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Review Articles

Pediatric rehabilitation

Genetics of Cerebral Palsy: Diagnosis, Differential Diagnosis, and Beyond
Dae-Hyun Jang, Jaewon Kim, Aloysia Leisanne Schwabe, Timothy Edward Lotze
Ann Rehabil Med 2024;48(6):369-376.   Published online December 23, 2024
DOI: https://doi.org/10.5535/arm.240081
Cerebral palsy (CP) is the most common motor disability in children, characterized by diverse clinical manifestations and often uncertain etiology, which has spurred increasing interest in genetic diagnostics. This review synthesizes findings from various studies to enhance understanding of CP’s genetic underpinnings. The discussion is structured around five key areas: monogenic causes and copy number variants directly linked to CP, differential genetic disorders including atypical CP and mimics, ambiguous genetic influences, co-occurrence with other neurodevelopmental disorders, and polygenic risk factors. Case studies illustrate the clinical application of these genetic insights, underscoring the complexity of diagnosing CP due to the phenotypic overlap with other conditions and the potential for misdiagnosis. The review highlights the significant role of advanced genetic testing in distinguishing CP from similar neurodevelopmental disorders and assessing cases with unclear clinical presentations. Furthermore, it addresses the ongoing challenges in establishing a consensus on genetic contributors to CP, the need for comprehensive patient phenotyping, and the integration of rigorous genetic and functional studies to validate findings. This comprehensive examination of CP genetics aims to pave the way for more precise diagnostics and personalized treatment plans, urging continued research to overcome the current limitations and refine diagnostic criteria within this field.
  • 2,850 View
  • 100 Download

Neuromuscular disorders

Effectiveness of Non-Pharmacological Interventions for Spasticity Management in Multiple Sclerosis: A Systematic Review
Bhasker Amatya, Fary Khan, Krystal Song, Mary Galea
Ann Rehabil Med 2024;48(5):305-343.   Published online October 31, 2024
DOI: https://doi.org/10.5535/arm.240064
This systematic review aims to determine the effectiveness of non-pharmacological interventions for the management of spasticity in people with multiple sclerosis (pwMS). A comprehensive literature search in health science databases (MEDLINE, Embase, CENTRAL, CINHAL) was performed to identify randomized controlled trials (RCTs) (up to April 2024). Manual searching in journals and screening of the reference lists of identified studies were conducted. Two authors independently selected the studies, assessed the methodological quality, and summarized the evidence. A meta-analysis was not feasible due to the methodological, clinical, and statistical diversity of the included studies. Overall, 32 RCTs (n=1,481 participants) investigated various types of non-pharmacological interventions including: physical activity, transcranial magnetic stimulation (intermittent theta burst stimulation [iTBS], repetitive transcranial magnetic stimulation [rTMS]), electromagnetic therapy, transcutaneous electrical nerve stimulation, vibration therapy, shock wave therapy, self-management educational programs, and acupuncture. All studies scored ‘low’ on the methodological quality assessment, implying a high risk of bias. The findings suggest ‘moderate to low certainty’ evidence for physical activity programs used in isolation or combination with other interventions (pharmacological or non-pharmacological), and for iTBS/rTMS with or without adjuvant exercise therapy in improving spasticity in adults with MS. There is ‘very low certainty’ evidence supporting the use of other modalities for treating spasticity in this population. Despite a wide range of non-pharmacological interventions used for the management of spasticity in pwMS, there is a lack of conclusive evidence for many. More robust trials with larger sample sizes and longer-term follow-ups are needed to build evidence for these interventions.
  • 3,782 View
  • 89 Download

Neuromuscular disorders

The impact of disease-modifying therapy ranges from cure to no impact with a wide range of intermediates. In cases where the intermediate group reaches a plateau after the acquisition of some muscle strength, it is necessary to set a functional level appropriate for increased motor power and establish a long-term exercise plan to maintain it. As the disease status stabilizes and the life span increases, early nonsurgical interventions are required, such as using a standing frame to prevent joint contracture, applying a spinal brace at the early stage of scoliosis, and maintaining sitting postures that exaggerate lumbar lordosis. In cases where scoliosis and hip displacement occur and progress even after conservative managements are implemented, early referral to surgery should be considered. Oromotor activity and swallowing function are influenced not only by the effects of disease-modifying drugs, but also by post-birth experience and training. Therefore, although the feeding tube cannot be removed, it is necessary to make efforts to simulate the infant feeding development while maintaining partial oral feeding. Since the application period of non-invasive ventilators has increased, it has become more important to prevent long-term complications such as facial abrasion, skin allergy, orthodontic deformities, and maxillary flattening caused by the interface. Dual ventilator mode or interface can also be utilized.

Citations

Citations to this article as recorded by  
  • Physical and Respiratory Rehabilitation in Spinal Muscular Atrophy: A Critical Narrative Review
    Serena Cammarano, Vincenzo Alessio Chirico, Benedetto Giardulli, Giovanna Mazzuoccolo, Carlo Ruosi, Bruno Corrado
    Applied Sciences.2025; 15(8): 4398.     CrossRef
  • 3,407 View
  • 132 Download
  • 1 Web of Science
  • 1 Crossref

Spinal cord injury

Effects of Botulinum Toxin-A for Spasticity and Nociceptive Pain in Individuals with Spinal Cord Injury: A Systematic Review and Meta-Analysis
Dewan Md. Sumsuzzman, Zeeshan Ahmad Khan, Irin Sultana Nila, Vanina Myuriel Villagra Moran, Madhuvilakku Rajesh, Won Jong Yang, Yonggeun Hong
Ann Rehabil Med 2024;48(3):192-202.   Published online June 28, 2024
DOI: https://doi.org/10.5535/arm.240034
We conducted a systematic review and meta-analysis to examine the protective effects of botulinum toxin-A (Botox-A) on spasticity and nociceptive pain in individuals with spinal cord injuries (SCIs). PubMed, Embase, and Cochrane Library databases were searched from inception to July 2023. The primary outcome of interest was spasticity and nociceptive pain. We pooled the available data using the generic inverse variance method, and we used a fixed-effect/random-effects model. We then calculated standardized mean difference (SMD) and 95% confidence intervals (95% CIs) to estimate the effect size. A total of fourteen studies meeting the inclusion criteria comprised two randomized controlled trials, five pre-post studies, and seven case reports. Across the various study designs, the majority of trials were assessed to have fair to high quality. The meta-analysis shows that Botox-A significantly decreased spasticity (SMD, -1.73; 95% CI, -2.51 to -0.95; p<0.0001, I2=48%) and nociceptive pain (SMD, -1.79; 95% CI, -2.67 to -0.91; p<0.0001, I2=0%) in SCI patients. Furthermore, Botox-A intervention improved motor function, activities of daily living (ADL), and quality of life. Our study suggests that Botox-A may alleviate spasticity and nociceptive pain in SCI patients. Moreover, the observed improvements in motor function, ADL, and overall quality of life following Botox-A intervention underscore its pivotal role in enhancing patient outcomes.
  • 3,441 View
  • 99 Download

Spinal cord injury

Robot-Assisted Gait Training in Individuals With Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Jong Mi Park, Yong Wook Kim, Su Ji Lee, Ji Cheol Shin
Ann Rehabil Med 2024;48(3):171-191.   Published online June 28, 2024
DOI: https://doi.org/10.5535/arm.230039
Spinal cord injury (SCI) rehabilitation emphasizes locomotion. Robotic-assisted gait training (RAGT) is widely used in clinical settings because of its benefits; however, its efficacy remains controversial. We conducted a systematic review and meta-analysis to investigate the efficacy of RAGT in patients with SCI. We searched international and domestic databases for articles published until April 18, 2024. The meta-analysis employed a random effects model to determine the effect size as either mean difference (MD) or standardized MD (SMD). Evidence quality was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Twenty-three studies with a total of 690 participants were included in the final analysis. The overall pooled effect size for improvement in activities of daily living was 0.24, with SMD (95% confidence interval [95% CI], 0.04–0.43; GRADE: high) favoring RAGT over conventional rehabilitation. Muscular strength (MD, 0.23; 95% CI, 0.02–0.44; GRADE: high), walking index for SCI (MD, 0.31; 95% CI, 0.07–0.55; GRADE: moderate) and 6 min walk test distance (MD, 0.38; 95% CI, 0.14–0.63; GRADE: moderate) showed significant improvement in the robot group. Subgroup analysis revealed that subacute patients and intervention periods >2 months were more effective. This meta-analysis revealed that RAGT significantly improved activities of daily living, muscular strength, and walking abilities. Additional studies are needed to identify the optimal treatment protocol and specific patient groups for which the protocol is most effective.

Citations

Citations to this article as recorded by  
  • Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial
    Kap-Soo Han, Myoung-Hwan Ko
    Geriatrics.2025; 10(1): 23.     CrossRef
  • Advances and New Therapies in Traumatic Spinal Cord Injury
    Antonio Montoto-Marqués, Jesús Benito-Penalva, María Elena Ferreiro-Velasco, Mark Andrew Wright, Sebastian Salvador-De la Barrera, Hatice Kumru, Nelson Gaitán-Pérez, Agustin Hernández-Navarro, Antonio Rodríguez-Sotillo, Fernando Martins Braga, Angela Pale
    Journal of Clinical Medicine.2025; 14(7): 2203.     CrossRef
  • Factors influencing on functional independence outcomes after hospitalization and rehabilitation in children with spinal cord injury
    Hong-Bo Zhao, Xiang-Jiang Rong, Qi Zhang, Ting-Ting Ma, He Yan, Tian-Tian Zhou, Yan-Qing Zhang
    BMC Pediatrics.2025;[Epub]     CrossRef
  • 5,108 View
  • 153 Download
  • 3 Web of Science
  • 3 Crossref

