstract":"Objectives: It is essential to identify the factors that reduce the risk of frailty at discharge in patients with cardiovascular disease. We sought to verify the association between pre-admission hobbies and frailty at discharge in patients hospitalized for acute cardiovascular diseases.Methods: We retrospectively analyzed the cases of the 269 patients admitted to our hospital with cardiovascular diseases, excluding those who required assistance with activities of daily living before admission or had missing data on hobbies or frailty. The patients' pre-admission hobbies (if any) were recorded, and the patients were then classified into the no-hobby group, inactive-hobby group, or active-hobby group. Frailty was assessed using the Cardiovascular Health Study criteria (Japanese version) on the day before discharge. We conducted a multinomial logistic regression analysis to investigate the relationship between hobbies and frailty.Results: Compared with the no-hobby group, the inactive-hobby group did not show a significantly lower odds ratio (OR) for pre-frailty and frailty. In contrast, the active-hobby group showed a significantly lower OR for pre-frailty and frailty even after adjustment (OR: 0.41, 95% confidence interval: 0.17-0.90). Regarding the components of frailty, the active-hobby group had lower ORs for slow gait speed, exhaustion, and low physical activity relative to the no-hobby group.Conclusions: Even if patients had hobbies before admission, if those hobbies were non-active, they did not reduce the risk of frailty, suggesting the need for reconsidering rehabilitation approaches during hospitalization.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240007"},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10878813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934593","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

Change in Achilles Tendon Length after Walking on Treadmill with Gradient. 在有坡度的跑步机上行走后跟腱长度的变化

Progress in rehabilitation medicine Pub Date : 2024-02-10 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240006

Takaki Yoshida, Yoshitsugu Tanino, Tetsuya Nakao, Wataru Yamazaki, Toshiaki Suzuki

{"title":"Change in Achilles Tendon Length after Walking on Treadmill with Gradient.","authors":"Takaki Yoshida, Yoshitsugu Tanino, Tetsuya Nakao, Wataru Yamazaki, Toshiaki Suzuki","doi":"10.2490/prm.20240006","DOIUrl":"https://doi.org/10.2490/prm.20240006","url":null,"abstract":"Objectives: Improving ankle joint contracture is important because stiffness in ankle dorsiflexion can lead to pain, especially when weight-bearing during walking, which tends to concentrate on the forefoot. We hypothesized that the contraction of the gastrocnemius muscle in ankle dorsiflexion would increase the Achilles tendon length and improve the dorsiflexion range of motion. We evaluated the effects of walking with and without a gradient on Achilles tendon length.Methods: This study included 23 men who underwent ultrasound imaging to measure the Achilles tendon length while they stood on an inclined table adjusted according to the dorsiflexion angle. Treadmill walking was performed for 10 min with a 10° incline (gradient condition) or without gradient (level condition). The measurements were compared using a paired t-test.Results: In the gradient condition, the range of motion for ankle dorsiflexion was significantly increased after the intervention. In the gradient condition, the Achilles tendon length while standing on an inclined surface was significantly increased after the intervention.Conclusions: Walking under gradient conditions led to the extension of the Achilles tendon in the ankle dorsiflexion position. This was accompanied by contraction of the gastrocnemius muscle, resulting in lengthening of the Achilles tendon. This finding suggests that such interventions may have clinical applications.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240006"},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10853016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725301","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

Prognostic Value of Dysphagia for Activities of Daily Living Performance and Cognitive Level after Stroke. 吞咽困难对脑卒中后日常生活能力和认知水平的预后价值

Progress in rehabilitation medicine Pub Date : 2024-02-07 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240005

Takenori Hamada, Yoshihiro Yoshimura, Fumihiko Nagano, Ayaka Matsumoto, Sayuri Shimazu, Ai Shiraishi, Takahiro Bise, Yoshifumi Kido

