Objective
To determine the characteristics of pediatric spinal cord injury (SCI) in South Korea from 1990 to 2019.
Methods
This single-centered retrospective study included pediatric SCIs. Individuals were divided into the following five groups according to onset age: ≤5, 6–12, 13–14, 15–17, and 18–19 years. The severity of complete injury was graded according to the American Spinal Injury Association impairment scale A (AIS A). Incomplete injury was graded according to AIS B, C, and D. Pearson chi-square test was used for statistical analysis.
Results
Of the 267 individuals included, 216 (80.9%) had traumatic SCIs (male-to-female ratio of 3.2:1), and 51 (19.1%) had non-traumatic SCIs (male-to-female ratio of 0.7:1). In the traumatic SCI group, 192 (88.9%) individuals were ≥15 years at the time of injury (males, 78.6%). The most common etiologies of traumatic SCIs, ranging from most to least common, were accidents related to motorcycles, falls, cars, and diving. In the non-traumatic SCI group, inflammatory (33.3%) and neoplastic (25.5%) etiologies were found to be the most common ones.
Conclusion
We found that traumatic SCIs incidence in the pediatric population was high, particularly in male individuals aged 15–19 years. The non-traumatic SCIs mostly cause paraplegia and incomplete injury. Therefore, it can be used as a basic data for the evaluation, treatment and prevention strategy of pediatric patients with SCI.

Citations

• Do we know the normal anterior-posterior diameters of the spinal cord and canal in newborns?
  Öner ÖZBEY, Fatma Zeynep ARSLAN, Muslu Kazım KÖREZ, Müge PAYASLI
  Journal of Health Sciences and Medicine.2023; 6(2): 456.     CrossRef
• A systematic review and meta-analysis of the global epidemiology of pediatric traumatic spinal cord injuries
  Seyed Behnam Jazayeri, Samuel Berchi Kankam, Ali Golestani, Parnian Shobeiri, Morteza Gholami, Mohammad Amin Dabbagh Ohadi, Seyed Farzad Maroufi, Mohammad Reza Fattahi, Hamid Malekzadeh, Seyed Behzad Jazayeri, Zahra Ghodsi, Seyed Mohammad Ghodsi, Vafa Rah
  European Journal of Pediatrics.2023; 182(12): 5245.     CrossRef

Objective
To investigate esophageal motility disorders in patients with esophageal residual barium on chest x-rays after videofluoroscopic swallowing studies (VFSS) through high-resolution esophageal manometry (HREM).
Methods
We reviewed the records of 432 patients who underwent VFSS from September 2019 to May 2021, and 85 patients (19.7%) with large residual barium (diameter ≥1 cm) were included. As a result of HREM, motility disorders were classified as major or minor motility disorders according. Esophagogastroduodenoscopy and chest computed tomography results available were also reviewed.
Results
Among 85 patients with large residual barium in the esophagus, 16 patients (18.8%) underwent HREM. Abnormal esophageal motilities were identified in 68.8% patient: three patients (18.8%) had major motility disorders—achalasia (n=1), esophagogastric junction (EGJ) outflow obstruction (n=2)—and eight patients (50%) had minor motility disorders—ineffective esophageal motility (n=7), fragmented peristalsis (n=1). In those with normal esophageal motility, three patients of esophageal structure disorders (18.8%)—esophageal cancer (n=1), cardiogenic dysphagia (n=1), slight narrowing without obstruction of EGJ (n=1)—and two patients (12.5%) with chronic atrophic gastritis (n=2) were confirmed.
Conclusion
Esophageal motility disorders were identified in 68.8% of 16 patients with large esophageal residual barium with three patients in the major and eight patients in the minor categories. Residual barium in the esophagus was not rare and can be a sign of significant esophageal motility disorders.

Objective
To characterize the repetitive transcranial magnetic stimulation (rTMS) induced changes in angiogenic mechanisms across different brain regions.
Methods
Seventy-nine adult male Sprague-Dawley rats were subjected to a middle cerebral artery occlusion (day 0) and then treated with 1-Hz, 20-Hz, or sham stimulation of their lesioned hemispheres for 2 weeks. The stimulation intensity was set to 100% of the motor threshold. The neurological function was assessed on days 3, 10, and 17. The infarct volume and angiogenesis were measured by histology, immunohistochemistry, Western blot, and real-time polymerase chain reaction (PCR) assays. Brain tissue was harvested from the ischemic core (IC), ischemic border zone (BZ), and contralateral homologous cortex (CH).
Results
Optical density of angiopoietin1 and synaptophysin in the IC was significantly greater in the low-frequency group than in the sham group (p=0.03 and p=0.03, respectively). The 1-Hz rTMS significantly increased the level of Akt phosphorylation in the BZ (p<0.05 vs. 20 Hz). Endothelial nitric oxide synthase phosphorylation was increased in the IC (p<0.05 vs. 20 Hz), BZ (p<0.05 vs. 20 Hz), and CH (p<0.05 vs. 20 Hz and p<0.05 vs. sham). Real-time PCR demonstrated that low-frequency stimulation significantly increased the transcriptional activity of the TIE2 gene in the IC (p<0.05).
Conclusion
Low-frequency rTMS of the ipsilesional hemisphere in the early subacute phase of stroke promotes the expression of angiogenic factors and related genes in the brain, particularly in the injured area.

Citations

• Novel emerging therapy for erectile dysfunction: efficacy and safety of flat magnetic stimulation
  Daniel Galimberti, Agustina Vila Echague, Ery A. Ko, Laura Pieri, Alessandra Comito, Irene Fusco, Tiziano Zingoni
  Archivio Italiano di Urologia e Andrologia.2024;[Epub]     CrossRef
• Determining the Optimal Stimulation Sessions for TMS-Induced Recovery of Upper Extremity Motor Function Post Stroke: A Randomized Controlled Trial
  Yichen Lv, Jack Jiaqi Zhang, Kui Wang, Leilei Ju, Hongying Zhang, Yuehan Zhao, Yao Pan, Jianwei Gong, Xin Wang, Kenneth N. K. Fong
  Brain Sciences.2023; 13(12): 1662.     CrossRef

Objective
To assess the accuracies and validities of popular smart bands for heart rate (HR) measurement in cardiovascular disease (CVD) patients during a graded exercise test (GXT).
Methods
Seventy-eight patients were randomly assigned to wear two different smart bands out of three possible choices: Samsung Galaxy Fit 2, Xiaomi Mi Band 5, or Partron PWB-250 on each wrist. A 12-lead exercise electrocardiogram (ECG) and patch-type single-lead ECG were used to assess the comparative HR accuracy of the smart bands. The HR was recorded during the GXT using the modified Bruce protocol.
Results
The concordance correlation coefficients (r_c) were calculated to provide a measure of agreement between each device and the ECG. In all conditions, the Mi Band 5 and Galaxy Fit 2’ correlations were r_c>0.90, while the PWB-250 correlation was r_c=0.58 at rest. When evaluating the accuracy according to the magnitude of HR, all smart bands performed well (r_c>0.90) when the HR was below 100 but accuracy tended to decrease with higher HR values.
Conclusion
This study showed that the three smart bands had a high level of accuracy for HR measurements during low-intensity exercise. However, during moderate-intensity and high-intensity exercise, all the three smart bands performed less accurately. Further studies are needed to find a more optimal smart band for HR measurement that can be used for precise HR monitoring during formal cardiac rehabilitation exercise training, including at high and maximal intensity (Clinical Trial Registration No. cris.nih.go.kr/KCT0007036).

Citations

• 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
• An Evaluation of the Effect of App-Based Exercise Prescription Using Reinforcement Learning on Satisfaction and Exercise Intensity: Randomized Crossover Trial
  Cailbhe Doherty, Rory Lambe, Ben O’Grady, Diarmuid O’Reilly-Morgan, Barry Smyth, Aonghus Lawlor, Neil Hurley, Elias Tragos
  JMIR mHealth and uHealth.2024; 12: e49443.     CrossRef
• Women’s Involvement in Steady Exercise (WISE): Study Protocol for a Randomized Controlled Trial
  Irene Ferrando-Terradez, Lirios Dueñas, Ivana Parčina, Nemanja Ćopić, Svetlana Petronijević, Gianfranco Beltrami, Fabio Pezzoni, Constanza San Martín-Valenzuela, Maarten Gijssel, Stefano Moliterni, Panagiotis Papageorgiou, Yelko Rodríguez-Carrasco
  Healthcare.2023; 11(9): 1279.     CrossRef

Objective
To analyze the effects of lymphovenous anastomosis (LVA) surgery after 1 year using the elastic index (EI) and volume.
Methods
This study was a retrospective study of 41 patients, with lymphedema, who underwent LVA surgery between July 2018 and June 2020. Limb circumference, used to determine the volume of the limb with lymphedema, and EI, which reflects tissue stiffness and measured using ultrasonography were measured for each patient before and 1 year after LVA surgery. To examine the effect of LVA, differences in the preoperative and 1-year postoperative volumes and EIs were analyzed using the Wilcoxon signed-rank test.
Results
The mean volume and EI of the dominant site in upper-extremity lymphedema were 2,309.4 cm³ and 1.4, respectively, preoperatively and 2,237.1 cm³ and 0.9, respectively, at 1 year postoperatively. The mean volume and EI difference of the dominant site 1 year after surgery was -16.6 cm³ (p=0.22) and -0.5 (p<0.001). The mean volume and EI of dominant site in lower-extremity lymphedema were 6,137.0 cm³ and 1.2, respectively, preoperatively, and 5,832.6 cm³ and 1.1, respectively, at 1 year postoperatively. The mean volume and EI difference of the dominant site 1 year postoperatively were -320.9 cm³ (p=0.04) and -0.2 (p=0.09), respectively.
Conclusion
LVA surgery is more effective in reducing pressure than in reducing volume, which may be helpful in preventing the progression of lymphedema.

Objective
To compare the biomechanical properties of the glenohumeral joint capsule between adhesive capsulitis (AC) after breast cancer surgery and idiopathic AC and demonstrate the effects of hydrodilatation (HD) with corticosteroid injection for AC after breast cancer surgery.
Methods
Twenty-three prospective patients with AC after breast cancer surgery (BC group) and 44 retrospective patients with idiopathic AC without breast cancer (CON group) underwent HD with corticosteroid injection and home exercise training. We compared their biomechanical characteristics (capsular capacity, maximal pressure, and capsular stiffness). In the BC group, the passive range of motion (ROM) of the affected shoulder and a questionnaire (Shoulder Pain and Disability Index [SPADI]) were evaluated at baseline and 2 and 4 weeks after treatment.
Results
The BC group showed higher biomechanical characteristics (maximal pressure and capsular stiffness) than did the CON group. The mean maximal pressure and capsular stiffness were 519.67±120.90 mmHg and 19.69±10.58 mmHg/mL in the BC group and 424.78±104.42 mmHg and 11.55±7.77 mmHg/mL in the CON group (p=0.002 and p=0.001, respectively). And, the BC group showed significant improvements in all ROMs (abduction, flexion, and external rotation) and the SPADI pain and disability sub-scores following the treatment.
Conclusion
The glenohumeral joint capsular stiffness was greater in the patients with AC after breast cancer surgery than in those with idiopathic AC. HD with corticosteroid injection was effective in treating AC after breast cancer surgery.