Pain & Musculoskeletal rehabilitation

The Efficacy of Physical Therapy to Alleviate Symptomatic Thoracic Radiculopathy: A Systematic Review and Meta-Narrative Analysis
Karson A Mostert, Jacob Perera, Jennifer Dens Higano, Patrick T Davis, Ryan J Buus, Danielle Gerberi, James Meiling, Cara Prideaux
Ann Rehabil Med 2024;48(2):105-114.   Published online April 9, 2024
DOI: https://doi.org/10.5535/arm.23136
To evaluate the efficacy of physical therapy (PT) to alleviate symptomatic thoracic radiculopathy (TR) without the use of invasive procedures. Database search was conducted by an experienced medical librarian from inception until January 27, 2023, in EBSCO CINAHL with Full Text, Ovid Cochrane Central Register of Controlled Trials, Ovid Embase, Ovid MEDLINE, Scopus, and Web of Science Core Collection. Inclusion criteria included studies that involved adult patients (age≥18) who had a magnetic resonance imaging-confirmed TR and underwent a structured, supervised PT program of any length. All types of studies were included. Study quality and risk of bias were assessed using the National Heart, Lung, and Blood Institute (NHLBI) Study Quality of Assessment Tool. Certainty in evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. A meta-analysis was not performed. A total of 1,491 studies were screened and 7 studies met inclusion criteria, 5 case studies and 2 cohort studies. All studies showed improvement or resolution of the TR with PT. Quantitative improvements were not noted in most studies and PT regimens were sparsely described. Overall quality assessment demonstrated 3 studies had “good,” 1 “fair,” and 3 “poor” quality evidence. Certainty of evidence was “low” due to risk of bias. A dedicated PT program may help to alleviate symptomatic TR; however due to limited evidence, risk of bias, and low certainty in evidence, the data is too weak to support a definite conclusion.
  • 5,052 View
  • 89 Download

Geriatric Rehabilitation

Effectiveness of Community-Based Rehabilitation (CBR) Centers for Improving Physical Fitness for Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
Wei Xin, Dan Xu, Zulin Dou, Angela Jacques, Josephine Umbella, Anne-Marie Hill
Ann Rehabil Med 2024;48(1):5-21.   Published online February 28, 2024
DOI: https://doi.org/10.5535/arm.23148
To synthesise the best available evidence for the effectiveness of interventions delivered in community-based rehabilitation (CBR) centers on physical fitness, for community-dwelling older adults living in Asian countries. This study is a systematic review and meta-analysis. Seven English and two Chinese electronic databases were searched for randomised controlled trials (RCTs) and quasi-experimental studies that were conducted by centers providing CBR. Independent reviewers screened, quality-appraised and extracted data. The primary outcome was physical fitness measured by validated assessment tools, including the Timed Up and Go Test (TUG), gait speed, hand grip strength, Functional Reach Test (FRT), and one-leg standing test. Assessments of activity of daily living and quality of life using tools including the Barthel Index, Short Form (SF)-12, and SF-36 were secondary outcomes. After screening 5,272 studies, 29 studies were included (16 RCTs, 13 quasi-experimental studies) from four countries. Meta-analyses found that CBR programs significantly decreased TUG time (mean difference [MD], -1.89 seconds; 95% confidence interval [95% CI], -2.84 to -0.94; I2=0%; Z=3.90, p<0.0001), improved gait speed (MD, 0.10 m/s; 95% CI, 0.01–0.18; I2=0%; Z=2.26, p=0.02), and increased one-leg standing time (MD, 2.81 seconds; 95% CI, 0.41–5.22; I2=0%; Z=2.29, p=0.02). Handgrip strength and FRT showed no statistically significant improvement in the meta-analyses. CBR may improve aspects of physical fitness for older adults in Asian countries. However, variability in intervention components and measurement tools reduced the ability to pool individual studies. Further trials are required with robust designs including standardised measures of physical fitness.
  • 4,252 View
  • 76 Download

Others

AI in Rehabilitation Medicine: Opportunities and Challenges
Francesco Lanotte, Megan K. O’Brien, Arun Jayaraman
Ann Rehabil Med 2023;47(6):444-458.   Published online December 14, 2023
DOI: https://doi.org/10.5535/arm.23131
Artificial intelligence (AI) tools are increasingly able to learn from larger and more complex data, thus allowing clinicians and scientists to gain new insights from the information they collect about their patients every day. In rehabilitation medicine, AI can be used to find patterns in huge amounts of healthcare data. These patterns can then be leveraged at the individual level, to design personalized care strategies and interventions to optimize each patient’s outcomes. However, building effective AI tools requires many careful considerations about how we collect and handle data, how we train the models, and how we interpret results. In this perspective, we discuss some of the current opportunities and challenges for AI in rehabilitation. We first review recent trends in AI for the screening, diagnosis, treatment, and continuous monitoring of disease or injury, with a special focus on the different types of healthcare data used for these applications. We then examine potential barriers to designing and integrating AI into the clinical workflow, and we propose an end-to-end framework to address these barriers and guide the development of effective AI for rehabilitation. Finally, we present ideas for future work to pave the way for AI implementation in real-world rehabilitation practices.

Citations

Citations to this article as recorded by  
  • Blending Bytes and Bench Presses: The Future of Online Exercise and Artificial Intelligence-Enhanced Rehabilitation
    Rowena Naidoo, Verusia Chetty
    Journal of Physical Activity and Health.2025; 22(1): 2.     CrossRef
  • The potential role of artificial intelligence to promote the participation and inclusion in physical exercise and sports for people with disabilities: A narrative review
    João Paulo Pereira Rosa
    Journal of Bodywork and Movement Therapies.2025; 42: 127.     CrossRef
  • Estimation of elbow flexion torque using equilibrium optimizer on feature selection of NMES MMG signals and hyperparameter tuning of random forest regression
    Raphael Uwamahoro, Kenneth Sundaraj, Farah Shahnaz Feroz
    Frontiers in Rehabilitation Sciences.2025;[Epub]     CrossRef
  • From screens to scenes: A survey of embodied AI in healthcare
    Yihao Liu, Xu Cao, Tingting Chen, Yankai Jiang, Junjie You, Minghua Wu, Xiaosong Wang, Mengling Feng, Yaochu Jin, Jintai Chen
    Information Fusion.2025; 119: 103033.     CrossRef
  • Artificial intelligence in stroke rehabilitation: From acute care to long-term recovery
    Spandana Rajendra Kopalli, Madhu Shukla, B. Jayaprakash, Mayank Kundlas, Ankur Srivastava, Jayant Jagtap, Monica Gulati, Sridevi Chigurupati, Eiman Ibrahim, Prasanna Shama Khandige, Dario Salguero Garcia, Sushruta Koppula, Amin Gasmi
    Neuroscience.2025; 572: 214.     CrossRef
  • Deep Learning for Predicting Rehabilitation Success: Advancing Clinical and Patient-Reported Outcome Modeling
    Yasser Mahmoud, Kaleb Horvath, Yi Zhou
    Electronics.2025; 14(6): 1082.     CrossRef
  • AI-Driven Telerehabilitation: Benefits and Challenges of a Transformative Healthcare Approach
    Rocco Salvatore Calabrò, Sepehr Mojdehdehbaher
    AI.2025; 6(3): 62.     CrossRef
  • Harnessing Generative Artificial Intelligence for Exercise and Training Prescription: Applications and Implications in Sports and Physical Activity—A Systematic Literature Review
    Luca Puce, Nicola Luigi Bragazzi, Antonio Currà, Carlo Trompetto
    Applied Sciences.2025; 15(7): 3497.     CrossRef
  • Functional and motoric outcome of AI-assisted stroke rehabilitation: A meta-analysis of randomized controlled trials
    Tivano Antoni, Benedictus Benedictus, Stefanus Erdana Putra
    Brain Disorders.2025; 18: 100224.     CrossRef
  • Myofascial Pain Syndrome: A Comprehensive Systematic Literature Review on Diagnostic Approaches, Treatment Modalities and Recent Advances
    Anjani Kumar, Sanjay Kumar Pandey, Sanyal Kumar, Amit Kumar Mallik, Debasish Jena
    Indian Journal of Physical Medicine and Rehabilitation.2025; 35(2): 59.     CrossRef
  • Applying AI to Safely and Effectively Scale Care to Address Chronic MSK Conditions
    Anabela C. Areias, Dora Janela, Robert G. Moulder, Maria Molinos, Virgílio Bento, Carolina Moreira, Vijay Yanamadala, Fernando Dias Correia, Fabíola Costa
    Journal of Clinical Medicine.2024; 13(15): 4366.     CrossRef
  • RETRACTED ARTICLE: Using AI to navigate complex neurosurgical procedures in rare gliomas
    Mayur Wanjari, Gaurav Mittal, Roshan Prasad
    Neurosurgical Review.2024;[Epub]     CrossRef
  • Quantifying Asymmetric Gait Pattern Changes Using a Hidden Markov Model Similarity Measure (HMM-SM) on Inertial Sensor Signals
    Gabriel Ng, Aliaa Gouda, Jan Andrysek
    Sensors.2024; 24(19): 6431.     CrossRef
  • Artificial Intelligence in Medical Education and Mentoring in Rehabilitation Medicine
    Julie K. Silver, Mustafa Reha Dodurgali, Nara Gavini
    American Journal of Physical Medicine & Rehabilitation.2024; 103(11): 1039.     CrossRef
  • Artificial Intelligence and Its Revolutionary Role in Physical and Mental Rehabilitation: A Review of Recent Advancements
    Amir Rahmani Rasa, Alejandro L. Borja
    BioMed Research International.2024;[Epub]     CrossRef
  • Enhanced gait tracking measures for individuals with stroke using leg-worn inertial sensors
    Francesco Lanotte, Shusuke Okita, Megan K. O’Brien, Arun Jayaraman
    Journal of NeuroEngineering and Rehabilitation.2024;[Epub]     CrossRef
  • 8,919 View
  • 266 Download
  • 17 Web of Science
  • 16 Crossref

Geriatric Rehabilitation

Improved Muscle Mass and Function With Protein Supplementation in Older Adults With Sarcopenia: A Meta-Analysis
Hyo Eun Kwon, Nayeon Ko, Doyoung Yuk, Seo Won Choi, Seong-Eun Koh
Ann Rehabil Med 2023;47(5):358-366.   Published online October 23, 2023
DOI: https://doi.org/10.5535/arm.23076
Objective
To systematically review the effects of protein supplementation in older adults with sarcopenia.
Methods
A systematic literature search was conducted in PubMed, Cochrane Library, and Embase databases until May 2023. The inclusion criteria were as follows: (1) randomized controlled trials with a quantitative study design; (2) studies with a study group of older adults with sarcopenia; (3) studies comparing muscle mass, muscle strength, and performance of older adults with sarcopenia after protein supplementation; and (4) studies published up to May 2023.
Results
Six retrospective comparative studies, including 715 patients, met the inclusion criteria. The nutritional supplementation group exhibited significant improvement in appendicular skeletal muscle mass (standardized mean difference [SMD]=0.41; 95% confidence interval [CI], 0.24–0.58; p<0.001; I2=1%), while handgrip strength (SMD=0.37; 95% CI, -0.32–1.07; p=0.29; I2=94%) and Short Physical Performance Battery (SPPB) (SMD=0.35; 95% CI, -0.47–1.18; p=0.40; I2=94%) showed a tendency for improvement.
Conclusion
Nutritional supplementation with protein increased appendicular muscle mass in older adults with sarcopenia and improved handgrip strength and SPPB scores.