{"title":"Prognostic Value of Dysphagia for Activities of Daily Living Performance and Cognitive Level after Stroke.","authors":"Takenori Hamada, Yoshihiro Yoshimura, Fumihiko Nagano, Ayaka Matsumoto, Sayuri Shimazu, Ai Shiraishi, Takahiro Bise, Yoshifumi Kido","doi":"10.2490/prm.20240005","DOIUrl":"10.2490/prm.20240005","url":null,"abstract":"Objectives: The purpose of this study was to examine the association between baseline dysphagia and the improvement of activities of daily living performance and cognitive level among inpatients after stroke.Methods: This was a retrospective cohort study of patients undergoing convalescent rehabilitation after stroke. Dysphagia was assessed using the Food Intake LEVEL Scale. Outcomes were the motor and cognitive scores of the Functional Independence Measure (FIM) at discharge. Multiple regression analysis was performed to examine the association between dysphagia at admission and these outcomes.Results: There were 499 participants with a median age of 74 years. A multiple regression analysis was carried out after adjusting for potential confounders including age and sex. Dysphagia at admission was independently and negatively associated with motor (β=-0.157, P<0.001) and cognitive (β=-0.066, P=0.041) FIM scores at discharge.Conclusions: Baseline dysphagia in patients after stroke was negatively associated with improvement in performance of activities of daily living and cognitive level.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240005"},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10844015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139704117","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

Prediction of Walking Independence in Older Women with Vertebral Compression Fracture Using Phase Angle: A Preliminary Study Using Propensity Score. 利用相位角预测椎体压缩性骨折老年妇女的行走独立性：使用倾向评分的初步研究。

Progress in rehabilitation medicine Pub Date : 2024-01-30 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240004

Megumi Kurita, Takaaki Fujita, Ryuichi Kasahara, Yuichi Yamamoto, Yoko Ohira, Koji Otsuki, Shinichiro Morishita

{"title":"Prediction of Walking Independence in Older Women with Vertebral Compression Fracture Using Phase Angle: A Preliminary Study Using Propensity Score.","authors":"Megumi Kurita, Takaaki Fujita, Ryuichi Kasahara, Yuichi Yamamoto, Yoko Ohira, Koji Otsuki, Shinichiro Morishita","doi":"10.2490/prm.20240004","DOIUrl":"10.2490/prm.20240004","url":null,"abstract":"Objectives: This study aimed to clarify whether phase angle can be a predictor of walking independence in older women with vertebral compression fractures (VCFs) and to determine a clinically usable cutoff value.Methods: We retrospectively assessed data of older women (n=59; median age, 83.0 years) with VCFs. Propensity score-matching and logistic regression were performed to examine the association between phase angle at admission and walking independence at discharge. The cutoff value for the phase angle at admission for predicting walking independence was calculated based on the receiver operating characteristic curve.Results: Thirty-one patients (52.5%) could walk independently at discharge. Thirty patients were extracted from the independent and non-independent groups according to the propensity score. After propensity score matching, there was no significant difference between the groups for age, medical history, knee extension strength, skeletal muscle mass index, mini nutritional assessment-short form score, or revised Hasegawa's dementia scale score. However, the phase angle of the independent group was significantly higher than that of the non-independent group (P<0.05). Logistic regression revealed that phase angle at admission was significantly associated with walking independence at discharge (odds ratio, 12.2; 95% confidence interval, 2.1-72.0; P<0.01). The area under the receiver operating characteristic curve was 0.868, and the calculated phase angle cutoff value was 3.55°.Conclusions: This study revealed that the phase angle can predict walking independence in older women with VCFs. The cutoff values for women calculated in this study can be used as a simple and objective predictive index of walking independence.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240004"},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10823123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643586","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

Activity of Daily Living and Walking Ability of Patients with Severe COVID-19 at Discharge from an Acute Care Hospital 严重 COVID-19 患者出院时的日常生活活动能力和行走能力

Progress in rehabilitation medicine Pub Date : 2024-01-23 DOI: 10.2490/prm.20240003

Hiroe Uehara, Risa Harada, Masato Ogawa, Kodai Komaki, Daisuke Makiura, Yasumitsu Fujii, Hirokazu Onishi, Tsuyoshi Matsumoto, Ryo Yoshikawa, Yoshitada Sakai