Citations

• An update on rehabilitative treatment of shoulder disease after breast cancer care
  P. E. Ferrara, D. M. Gatto, S. Codazza, P. Zordan, G. Stefinlongo, M. Ariani, D. Coraci, G. Ronconi
  MUSCULOSKELETAL SURGERY.2024; 108(1): 31.     CrossRef
• Effects of Intra-Articular Triamcinolone Injection on Adhesive Capsulitis after Breast Cancer Surgery
  Sungwon Kim, Sunwoo Kim, Jong Geol Do, Ji Hye Hwang
  Diagnostics.2024; 14(14): 1464.     CrossRef

Objective
To demonstrate the sonoanatomy of the medial antebrachial cutaneous nerve (MACN) in the elbow region using high-resolution ultrasonography (HRUS) to identify areas at a high risk of MACN injury.
Methods
A total of 44 arms were included in the study. In the supine position, the participants’ arms were abducted 45° with the elbow fully extended. The MACN was visualized in the transverse view. The anterior branch of the MACN (ABMACN), posterior branch of the MACN (PBMACN), and location of the branching sites were determined. The distance between the ABMACN and superficial veins, including the basilic vein (BV) and median cubital veins (MCV) was measured. For the PBMACN, the distance to the ulnar nerve (UN) and to BV were measured.
Results
The MACN was subdivided into 2.18±1.00 branches, including ABMACN and PBMACN. The ABMACN and PBMACN were subdivided into 1.60±0.78 and 1.07±0.25 branches, respectively. The branching point of the MACN was 8.40±2.42 cm proximal to the interepicondylar line (IEL). We demonstrated that the ABMACN is located close to the BV and MCV in the elbow region, and the PBMACN was located approximately 1 cm and 0.8 cm anterior to the UN and posterior to the BV at the IEL level, respectively.
Conclusion
Considering the location of the MACN, including ABMACN and PBMACN, clinicians can perform invasive procedures around the elbow region more carefully to lower the risk of MACN injury.

Citations

• Ultrasonographic differential diagnosis of medial elbow pain
  Min Jeong Cho, Jee Won Chai, Dong Hyun Kim, Hyo Jin Kim, Jiwoon Seo
  Ultrasonography.2024; 43(5): 299.     CrossRef

Objective
To investigate the clinical usefulness of diffusion tensor imaging (DTI) and tractography in the prediction of outcomes after traumatic cervical spinal cord injury (SCI) and to assess whether the predictability is different between DTI and tractography administered before and after surgery.
Methods
Sixty-one subjects with traumatic cervical SCI were randomly assigned to preop or postop groups and received DTI accordingly. Among the patients who had DTI before surgery, we assigned 10 patients who had received repeated DTI examinations at 8 weeks after injury to the follow-up group. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values were obtained from DTI, and imaginary fiber and crossing fiber numbers were calculated from the tractography. Neurological status and functional status were assessed at 4 and 8 weeks after SCI.
Results
The neurologic and functional statuses of both groups improved after 4 weeks. Out of the initial 61 patients who were enrolled in the study, the failure rate of DTI image analysis was significantly higher in the postop group (n=17, 41.5%) than in the preop group (n=6, 20%). The FA values and fiber numbers in the preop group tended to be higher than those in the postop group, whereas ADC values were lower in the preop group. When comparing the tractographic findings in the follow-up group, imaginary fiber numbers at the C6 and C7 levels and crossing fiber numbers from the C3 to C6 levels were significantly decreased after surgery. Several DTI and tractographic parameters (especially the ADC value at the C4 level and imaginary fiber numbers at the C6 level) showed significant correlations with neurologic and functional statuses in both the preop and postop groups. These findings were most prominent when DTI and physical examination were simultaneously performed.
Conclusion
Preoperative DTI and tractography demonstrated better FA and ADC values with lower interpretation failure rates than those obtained after surgery, whereas postoperative data significantly reflected the patient’s clinical state at the time of evaluation. Therefore, DTI and tractography could be useful in predicting clinical outcomes after traumatic cervical SCI and should be interpreted separately before and after spine surgery.

Citations

• Quantitative Magnetic Resonance Identifies Recovery from Spinal Cord Injury after Bioactive Implants
  DIANA OSORIO-LONDOÑO, AXAYÁCATL MORALES-GUADARRAMA, ROBERTO OLAYO-GONZÁLEZ, ERNESTO ROLDAN-VALADEZ
  Archives of Medical Research.2024; 55(5): 103012.     CrossRef

Objective
To evaluate the efficacy and safety of Daewoong botulinum toxin type A (NABOTA) after its launch in South Korea.
Methods
This prospective, multicenter, open-label phase IV clinical trial included 222 patients with stroke. All patients visited the clinic at baseline and at weeks 4, 8, and 12 after injection of upto 360 units of NABOTA into the wrist, elbow, and finger flexor muscles at the first visit. The primary outcome was the change in Modified Ashworth Scale (MAS) score for the wrist flexor muscles between baseline and week 4. The secondary outcomes were the changes in MAS, Disability Assessment Scale (DAS), and Caregiver Burden Scale (CBS) scores between baseline and each visit, and the Global Assessment Scale (GAS) score at week 12.
Results
There was a statistically significant decrease in the MAS score for the wrist flexors between baseline and week 4 (-0.97±0.66, p<0.001). Compared with baseline, the MAS, DAS and CBS scores improved significantly during the study period. The GAS was rated as very good or good by 86.8% of physicians and by 60.0% of patients (or caregivers). The incidence of adverse events was 14.4%, which is smaller than that in a previous trial.
Conclusion
NABOTA showed considerable efficacy and safety in the management of upper limb spasticity in stroke patients.

Objective
To systematically review the available literature on the efficacy of tibial nerve stimulation on faecal incontinence and quality of life in adult patients with low anterior resection syndrome following surgery for colorectal cancer.
Methods
A primary search of electronic databases was conducted adopting a combination of search terms related to the following areas of interest: “efficacy”, “tibial nerve stimulation” and “low anterior resection syndrome”. A secondary search of the grey literature was performed in addition to checking the reference list of included studies and review papers. The review was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A descriptive analysis was used to integrate the review findings.
Results
Five distinct studies involving 116 patients met the inclusion criteria for the review. The included studies suggest that tibial nerve stimulation may have a positive effect on faecal incontinence and quality of life in some patients with low anterior resection syndrome and might be considered as an additional treatment option.
Conclusion
There were a limited number of studies and a great degree of heterogeneity of evidence due to differences in participants’ baseline characteristics, dropout rates, and follow-up periods. Further research adopting validated, consistent, and complex outcome assessment methods is recommended to determine the efficacy of tibial nerve stimulation for treatment of patients with low anterior resection syndrome.

Citations

• Optimal interventions for low anterior resection syndrome: Bayesian network meta-analysis of randomized controlled trials
  M. Yu, Y. Liu, N. Li, J. Xu, H. Zhang, F. Li, H. Chen, B. Li
  Techniques in Coloproctology.2025;[Epub]     CrossRef
• Effects of Posterior Tibial Nerve Stimulation on Fecal Incontinence: An Umbrella Review
  Fateme Tahmasbi, Reza Mosaddeghi-Heris, Farzin Soleimanzadeh, Rezvan Ghaderpanah, SeyedHassan Sadrian, Sakineh Hajebrahimi, Hanieh Salehi-Pourmehr
  Neuromodulation: Technology at the Neural Interface.2024; 27(2): 229.     CrossRef
• The Role of Percutaneous Tibial Nerve Stimulation (PTNS) in Low Anterior Resection Syndrome (LARS): A Systematic Review and Meta-analysis
  Stavros Chrysovalantis Liapis, Ioannis Baloyiannis, Konstantinos Perivoliotis, Dimitrios Lytras, Georgios Theodoropoulos, Georgios Tzovaras
  Journal of Gastrointestinal Cancer.2023; 54(4): 1128.     CrossRef
• Recent Trends in Rehabilitation for Cancer Patients
  Kwan-Sik Seo
  Annals of Rehabilitation Medicine.2022; 46(3): 111.     CrossRef
• Low Anterior Resection Syndrome: Pathophysiology, Risk Factors, and Current Management
  Seung Mi Yeo, Gyung Mo Son
  The Ewha Medical Journal.2022;[Epub]     CrossRef

Objective
To compare the predicted and actual maximal heart rate (HRmax) values in the cardiopulmonary exercise test (CPET).
Methods
We retrospectively investigated 1,060 patients who underwent a CPET between January 2016 and April 2020 at our institution’s cardiopulmonary rehabilitation center. The following patients were included: those aged >20 years, those tested with a treadmill, and those who underwent symptom-limited maximum exercise testing— reaching ≥85% of the predicted HRmax (62% if taking beta-blockers) and highest respiratory exchange ratio ≥1.1. Ultimately, 827 patients were included in this study. Data on diagnosis, history of taking beta-blockers, age, body mass index (BMI), and CPET parameters were collected. Subgroup analysis was performed according to age, betablockers, BMI (low <18.5 kg/m², normal, and high ≥25 kg/m²), and risk classification.
Results
There was a significant difference between the actual HRmax and the predicted value (p<0.001). Betablocker administration resulted in a significant difference in the actual HRmax (p<0.001). There were significant differences in the moderate-to-high-risk and low-risk groups and the normal BMI and high BMI groups (p<0.001). There was no significant difference between the elderly and younger groups. We suggest new formulae for HRmax of cardiopulmonary patients: estimated HRmax=183-0.76×age (the beta-blocker group) and etimated HRmax=210-0.91×age (the non-beta-blocker group).
Conclusion
Age-predicted HRmax was significantly different from the actual HRmax of patients with cardiopulmonary disease, especially in the beta-blocker group. For participants with high BMI and moderate-tosevere risk, the actual HRmax was significantly lower than the predicted HRmax.