Citations

Citations to this article as recorded by  
  • Age-related and cancer-related sarcopenia: is there a difference?
    Federico Bozzetti
    Current Opinion in Clinical Nutrition & Metabolic Care.2024; 27(5): 410.     CrossRef
  • Protein‐enriched soup and weekly exercise improve muscle health: A randomized trial in mid‐to‐old age with inadequate protein intake
    Li‐Ning Peng, Ming‐Hsien Lin, Sung‐Hua Tseng, Ko‐Han Yen, Huei‐Fang Lee, Fei‐Yuan Hsiao, Liang‐Kung Chen
    Journal of Cachexia, Sarcopenia and Muscle.2024; 15(4): 1348.     CrossRef
  • SuperAgers and centenarians, dynamics of healthy ageing with cognitive resilience
    Md Ariful Islam, Ujala Sehar, Omme Fatema Sultana, Upasana Mukherjee, Malcolm Brownell, Sudhir Kshirsagar, P. Hemachandra Reddy
    Mechanisms of Ageing and Development.2024; 219: 111936.     CrossRef
  • Consumption of protein supplements/protein-fortified foods among young adults in Jeju
    Hyoju Lee, Youjeong Jang, Sumin Kim, Kyungho Ha
    Journal of Nutrition and Health.2024; 57(2): 261.     CrossRef
  • Impact of increased protein intake in older adults: a 12-week double-blind randomised controlled trial
    Janine Wirth, Annalisa Segat, Katy Horner, Domenico Crognale, Thomas Smith, Maurice O’Sullivan, Lorraine Brennan
    Age and Ageing.2024; 53(Supplement): ii13.     CrossRef
  • Nutrition resilience for healthy ageing
    Claire T McEvoy, Colin D McClure
    Age and Ageing.2024; 53(Supplement): ii1.     CrossRef
  • Study of whey protein on muscle mass and functional rehabilitation in postoperative total knee arthroplasty patients
    Mengshi Li, Qiongfang Shi, Xinle Che, Xingyan Du, Dongming Wang, Yufeng Song
    Journal of Back and Musculoskeletal Rehabilitation.2024; 37(5): 1381.     CrossRef
  • Functional status of the cardiovascular system in elderly patients with sarcopenia
    Iu. Samoilova, M. Matveeva, D. Podchinenova, Ya. Yakimova, L. Shuliko, V. Avkhimenko, D. Kudlay, E. Samoylov, E. Khoroshunova, A. Ragimov
    Vrach.2024; : 48.     CrossRef
  • 6,510 View
  • 186 Download
  • 6 Web of Science
  • 8 Crossref

Geriatric Rehabilitation

E-Health Interventions for Older Adults With Frailty: A Systematic Review
Hyeong-Wook Han, Si-Woon Park, Doo Young Kim, Bum-Suk Lee, Daham Kim, Namo Jeon, Yun-Jung Yang
Ann Rehabil Med 2023;47(5):348-357.   Published online October 27, 2023
DOI: https://doi.org/10.5535/arm.23090
Objective
To systematically review the efficacy of e-Health interventions on physical performance, activity and quality of life in older adults with sarcopenia or frailty.
Methods
A systematic review was conducted by searching the MEDLINE, Embase, Cochrane Library, CINHAL, Web of Science, and the Physiotherapy Evidence Database for experimental studies published in English from 1990 to 2021. E-Health studies investigating physical activity, physical performance, quality of life, and activity of daily living assessment in adults aged ≥65 years with sarcopenia or frailty were selected.
Results
Among the 3,164 identified articles screened, a total of 4 studies complied with the inclusion criteria. The studies were heterogeneous by participant characteristics, type of e-Health intervention, and outcome measurement. Age criteria for participant selection and sex distribution were different between studies. Each study used different criteria for frailty, and no study used sarcopenia as a selection criteria. E-Health interventions were various across studies. Two studies used frailty status as an outcome measure and showed conflicting results. Muscle strength was assessed in 2 studies, and meta-analysis showed statistically significant improvement after intervention (standardized mean difference, 0.51; 95% confidence interval, 0.07–0.94; p=0.80, I2=0%).
Conclusion
This systematic review found insufficient evidence to support the efficacy of e-Health interventions. Nevertheless, the studies included in this review showed positive effects of e-Health interventions on improving muscle strength, physical activity, and quality of life in older adults with frailty.

Citations

Citations to this article as recorded by  
  • A multidisciplinary telemedicine approach for managing frailty in Parkinson's disease. A longitudinal, case-control study
    Álvaro García-Bustillo, José Miguel Ramírez-Sanz, José Luis Garrido-Labrador, Alicia Olivares-Gil, Florita Valiñas-Sieiro, Marta Allende-Río, Josefa González-Santos, Jerónimo Javier González-Bernal, Maha Jahouh, Sara Calvo-Simal, Lucía Simón-Vicente, Nati
    Parkinsonism & Related Disorders.2025; 130: 107215.     CrossRef
  • Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR)
    Mikel Izquierdo, Philipe de Souto Barreto, Hidenori Arai, Heike A. Bischoff-Ferrari, Eduardo L. Cadore, Matteo Cesari, Liang-Kung Chen, Paul M. Coen, Kerry S. Courneya, Gustavo Duque, Luigi Ferrucci, Roger A. Fielding, Antonio García-Hermoso, Luis Miguel
    The Journal of nutrition, health and aging.2025; 29(1): 100401.     CrossRef
  • What are end-users’ needs and preferences for a comprehensive e-health program for type 2 diabetes? – A qualitative user preference study
    Tina Rishaug, Anne-Marie Aas, André Henriksen, Gunnar Hartvigsen, Kåre Inge Birkeland, Eirik Årsand, Ai Theng Cheong,
    PLOS ONE.2025; 20(3): e0318876.     CrossRef
  • The Impact of Depression and Leisure Activities on E-Health Literacy Among Older Adults: A Cross-Cultural Study in the EU and Japan
    Kumi Morishita-Suzuki, Toshimi Ogawa, Roberta Bevilacqua, Sebastien Dacunha, Vera Stara, Johanna Möller, Cecilia Palmier, Asako Ohara, Ai Abe, Denilson Brilliant T., Maribel Pino, Rainer Wieching, Elvira Maranesi, Anne-Sophie Rigaud, Shuichiro Watanabe, V
    International Journal of Environmental Research and Public Health.2025; 22(3): 403.     CrossRef
  • Evidence on non-pharmacological interventions for preventing or reversing physical frailty in community-dwelling older adults aged over 50 years: overview of systematic reviews
    Annemarie Money, Aylish MacKenzie, Amelia Parchment, Gill Norman, Danielle Harris, Saima Ahmed, Lisa McGarrigle, Helen Hawley-Hague, Chris Todd
    BMC Geriatrics.2025;[Epub]     CrossRef
  • Digital health interventions for non-older individuals at risk of frailty: A systematic review and meta-analysis
    Momoko Tohyama, Ryo Momosaki, Yuka Shirai, Kenta Ushida, Yuki Kato, Miho Shimizu, Issei Kameda, Yuya Sakurai, Asuka Hori, Masatsugu Okamura, Takahiro Tsuge, Hiroki Sato, Yuki Nakashima, Kaori Endo, Shota Hayashi, Norio Yamamoto, Daisuke Matsumoto, Kenichi
    DIGITAL HEALTH.2025;[Epub]     CrossRef
  • Current and Future Challenges for Rehabilitation for Inflammatory Arthritis
    Rikke Helene Moe, Thea P. M. Vliet Vlieland
    Journal of Clinical Medicine.2024; 13(6): 1808.     CrossRef
  • Frail Older Adults' Needs and Preferences for Mobile Health Exercise Interventions Guided by Nudge Theory: AQualitative Analysis
    Ruotong Peng, Zeng Cao, Shaolong Hu, Xinzhou Liu, Yongzhen Guo, Xiaoyang Li, Chi Zhang, Hui Feng
    Journal of Clinical Nursing.2024;[Epub]     CrossRef
  • A Real-Time Web-Based Intervention with a Multicomponent Group-Based Program for Older Adults: Single-Arm Feasibility Study
    Tsubasa Nakada, Kayo Kurotani, Takako Kozawa, Satoshi Seino, Shinichi Murota, Miki Eto, Junko Shimasawa, Yumiko Shimizu, Shinobu Tsurugano, Fuminori Katsukawa, Kazunori Sakamoto, Hironori Washizaki, Yo Ishigaki, Maki Sakamoto, Keiki Takadama, Keiji Yanai,
    Healthcare.2024; 12(23): 2365.     CrossRef
  • 4,895 View
  • 85 Download
  • 8 Web of Science
  • 9 Crossref

Dysphagia

Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update
Shingo Kakehi, Eri Isono, Hidetaka Wakabayashi, Moeka Shioya, Junki Ninomiya, Yohei Aoyama, Ryoko Murai, Yuka Sato, Ryohei Takemura, Amami Mori, Kei Masumura, Bunta Suzuki
Ann Rehabil Med 2023;47(5):337-347.   Published online October 31, 2023
DOI: https://doi.org/10.5535/arm.23101
Sarcopenic dysphagia is characterized by weakness of swallowing-related muscles associated with whole-body sarcopenia. As the number of patients with sarcopenia increases with the aging of the world, the number of patients with sarcopenic dysphagia is also increasing. The prevalence of sarcopenic dysphagia is high in the institutionalized older people and in patients hospitalized for pneumonia with dysphagia in acute care hospitals. Prevention, early detection and intervention of sarcopenic dysphagia with rehabilitation nutrition are essential. The diagnosis of sarcopenic dysphagia is based on skeletal and swallowing muscle strength and muscle mass. A reliable and validated diagnostic algorithm for sarcopenic dysphagia is used. Sarcopenic dysphagia is associated with malnutrition, which leads to mortality and Activities of Daily Living (ADL) decline. The rehabilitation nutrition approach improves swallowing function, nutrition status, and ADL. A combination of aggressive nutrition therapy to improve nutrition status, dysphagia rehabilitation, physical therapy, and other interventions can be effective for sarcopenic dysphagia. The rehabilitation nutrition care process is used to assess and problem solve the patient’s pathology, sarcopenia, and nutrition status. The simplified rehabilitation nutrition care process consists of a nutrition cycle and a rehabilitation cycle, each with five steps: assessment, diagnosis, goal setting, intervention, and monitoring. Nutrition professionals and teams implement the nutrition cycle. Rehabilitation professionals and teams implement the rehabilitation cycle. Both cycles should be done simultaneously. The nutrition diagnosis of undernutrition, overnutrition/obesity, sarcopenia, and goal setting of rehabilitation and body weight are implemented collaboratively.