{"title":"Activity of Daily Living and Walking Ability of Patients with Severe COVID-19 at Discharge from an Acute Care Hospital","authors":"Hiroe Uehara, Risa Harada, Masato Ogawa, Kodai Komaki, Daisuke Makiura, Yasumitsu Fujii, Hirokazu Onishi, Tsuyoshi Matsumoto, Ryo Yoshikawa, Yoshitada Sakai","doi":"10.2490/prm.20240003","DOIUrl":"https://doi.org/10.2490/prm.20240003","url":null,"abstract":"ABSTRACT Objectives: The effectiveness of acute rehabilitation treatment for severe coronavirus disease 2019 (COVID-19) has not yet been established. This study examined the efficacy of treatment provided to patients with severe COVID-19 in an acute care facility. Methods: A total of 98 patients with severe COVID-19 requiring inpatient management in our intensive care unit (ICU) were included between December 2020 and October 2021. They were divided into two groups: those who received physiotherapy (PT group; n=44) and those who did not receive physiotherapy (non-PT group; n=54). Their backgrounds, clinical characteristics, and activities of daily life (ADL) at discharge were compared to examine factors that influenced the need for physiotherapy (PT). We also evaluated the effect of PT on ADL by comparing the Barthel Index (BI) before PT and at discharge. Results: The PT group patients were significantly older, had longer hospital and ICU stays, and used invasive mechanical ventilators (IMV) more frequently than those in the non-PT group. More patients in the non-PT group were able to walk at discharge than in the PT group. The PT group patients showed significant improvement in BI and ADL at discharge when compared with BI at the start of PT, regardless of whether an IMV was used. Conclusions: Older patients with severe COVID-19 with prolonged hospitalization or ICU stay or on an IMV are prone to a decline in ADL and may need to be considered for early PT.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"43 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139523135","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

Improvement in Gait Speed Affects Short-term Improvement in Activities of Daily Living in Patients with Moderate and Severe Knee Osteoarthritis. 中度和重度膝关节骨性关节炎患者步速的改善会影响其日常生活活动的短期改善。

Progress in rehabilitation medicine Pub Date : 2024-01-20 eCollection Date: 2024-01-01 DOI: 10.2490/prm.20240002

Toshimitsu Ohmine, Seiji Demizu, Takayuki Murakami, Toyoki Yoshioka, Jun Aisu, Hiroshi Katsuda, Nagakazu Shimada

{"title":"Improvement in Gait Speed Affects Short-term Improvement in Activities of Daily Living in Patients with Moderate and Severe Knee Osteoarthritis.","authors":"Toshimitsu Ohmine, Seiji Demizu, Takayuki Murakami, Toyoki Yoshioka, Jun Aisu, Hiroshi Katsuda, Nagakazu Shimada","doi":"10.2490/prm.20240002","DOIUrl":"10.2490/prm.20240002","url":null,"abstract":"Objectives: It is unclear whether improvements in knee pain or physical function lead to improvements in activities of daily living (ADL) and quality of life (QOL) in patients with moderate to severe knee osteoarthritis (KOA). This study aimed to investigate whether improvements in knee pain and physical function, achieved through exercise therapy, lead to improvements in ADL and QOL in patients with moderate to severe KOA.Methods: This case-control study included 18 patients with KOA. We evaluated knee range of motion, knee extension muscle strength (KEM), gait speed, knee pain, Knee Injury and Osteoarthritis Outcome Score (KOOS)-ADL, and KOOS-QOL at the first visit and after 3 months of exercise therapy. Patients were classified into the ADL and QOL improvement or no-improvement groups. Statistical analysis used split factorial analysis of variance with time and group as the main effects. When interactions were observed, post-hoc analysis was performed with two-sample t-tests.Results: For ADL improvement, the improvements in KEM of the affected side and gait speed were statistically significant. At 3 months, the gait speed of the improvement group was significantly higher than that of the no-improvement group. For QOL improvement, there was no significant interaction for any of the factors evaluated.Conclusions: No factor showed significant contribution to improved QOL in patients with moderate to severe KOA. However, increased gait speed may improve ADL and contribute to the development of efficient rehabilitation programs for patients with moderate to severe KOA.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"9 ","pages":"20240002"},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10796275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514009","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

Outcome Prediction by Combining Corticospinal Tract Lesion Load with Diffusion-tensor Fractional Anisotropy in Patients after Hemorrhagic Stroke 出血性脑卒中患者皮质脊髓茎段病变负荷与弥散张量分数各向异性的结合预测预后

Progress in rehabilitation medicine Pub Date : 2024-01-12 DOI: 10.2490/prm.20240001