Citations

• Prognostic Factors for Responders of Home-Based Pulmonary Rehabilitation—Secondary Analysis of a Randomized Controlled Trial
  Chul Kim, Hee-Eun Choi, Chin Kook Rhee, Jae Ha Lee, Ju Hyun Oh, Jun Hyeong Song
  Healthcare.2025; 13(3): 308.     CrossRef
• Free-Living Physical Activity Energy Expenditure Based on Accelerometry Versus Heart Rate in Community-Dwelling Older Adults
  Joona Neuvonen, Timo Aittokoski, Timo Rantalainen, Jukka Lipponen, Lotta Palmberg, Soren Brage, Tomas I. Gonzales, Erja Portegijs, Taina Rantanen, Laura Karavirta
  Journal for the Measurement of Physical Behaviour.2025;[Epub]     CrossRef
• Efficacy of a digital lifestyle intervention on health-related QUAlity of life in non-small cell LUng CAncer survivors following inpatient rehabilitation: protocol of the QUALUCA Swiss multicentre randomised controlled trial
  Manuel Weber, Anja Maria Raab, Kai-Uwe Schmitt, Gilbert Büsching, Thimo Marcin, Marc Spielmanns, Milo Alan Puhan, Anja Frei
  BMJ Open.2024; 14(3): e081397.     CrossRef
• High-intensity interval training improves bone remodeling, lipid profile, and physical function in multiple sclerosis patients
  Alessandra Amato, Patrizia Proia, Anna Alioto, Carlo Rossi, Andrea Pagliaro, Paolo Ragonese, Giuseppe Schirò, Giuseppe Salemi, Rosalia Caldarella, Sonya Vasto, Robert Nowak, Dorota Kostrzewa-Nowak, Giuseppe Musumeci, Sara Baldassano
  Scientific Reports.2024;[Epub]     CrossRef
• Association between short-term exposure to high-level particulate matter (PM1 , PM2.5, and PM10) of smoke Peganum harmala seeds with blood pressure: A quasi-experimental study
  Yadolah Fakhri, Ibrahim Ziad Abdullah, Ayham Issam Qasem Al-issa, Elham Rahmanzadeh, Somayeh Hoseinvandtabar, Somayyeh Dehghani, Mahdi Ghorbanian, Amin Ghanbarnejad
  Environmental Health Engineering and Management.2024; 11(4): 419.     CrossRef
• Exergaming in older adults: the effects of game characteristics on brain activity and physical activity
  Helen Müller, Jochen Baumeister, Ellen Marie Bardal, Beatrix Vereijken, Nina Skjæret-Maroni
  Frontiers in Aging Neuroscience.2023;[Epub]     CrossRef

Objective
To investigate the association of trunk fat and muscle composition, lumbar disc space narrowing, and low back pain in middle-aged farmers.
Methods
Fat and muscle areas were identified using standard Hounsfield unit ranges for adipose tissue and skeletal muscle with computed tomography images at the mid-L4 vertebral level. Trunk fat mass, muscle mass, and fat/muscle mass ratio were calculated. Low back pain was assessed using the Oswestry Disability Index (ODI). The L4/5-disc space and low back pain were also assessed.
Results
Male had a higher total trunk, back, psoas, and abdominal muscle mass, and visceral fat; female had a higher subcutaneous fat mass and fat/muscle ratio. Pearson correlation coefficients with ODI for waist circumference, total fat mass, visceral fat mass, and fat/muscle ratio were all significant in female; only the fat/muscle ratio was significant in male. Pearson correlation coefficients with L4/5-disc space narrowing grades for visceral fat mass, total, back, and psoas muscle mass, and fat/muscle ratio, were all significant in female; total and back muscle mass, and fat/muscle ratio in male.
Conclusion
There were significant relationships between: fat indicators with low back pain; trunk muscle mass with lumbar disc degeneration; and fat/muscle ratio with both lumbar disc degeneration and low back pain. The fat/muscle ratio may be a useful index for low back pain.

Citations

• Association between a body shape index and low back pain: a cross-sectional study highlighting gender-specific differences in NHANES data
  Shiwei Xie, Heng Xiao, Gengwu Li, Jigen Zheng, Fan Zhang, Yuping Lan, Mingwei Luo
  BMC Public Health.2025;[Epub]     CrossRef
• Biomechanical changes in females with poly cystic ovarian syndrome: a case–control study
  Eman E. Kamal, Hamada A. Hamada, Reda Sayed Ashour, Amel M. Yousef, Rovan M. Elbesh
  Scientific Reports.2025;[Epub]     CrossRef
• Association of Body Mass Index and Central Obesity with Spinopelvic Alignment Parameters in a Chinese Population: A Prospective Study
  Hao Qi, Zenghui Zhao, Feiyu Zu, Chenxi Wang, Chenchen Wang, Zuzhuo Zhang, Xiaonan Tian, Dan Su, Zhaoxuan Wang, Rui Xue, Zhiyong Hou, Wei Chen, Di Zhang
  World Neurosurgery.2024; 189: e153.     CrossRef
• The Effect of Intraabdominal Visceral and Subcutaneous Adipose Volume and Muscle Volume on Lumbar Vertebrae Degeneration
  Rabia Mihriban Kilinc, Fatih İlker Can
  Cureus.2023;[Epub]     CrossRef
• Fat Hounsfield Unit Reference Interval Derived through an Indirect Method
  Marian Pop, Marius Mărușteri
  Diagnostics.2023; 13(11): 1913.     CrossRef
• Relationships Between Skeletal Muscle Mass, Lumbar Lordosis, and Chronic Low Back Pain in the Elderly
  Myung Woo Park, Sang Jun Park, Sun Gun Chung
  Neurospine.2023; 20(3): 959.     CrossRef
• Back Extensor Strength as a Potential Marker of Frailty Using Propensity Score Matching and Machine Learning
  Taewook Kim, Gowun Kim, Hee-won Park, Eun Kyoung Kang, Sora Baek
  Journal of Clinical Medicine.2023; 12(19): 6156.     CrossRef
• Comprehensive Physical Work Capacity Evaluations for Korean Farmers Assessed in Healthy Volunteers
  Seungsu Jeong, Gowun Kim, Hee-won Park, Sora Baek
  Annals of Rehabilitation Medicine.2023; 47(6): 468.     CrossRef
• The Relationship Between Low Back Pain and Sagittal Spinal Alignment and Back Muscle Mass in Korean Fishery Workers
  Minjung Kook, Insuh Kim, Jeongyeon Seo, Hyundong Kim, Heesung Nam, Nami Han
  Annals of Rehabilitation Medicine.2023; 47(6): 459.     CrossRef

Objective
To investigate the effect of antigravity treadmill gait training (AGT) on gait function, balance, and fall risk in stroke patients.
Methods
This study included 30 patients with stroke (mean age, 73 years). All subjects were randomly divided into two groups. The intervention group (n=15) performed AGT for 20 minutes, five times per week for 4 weeks. The control group (n=15) received conventional gait training for the same duration. To assess fall risk, the Tinetti Performance-Oriented Mobility Assessment (POMA) was measured. The Berg Balance Scale (BBS), Timed Up and Go test (TUG), and 10-m walk test (10mWT) were measured to assess dynamic balance. All scales were measured before intervention (T0) and at 4 weeks (T1) and 12 weeks (T2) after intervention.
Results
Results showed that the total POMA score, BBS, and 10mWT scores improved significantly (p<0.05) at T1 and T2 in both groups. The POMA gait score (4.20±1.37 at T1, 4.87±1.36 at T2) and TUG (4.52±4.30 at T1, 5.73±4.97 at T2) significantly improved (p<0.05) only in the intervention group. The changes in total POMA score and BBS of the intervention group (7.20±2.37, 7.47±3.07) improved more significantly (p<0.05) between T0 and T2 than the control group (2.53±2.10, 2.87±2.53).
Conclusion
Our study showed that AGT enhances dynamic balance and gait speed and effectively lowers fall risk in stroke patients. Compared to conventional gait therapy, AGT would improve gait function and balance in stroke patients more effectively.

Citations

• Reporting of Adverse Events in Studies Involving Treadmill Gait Training After Stroke: A Systematic Review
  Jesimiel Missias de Souza, Daiane Carla Rodrigues Cardoso, Stephano Tomaz da Silva, Josicleide Araújo de Azevedo, Samara Katiane Rolim de Oliveira, Lorenna Raquel Dantas de Macedo Borges, Larissa Araújo Gomes, Maria Amanda Ferreira Quirino, Tatiana Souza
  NeuroRehabilitation: An International, Interdisciplinary Journal.2025;[Epub]     CrossRef
• Effectiveness of Anti-Gravity Treadmill Exercise After Total Knee Arthroplasty: Protocol for a Randomized Controlled Trial
  Elina Jääskeläinen, Mikko Manninen, Heikki Hurri, Mikko Rantasalo, Yun Zhou, Hannu Kautiainen, Leena Ristolainen
  JMIR Research Protocols.2025; 14: e59935.     CrossRef
• Optimizing Rehabilitation Outcomes for Stroke Survivors: The Impact of Speed and Slope Adjustments in Anti-Gravity Treadmill Training
  Jung-Ho Lee, Eun-Ja Kim
  Medicina.2024; 60(4): 542.     CrossRef
• Increased trailing limb angle in hemiplegic patients after training with a knee orthosis: A randomized controlled trial
  Shun Ito, Hiroaki Abe, Toru Okanuka, Kosuke Nanka, Takuma Nagasawa, Kazuto Oki, Yoshimi Suzukamo, Shin-Ichi Izumi
  NeuroRehabilitation.2024; 54(3): 485.     CrossRef
• General Treatments Promoting Independent Living in Parkinson’s Patients and Physical Therapy Approaches for Improving Gait—A Comprehensive Review
  Dae-Hwan Lee, Bong-Sik Woo, Yong-Hwa Park, Jung-Ho Lee
  Medicina.2024; 60(5): 711.     CrossRef
• Effect of water-based exercise with or without external buoyancy devices in influencing balance improvement in stroke: scoping review
  Ribka Theresia, Farid Rahman
  Fizjoterapia Polska.2024; 24(3): 350.     CrossRef
• Simulating space walking: a systematic review on anti-gravity technology in neurorehabilitation
  Mirjam Bonanno, Maria Grazia Maggio, Angelo Quartarone, Alessandro Marco De Nunzio, Rocco Salvatore Calabrò
  Journal of NeuroEngineering and Rehabilitation.2024;[Epub]     CrossRef
• The Safety and Feasibility of Lower Body Positive Pressure Treadmill Training in Individuals with Chronic Stroke: An Exploratory Study
  Sattam M. Almutairi, Moodhi M. Alfouzan, Taghreed S. Almutairi, Hatem A. Alkaabi, Misoon T. AlMulaifi, Marzouq K. Almutairi, Faisal K. Alhuthaifi, Chad Swank
  Brain Sciences.2023; 13(2): 166.     CrossRef
• The Effectiveness of Lower-Body Positive Pressure Treadmill Gait Training on Mobility Function and Quality of Life in Individuals with Chronic Stroke: Prospective Cohort Study
  Sattam Almutairi
  Middle East Journal of Rehabilitation and Health Studies.2023;[Epub]     CrossRef
• A robotic treadmill system to mimic overground walking training with body weight support
  Jongbum Kim, Seunghue Oh, Yongjin Jo, James Hyungsup Moon, Jonghyun Kim
  Frontiers in Neurorobotics.2023;[Epub]     CrossRef
• Lower body positive pressure treadmill gait training for neurological patients: a systematic review
  Sattam M. Almutairi
  Bulletin of Faculty of Physical Therapy.2023;[Epub]     CrossRef

Objective
To compare the outcomes of a 6-month-long accelerated rehabilitation with a 12-month-long rehabilitation. There is no consensus on the optimal duration of rehabilitation after anterior cruciate ligament reconstruction (ACLR). Trends in the past decades have shifted towards accelerated programs, often resulting in a return to play (RTP) at 4–6 months, postoperatively. However, longer rehabilitation cycles have recently experienced renaissance due to a greater understanding of graft remodeling.
Methods
Adult athletes who underwent ACLR between 2015 and 2018 by the same surgeon were included and followed-up prospectively for 24 months. Participants were allocated into two groups based on their RTP (6 months vs. 12 months) and compared with graft elongation, reoperation rate, and sports career (quit or continue) outcomes.
Results
Fifty-four patients underwent accelerated rehabilitation and 92 completed conventional rehabilitation. The accelerated rehabilitation was significantly associated with graft elongation—the accelerated rehabilitation group (n=9) and the conventional rehabilitation group (n=0), p<0.001—and need for reoperation—the accelerated rehabilitation group (n=5) and the conventional rehabilitation group (n=1), p=0.026. Although the relationship between rehabilitation time and quitting competitive sports did not reach significance at 0.05 level (p=0.063), it was significant when p<0.1, thereby showing a clear trend.
Conclusion
Accelerated rehabilitation increased graft elongation risk. Knee laxity ≥3 mm measured at 6 months after ACLR should be accompanied by RTP time frame re-evaluation. Arthrometry checkups or routine magnetic resonance imaging shortly after RTP may be considered in cases of accelerated rehabilitation.