Citations

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    Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Ayaka Matsumoto, Sayuri Shimazu, Ai Shiraishi, Yoshifumi Kido, Takahiro Bise, Takenori Hamada, Kouki Yoneda
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    European Geriatric Medicine.2024; 15(3): 777.     CrossRef
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    Shingo Kakehi, Hidetaka Wakabayashi, Eri Isono, Ryohei Takemura, Yuka Sato, Yukiko Otsuka, Takako Nagai, Shinta Nishioka, Ryo Momosaki
    Archives of Gerontology and Geriatrics.2024; 127: 105577.     CrossRef
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    Fumiko Furukawa, Kiyohito Kakita
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    Elisabet Sanchez-Garcia, Alfonso J. Cruz-Jentoft, Paula Ravasco, Merja Suominen, Prof Kaisu Pitkälä
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    Hidetaka Wakabayashi, Shingo Kakehi, Ayano Nagano, Masako Kishima, Masataka Itoda, Shinta Nishioka, Ryo Momosaki
    Journal of General and Family Medicine.2024; 25(6): 343.     CrossRef
  • Triad of rehabilitation, nutrition support, and oral management improves activities of daily living and muscle health in hospitalized patients after stroke
    Yoshihiro Yoshimura, Sayuri Shimazu, Ai Shiraishi, Hidetaka Wakabayashi, Fumihiko Nagano, Ayaka Matsumoto, Yoshifumi Kido, Takahiro Bise, Aomi Kuzuhara, Takenori Hamada, Kouki Yoneda
    Clinical Nutrition ESPEN.2024; 63: 837.     CrossRef
  • The Prevalence and Prognosis of Cachexia in Patients with Non-Sarcopenic Dysphagia: A Retrospective Cohort Study
    Shingo Kakehi, Hidetaka Wakabayashi, Takako Nagai, Shinta Nishioka, Eri Isono, Yukiko Otsuka, Junki Ninomiya, Ryo Momosaki
    Nutrients.2024; 16(17): 2917.     CrossRef
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  • 204 Download
  • 12 Web of Science
  • 11 Crossref

Brain disorders

Post-Stroke Spastic Movement Disorder and Botulinum Toxin A Therapy: Early Detection And Early Injection
Jörg Wissel, Anatol Kivi
Ann Rehabil Med 2023;47(5):326-336.   Published online October 23, 2023
DOI: https://doi.org/10.5535/arm.23108
Post-stroke spastic movement disorder (PS-SMD) develops in up to 40% of stroke survivors after a first ever stroke within the first year. Chronic PS-SMD is often associated with severe disabilities and complications, emphasizing the importance of its early recognition and early adequate management. Extensive research has aimed to accurately predict and sensitively detect a PS-SMD. Symptomatic therapies include conventional rehabilitation and local intramuscular injections of botulinum toxin A (BoNT-A). The latter is widely used, but primarily in the chronic phase of stroke. However, recent studies have shown the safety and efficacy of BoNT-A therapy even in the acute phase and early sub-acute phase after stroke, i.e., within three months post-stroke, leading to an improved long-term outcome in stroke rehabilitation. Local BoNT-A injections evolve as the primary approach in focal, multifocal, and segmental chronic or acute/subacute PS-SMD. Patients at high risk for or manifest PS-SMD should be identified by an early spasticity risk assessment. By doing so, PS-SMD can be integral part of the patient-centered goal-setting process of a multiprofessional spasticity-experienced team. The benefit of an early PS-SMD treatment by BoNT-A should predominate putative degenerative muscle changes due to long-term BoNT-A therapy by far. This, as early treatment effectively avoids complications typically associated with a PS-SMD, i.e., contractures, pain, skin lesions. The management of PS-SMD requires a comprehensive and multidisciplinary approach. Early assessment, patient-centered goal setting, early intervention, and early use of BoNT-A therapy prevents from PS-SMD complications and may improve rehabilitation outcome after stroke.

Citations

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  • How many stroke survivors develop problematic spasticity requiring pharmacological therapy? An international (Europe and USA) observational study protocol
    Richard D Zorowitz, Laura Serrano Barrenechea, Simon Butet, Sergiu Groppa, David Hernández Herrero, Rama Prasad, Susan Sandars, Seema Meloni, Simon Page, Pascal Maisonobe, Alessandro Picelli
    BMJ Open.2025; 15(1): e087404.     CrossRef
  • The Role of Botulinum Toxin Type-A in Spasticity: Research Trends from a Bibliometric Analysis
    Salvatore Facciorusso, Stefania Spina, Alessandro Picelli, Alessio Baricich, Gerard E. Francisco, Franco Molteni, Jörg Wissel, Andrea Santamato
    Toxins.2024; 16(4): 184.     CrossRef
  • Botulinum Toxin in Treatments for Abnormal Movements
    María Gabriela González Chico, Xaviera Elizabeth Medina Godoy, Miliana Esperanza Estupiñan Bazurto, María José López Becerra
    Más Vita.2024; 6(2): 82.     CrossRef
  • Botulinum Toxin Type A (BoNT-A) Use for Post-Stroke Spasticity: A Multicenter Study Using Natural Language Processing and Machine Learning
    María Jesús Antón, Montserrat Molina, José Gabriel Pérez, Santiago Pina, Noemí Tapiador, Beatriz De La Calle, Mónica Martínez, Paula Ortega, María Belén Ruspaggiari, Consuelo Tudela, Marta Conejo, Pedro Leno, Marta López, Carmen Marhuenda, Carlos Arias-Ca
    Toxins.2024; 16(8): 340.     CrossRef
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    Chuanxi Zhu, Lingxu Li, Long Qiu, Guangcheng Ji
    Frontiers in Neurology.2024;[Epub]     CrossRef
  • Early is Better, Then, How Early and How to Apply: Practical Approach of Botulinum Toxin Injection
    Joon-Ho Shin
    Annals of Rehabilitation Medicine.2023; 47(6): 439.     CrossRef
  • 5,233 View
  • 170 Download
  • 5 Web of Science
  • 6 Crossref

Cardiopulmonary rehabilitation

Fact Sheet on Cardiac Rehabilitation for Cardiovascular Disease in South Korea
Ki-Hong Kim, Jae-Young Han
Ann Rehabil Med 2023;47(5):318-325.   Published online October 31, 2023
DOI: https://doi.org/10.5535/arm.23050
Cardiovascular disease (CVD) poses a significant health challenge globally, including in Korea, due to its status as a leading cause of death and its impact on cardiopulmonary function. Cardiac rehabilitation (CR) is a well-established program that not only aids in restoring cardiopulmonary function, but also improves physical and social conditions. The benefits of CR are widely recognized, and it is implemented globally. While the effectiveness of CR has been proven in Korea, it is underutilized. This fact sheet summarizes the current status of CR in Korea, including the prevalence of CVD, the clinical practice guidelines for CR programs, and the challenges of implementing CR in Korea.

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  • The Accessibility and Effect of Cardiac Rehabilitation in COVID-19 Pandemic Era
    Chul Kim, Jun Hyeong Song, Seung Hyoun Kim
    Annals of Rehabilitation Medicine.2024; 48(4): 249.     CrossRef
  • Effectiveness of Home-Based Cardiac Rehabilitation with Optimized Exercise Prescriptions Using a Mobile Healthcare App in Patients with Acute Myocardial Infarction: A Randomized Controlled Trial
    Hyun-Seok Jo, Hyeong-Min Kim, Chae-Hyun Go, Hae-Young Yu, Hyeng-Kyu Park, Jae-Young Han
    Life.2024; 14(9): 1122.     CrossRef
  • Cardiac rehabilitation for patients with coronary artery disease
    Jang Woo Lee
    Journal of the Korean Medical Association.2024; 67(9): 566.     CrossRef
  • 4,327 View
  • 54 Download
  • 4 Web of Science
  • 3 Crossref

Others

Disaster Response and Management: The Integral Role of Rehabilitation
Bhasker Amatya, Fary Khan
Ann Rehabil Med 2023;47(4):237-260.   Published online August 22, 2023
DOI: https://doi.org/10.5535/arm.23071
With the increasing frequency of disasters and the significant upsurge of survivors with severe impairments and long-term disabling conditions, there is a greater focus on the importance of rehabilitation in disaster management. During disasters, rehabilitation services confront a greater load due to the influx of victims, management of persons with pre-existing disabilities and chronic conditions, and longer-term care continuum. Despite robust consensus amongst the international disaster response and management community for the rehabilitation-inclusive disaster management process, rehabilitation is still less prioritised. Evidence supports the early involvement of rehabilitation professionals in disaster response and management for minimising mortality and disability, and improving clinical outcomes and participation in disaster survivors. In the last two decades, there have been substantial developments in disaster response/management processes including the World Health Organization Emergency Medical Team (EMT) initiative, which provides a standardized structured plan to provide effective and coordinated care during disasters. However, rehabilitation-inclusive disaster management plans are yet to be developed and/or implemented in many disaster-prone countries. Strong leadership and effective action from national and international bodies are required to strengthen national rehabilitation capacity (services and skilled workforce) and empower international and local EMTs and health services for comprehensive disaster management in future calamities. This narrative review highlights the role of rehabilitation and current developments in disaster rehabilitation; challenges and key future perspectives in this area.