Tetsuo Koyama, Midori Mochizuki, Y. Uchiyama, K. Domen

{"title":"Outcome Prediction by Combining Corticospinal Tract Lesion Load with Diffusion-tensor Fractional Anisotropy in Patients after Hemorrhagic Stroke","authors":"Tetsuo Koyama, Midori Mochizuki, Y. Uchiyama, K. Domen","doi":"10.2490/prm.20240001","DOIUrl":"https://doi.org/10.2490/prm.20240001","url":null,"abstract":"ABSTRACT Objectives: The objective of this study was to evaluate the predictive precision of combining the corticospinal tract lesion load (CST-LL) with the diffusion-tensor fractional anisotropy of the corticospinal tract (CST-FA) in the lesioned hemispheres regarding motor outcomes. Methods: Patients with putaminal and/or thalamic hemorrhage who had undergone computed tomography (CT) soon after onset in our hospital were retrospectively enrolled. The CST-LL was calculated after registration of the CT images to a standard brain. Diffusion-tensor imaging was performed during the second week after onset. Standardized automated tractography was employed to calculate the CST-FA. Outcomes were assessed at discharge from our affiliated rehabilitation facility using total scores of the motor component of the Stroke Impairment Assessment Set (SIAS-motor total; null to full, 0 to 25). Multivariate regression analysis was performed with CST-LL and CST-FA as explanatory variables and SIAS-motor total as a target value. Results: Twenty-five patients participated in this study. SIAS-motor total ranged from 0 to 25 (median, 17). CST-LL ranged from 0.298 to 7.595 (median, 2.522) mL, and the lesion-side CST-FA ranged from 0.211 to 0.530 (median, 0.409). Analysis revealed that both explanatory variables were detected as statistically significant contributory factors. The estimated t values indicated that the contributions of these two variables were almost equal. The obtained regression model accounted for 63.9% of the variability of the target value. Conclusions: Incorporation of the CST-LL with the lesion-side CST-FA enhances the precision of the stroke outcome prediction model.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"7 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139437587","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 between Caregivers' Fear of Post-fracture Patients Falling and a Decline in Patients' Activities. 护理人员对骨折后患者跌倒的恐惧与患者活动能力下降之间的关系

Progress in rehabilitation medicine Pub Date : 2023-12-29 eCollection Date: 2023-01-01 DOI: 10.2490/prm.20230046

Tomohiro Kakehi, Masashi Zenta, Takuya Ishimori, Naoki Tamura, Hiromu Wada, Masahiko Bessho, Wataru Kakuda

{"title":"Association between Caregivers' Fear of Post-fracture Patients Falling and a Decline in Patients' Activities.","authors":"Tomohiro Kakehi, Masashi Zenta, Takuya Ishimori, Naoki Tamura, Hiromu Wada, Masahiko Bessho, Wataru Kakuda","doi":"10.2490/prm.20230046","DOIUrl":"10.2490/prm.20230046","url":null,"abstract":"Objectives: To evaluate caregivers' fear of post-fracture patients falling, we previously developed the Caregivers' Fear of Falling Index (CFFI). In this study, we investigated the relationship between patient performance in activities of daily living (ADLs) and CFFI.Methods: We surveyed 55 patients receiving home-visit rehabilitation after fall-related fracture and their primary caregivers. Participants (patient and caregiver pair) were divided into two groups based on patient performance in basic ADLs (BADLs) and instrumental ADLs (IADLs). ROC analysis was conducted to assess the usefulness of CFFI and Falls Efficacy Scale-International (FES-I) in determining declines in performance in BADLs and IADLs. Multivariate logistic regression analysis was performed to examine the association between CFFI and declining performance in BADLs and IADLs.Results: ROC analysis showed that CFFI exhibited a higher accuracy than FES-I (AUC: 0.73 in BADLs, 0.77 in IADLs) as an indicator of reduced ADL performance. Multivariate logistic analysis adjusted for age, sex, and physical function showed that CFFI was associated with a decline in patients' performance in IADLs (odds ratio, 0.92; 95% confidence interval, 0.85-0.99).Conclusions: Caregivers' fear of post-fracture patients falling was associated with a decline in patients' performance in IADLs. These findings may serve as a guide for supporting caregivers of post-fracture patients.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"8 ","pages":"20230046"},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139076073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Feasibility Testing of a Remote Support Application for Adherence to Home Exercise Programs: A Randomized Pilot Study. 针对坚持家庭锻炼计划的远程支持应用程序的开发和可行性测试：随机试点研究。

Progress in rehabilitation medicine Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI: 10.2490/prm.20230045