Citations

• Movement Assessments as Predictors for Initial Anterior Cruciate Ligament Injury: A Critically Appraised Topic
  Destinee Johnson, Rebecca Maldonado, Erin Lally
  Journal of Sport Rehabilitation.2025; : 1.     CrossRef
• Anterior cruciate ligament reconstruction in the elderly: 5-Year follow-up study
  Takayuki Kurokawa, Károly Csete, Péter Jávor, Lilla Sándor, Bálint Baráth, Helga Holovic, László Török, Petra Hartmann
  Injury.2024; 55: 111529.     CrossRef
• Blood Flow Restriction Training and Its Use in Rehabilitation After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis
  Jamaal Butt, Zubair Ahmed
  Journal of Clinical Medicine.2024; 13(20): 6265.     CrossRef
• Reasons for the Variability of Rehabilitation Programs and the Perspective of the Standardized Guidelines Development for Patients after Anterior Cruciate Ligament Reconstruction
  V.V. Kotiuk, O.O. Kostrub, I.A. Zasadniuk, D.O. Smirnov, V.A. Podik, R.I. Blonskyi
  TERRA ORTHOPAEDICA.2023; (3(118)): 64.     CrossRef

Objective
To evaluate the efficacy and safety of 8 weeks of resistance circuit training in people with paraplegia due to spinal cord injury.
Methods
Participants were randomized into experimental and control groups. Although the intensity and sequence of movements of the exercise programs were identical in both groups, the resting time between sets was limited to 1 minute in the experimental group. In the control group, the participants were allowed to rest until they were comfortable. Both groups received 8 weeks of training twice per week. Before and after the program, muscle mass, body fat percentage, fat mass, blood pressure, heart rate, muscle strength and muscular endurance were evaluated, and 6-minute propulsion test was conducted. Additionally, the safety of the program was assessed.
Results
Twenty-two individuals with paraplegia were enrolled (11 in each group). After the training program, the experimental group showed a significant decrease in the resting blood pressure and improvement in the upper extremity muscle mass, strength, and endurance (p<0.05). Each variable showed significant inter-group differences (p<0.05). Furthermore, none of the participants showed autonomic adverse events, musculoskeletal side effects, or discomfort.
Conclusion
The results show that resistance circuit training programs with short resting intervals are superior to the usual resistance exercise programs in improving the blood pressure and physical strength and are safe for people with upper thoracic level injuries at T6 or higher.

Citations

• 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
• A three-arm randomized controlled trial of aerobic and resistance training in women with spinal cord injuries: Effects on physical fitness and pulmonary function
  Amir Hossein Haghighi, Atefeh Ahmadi, Roya Askari, Hadi Shahrabadi, Jeremy A. Moody, Joshua M. Miller, Filipe Clemente, Paulo Gentil
  Heliyon.2024; 10(13): e32538.     CrossRef
• Effectiveness of Circuit and Fartlek Exercises to Increase Aerobic Endurance in Adolescent Futsal Players
  M Haris Satria, Juhanis Juhanis, Mohamad Da'i, Lalu Moh Yudha Isnaini, Khaerul Anam, Karlina Dwijayanti
  International Journal of Disabilities Sports and Health Sciences.2024; 7(4): 782.     CrossRef
• Multicomponent Training in Progressive Phases Improves Functional Capacity, Physical Capacity, Quality of Life, and Exercise Motivation in Community-Dwelling Older Adults: A Randomized Clinical Trial
  Emilio Jofré-Saldía, Álvaro Villalobos-Gorigoitía, Cristián Cofré-Bolados, Gerson Ferrari, Gemma María Gea-García
  International Journal of Environmental Research and Public Health.2023; 20(3): 2755.     CrossRef
• Evaluation of a Physical-Psychological Integrative (PPI) intervention for community-dwelling spinal cord injury survivors: Study protocol of a preliminary randomized controlled trial
  Yan Li, Arnold Wong, Wai Man Chung, Mengqi Li, Alex Molasiotis, Daniel Bressington, Christina Zong-Hao Ma, Patrick Pui Kin Kor, Wing Fai Yeung, Victor Afamefuna Egwuonwu
  PLOS ONE.2023; 18(3): e0282846.     CrossRef

Objective
To develop an objective and quantitative clinical evaluation tool that can be used for diagnosis and severity assessment of dysarthria in patients with stroke.
Methods
A prototype test comprising 23 items was developed to test the function of each speech organ. The scoring of the prototype test was based on the analysis of the result values obtained from 50 healthy individuals. The test was performed for 50 patients with stroke who were suspected to have dysarthria. For evaluating the correlation between each prototype test item and the Urimal Test of Articulation and Phonation (U-TAP), the odds ratio was obtained for each result, based on which the final test items for composing the Korea Dysarthria Test (KDT) were selected. The validity of the test was evaluated using the receiver operator characteristic (ROC) curve and the area under the curve. We used the intraclass correlation coefficients to quantify inter- and intra-rater reliability. The Spearman correlation coefficient was used for examining the correlation between the KDT and the Speech Mechanism Screening Test and U-TAP.
Results
Among the 23 prototype test items, 16 exhibiting significant results were finally selected as the KDT. The higher score of the KDT is reflected the better speaking function. The sensitivity and specificity of the KDT were shown to be high at the cutoff value of 76.50 point.
Conclusion
KDT is a useful evaluation tool for dysarthria, showing a significant correlation with SMST and U-TAP.

Citations

• Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients
  Back Min Oh, Hyun Seok, Sang-Hyun Kim, Seung Yeol Lee, Su Jung Park, Beom Jin Kim, Hyun Jung Kim
  Annals of Rehabilitation Medicine.2023; 47(3): 192.     CrossRef
• Destruction of Vowel Space Area in Patients with Dysphagia after Stroke
  Min Kyu Choi, Seung Don Yoo, Eo Jin Park
  International Journal of Environmental Research and Public Health.2022; 19(20): 13301.     CrossRef

Objective
To analyze how Pilates exercises affect standing, walking, and balance in children with diplegic cerebral palsy throughout a 10-week program.
Methods
We included 40 children aged 7–9 years with diplegic cerebral palsy, and randomly allocated them into two groups of the same size: conventional therapy group (group A) and conventional therapy+Pilates group (group B). We administered the same conventional physical therapy program to both groups for 45 minutes, with group B receiving additional Pilates exercises for 45 minutes. Both groups attended the intervention program three times/week for 10 weeks. We used the Growth Motor Function Measure Scale (GMFM-88) to evaluate standing and walking (Dimensions D and E), and the Pediatric Balance Scale to evaluate balance function before and after treatment.
Results
Comparison of the average values of all measured variables before and after therapy showed a statistically significant difference (p<0.05) between the two groups. All measured variables showed a significant difference between groups A and B, in favor of group B (p<0.05).
Conclusion
Pilates exercise in addition to conventional therapy is more effective in improving balance and gross motor function in children with diplegic cerebral palsy than the conventional therapy alone.

Citations

• Effects of mind-body exercise in children with cerebral palsy—A systematic review and meta-analysis
  Ye Long, Xinping Jiang, Juan Li, Bingxue Liu
  Complementary Therapies in Clinical Practice.2025; 58: 101930.     CrossRef
• Virtual Reality Rehabilitation Helps to Improve Postural Balance in Children with Autism Spectrum Disorder: A Randomized Control Trial
  Mohamed A. Abdel Ghafar, Osama R. Abdelraouf, Eman M. Harraz, Mohamed K. Seyam, Walaa E. Morsy, Wafaa Mahmoud Amin, Hanaa Mohsen Abd-Elfattah
  Physical & Occupational Therapy In Pediatrics.2025; : 1.     CrossRef
• Optimization of Postural Control, Balance, and Mobility in Children with Cerebral Palsy: A Randomized Comparative Analysis of Independent and Integrated Effects of Pilates and Plyometrics
  Ragab K. Elnaggar, Rodrigo Ramirez-Campillo, Alshimaa R. Azab, Saud M. Alrawaili, Mshari Alghadier, Mazyad A. Alotaibi, Ahmed S. Alhowimel, Mohamed S. Abdrabo, Mohammed F. Elbanna, Ahmed M. Aboeleneen, Walaa E. Morsy
  Children.2024; 11(2): 243.     CrossRef
• Differences in the effectiveness of adding Bobath Exercise with (task-oriented training) on the balance of children with Cerebral Palsy
  Suharto Anwar, Sri Saadiyah Leksonowati, Suriani Suriani, Dwi Rustianto
  International Journal of Multidisciplinary Approach Research and Science.2024; 2(02): 667.     CrossRef
• Effects of Standing Board on Antigravity Muscles in Children with Cerebral Palsy Aging between 3 to 10 Years; A Multi-Centered Randomized Control Trial
  Aqsa Faiz, Bushra Zaman, Mubushara Afzal, Malik Osama, Mustafa Zaveri
  Pakistan BioMedical Journal.2024; : 11.     CrossRef
• Effect of Pilates exercises on balance and gross motor coordination in children with Down syndrome
  Alaa AL-Nemr, Shimaa Reffat
  Acta Neurologica Belgica.2024; 124(5): 1499.     CrossRef
• Association Between Calf Muscle Tone, Plantar Surface Area, and Gross Motor Function in Children with Spastic Diplegic Cerebral Palsy
  Hisham Hussein, Amsha Alshammari, Hand Alshammari, Monira Aldhahi, Yahya Suwaidi, Ahmed Ibrahim
  International Journal of General Medicine.2024; Volume 17: 4037.     CrossRef
• Effects of Pilates Exercise Training on Static Balance and Lower Limbs Proprioception in Adult Females With and Without Flexible Flatfeet
  Maryam Ghorbani, Rasoul Yaali, Hassan Sadeghi, Urs Granacher
  Foot & Ankle Specialist.2024;[Epub]     CrossRef
• Effects of Modified Pilates Training on Hemodynamic Responses in Children with Cerebral Palsy: A Single-Blinded Randomised Controlled Study
  Hatice Adıgüzel, Bülent Elbasan
  Medical Records.2024; 6(3): 426.     CrossRef
• Effects of Pilates in children and adolescents – A systematic review and meta-analysis
  Fabíola Unbehaun Cibinello, Jessica Caroliny de Jesus Neves, Paola Janeiro Valenciano, Dirce Shizuko Fujisawa, Carlos Augusto Marçal Camillo
  Journal of Bodywork and Movement Therapies.2023; 35: 400.     CrossRef
• An Intensive Combination of Bobath Therapy and Core Stability Exercises Is More Effective In Improving the Sitting Balance of Cerebral Palsy Children
  Suharto Anwar, Suriani Suriani, Asmawati Gasma
  International Journal of Multidisciplinary Approach Research and Science.2023; 1(03): 527.     CrossRef