Citations

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  • Rehabilitation under fire: insights from SUMC
    Alan Friedman, Cheryl Benjamin, Iuly Treger
    The Lancet.2025; 405(10487): 1338.     CrossRef
  • Afet Sonrası Tıbbi Rehabilitasyon Süreci ve Küresel Gelişmeler
    Cem Zafer Yıldır
    Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi.2024; 19(1): 134.     CrossRef
  • Development and implementation of a rehabilitation triage algorithm for disasters in the subacute phase: an experience from the 2024 Noto peninsula earthquake
    Shigehito Shiota, Naoya Orita, Yuma Tsubakita, Masaya Ichimoto, Noboru Shimada, Naoya Goto, Tomohiro Hirota, Shunsuke Taito, Kazuhiko Hirata, Yukio Mikami
    Frontiers in Disaster and Emergency Medicine.2024;[Epub]     CrossRef
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    Sibel Basaran, Aylin Sariyildiz, Sila Olmez, Bugra Kundakci, Omer Sunkar Bicer
    Injury.2024; 55(11): 111920.     CrossRef
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    Akira Morikawa, Masao Tomioka, Ryuichi Saura
    The Japanese Journal of Rehabilitation Medicine.2024; 61(8): 757.     CrossRef
  • Challenges in accessing health care services for women and girls with disabilities using a humanitarian physical rehabilitation program in Lebanon: a mixed method study
    Linda Abou-Abbas, Diana Sabbagh, Rodolfo Rossi, Lavanya Vijayasingham, Maria Rita Lteif, Haya Rawi, Rouba Mitri, Hala Al Sultan, Aicha Benyaich, Ahmad AL-MOSA, Claudia Truppa
    International Journal for Equity in Health.2024;[Epub]     CrossRef
  • 7,010 View
  • 118 Download
  • 4 Web of Science
  • 6 Crossref

Cardiopulmonary rehabilitation

Inspiratory Muscle Training in Patients in the Postoperative Phase of Cardiac Surgery: A Systematic Review and Meta-Analysis
André Luiz Lisboa Cordeiro, Lucas Oliveira Soares, Mansueto Gomes-Neto, Jefferson Petto
Ann Rehabil Med 2023;47(3):162-172.   Published online June 9, 2023
DOI: https://doi.org/10.5535/arm.23022
To review the evidence about inspiratory muscle training (IMT) in patients in postoperative of cardiac surgery. We conducted this systematic review used the databases Ovid, LILACS, CINAHL, PubMed, PEDro, and CENTRAL. Randomized clinical trials that addressed IMT after cardiac surgery were selected. The outcomes assessed were maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), tidal volume (TV), peak expiratory flow (PEF), functional capacity (6-minute walk test) and length of hospital stay. The mean difference between groups and the respective 95% confidence interval (CI) were calculated and used to quantify the effect of continuous outcomes. Seven studies were selected. The IMT was superior to the control over MIP 15.77 cmH2O (95% CI, 5.95–25.49), MEP 15.87 cmH2O (95% CI, 1.16–30.58), PEF 40.98 L/min (95% CI, 4.64–77.32), TV 184.75 mL (95% CI, 19.72–349.77), hospital stay -1.25 days (95% CI, -1.77 to -0.72), but without impact on functional capacity 29.93 m (95% CI, -27.59 to 87.45). Based on the results presented, IMT was beneficial as a form of treatment for patients after cardiac surgery.

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  • Effect of inspiratory muscle training in esophageal cancer patients receiving esophagectomy: A meta-analysis of randomized controlled trials
    Jianhua Su, Wei Huang, Pengming Yu, Fatma Abdelfattah Hegazy
    PLOS ONE.2024; 19(7): e0307069.     CrossRef
  • Benefits from Implementing Low- to High-Intensity Inspiratory Muscle Training in Patients Undergoing Cardiac Surgery: A Systematic Review
    Aphrodite Evangelodimou, Irini Patsaki, Alexandros Andrikopoulos, Foteini Chatzivasiloglou, Stavros Dimopoulos
    Journal of Cardiovascular Development and Disease.2024; 11(12): 380.     CrossRef
  • The impact of threshold-loaded inspiratory muscle training and respiratory biofeedback on preserving inspiratory muscle strength and vital capacity after CABG: a randomized clinical trial
    Bahareh Mehregan-Far
    American Journal of Cardiovascular Disease.2024; 14(6): 375.     CrossRef
  • 3,613 View
  • 132 Download
  • 4 Web of Science
  • 3 Crossref

Pediatric rehabilitation

Early Neurodevelopmental Assessments of Neonates Discharged From the Neonatal Intensive Care Unit: A Physiatrist’s Perspective
Sung Eun Hyun, Jeong-Yi Kwon, Bo Young Hong, Jin A Yoon, Ja Young Choi, Jiyeon Hong, Seong-Eun Koh, Eun Jae Ko, Seung Ki Kim, Min-Keun Song, Sook-Hee Yi, AhRa Cho, Bum Sun Kwon
Ann Rehabil Med 2023;47(3):147-161.   Published online June 27, 2023
DOI: https://doi.org/10.5535/arm.23038
The survival rate of children admitted in the neonatal intensive care unit (NICU) after birth is on the increase; hence, proper evaluation and care of their neurodevelopment has become an important issue. Neurodevelopmental assessments of individual domains regarding motor, language, cognition, and sensory perception are crucial in planning prompt interventions for neonates requiring immediate support and rehabilitation treatment. These assessments are essential for identifying areas of weakness and designing targeted interventions to improve future functional outcomes and the quality of lives for both the infants and their families. However, initial stratification of risk to select those who are in danger of neurodevelopmental disorders is also important in terms of cost-effectiveness. Efficient and robust functional evaluations to recognize early signs of developmental disorders will help NICU graduates receive interventions and enhance functional capabilities if needed. Several age-dependent, domain-specific neurodevelopmental assessment tools are available; therefore, this review summarizes the characteristics of these tools and aims to develop multidimensional, standardized, and regular follow-up plans for NICU graduates in Korea.

Citations

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  • Recurrent peripheral intravenous catheterization in neonates: A case series
    Stephanie Hall, Emily Larsen, Linda Cobbald, Nicole Marsh, Linda McLaughlin, Mari Takashima, Robert S. Ware, Amanda Ulman, Deanne August
    Nursing in Critical Care.2025;[Epub]     CrossRef
  • Improvement in functional motor scores in patients with non-ambulatory spinal muscle atrophy during Nusinersen treatment in South Korea: a single center study
    Jin A. Yoon, Yuju Jeong, Jiae Lee, Dong Jun Lee, Kyung Nam Lee, Yong Beom Shin
    BMC Neurology.2024;[Epub]     CrossRef
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    Ravi Gajula, Veerabadram Yeshala, Nagalakshmi Gogikar, Rakesh Kotha
    Cureus.2024;[Epub]     CrossRef
  • Performance of Activities of Daily Living in Typically Developing Children in Korea: Normative Value of K-MBI
    Mi-Jeong Yoon, Sungwoo Paek, Jongbin Lee, Youngdeok Hwang, Joon-Sung Kim, Yeun-Jie Yoo, Bo Young Hong
    Annals of Rehabilitation Medicine.2024; 48(4): 281.     CrossRef
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    Natalia V. Andrushchenko, Alexander B. Palchik, Marina V. Osipova
    Russian Family Doctor.2024; 28(4): 24.     CrossRef
  • 6,027 View
  • 155 Download
  • 6 Web of Science
  • 5 Crossref

Spinal Cord Injury

Spinal Cord Injury Fact Sheet in Korea
Han-Kyoul KIM, Ja-Ho Leigh, Yoonjeong Choi, Jong Hwa Lee, Moon Suk Bang
Ann Rehabil Med 2023;47(1):4-10.   Published online February 28, 2023
DOI: https://doi.org/10.5535/arm.23020
Spinal cord injury (SCI) has been recognized as a medically complex and life-disrupting condition. As the aging of the population accelerates, the trend of SCI has changed. This review aimed to provide comprehensive statistics and recent epidemiological changes in SCI and rehabilitation in Korea. All three insurance databases (National Health Insurance Service [NHIS], automobile insurance [AUI], and industrial accident compensation insurance [IACI]) were considered. These nationwide databases provide data on the current trends in term of incidence, etiology, and rehabilitation of SCI. Traumatic spinal cord injury (TSCI) was more frequent among the elderly in the NHIS compared to working age individuals in the AUI and IACI. In all three trauma-related insurance databases, male with TSCI outnumbered female. TSCI incidence per year was approximately 17 times higher among males than females, on average, in IACI. In all three insurances, the cervical level of TSCI was the most frequent. Although the ratio of SCI patients receiving rehabilitation treatment at primary and secondary hospitals increased for nine years, the increase in training on activities of daily living (ADL training) was found to be relatively small. This review provides a broader and comprehensive understanding of the incidence, etiology, and rehabilitation treatment of SCI in Korea.

Citations

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  • Effectiveness of a Community-Based Exercise Program for Ambulatory Individuals With Spinal Cord Injury: A Randomized Controlled Trial
    Sungchul Huh, Yuna Kim, Hyun-Yoon Ko, Mi Sook Yun, Yong Il Shin, Jung Lim Lee, Sung-Hwa Ko
    Archives of Physical Medicine and Rehabilitation.2025; 106(4): 481.     CrossRef
  • Deep Learning-Based Prediction Model for Gait Recovery after a Spinal Cord Injury
    Hyun-Joon Yoo, Kwang-Sig Lee, Bummo Koo, Chan-Woo Yong, Chae-Won Kim
    Diagnostics.2024; 14(6): 579.     CrossRef
  • Traumatic spinal cord injury: A four-year study in Puerto Rico
    Manuel F. Mas, Félix Pérez, Anna Blanco, Javier Deya, Natasha L. Frontera, Marcos R. Latimer, José Quintana, José G. Conde, Walter R. Frontera
    The Journal of Spinal Cord Medicine.2024; : 1.     CrossRef
  • Risk of fracture among patients with spinal cord injury: A nationwide cohort study in South Korea
    Seonghye Kim, Bongseong Kim, Kyung-Do Han, Junhee Park, Jung Eun Yoo, Hea Lim Choi, Won Hyuk Chang, In Young Cho, Dong Wook Shin
    Bone.2024; 183: 117093.     CrossRef
  • Significance of physical factors on activities of daily living in patients with tetraplegia after spinal cord injury: a retrospective study
    Kimin Yun, Jin-cheol Lim, Onyoo Kim
    BMC Sports Science, Medicine and Rehabilitation.2024;[Epub]     CrossRef
  • Community-Based Exercise Programs Post Spinal Cord Injury Hospitalization: A Pilot Study for a Randomized, Multicenter, Double-Blind Controlled Setting
    Dongheon Kang, Jiyoung Park
    Life.2024; 14(9): 1135.     CrossRef
  • Trends in the Incidence and Etiology of Non-Traumatic Spinal Cord Injury in Korea: A Nationwide Population-Based Study From 2007 to 2020
    Yoonjeong Choi, Ja-Ho Leigh, Jooeun Jeon, Goo Joo Lee, Hyung-Ik Shin, Moon Suk Bang
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Risk Factors for Suicidality in Individuals With Spinal Cord Injury: A Focus on Physical and Functional Characteristics
    Sora Han, Wooyeung Kim, Onyoo Kim
    Annals of Rehabilitation Medicine.2023; 47(5): 377.     CrossRef
  • 8,069 View
  • 135 Download
  • 8 Web of Science
  • 8 Crossref