Rufus A Adedoyin, John O Makinde, Adekola B Ademoyegun, Francis Fatoye, Chidozie E Mbada

{"title":"Development and Feasibility Testing of a Remote Support Application for Adherence to Home Exercise Programs: A Randomized Pilot Study.","authors":"Rufus A Adedoyin, John O Makinde, Adekola B Ademoyegun, Francis Fatoye, Chidozie E Mbada","doi":"10.2490/prm.20230045","DOIUrl":"10.2490/prm.20230045","url":null,"abstract":"Objectives: Poor adherence to home exercise programs (HEPs) is a significant barrier to continuity of care and eventual outcomes, thus requiring innovative mitigating approaches. This study aimed to develop and test the feasibility of a remote support application (RSA) designed to encourage adherence to HEPs.Methods: Using standard computer programing, an RSA with administrator and user interfaces was developed for mobile phone or tablet. Consenting patients receiving physiotherapy for musculoskeletal conditions (n=19) were randomly assigned into the experimental group (n=10) or the control group (n=9). The experimental group received their customized HEP reminders via the RSA, whereas the control group used conventional paper handouts for HEPs. Adherence to HEPs was assessed over 4 weeks. The feasibility of the RSA was assessed using the Mobile Application Rating Scale and System Usability Scale (SUS) questionnaires. Data were summarized using descriptive and inferential statistics.Results: The adherence rate of patients in experimental group was significantly higher than that of patients in the control group after 2 weeks [median diff.=-6.0, 95% confidence interval (CI): -8.0 to -5.0; U=5.00; Z=-3.304; P=0.001; r=0.75] and 4 weeks (median diff.=-7.0, 95% CI: -8.0 to -5.0; U=0; Z=-3.695; P<0.001; r=0.84) of intervention. The RSA had a mean SUS score of 82.53±9.04 (out of 100) and a mean app quality rating score of 75.95±4.98 (out of 95).Conclusions: The use of an RSA to improve adherence to HEPs is feasible for patients with musculoskeletal conditions.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"8 ","pages":"20230045"},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139059412","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

Phase Angle as a Prognostic Predictor for Physical Function in Fragile Osteoporotic Fracture Patients 相位角作为脆性骨质疏松性骨折患者身体功能的预测指标

Progress in rehabilitation medicine Pub Date : 2023-12-09 DOI: 10.2490/prm.20230044

Yusuke Ito, Y. Yoshimura, F. Nagano, A. Matsumoto, Shin Nomura

{"title":"Phase Angle as a Prognostic Predictor for Physical Function in Fragile Osteoporotic Fracture Patients","authors":"Yusuke Ito, Y. Yoshimura, F. Nagano, A. Matsumoto, Shin Nomura","doi":"10.2490/prm.20230044","DOIUrl":"https://doi.org/10.2490/prm.20230044","url":null,"abstract":"ABSTRACT Objectives: This study aimed to determine whether the phase angle is associated with physical function at discharge and discharge destination in patients with osteoporotic fragile fractures. Methods: This retrospective cohort study included patients with fragile osteoporotic fractures who were admitted to a convalescent rehabilitation ward. The phase angle was calculated using a body composition meter and bioelectrical impedance analysis. The primary outcome was the Functional Independence Measure motor (FIM-motor) score at discharge, and the secondary outcome was discharge to home. Multivariate analysis was used to determine the association between phase angle and FIM-motor scores at discharge and discharge to home. Results: The study included 127 patients (108 women, age 81.2 ± 9.7 years). The median phase angle on admission was 4.1° for men and 3.6° for women. The median FIM-motor score at discharge was 83, with 92 (72.4%) patients discharged home and 35 (27.6%) discharged to a destination other than home. Multiple regression analysis adjusted for confounders revealed a significant independent association between the phase angle and FIM-motor score at discharge (β=0.262, P=0.019). However, no significant association was found between phase angle and discharge destination (odds ratio, 1.350; 95% confidence interval: 0.680–2.670, P=0.391). Conclusions: Phase angle was independently associated with physical function at discharge in patients with fragile osteoporotic fractures. For patients with a reduced phase angle on admission, a multidisciplinary approach, including exercise, nutrition, oral health, and medication, should be implemented to maximize improvement in physical function.","PeriodicalId":74584,"journal":{"name":"Progress in rehabilitation medicine","volume":"6 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138585940","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