Objective
To determine the effects of the Paraplegia Fitness Integrated Training (PARAFiT) program, which is an integrated graded physical exercise and health education program for individuals with spinal cord injury (SCI).
Methods
This nonrandomized single-blind study included 44 participants, who were assigned to either an intervention (PARAFiT) group or an active control (conventional physiotherapy) group. The intervention group underwent the PARAFiT program (8 weeks), which consisted of circuit-based interval training, progressive upper limb resistance training, and health education sessions. During the unsupervised period, the intervention group continuously underwent health education program once a month for 2 months (8 weeks). Repeated-measures analysis of variance was used for the analysis.
Results
The intervention group presented with a higher level of physical activity than did the control group; however, the difference was not significant (p=0.36). Additionally, the intervention group presented with better exercise self-efficacy and cardiorespiratory fitness and stronger bilateral shoulder muscle and handgrip than did the control group (all p<0.05). Exercise adherence was higher in the intervention group than in the control group during both the supervised (80% vs. 75%) and unsupervised (40% vs. 20%) periods.
Conclusion
The PARAFiT program enhanced the level of physical activity, exercise self-efficacy, physical fitness, and exercise adherence among the patients with SCI. Future studies should incorporate guidelines for home-based exercises and regular monitoring to promote long-term adherence to exercise and physical activity among individuals with SCI.

Citations

• Reliability and Validity of the Japanese Version of the Exercise Self‐Efficacy Scale in Older People Undergoing Lower Extremity Arthroplasty
  Mina Matsumura, Kimie Fujita, Yuriko Matsunaga‐Myoji, Goro Motomura, Satoshi Hamai, Yasuharu Nakashima
  Nursing & Health Sciences.2025;[Epub]     CrossRef
• The Relationship Between Physical Activity and Mental Health Among Individuals With Spinal Cord Injury: Protocol for a Scoping Review
  Winslet Ong, Noor Arfa Omar, Asfarina Zanudin, Muhamad Faiz Alias, Lim Hui Wen, Angel Thang Xue Ee, Nor Azlin Mohd Nordin, Haidzir Manaf, Basri Husin, Mahadir Ahmad, Hafifi Hisham
  JMIR Research Protocols.2024; 13: e56081.     CrossRef
• Effects of behaviour change interventions on physical activity in people with spinal cord injury: A systematic review and meta-analysis
  Paul K. Watson, Aitthanatt C. Eitivipart, Glen M. Davis, Mohit Arora, James W. Middleton, Camila Quel De Oliveira
  Psychology of Sport and Exercise.2023; 67: 102408.     CrossRef
• Feasibility, Usability, and Safety of ParaGym, an Intelligent Mobile Exercise App for Individuals With Paraplegia: Protocol for a Pilot Block-Randomized Controlled Trial
  Janika Bolz, Adrian Löscher, Rainer Muhl, Andreas Badke, Hans-Georg Predel, Claudio Perret
  JMIR Research Protocols.2023; 12: e45652.     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

Objective
To assess the validity of different anthropometric measures (waist circumference [WC], body mass index [BMI], and percentage body fat) in diagnosing metabolic syndrome (MetS) among individuals with SCI and provides preliminary data for future studies in setting obesity cutoff values for this population.
Methods
This was a single-center retrospective cohort study. Sample information, anthropometric measures, and MetS variables of 157 individuals with chronic SCI were collected from an electronic medical records database.
Results
Increasing age (odds ratio [OR]=1.040, p=0.016) and lower neurological level of injury (OR=1.059, p=0.046) were risk factors for MetS. Male BMI (r=0.380, p<0.001) and male WC (r=0.346, p<0.001) were positively correlated with the number of MetS subfactors. Individuals with non-obese WC, excluding central obesity, were associated with having no MetS subfactors (p=0.005), and individuals with obese WC were associated with one or more subfactors (p=0.005). BMI was associated with MetS diagnosis (area under the curve=0.765, p<0.001), with the calculated cutoff value for BMI being 22.8 kg/m².
Conclusion
This study calls for a stricter BMI cutoff for individuals with SCI in diagnosing MetS and warrants a large population-based study to define central obesity according to sex and ethnicity.

Citations

• Physical and emotional consequences of excess weight as experienced by individuals with spinal cord injuries
  Sherri L. LaVela, Justina Wu, Alex H.S. Harris, Susan M. Frayne, Andrea L. Nevedal, Katherine D. Arnow, Nicolas B. Barreto, Kristen Davis, Dan Eisenberg
  The Journal of Spinal Cord Medicine.2024; 47(3): 412.     CrossRef
• Correlates of metabolic syndrome in people with chronic spinal cord injury
  F. Di Giulio, C. Castellini, S. Palazzi, D. Tienforti, F. Antolini, G. Felzani, M. Giorgio Baroni, A. Barbonetti
  Journal of Endocrinological Investigation.2024; 47(8): 2097.     CrossRef
• Increased Risk of Myocardial Infarction, Heart Failure, and Atrial Fibrillation After Spinal Cord Injury
  Jung Eun Yoo, Miso Kim, Bongseong Kim, Heesun Lee, Won Hyuk Chang, Jeehyun Yoo, Kyungdo Han, Dong Wook Shin
  Journal of the American College of Cardiology.2024; 83(7): 741.     CrossRef
• The Clinical Management of Electrical Stimulation Therapies in the Rehabilitation of Individuals with Spinal Cord Injuries
  David R. Dolbow, Ines Bersch, Ashraf S. Gorgey, Glen M. Davis
  Journal of Clinical Medicine.2024; 13(10): 2995.     CrossRef
• Racial differences in serological markers across the first year of injury in spinal cord injury: a retrospective analysis of a multi-center interventional study
  Jia Li, Matthew Farrow, Kerollos Ibrahim, Dana M. McTigue, John Kramer, Bobo Tong, Catherine Jutzeler, Linda Jones, Ceren Yarar-Fisher
  Spinal Cord.2024; 62(8): 486.     CrossRef
• Effect of Detraining on Muscle Strength, Functional Capacity, Mental Health, and Body Composition in Individuals with Spinal Cord Injury
  Lucas Almada, Lucas Santos, Karla Freitas, Joel Rodrigues, Elizângela Diniz, Mauro Mazini-Filho, Luís Leitão, Eveline Pereira, Cláudia Oliveira, Osvaldo Moreira
  International Journal of Environmental Research and Public Health.2024; 21(7): 900.     CrossRef
• Impaired Glucose Tolerance and Visceral Adipose Tissue Thickness among Lean and Non-Lean People with and without Spinal Cord Injury
  Amy L. Kimball, Michael A. Petrie, Patrick M. McCue, Kristin A. Johnson, Richard K. Shields
  Journal of Functional Morphology and Kinesiology.2023; 8(3): 123.     CrossRef
• The Diagnosis and Management of Cardiometabolic Risk and Cardiometabolic Syndrome after Spinal Cord Injury
  Gary J. Farkas, Adam M. Burton, David W. McMillan, Alicia Sneij, David R. Gater
  Journal of Personalized Medicine.2022; 12(7): 1088.     CrossRef

Objective
To develop a set of reference standards for tibial motor, common peroneal motor, sural sensory, and superficial peroneal sensory nerve conduction studies (NCSs) with expanded uncertainty in a healthy Korean population.
Methods
Standardized procedures were conducted for individual lower extremity NCSs of 199 healthy participants in their 20s (n=100) and 50s (n=99). Mean values and expanded uncertainties for parameters were analyzed with thorough consideration of multiple uncertainty factors under the International Guide to the Expression of Uncertainty in Measurement. In addition, side-to-side differences in onset latency, amplitude, and nerve conduction velocity (NCV) were analyzed.
Results
Mean (reference range) for distal onset latency, baseline to negative peak amplitude, NCV of tibial motor nerve in males in their 20s were 4.3 ms (3.1–5.4 ms), 7.1 mV (3.4–10.9 mV), and 50.7 m/s (42.2–59.3 m/s), respectively; sural sensory nerve baseline to negative peak amplitude in males in their 20s was 21.7 μV (8.3–35.2 μV). Including the aforementioned data, we present a vast dataset of normative mean values and expanded uncertainties for NCSs of the leg in a healthy Korean population. Furthermore, upper limits for normal side-to-side differences for onset latency, amplitude, and NCV of each nerve are suggested.
Conclusion
To our knowledge, this is the first study to present the reference standards of leg NCSs with consideration for multifactorial uncertainties in an Asian population. We expect these results to help practitioners make reliable and reproducible clinical decisions.