Orthosis & Prosthesis

Fact Sheet of Amputee 10-Year Trends in Korea: From 2011 to 2020
Soo-Kyung Bok, Youngshin Song
Ann Rehabil Med 2022;46(5):221-227.   Published online October 31, 2022
DOI: https://doi.org/10.5535/arm.22121
This fact sheet was used to analyze the trends in the number of amputees within the population and changes in their health-related behaviors since 2011. Data from the National Survey of Disabled Persons in Korea from 2011 to 2020 were used in this study. The cases of amputation among people with disabilities have increased. Although there were more upper extremity amputations than lower extremity amputations, as amputations below the wrist account for a greater proportion in South Korea than in other countries, the number of upper extremity amputations decreased and lower extremity amputations increased. The most common cause of amputation is accidents, followed by diseases and congenital anomalies. The majority of the amputees were male; however, the number of females showed a gradual increase, and the average age also increased. The proportion of amputated patients with chronic diseases, such as diabetes and hypertension, is increasing, and medical services are relatively limited. In this review study, through the 10-year trend change in the prevalence of amputee, it was possible to infer the impact of personal, social, and environmental changes. Based on these amputee statistics, it is expected that they can be used to plan health and medical policies for the disabled.

Citations

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  • Impact of delayed amputation on clinical outcomes compared to that of early amputation in patients with blunt polytrauma
    Jinjoo Kim, Wanseon Choi, Wontae Cho, Jonghwan Moon
    Scientific Reports.2025;[Epub]     CrossRef
  • Risk of Heart Disease in Patients With Amputation: A Nationwide Cohort Study in South Korea
    Hea Lim Choi, Jung Eun Yoo, Miso Kim, Bongsung Kim, Junhee Park, Won Hyuk Chang, Heesun Lee, Kyungdo Han, Dong Wook Shin
    Journal of the American Heart Association.2024;[Epub]     CrossRef
  • Increased Risk of Fracture after Traumatic Amputation: A Nationwide Retrospective Cohort Study
    Hyeonjin Cho, Junhee Park, Bongseong Kim, Kyungdo Han, Hea Lim Choi, Dong Wook Shin
    Healthcare.2024; 12(13): 1362.     CrossRef
  • Epidemiology and Impact of Limb Loss in the United States and Globally
    Jenny Xu, Amna Haider, Amaan Sheikh, Marlis González-Fernández
    Physical Medicine and Rehabilitation Clinics of North America.2024; 35(4): 679.     CrossRef
  • 6,644 View
  • 111 Download
  • 4 Web of Science
  • 4 Crossref

Cancer rehabilitation

Cancer Rehabilitation Fact Sheet in Korea
Jin A Yoon, Bo Young Hong
Ann Rehabil Med 2022;46(4):155-162.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22102
Cancer rehabilitation aims to enable patients to maximize their physical, social, psychological, and vocational functions within the limits that arise during the course of the disease and its treatment. According to recent domestic studies, most patients report one or more physical problems during or after cancer treatment. This review presents the latest updates on cancer-related rehabilitation issues. Cancer rehabilitation in Korea still faces various barriers, including a lack of awareness, problems with the healthcare delivery system, and high costs, and recognizing the need for rehabilitation during cancer treatment varies among patients and even physicians. Hence, an appropriate cooperative referral system for cancer rehabilitation requires improvement. We herein review the current status of and barriers to cancer rehabilitation in South Korea to resolve the issues of domestic cancer rehabilitation.

Citations

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  • Use of Pulmonary Rehabilitation for Lung Cancer Patients in Korea: Analysis of the National Health Insurance Service Database
    Sang Hun Kim, Cho Hui Hong, Jong-Hwa Jeong, Jinmi Kim, Jeong Su Cho, Jin A Yoon, Jung Seop Eom, Byeong Ju Lee, Myung Hun Jang, Myung-Jun Shin, Yong Beom Shin
    Journal of Korean Medical Science.2025;[Epub]     CrossRef
  • Factors associated with sedentary behavior among community-dwelling breast cancer survivors aged 50 years or older
    Jae Hyeon Park, Jung Soo Lee, Hyung Seok Nam, Yeo Hyung Kim
    Scientific Reports.2024;[Epub]     CrossRef
  • 6,646 View
  • 131 Download
  • 2 Web of Science
  • 2 Crossref

Cancer rehabilitation

Rehabilitation of Individuals With Cancer
Robert Samuel Mayer, Jessica Engle
Ann Rehabil Med 2022;46(2):60-70.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.22036
The survival rate of cancer is increasing as treatment improves. As patients with cancer now live longer, impairments may arise that impact quality of life (QOL) and function. Therefore, a focus on QOL is often as important as survival. An interdisciplinary team can achieve goal-oriented and patient-centered rehabilitation, which can optimize function and QOL, and minimize impairments, restrictions, and activity limitations. In most cases, cancer patients must be active participants in therapy and exhibit carryover. Patients with cancer often have impairments that include fatigue, pain, brain fog, impaired cognition, paresis, mood disorders, difficulty with activities of daily living (ADL), bowel/bladder/sexual dysfunction, and bone and soft tissue involvement. Adaptive equipment, exercise, and ADL training can mitigate restrictions on activity. The trajectory and phase of the disease along the continuum of cancer care may influence the goals of rehabilitation in that time window. QOL is often influenced by participation in vocational, recreational, and home-based activities. A holistic perspective should include an analysis of distress, socioeconomic barriers, and transportation limitations when addressing issues.

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  • Explaining needs for rehabilitation in patients with bone sarcoma and a megaprosthesis: a qualitative, grounded theory study
    Jorinde JPM. Denissen, Ingrid CM. van der Geest, Gerben van Hinte, Ingrid ME. Desar, Philip J. van der Wees, Niek Koenders
    Disability and Rehabilitation.2025; 47(9): 2314.     CrossRef
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    Liuxin Zhang, Ankie Tan Cheung, Yongfeng Chen, Ka Ming Chow
    Journal of Clinical Nursing.2025; 34(5): 1931.     CrossRef
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    Gianluca Bertoni, Simone Battista, Valentina Conti, Marco Testa, Sara Patuzzo Manzati
    Archives of Physiotherapy.2025; : 19.     CrossRef
  • Physical Activity in Lower-Extremity Sarcoma Survivors: Specific Recommendations and Program Design
    Lucía Guerrero Romero, Mar Cepero González, Francisco J. Rojas-Ruiz
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Brain disorders

Dementia Epidemiology Fact Sheet 2022
Joon-Ho Shin
Ann Rehabil Med 2022;46(2):53-59.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.22027
This dementia epidemiology fact sheet 2022 is aimed at providing an overview of the epidemiology of dementia in Korea using representative government-led data. This review summarizes the prevalence and incidence of this condition using various types of data. The prevalence and incidence of dementia have increased and are predicted to continue to do so. This information will be utilized by public health officials, healthcare professionals, and policymakers to develop strategies for dementia rehabilitation and prevention.

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    Journal of Pharmaceutical and Biomedical Analysis.2023; 235: 115674.     CrossRef
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    Biomolecules.2023; 13(11): 1568.     CrossRef
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  • 16,601 View
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  • 101 Web of Science
  • 117 Crossref

Brain disorders

Stroke Rehabilitation Fact Sheet in Korea
Se Hee Jung
Ann Rehabil Med 2022;46(1):1-8.   Published online February 28, 2022
DOI: https://doi.org/10.5535/arm.22001
Correction in: Ann Rehabil Med 2022;46(2):108
With rapid aging, the number of stroke survivors with disabilities in Korea is increasing even if mortality is declining. Despite coordinated efforts for quality improvement of stroke rehabilitation in Korea, the statistics of stroke rehabilitation were not well reported. This review aimed to provide contemporary and comprehensive statistics and recent changes in stroke rehabilitation in Korea. The Clinical Practice Guideline for Stroke Rehabilitation in Korea was developed in 2009 and updated in 2012 and 2016. Additionally, the representative databases for stroke rehabilitation include the Korean Brain Rehabilitation Database and the Korean Stroke Cohort for functioning and rehabilitation. These nationwide databases provided current information on stroke rehabilitation. Among Korean stroke survivors, one in three had motor impairment, one in four had cognitive impairment, one in three had speech impairment, one in four was dependent in ambulation, one in six had swallowing difficulty, and one in four was dependent in activities in daily living at 5 years after stroke. Comprehensive inpatient rehabilitation following transfer to the department of rehabilitation medicine significantly decreased stroke-related mortality and long-term disability. This review provides an improved understanding of stroke rehabilitation and guidance to implement timely, coordinated, evidence-based stroke rehabilitation services to relieve the socioeconomic burden of stroke.

Citations

Citations to this article as recorded by  
  • Elevated risk of end-stage kidney disease in stroke patients: A population-based observational study
    Sohyun Chun, Kyungdo Han, Bongseong Kim, Dagyeong Lee, In Young Cho, Hea Lim Choi, Jun Hee Park, Junseok Jeon, Hye Ryoun Jang, Dong Wook Shin
    International Journal of Stroke.2025; 20(4): 461.     CrossRef
  • Two stroke education programs designed for older adults
    Jeongha Sim, Chanam Shin
    Geriatric Nursing.2024; 55: 105.     CrossRef
  • Changes in dementia treatment patterns associated with changes in the National Policy in South Korea among patients with newly diagnosed Alzheimer’s disease between 2011 and 2017: results from the multicenter, retrospective CAPTAIN study
    Young Jin Kim, Ki-Youn So, Hyo Min Lee, Changtae Hahn, Seung-Hoon Song, Yong-Seok Lee, Sang Woo Kim, Heui Cheun Park, Jaehyung Ryu, Jung Seok Lee, Min Ju Kang, JinRan Kim, Yoona Lee, Jun Hong Lee
    BMC Public Health.2024;[Epub]     CrossRef
  • Health-Related Quality of Life of Post-Stroke Patients in a Public Hospital
    Mijung Jang, Heedong Park, Miyoung Kim, Galam Kang, Hayan Shin, Donghyun Shin, KyooSang Kim
    Brain & Neurorehabilitation.2024;[Epub]     CrossRef
  • Predictors of Burden for First-Ever Stroke Survivor’s Long-Term Caregivers: A Study of KOSCO
    Jin-Won Lee, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Yong-Il Shin, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, So Young Lee, Junhee Han, Jeonghoon Ahn, Yun-Hee Kim, Min-Keun Song, Won Hyuk Chang
    Medicina.2024; 60(4): 559.     CrossRef
  • Association between the Thickness or Area of the Temporal Muscle and Skeletal Muscle Mass in Bioimpedance Analysis
    Jee Myung Han, Du Hwan Kim, Byung Chan Lee
    Gerontology.2024; 70(8): 823.     CrossRef
  • Association between Height and Functional Outcomes of Patients 6 Months after a Stroke: A Multicenter Prospective Observational Cohort Study
    Nae Yoon Kang, Sung-Hwa Ko, Yong-Il Shin, Ji Hong Min, Mi Sook Yun, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Gyung-Jae Oh, Yang Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song, Junhee Han, Jeonghoon Ahn, Yun-Hee Kim, Won Hyuk Chang
    Journal of Personalized Medicine.2024; 14(6): 610.     CrossRef
  • Impact of Interprofessional Collaborative Practice on Functional Improvements Among Post-Acute Stroke Survivors: A Retrospective Cross-Sectional Study
    Tsen-Pei Chen, Ying-Jia Lin, Yu-Lin Wang, Li-Min Wu, Chung-Han Ho
    Journal of Multidisciplinary Healthcare.2024; Volume 17: 3945.     CrossRef
  • Association Between Frequency of Rehabilitation Therapy and Long-Term Mortality After Stroke: A Nationwide Cohort Study
    Je Shik Nam, Seok-Jae Heo, Yong Wook Kim, Sang Chul Lee, Seung Nam Yang, Seo Yeon Yoon
    Stroke.2024; 55(9): 2274.     CrossRef
  • Functional Recovery in Acute and Subacute Stroke Patients With or Without Post-stroke Fatigue
    Juwon Lee, Gowun Kim
    Brain & Neurorehabilitation.2024;[Epub]     CrossRef
  • The Safety and Efficacy of Balance Training on Stroke Patients With Reduced Balance Ability: A Meta-Analysis of Randomized Controlled Trials
    Yong Wook Kim, Seo Yeon Yoon
    Brain & Neurorehabilitation.2024;[Epub]     CrossRef
  • Discordance Between Spine-Hip and Paretic-Nonparetic Hip Bone Mineral Density in Hemiplegic Stroke Patients: A Multicenter Retrospective Study
    Seung Don Yoo, Tae-Woo Kim, Byung-Mo Oh, Seung Ah Lee, Chanwoo Kim, Ho Yeon Chung, Jung Eun Son, Ji Yeon Lee, Hyunji Lee, Hoo Young Lee
    Annals of Rehabilitation Medicine.2024; 48(6): 413.     CrossRef
  • Geographic Distribution of Central Nervous System Rehabilitation Treatment in Korea and Its Associated Factors
    Dong-Gyun Sohn, Jaehong Yoon, Jun-Soo Ro, Ja-Ho Leigh
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  • Response to Letter to the Editor on “Chronic Phase Survival Rate in Stroke Patients With Severe Functional Limitations According to the Frequency of Rehabilitation Treatment”
    Dougho Park, Hyoung Seop Kim
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  • Over- and under-supply of inpatient rehabilitation after stroke without a post-acute rehabilitation system: a nationwide retrospective cohort study
    Suk Won Bae, Junhyun Kwon, Hyung-Ik Shin
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    Joongho JO, Hyojong KIM
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    Mu Su Kim, Ji Hong Min, Yong-Il Shin, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Gyung-Jae Oh, Yang Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song, Junhee Han, Jeonghoon Ahn, Yun-Hee Kim, Sung-Hwa Ko, Won Hyuk Chang
    Journal of Stroke and Cerebrovascular Diseases.2023; 32(10): 107302.     CrossRef
  • Risk Factors and Prognosis of Stroke in Gynecologic Cancer Patients
    Ji Young Kwon, Kena Park, Jeong Min Song, Seung Yeon Pyeon, Seon Hwa Lee, Young Shin Chung, Jong-Min Lee
    Cancers.2023; 15(19): 4895.     CrossRef
  • A Comparative Analysis of Functional Status and Mobility in Stroke Patients with and without Aphasia
    Zbigniew Guzek, Wioletta Dziubek, Małgorzata Stefańska, Joanna Kowalska
    Journal of Clinical Medicine.2022; 11(12): 3478.     CrossRef
  • Efficacy and Safety of Botulinum Toxin Type A (NABOTA) for Post-stroke Upper Extremity Spasticity: A Multicenter Phase IV Trial
    Wonjae Hwang, Seong Min Kang, Sang Yoon Lee, Han Gil Seo, Yoon Ghil Park, Bum Sun Kwon, Kwang Jae Lee, Deog Young Kim, Hyoung Seop Kim, Shi-Uk Lee
    Annals of Rehabilitation Medicine.2022; 46(4): 163.     CrossRef
  • 11,857 View
  • 256 Download
  • 20 Crossref

Physical Therapy

Home-Based Physical Activity in Patients With Type 2 Diabetes Mellitus: A Scoping Review
Amirah Mustapa, Maria Justine, Aliff Abdul Latir, Haidzir Manaf
Ann Rehabil Med 2021;45(5):345-358.   Published online October 31, 2021
DOI: https://doi.org/10.5535/arm.21102
To promote optimal healthcare delivery in type 2 diabetes mellitus (T2DM) following the outbreak of coronavirus disease 2019, adopting home-based physical activity (PA) is being seriously considered. Therefore, this study aims to outline the characteristics of exercise protocols for home-based PA and the challenges and limitations in implementing home-based PA in patients with T2DM. This scoping review was carried out by identifying eligible studies in six different databases (Scopus, Cochrane Library, SpringerLink, ProQuest, Science Direct, and Google Scholar). The keywords used in the search strategies were: home-based physical activity, home-based exercise therapy, home-based physical exercise, home-based exercise, home-based exercise training, diabetes mellitus, and T2DM. Two reviewers independently screened all full-text articles to find articles that met the eligibility requirements. A total of 443 articles were identified in the search. Approximately 342 articles were excluded by screening titles and abstracts, which led to the selection of 44 articles relevant to the current study. Further screening of the full-text led to the subsequent removal of 34 other articles, leading to 10 studies that were eligible for data extraction. This review suggested that the exercise protocols for home-based PA include resistance exercise using free weight and own body weight with a frequency of two to three sessions per week at moderate intensity, along with aerobic exercise (particularly walking) with a frequency of three to five times per week at moderate intensity. A combination of resistance and aerobic exercise showed more significant benefits of PA in patients with T2DM. More studies regarding home-based PA in T2DM patients with metabolic disorders are warranted.

Citations

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  • Using continuous glucose monitoring to prescribe an exercise time: A Randomised controlled trial in adults with type 2 diabetes
    Courtney R. Chang, Lauren A. Roach, Brooke M. Russell, Monique E. Francois
    Diabetes Research and Clinical Practice.2025; : 112072.     CrossRef
  • Pedometer- and accelerometer- based physical activity interventions in Type 2 diabetes: A systematic review and meta-analysis
    Vanessa L.P. de Oliveira, Tatiana P. de Paula, Luciana V. Viana
    Nutrition, Metabolism and Cardiovascular Diseases.2024; 34(3): 548.     CrossRef
  • Effects of a Home-Based Physical Activity Program on Blood Biomarkers and Health-Related Quality of Life Indices in Saudi Arabian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial
    Jonathan Sinclair, Hussein Ageely, Mohamed Salih Mahfouz, Abdulrahman Ahmed Hummadi, Hussain Darraj, Yahia Solan, Robert Allan, Fatma Bahsan, Hassan AL Hafaf, Ali Abohadash, Mohammed Badedi, Lindsay Bottoms
    Life.2023; 13(6): 1413.     CrossRef
  • Cardiometabolic, functional, and psychosocial effects of a remotely supervised home-based exercise program in individuals with type 2 diabetes (RED study): study protocol for a randomized clinical trial
    Samara Nickel Rodrigues, Rodrigo Sudatti Delevatti, Mauricio Tatsch Ximenes Carvalho, Valentina Bullo, Marco Bergamin, Cristine Lima Alberton
    Trials.2023;[Epub]     CrossRef
  • Jump rope training effects on health- and sport-related physical fitness in young participants: A systematic review with meta-analysis
    Utkarsh Singh, Akhilesh Kumar Ramachandran, Rodrigo Ramirez-Campillo, Alejandro Perez-Castilla, José Afonso, Filipe Manuel Clemente, Jon Oliver
    Journal of Sports Sciences.2022; 40(16): 1801.     CrossRef
  • 7,979 View
  • 174 Download
  • 6 Web of Science
  • 5 Crossref

Cardiopulmonary rehabilitation

Effectiveness of Inspiratory Muscle Training on Respiratory Muscle Strength in Patients Undergoing Cardiac Surgeries: A Systematic Review With Meta-Analysis
Fiona Verdine Dsouza, Sampath Kumar Amaravadi, Stephen Rajan Samuel, Harish Raghavan, Nagaraja Ravishankar
Ann Rehabil Med 2021;45(4):264-273.   Published online August 30, 2021
DOI: https://doi.org/10.5535/arm.21027
To determine the effect of inspiratory muscle training (IMT) on pulmonary function, respiratory muscle strength (RMS), and functional capacity in patients undergoing cardiac surgery. The PubMed, PEDro, CINAHL, Web of Science, CENTRAL, and EMBASE databases were searched from inception to June 2020. Randomized controlled trials (RCTs) that evaluated patients who underwent cardiac surgery were included in this review. Meta-analysis performed using a random-effects model showed that the mean difference in forced vital capacity, forced expiratory volume in 1 second, 6-minute walk distance, and RMS was 3.47% (95% confidence interval [CI], 0.57 to 6.36), 5.80% (95% CI, 2.03 to 9.56), 78.05 m (95% CI, 60.92 to 95.18), and 4.8 cmH2O (95% CI, -4.00 to 13.4), respectively. There is strong evidence that IMT improves inspiratory muscle strength, pulmonary function, and functional capacity, and reduces the length of hospital stay in patients undergoing cardiac surgery.