Citations

• Einfluss des Patientenalters auf Parameter der Elektroneurographie
  Vera Kleinveld, Christian Eggers, Wolfgang Löscher, Cristina Cerinza Sick
  Klinische Neurophysiologie.2024; 55(01): 8.     CrossRef
• Revisiting the compound muscle action potential (CMAP)
  Paul E. Barkhaus, Sanjeev D. Nandedkar, Mamede de Carvalho, Michael Swash, Erik V. Stålberg
  Clinical Neurophysiology Practice.2024; 9: 176.     CrossRef
• Reference Standard of Median Nerve Conduction Study in Korea
  Jae Hyun Lee, Eunkyung Kim, Hyung-Seok Shim, Min-Gu Kang, Keewon Kim, Sang Yoon Lee, Goo Joo Lee, Shi-Uk Lee, Jae-Young Lim, Sun Gun Chung, Byung-Mo Oh
  Annals of Rehabilitation Medicine.2024; 48(4): 259.     CrossRef
• Reliability of submaximal stimulation for the train-of-four test using acceleromyography and electromyography with individualized stimulation currents
  Gi Year Lee, Sooyoung Cho, Hee Jung Baik, Jong Wha Lee, Jae Hee Woo, Hyun Jung Lee, Seung Hee Yoo
  Journal of Clinical Monitoring and Computing.2023; 37(2): 431.     CrossRef
• Short-term evaluation of motor and sensory nerve conduction parameters in COVID-19-associated peripheral neuropathy patients
  Mahmood D. Al-Mendalawi
  The Egyptian Journal of Bronchology.2023;[Epub]     CrossRef
• Nerve Conduction Differences in a Large Clinical Population: The Role of Age and Sex
  Shahar Shelly, Roni Ramon-Gonen, Pritikanta Paul, Christopher J. Klein, Eyal Klang, Nisim Rahman, Vera Nikitin, Merav Ben David, Amir Dori
  Journal of Neuromuscular Diseases.2023; 10(5): 925.     CrossRef
• Refined Diagnostic Protocol for Diabetic Polyneuropathy: Paving the Way for Timely Detection
  Byung-Mo Oh
  Annals of Rehabilitation Medicine.2023; 47(4): 234.     CrossRef
• Relationship Between Clinical Outcomes and Nerve Conduction Studies Before and After Viral Infections in Healthy Individuals: Case Series
  Sarah H Al-Mazidi, Fawzia ALRouq, Areej S Alsabty, Abdullah Alhajlah, Asma AlYahya, Ahmed Alsabih, Reema Al-taweraqi, Abdullah S Alahmari, Lina Al-Dakhil, Syed Habib
  Cureus.2023;[Epub]     CrossRef

Objective
To examine the changes in the cross-sectional area (CSA) ratio of the ankle invertors and evertors following rigid foot orthosis (RFO) application in children with symptomatic flexible flatfoot and to determine the correlation between the degree of change in CSA ratio and pain-severity after RFO application.
Methods
We included 24 children with symptomatic flexible flatfoot without comorbidities and measured the CSAs of tibialis anterior (TA), tibialis posterior (TP), and peroneus longus (PL) using ultrasonography, resting calcaneal stance position (RCSP) angle, calcaneal pitch (CP), Meary’s angle, talonavicular coverage angle, and talocalcaneal angle using radiography, and foot function index (FFI) at baseline and 12 months after RFO application. We analyzed 48 data by measuring both feet of 24 children. The CSA ratios, the ratio of CSA of each muscle to the sum of CSA of TA, TP, and PL, were also compared. Correlations between the degree of change in FFI, each muscle’s CSA ratio, RCSP angle, and radiographic measurements were investigated.
Results
Following RFO application, significant increase in the PL ratio and CP and significant decrease in the RCSP angle, FFI total, pain, and disability scores were observed. The degree of change in the total score, pain, and disability score of FFI were significantly correlated with the degree of change in the PL ratio and RCSP angle.
Conclusion
RFOs applied to children with symptomatic flexible flatfoot might reduce the compensatory activities of the ankle invertors, thereby increasing the PL ratio, and pain decreases as the PL ratio increases.

Citations

• The effects of foot orthoses on radiological parameters and pain in children with flexible flat feet: a systematic review and meta-analysis
  Chao Liu, HongHao Zhang, JianPing Li, ShiJia Li, GuQiang Li, XiangZhan Jiang
  Frontiers in Pediatrics.2024;[Epub]     CrossRef
• Change in Plantar Pressure and Plain Radiography in Pediatric Flexible Flatfoot: A Retrospective Cohort Study
  Sungjoon Kim, Yong Gyun Kim, Jun Yup Kim, Si-Bog Park, Kyu Hoon Lee
  Annals of Rehabilitation Medicine.2024; 48(5): 352.     CrossRef
• Evaluation of the Effect of Kinesio Taping on the Plantar Arch Index of Children with Spastic Diplegic Cerebral Palsy
  Amin Rezaei, Seyed Sirvan Hosseini, Shahryar Khosravi, Mohammadreza Kosarimoghadam, Behnam Amirpour Najafabadi, Mohammad Karim Golnari
  Journal of Advances in Medical and Biomedical Research.2023; 31(144): 25.     CrossRef
• The resting calcaneal stance position (RCSP): an old dog, with new tricks
  Carlos Martinez-Sebastian, Gabriel Gijon-Nogueron, Laura Ramos-Petersen, Cristina Molina-Garcia, Rubén Sánchez-Gómez, Angela M. Evans
  European Journal of Pediatrics.2023; 183(3): 1287.     CrossRef
• Monitoring the Role of Physical Activity in Children with Flat Feet by Assessing Subtalar Flexibility and Plantar Arch Index
  Ligia Rusu, Mihnea Ion Marin, Michi Mihail Geambesa, Mihai Robert Rusu
  Children.2022; 9(3): 427.     CrossRef
• Relation of Flatfoot Severity with Flexibility and Isometric Strength of the Foot and Trunk Extensors in Children
  Min Hwan Kim, Sangha Cha, Jae Eun Choi, Minsoo Jeon, Ja Young Choi, Shin-Seung Yang
  Children.2022; 10(1): 19.     CrossRef
• Biomechanical Evidence From Ultrasonography Supports Rigid Foot Orthoses in Children With Flatfoot
  Joon-Ho Shin
  Annals of Rehabilitation Medicine.2021; 45(6): 411.     CrossRef

Objective
To utilize pulmonary function parameters as predictive factors for dysphagia in individuals with cervical spinal cord injuries (CSCIs).
Methods
Medical records of 78 individuals with CSCIs were retrospectively reviewed. The pulmonary function was evaluated using spirometry and peak flow meter, whereas the swallowing function was assessed using a videofluoroscopic swallowing study. Participants were divided into the non-penetration-aspiration group (score 1 on the Penetration-Aspiration Scale [PAS]) and penetration-aspiration group (scores 2–8 on the PAS). Individuals with pharyngeal residue grade scores >1 were included in the pharyngeal residue group.
Results
The mean age was significantly higher in the penetration-aspiration and pharyngeal residue groups. In this study, individuals with clinical features, such as advanced age, history of tracheostomy, anterior surgical approach, and higher neurological level of injury, had significantly more penetration-aspiration or pharyngeal residue. Individuals in the penetration-aspiration group had significantly lower peak cough flow (PCF) levels. Individuals in the pharyngeal residue group had a significantly lower forced expiratory volume in 1 second (FEV1). According to the receiver operating characteristic curve analysis of PCF and FEV1 on the PAS, the cutoff value was 140 L/min and 37.5% of the predicted value, respectively.
Conclusion
Low PCF and FEV1 values may predict the risk of dysphagia in individuals with CSCIs. In these individuals, active evaluation of swallowing is recommended to confirm dysphagia.

Citations

• Methods of diagnosis and rehabilitation of dysphagia in patients with spinal cord injury: a systematic review
  Roberta ZUPO, Beatrice POGGI, Nicole CAGGIANO, Giulio VARRONE, Fabio CASTELLANA, Silvia NATOLI, Rodolfo SARDONE, Antonio NARDONE, Chiara PAVESE
  European Journal of Physical and Rehabilitation Medicine.2025;[Epub]     CrossRef
• Pulmonary function and sarcopenia as predictors of dysphagia in cervical spinal cord injury
  Su Ji Lee, Ji Cheol Shin
  Spinal Cord.2024; 62(1): 42.     CrossRef
• Evaluation of clinical factors predicting dysphagia in patients with traumatic and non-traumatic cervical spinal cord injury: a retrospective study
  Jin-Woo Choi, Dae Yeong Kim, Sun Young Joo, Donghwi Park, Min Cheol Chang
  Frontiers in Neurology.2024;[Epub]     CrossRef
• Coordination Between Respiration and Swallowing in Patients With Dysphagia After Cervical Spinal Cord Injury: An Observational Case–Control Study
  Xuluan Xu, Qingsu Zhang, Yongqi Xie, Degang Yang, Feng Gao, Yongxue Yuan, Yu Zhang, Jianjun Li
  American Journal of Speech-Language Pathology.2024; 33(5): 2572.     CrossRef
• Flujo máximo de tos y evaluación de la deglución: Una revisión de literatura
  Amalia Nanjarí R , María del Carmen Campos
  Revista Científica Signos Fónicos.2024; 10(1): 7.     CrossRef
• Voluntary Cough Testing as a Clinical Indicator of Airway Protection in Cervical Spinal Cord Injury
  Laura Pitts, Valerie K. Hamilton, Erin A. Walaszek, Stephanie Watts, Leora R. Cherney
  The Laryngoscope.2023; 133(6): 1434.     CrossRef
• Association between Anterior Surgical Approach and Dysphagia Severity in Patients with Cervical Spinal Cord Injury
  Min Cheol Chang, Dae Yeong Kim, Jin-Woo Choi, Ho Yong Choi, Jin-Sung Park, Donghwi Park
  Journal of Clinical Medicine.2023; 12(9): 3227.     CrossRef
• Successful Continuation of Oral Intake in a Dysphagic and Tetraplegic Patient With Alternate Right and Left Complete Lateral Decubitus Positions in Rehabilitation
  Yoshinori Maki, Mayumi Takagawa, Akio Goda, Junichi Katsura, Ken Yanagibashi
  Cureus.2023;[Epub]     CrossRef
• Laryngeal and swallow dysregulation following acute cervical spinal cord injury
  Teresa Pitts, Kimberly E. Iceman, Alyssa Huff, M. Nicholas Musselwhite, Michael L. Frazure, Kellyanna C. Young, Clinton L. Greene, Dena R. Howland
  Journal of Neurophysiology.2022; 128(2): 405.     CrossRef

Objective
To investigate the relationship between maximal tongue protrusion length (MTPL) and dysphagia in post-stroke patients.
Methods
Free tongue length (FTL) was measured using the quick tongue-tie assessment tool and MTPL was measured using a transparent plastic ruler in 47 post-stroke patients. The MTPL-to-FTL (RMF) ratio was calculated. Swallowing function in all patients was evaluated via videofluoroscopic swallowing study (VFSS), PenetrationAspiration Scale (PAS), Functional Oral Intake Scale (FOIS), and Videofluoroscopic Dysphagia Scale (VDS).
Results
The MTPL and RMF values were significantly higher in the non-aspirator group than in the aspirator group (MTPL, p=0.0049; RMF, p<0.001). MTPL and RMF showed significant correlations with PAS, FOIS and VDS scores. The cut-off value in RMF for the prediction of aspiration was 1.56, with a sensitivity of 84% and a specificity of 86%.
Conclusion
There is a relationship between MTPL and dysphagia in post-stroke patients. MTPL and RMF can be useful for detecting aspiration in post-stroke patients.