Citations

Citations to this article as recorded by  
  • The Effects of Pursed Lip Breathing Exercises on Patients' Post‐Bronchoscopy Recovery Parameters: A Nurse‐Led Quasi‐Experimental Study
    Rasha Abdulhalim Alqadi, Azza Ibrahim Abdelkader Habiba, Hanaa Hamad Mohamed El Sayed Akl, Engy AbdelRhman Khamis, Daniel Joseph E. Berdida
    Nursing & Health Sciences.2025;[Epub]     CrossRef
  • Can resistance prehabilitation training bring additional benefits in valvular cardiac surgery? protocol for a randomized controlled trial
    Jorge Montero-Cámara, Francisco José Ferrer-Sargues, María José Segrera Rovira, Adrián Sarria Cabello, David Cuesta Peredo, Juan Antonio Margarit Calabuig, Noemí Valtueña-Gimeno, María Luz Sánchez-Sánchez, Robert Jeenchen Chen
    PLOS ONE.2024; 19(5): e0303163.     CrossRef
  • Effectiveness of improving coordination abilities after cardiac surgery: a review
    Natalya V. Arkhipova, Svetlana A. Pomeshkina, Evgeniy V. Bykov
    Bulletin of Rehabilitation Medicine.2024; 23(3): 52.     CrossRef
  • Inspiratory Muscle Training in Phase 1 and 2 Postoperative Cardiac Rehabilitation Following Coronary Artery Bypass Graft Surgery: Systematic Review With Meta-Analysis
    Clênia Oliveira Araújo, Carla Cristina Araújo Alves, Francisco R A dos Santos, Lawrence P Cahalin, Graziella França Bernardelli Cipriano, Gerson Cipriano
    Physical Therapy.2024;[Epub]     CrossRef
  • Effect of Inspiratory Muscle Training on Outcomes After Cardiac Surgery
    Linqi Fang, Anqi Cheng, Zhaohua Zhu, Mengming Shao, Guoai Wang
    Journal of Cardiopulmonary Rehabilitation and Prevention.2024; 44(5): 324.     CrossRef
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    Umama Umar, Ahad Hussain, Komal Tariq
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Emerging Issues in Cerebral Palsy Associated With Aging: A Physiatrist Perspective
You Gyoung Yi, Se Hee Jung, Moon Suk Bang
Ann Rehabil Med 2019;43(3):241-249.   Published online June 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.3.241
The population of adults diagnosed with cerebral palsy (CP) is increasing along with the survival rate of children born with the disability. Adults with CP need health services for the continued monitoring and management of their condition. Moreover, the development of additional health problems in adulthood increases the need for ongoing access to health services. Adults with CP manifest a higher rate of chronic health conditions and eventual decline in strength and functional reserve, deterioration in physical activity, increased risk of musculoskeletal complications, and gradual changes in swallowing ability. They are also reported to exhibit difficulty engaging socially and have a low health-related quality of life (QOL). However, there are a large number of adults with CP who cannot access medical services adequately and are therefore not effectively treated. To overcome these apparent challenges, we need to fully comprehend the healthcare needs of adults with CP to develop adultfocused health services. Further research is needed regarding the impact of physical activity, nutrition, sarcopenia, myeloradiculopathy, and swallowing function on QOL.

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Noninvasive Respiratory Management of Patients With Neuromuscular Disease
John R Bach
Ann Rehabil Med 2017;41(4):519-538.   Published online August 31, 2017
DOI: https://doi.org/10.5535/arm.2017.41.4.519

This review article describes definitive noninvasive respiratory management of respiratory muscle dysfunction to eliminate need to resort to tracheotomy. In 2010 clinicians from 22 centers in 18 countries reported 1,623 spinal muscular atrophy type 1 (SMA1), Duchenne muscular dystrophy (DMD), and amyotrophic lateral sclerosis users of noninvasive ventilatory support (NVS) of whom 760 required it continuously (CNVS). The CNVS sustained their lives by over 3,000 patient-years without resort to indwelling tracheostomy tubes. These centers have now extubated at least 74 consecutive ventilator unweanable patients with DMD, over 95% of CNVS-dependent patients with SMA1, and hundreds of others with advanced neuromuscular disorders (NMDs) without resort to tracheotomy. Two centers reported a 99% success rate at extubating 258 ventilator unweanable patients without resort to tracheotomy. Patients with myopathic or lower motor neuron disorders can be managed noninvasively by up to CNVS, indefinitely, despite having little or no measurable vital capacity, with the use of physical medicine respiratory muscle aids. Ventilator-dependent patients can be decannulated of their tracheostomy tubes.

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Objective

To use bibliometric analyses to determine whether Annals of Rehabilitation Medicine (hereafter also referred to as Annals) became an international journal after adopting an English-only policy in 2011.

Methods

Articles from the third issue of 2011 to the third issue of 2015 were analyzed according to the following parameters: whether the research was supported by funding, country of authorship, impact factor, total citations, the countries of researchers who cited Annals; the journals that cited Annals; and the Hirsch index.

Results

One hundred twenty-eight (34.2%) of the 374 original articles were supported by research funds. The main authors were from Korea (550/556, 98.9%), the USA (3), Iran (2), Japan (1), Turkey (1), and the United Kingdom (1). The manually calculated impact factors in 2013 and 2014 were 0.582 and 0.667, respectively. The total annual citations from years 2012 to 2015 were 15, 130, 252, and 189, respectively. The countries of residence of the main authors who cited Annals were the USA (146), Korea (89), and China (49). The journals that cited Annals most frequently were the Journal of Physical Therapy (34), Archives of Physical Medicine and Rehabilitation (15), and Frontiers in Human Neuroscience (13). The Hirsch index was 9.

Conclusion

The above results demonstrate that the change of the language policy of Annals to English-only was successful in elevating the journal to the international level. The journal's aim of sharing up-to-date knowledge dedicated to advancing the care of the disabled and enhancing their everyday abilities and quality of life has been satisfactorily realized.

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Aging of Skeletal Muscle Fibers
Natasa Miljkovic, Jae-Young Lim, Iva Miljkovic, Walter R. Frontera
Ann Rehabil Med 2015;39(2):155-162.   Published online April 24, 2015
DOI: https://doi.org/10.5535/arm.2015.39.2.155

Aging has become an important topic for scientific research because life expectancy and the number of men and women in older age groups have increased dramatically in the last century. This is true in most countries of the world including the Republic of Korea and the United States. From a rehabilitation perspective, the most important associated issue is a progressive decline in functional capacity and independence. Sarcopenia is partly responsible for this decline. Many changes underlying the loss of muscle mass and force-generating capacity of skeletal muscle can be understood at the cellular and molecular levels. Muscle size and architecture are both altered with advanced adult age. Further, changes in myofibers include impairments in several physiological domains including muscle fiber activation, excitation-contraction coupling, actin-myosin cross-bridge interaction, energy production, and repair and regeneration. A thorough understanding of these alterations can lead to the design of improved preventative and rehabilitative interventions, such as personalized exercise training programs.

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Recommendations for Establishing Cardiac Rehabilitation Programs; Facility, Equipment and Staff: The Korean Society of Cardiac Rehabilitation (KSCR) Position Statement.
Kim, Chul , Bang, Heui Je , Kim, Jung Hwan , Sohn, Min Kyun , Yang, Chung Yong , Lee, Sam Gyu , Lee, Eun Shin , Lee, Jong Hwa , Im, Sang Hee , Jung, Tae Du , Lee, Kun Sei
J Korean Acad Rehabil Med 2010;34(5):491-497.
The Korean Society of Cardiac Rehabilitation (KSCR) have recommended standards for establishing cardiac rehabilitation programs in terms of facility, equipment and staff. This is the first time a statement concerning these types of standards has been issued in Korea, and presents the minimal requirements for establishing cardiac rehabilitation programs. Cardiac rehabilitation facilities should contain individual spaces for patient examination, exercise stress testing, monitoring exercise training, patient education, patient preparation, storing medical records, showers and lockers, toilets, and walking tracks. Essential equipment must include at least four sets of aerobic exercise equipment such as treadmills, bicycles, arm ergometers, step machines, and floor mats, and medical equipment such as exercise stress test for ECG with gas analysis, telemetry ECG monitoring systems, sphygmomanometers, stethoscopes, pulse oximeters, glucometers, portable oxygenators, and emergency carts with defibrillators. Hospital staff should include a medical director (a physician with a subspecialty in cardiac rehabilitation), exercise physiologist, nurse specializing in cardiac rehabilitation, exercise specialist, physical therapist, and clinical nutritionist. All should have an expertise in exercise science and be trained in basic life support or advanced cardiac life support. This statement is a recommendation by KSCR and cardiac rehabilitation council of regional cardiocerebrovascular center, and set forth the standards for facilities, equipment, and staff to set up or upgrade cardiac rehabilitation programs in Korea. These recommendations should be developed as a national standard for the establishment of cardiac rehabilitation programs, and adjusted for the current situation of the Korean medical industry through nationwide and long-term research. (J Korean Acad Rehab Med 2010; 34: 491-497)
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Regeneration and Outcome Measures in Spinal Cord Injury.
Koh, Seong Eun
J Korean Acad Rehabil Med 2008;32(6):603-611.
Spinal cord injury (SCI) often results in devastating neurological dysfunction. Therefore many of the SCI patients suffer with physical disabilities or social handicaps. Many obstacles have been known to affect adult spinal cord regeneration and functional recovery. However, scientific knowledge of the central nervous system (CNS) development and post-injury responses including pathophysiology of SCI has been expanded recently, which might produce potential promising therapies for this condition. These are as followed; (1) pharmacological neuroprotective agents, (2) administration of exogenous neurotrophic factors or augmenting intraneural cyclic AMP, (3) inhibition of nonpermissive environment of the injured spinal cord, (4) cellular transplantation, and (5) rehabilitation interventions with body- weight supported treadmill therapy and functional electrical stimulation. In addition, the precise evaluation of functional improvement or gait is also important in rehabilitation of SCI patients. Various evaluation tools have been developed and introduced in order to estimate a degree of improvement properly. (J Korean Acad Rehab Med 2008; 32: 603-611)
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