Citations

• Inter-rater and Intra-rater Reliability of the Videofluoroscopic Dysphagia Scale with the Standardized Protocol
  Ingi Min, Hyeonseong Woo, Jae Yoon Kim, Tae-Lim Kim, Yookyung Lee, Won Kee Chang, Se Hee Jung, Woo Hyung Lee, Byung-Mo Oh, Tai Ryoon Han, Han Gil Seo
  Dysphagia.2024; 39(1): 43.     CrossRef
• Tongue diagnostic parameters-based diagnostic signature in coronary artery disease patients with clopidogrel resistance after percutaneous coronary intervention
  Bo Liang, Rui Li, Jia Lu, Xiao-Jie Tian, Ning Gu
  EXPLORE.2023; 19(4): 528.     CrossRef
• Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients
  Back Min Oh, Hyun Seok, Sang-Hyun Kim, Seung Yeol Lee, Su Jung Park, Beom Jin Kim, Hyun Jung Kim
  Annals of Rehabilitation Medicine.2023; 47(3): 192.     CrossRef

Objective
To investigate the relationship between voluntary peak cough flow (PCF), oropharyngeal dysphagia, and pneumonia in patients who were evaluated with videofluoroscopic swallowing study (VFSS).
Methods
Patients who underwent both VFSS and PCF measurement on the same day were enrolled retrospectively (n=821). Pneumonia (n=138) and control (n=683) groups were assigned based on presence of pneumonia within 1 month from the date of VFSS assessment. In addition, sex, age (<65 and ≥65 years), preceding conditions, modified Barthel Index (MBI), Mini-Mental State Examination (MMSE), PCF value (<160, ≥160 and <270, and ≥270 L/min), and presence of aspiration/penetration on VFSS were reviewed.
Results
Pneumonia group was more likely to be male (n=108; 78.3%), ≥65 years (n=121; 87.7%), with neurodegenerative (n=25; 18.1%) or other miscellaneous diseases (n=50; 36.2%), and in poor functional level with lower value of MBI (39.1±26.59). However, MMSE was not significantly different in comparison to that of the control group. The pneumonia group was also more likely to have dysphagia (82.6%) and lower value of PCF (<160 L/min, 70.3%). In multivariable logistic regression analysis, male sex (odd ratio [OR]=6.62; 95% confidence interval [CI], 2.70–16.26), other miscellaneous diseases as preceding conditions (OR=2.52; 95% CI, 1.14–5.58), dysphagia (OR=3.82; 95% CI, 1.42–10.23), and PCF <160 L/min (OR=14.34; 95% CI, 1.84–111.60) were factors significantly related with pneumonia.
Conclusion
Impaired swallowing and coughing function showed an independent association with the development of pneumonia. Patients with PCF <160 L/min require more attention with lung care and should be encouraged with voluntary coughing strategy to prevent possible pulmonary complications.

Citations

• Predictors of Pneumonia in Patients With Penetration-Aspirations Detected on Fiberoptic Endoscopic Evaluation of Swallowing
  Raviv Allon, Elad Babayof, Yonatan Lahav, Yael Shapira-Galitz
  Dysphagia.2025;[Epub]     CrossRef
• Sound‐based cough peak flow estimation in patients with neuromuscular disorders
  Bernat Bertran Recasens, Ana Balañá Corberó, Juana María Martínez Llorens, Anna Guillen‐Sola, Montserrat Villatoro Moreno, Greta García Escobar, Yasutaka Umayahara, Zu Soh, Toshio Tsuji, Miguel Ángel Rubio
  Muscle & Nerve.2024; 69(2): 213.     CrossRef
• Differences in cough strength, respiratory function, and physical performance in older adults with and without low swallowing function in the repetitive saliva swallowing test
  Hideo Kaneko, Akari Suzuki, Yoshiharu Nagai, Jun Horie
  Journal of Physical Therapy Science.2024; 36(5): 273.     CrossRef
• Effect of Inspiratory Muscle Training on Cough Strength in Older People With Frailty: A Single-Blind Randomized Controlled Trial
  Tatsuya Morishita, Shusuke Toyama, Kazuaki Suyama, Fumiya Nagata, Masatoshi Itaki, Takako Tanaka, Shuntaro Sato, Yuji Ishimatsu, Terumitsu Sawai, Ryo Kozu
  Archives of Physical Medicine and Rehabilitation.2024; 105(11): 2062.     CrossRef
• Effects of Home-Based Daily Respiratory Muscle Training on Swallowing Outcomes in Patients with Chronic Stroke: Protocol for a Randomized Controlled Trial
  Mónica Zapata-Soria, Irene Cabrera-Martos, Alejandro Heredia-Ciuró, Esther Prados-Román, Javier Martín-Nuñez, Marie Carmen Valenza
  Journal of Clinical Medicine.2024; 13(18): 5547.     CrossRef
• Flujo máximo de tos y evaluación de la deglución: Una revisión de literatura
  Amalia Nanjarí R , María del Carmen Campos
  Revista Científica Signos Fónicos.2024; 10(1): 7.     CrossRef
• Metabolic and ventilatory changes during postural change from the supine position to the reclining position in bedridden older patients
  Yoji Yamada, Yuji Mitani, Akio Yamamoto, Kazumo Miura, Kanji Yamada, Yukari Oki, Yutaro Oki, Yasumichi Maejima, Yoko Kurumatani, Akira Ishikawa
  Medicine.2023; 102(10): e33250.     CrossRef
• Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients
  Back Min Oh, Hyun Seok, Sang-Hyun Kim, Seung Yeol Lee, Su Jung Park, Beom Jin Kim, Hyun Jung Kim
  Annals of Rehabilitation Medicine.2023; 47(3): 192.     CrossRef
• Deterioration of Cough, Respiratory, and Vocal Cord Functions in Patients with Multiple System Atrophy
  Takashi Asakawa, Mieko Ogino, Naomi Tominaga, Naoto Ozaki, Jin Kubo, Wataru Kakuda
  Neurology International.2023; 15(4): 1227.     CrossRef

Objective
To investigate the clinical demographics and rehabilitative assessments of encephalitis survivors admitted to a rehabilitation center, and to confirm the effects of inpatient rehabilitation manifested by changes in muscle strength and function after hospitalization.
Methods
Data of encephalitis survivors who received rehabilitation at our institution from August 2009 to August 2019 were reviewed. Medical charts were retrospectively reviewed, and motor, functional, and cognitive assessments were collected. Manual muscle testing (MMT), Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Functional Ambulation Category (FAC), Korean version of Modified Barthel Index (K-MBI), grip strength, Box and Block Test (BBT), and Korean version of Mini-Mental State Examination (K-MMSE) were performed, and the results upon admission and discharge were compared and analyzed.
Results
Most of the patients with encephalitis admitted to our institution had viral or autoimmune etiologies. The assessment results of 18 encephalitis patients upon admission and discharge were compared. The total K-MBI score, FAC, grip strength, and BBT significantly improved, but not the MMT and FMA. Subgroup analysis was performed for viral and autoimmune encephalitis, which are the main causes of the disease, but there was no difference in items with significant changes before and after hospitalization.
Conclusion
Encephalitis survivors showed a significant improvement in functional assessment scale during their hospital stay through rehabilitation, without significant changes in motor strength. Hence, we can conclude that encephalitis survivors benefit from inpatient rehabilitation, targeting functional gains in activities of daily living training more than motor strength.

Citations

• Activated Microglia Mediate the Motor Neuron‐, Synaptic Denervation‐ and Muscle Wasting‐Changes in Burn Injured Mice
  Jingyuan Chen, Yoshinori Kitagawa, Fei Xie, Haobo Li, William R. Kem, Zerong You, Shingo Yasuhara, J. A. Jeevendra Martyn
  Journal of Cachexia, Sarcopenia and Muscle.2025;[Epub]     CrossRef
• Handgrip strength and upper limb functional performance measures in people over 18 years old: Analysis of relationships and influencing factors
  Julio Ernesto Pérez-Parra, Claudia Patricia Henao-Lema, Anyi Vanesa Arcos-Rodríguez, Natalia López-Ocampo, Carolina Castaño-García, Olga Patricia Pérez-Gamboa
  Journal of Hand Therapy.2024; 37(1): 101.     CrossRef
• Outcome and Sequelae of Autoimmune Encephalitis
  Kathryn A. Kvam, Jean-Paul Stahl, Felicia C. Chow, Ariane Soldatos, Pierre Tattevin, James Sejvar, Alexandra Mailles
  Journal of Clinical Neurology.2024; 20(1): 3.     CrossRef
• Effect of Timing of Rehabilitation Nursing Intervention on Children with Acute Viral Encephalitis
  Haiyan Zhang, Shuangying Huang, Biyun He, Lingming Shen, Xiaoqing Li, Chen Shen, Bo Chen
  Iranian Journal of Pediatrics.2024;[Epub]     CrossRef
• State of the Art: Acute Encephalitis
  Karen C Bloch, Carol Glaser, David Gaston, Arun Venkatesan
  Clinical Infectious Diseases.2023; 77(5): e14.     CrossRef

Objective
To examine the frequency and timing of inpatient engagement in meaningful activities within rehabilitation (within and outside of structured therapy times) and determine the associations between activity type, goal awareness, and patient affect.
Methods
This prospective observational study performed behavioral mapping in a 42-bed inpatient brain injury rehabilitation unit by recording patient activity every 15 minutes (total 42 hours). The participants were randomly selected rehabilitation inpatients with acquired brain injury; all completed the study. The main outcome measures included patient demographics, observation of activity, participation, goal awareness, and affect.
Results
The inpatients spent 61% of the therapeutic day (8:30 to 16:30) in their single room and were alone 49% of the time. They were physically socially inactive for 76% and 74% of their awake time, respectively, with neutral affect observed for about half of this time. Goal-related activities were recorded for only 25% of the inpatients’ awake time. The odds of physical activity were 10.3-fold higher among in patients receiving support to address their goals within their rehabilitation program (odds ratio=10.3; 95% confidence interval, 5.02–21.16).
Conclusion
Inpatients in a mixed brain injury rehabilitation unit spent a large amount of their awake hours inactive and only participated in goal-related activities for a quarter of their awake time. Rehabilitation models that increase opportunities for physical, cognitive, and social activities outside of allied health sessions are recommended to increase overall activity levels during inpatient rehabilitation.

Citations

• Geriatric evaluation and management inpatients spend little time participating in physically, cognitively or socially meaningful activity: a time–motion analysis
  Laura Jolliffe, Taya A Collyer, Ka Hei Sun, Lisa Done, Siobhan Barber, Michele L Callisaya, David A Snowdon
  Age and Ageing.2025;[Epub]     CrossRef
• Addressing the intensity of rehabilitation evidence-practice gap: rapid review, stakeholder perspectives and recommendations for upper limb rehabilitation after acquired brain injury
  Natasha A Lannin, Michael Pellegrini, Madeleine J Smith, Laura Jolliffe, Meg E Morris
  International Journal of Therapy and Rehabilitation.2024; 31(7): 1.     CrossRef
• Environmental modifications to rehabilitate social behavior deficits after acquired brain injury: What is the evidence?
  Salome Bozkurt, Natasha A. Lannin, Richelle Mychasiuk, Bridgette D. Semple
  Neuroscience & Biobehavioral Reviews.2023; 152: 105278.     CrossRef
• Mapping physical activity patterns in hospitalised patients with moderate to severe acquired brain injury - MAP-ABI: Protocol for an observational study
  Vibeke Wagner, Pi Gravesen, Emma Ghaziani, Markus Harboe Olsen, Christian Gunge Riberholt
  Heliyon.2023; 9(11): e21927.     CrossRef

Objective
To investigate the prevalence and risk factors of axillary web syndrome (AWS) in Korean patients.
Methods
This retrospective study included a total of 189 women who underwent breast cancer surgery and received physical therapy between September 2019 and August 2020. We analyzed AWS and the correlation between the patients’ demographics, underlying disease, type of surgery and chemotherapy or radiation therapy, and lymphedema.
Results
The prevalence of AWS was found to be 30.6%. In the univariable analysis, age, chemotherapy, and hypertension were related to AWS. Finally, the multivariable logistic regression revealed that chemotherapy (odds ratio [OR]=2.84; 95% confidence interval [CI], 1.46–5.53) and HTN (OR=2.72; 95% CI, 1.18–6.30) were the strongest risk factors of AWS.
Conclusion
To the best of our knowledge, this was the first study that explored the risk factors of AWS in a Korean population after breast cancer surgery. As almost one-third of patients suffer from AWS after breast cancer surgery, it is essential to closely monitor the development of AWS in patients with hypertension or undergoing chemotherapy.

Citations

• Axillary Web Syndrome in Newly Diagnosed Individuals after Surgery for Breast Cancer: Baseline Results from the AMBER Cohort Study
  Margaret L McNeely, Kerry S Courneya, Mona M Al Onazi, Qinggang Wang, Stephanie Bernard, Leanne Dickau, Jeffrey K Vallance, S. Nicole Culos-Reed, Charles E Matthews, Lin Yang, Christine M Friedenreich
  Physiotherapy Canada.2024;[Epub]     CrossRef
• Is axillary web syndrome a risk factor for breast cancer-related lymphedema of the upper extremity? A systematic review and meta-analysis
  Cheryl L. Brunelle, Angela Serig
  Breast Cancer Research and Treatment.2024; 208(3): 471.     CrossRef
• Síndrome da Rede Axilar após Tratamento para Câncer de Mama: Revisão Sistemática com Metanálise
  Emmanuele Celina Souza dos Santos, Jurandir da Silva Filho, Rayane de Nazaré Monteiro Brandão, Lucas Yuri Azevedo da Silva, Leonardo Brynne Ramos de Souza, José Francisco Dias dos Anjos, Maurício Oliveira Magalhães, Saul Rassy Carneiro
  Revista Brasileira de Cancerologia.2023;[Epub]     CrossRef
• The role of aromatase inhibitors in slim women with breast cancer-related lymphoedema: a reflective case series
  Clare Anvar
  British Journal of Community Nursing.2023; 28(Sup10): S14.     CrossRef
• Axillary Web Syndrome in Breast Cancer Women: What Is the Optimal Rehabilitation Strategy after Surgery? A Systematic Review
  Lorenzo Lippi, Alessandro de Sire, Luigi Losco, Kamal Mezian, Arianna Folli, Mariia Ivanova, Lorenzo Zattoni, Stefano Moalli, Antonio Ammendolia, Carmine Alfano, Nicola Fusco, Marco Invernizzi
  Journal of Clinical Medicine.2022; 11(13): 3839.     CrossRef

Objective
To investigate the effect of sensory-based feeding treatment for toddlers with food refusal compared with only providing nutrition education.
Methods
Thirty-two toddlers with food refusal were randomly assigned to an intervention group or the control group. Toddlers in the intervention group received the sensory-based feeding intervention and the duration was for 1 hour for 5 days per week for 4 weeks, and then 1 hour, once a week for 8 weeks. Subjects in both the intervention and control groups received nutritional education once every 4 weeks for 12 weeks. The participants were evaluated at their entry into the study and 12 weeks later based on height, weight, behavior at mealtime using the Behavioral Pediatrics Feeding Assessment Scale (BPFAS), and sensory processing ability using the Infant/Toddler Sensory Profile.
Results
Sixteen toddlers were included in each group. Two subjects in the intervention group and four toddlers in the control group were excluded from the final analysis. Significant improvements in child or parent subscales of the BPFAS were observed in the intervention group. In contrast, there were no significant improvements in any BPFAS scores in the control group.
Conclusion
Sensory-based feeding intervention was effective for improving mealtime behavior in toddlers with food refusal. Therefore, a sensory-based feeding intervention could be considered as an intervention approach to address feeding disorders in toddlers.

Citations

• Methodological Components for Evaluating Intervention Effectiveness of SOS Feeding Approach: A Feasibility Study
  Sarah A. Schoen, Rachel Balderrama, Emma Dopheide, Ariel Harris, Laura Hoffman, Samantha Sasse
  Children.2025; 12(3): 373.     CrossRef
• The effect of occupational therapy home programs on sensory processing and feeding problems in children with Down syndrome: a randomized controlled trial
  Gülşah Zengin Yazıcı, Gokcen Akyurek
  International Journal of Developmental Disabilities.2025; : 1.     CrossRef
• Assessment of Sensory Integration in Early Childhood: A Systematic Review to Identify Tools Compatible with Family-Centred Approach and Daily Routines
  Cátia Couço Lucas, Ana Paula da Silva Pereira​, Leandro da Silva Almeida, Isabelle Beaudry-Bellefeuille
  Journal of Occupational Therapy, Schools, & Early Intervention.2024; 17(3): 419.     CrossRef
• Treating Pediatric Feeding Disorders and Dysphagia: Evidence-Based Interventions for School-Based Clinicians
  Kristen M. West
  Language, Speech, and Hearing Services in Schools.2024; 55(2): 444.     CrossRef
• Characterization and Impact of a Multidisciplinary Outpatient Pediatric Feeding and Swallowing Program
  Kathryn Benton, Darcie Delzell, Nicole Nalepa, Mark Fishbein
  Journal of Developmental and Physical Disabilities.2024; 36(5): 885.     CrossRef
• Nutritional and feeding challenges in aerodigestive patients
  Charles B. Chen
  Current Opinion in Pediatrics.2023; 35(5): 561.     CrossRef
• A szenzoros ételelutasítás a kora gyermekkori evészavarok korszerű megközelítésének tükrében
  Ágnes Gulácsi, Noémi Scheuring, Judit Stadler, Mónika Siba, Ildikó Danis
  Orvosi Hetilap.2023; 164(45): 1767.     CrossRef

Objective
To develop and evaluate the Korean version of a hospital-based transitional rehabilitation program (TRP), using daily living home for spinal cord injury (SCI) patients.
Methods
In this study, we developed the Korean version of a hospital-based TRP through domestic and overseas surveys and focus group meetings. By applying this to chronic SCI patients, we observed the functional and quality of life (QOL) changes and evaluated the degree of achievement of the core goals set for each patient during hospital-based TRP.
Results
Hospital-based TRP, for 21.8±3.9 days on average, was applied to four chronic SCI patients (two patients with long-term hospital stays and two homebound disabled individuals) with an average injury period of 736.8±185.4 days. The Korean version of the Spinal Cord Independence Measure (49.3±6.9 vs. 62.5±6.0; p<0.05) showed functional improvement at the end of TRP, when compared to that before the TRP. The Korean version of the World Health Organization’s QOL scale, abbreviated version (159.8±36.6 vs. 239.8±36.1; p<0.05), showed improvement in QOL. Goal attainment scaling showed a significant degree of achievement for the core goals through TRP (33.6±4.4 vs. 70.0±2.8; p<0.05). These results confirmed that the effect was maintained 1 month after the end of TRP. Additionally, two patients were successfully discharged after TRP completion, and the other two could start social activities.
Conclusion
The Korean version of the hospital-based TRP, applied to chronic SCI patients, showed the potential to improve the patients’ functioning and QOL and appeared to be effective in successful discharge and social participation.

Citations

• Interventional Programs for Community Reintegration after Spinal Cord Injury: A Scoping Review
  Surajo Kamilu Sulaiman, Bashir Kaka, Bashir Bello, Ashiru Hamza  Mohammed, Dauda Salihu, Umar Muhammad Bello, Muhammad Chutiyami, Francis Fatoye
  Critical Reviews in Physical and Rehabilitation Medicine.2023; 35(3): 19.     CrossRef

Objective
To investigate the factors affecting the postoperative swallowing dysfunction in patients who underwent oral cancer surgery.
Methods
Retrospective review of clinical records of 70 patients (50 males and 20 females) who underwent oral cancer surgeries from July 2007 to April 2015 were enrolled. Multiple regression analysis was performed using the Food Intake LEVEL Scale (FILS) at discharge as the objective variable and age, tumor size, resection of the tongue base, suprahyoid muscle resection, segmental mandibulectomy, neck dissection and radiation therapy as the explanatory variables in 70 patients. In addition, multiple regression analysis was performed between objective variables, which include maximum hyoid bone movement, laryngeal elevation delay time, pharyngeal constriction ratio (PCR), residue in the vallecular and pear-shaped depression (pyriform sinuses), and Penetration-Aspiration Scale score and one of the main factors representing the characteristics of each case as the explanatory variables, and age was treated as an adjustment factor in 23 patients.
Results
The FILS shows significant negative correlation by age and resection of the tongue base. In videofluoroscopic swallowing study, the maximum movement, PCR and residue in the vallecular are significantly correlated with factors demonstrating the characteristic for each case.
Conclusion
It was suggested that in elderly patients, the presence of more than half of the tongue base resection, suprahyoid muscle resection and neck dissection cause severe dysphagia after surgery.

Citations

• Effects of personalized oral exercises on swallowing function among patients with oral cancer after free flap transplantation: a cluster randomized controlled trial
  J. Zhang, H.-Y. Wu, X.-F. Shan, Z.-G. Cai, L. Zhang, Y. Yang
  International Journal of Oral and Maxillofacial Surgery.2024; 53(5): 355.     CrossRef
• Prediction of Pharyngeal 3D Volume Using 2D Lateral Area Measurements During Swallowing
  Howell Henrian G. Bayona, Yoko Inamoto, Eichii Saitoh, Keiko Aihara, Masanao Kobayashi, Yohei Otaka
  Dysphagia.2024; 39(5): 783.     CrossRef
• Longitudinal Assessment of the Quality of Life in Oral Squamous Cell Carcinoma Patients
  Priyadharshini G, Karthikeyan Ramalingam, Pratibha Ramani, Murugesan Krishnan
  Cureus.2024;[Epub]     CrossRef
• Alterations of posterior pharyngeal wall movement during swallowing in postoperative tongue cancer patients: assessment with a videofluoroscopic swallowing study
  Satoshi Watanabe, Masakazu Gotoh, Munetaka Naitoh, Yoshiko Ariji, Akiko Hirukawa, Mitsuo Goto, Eiichiro Ariji, Toru Nagao
  Odontology.2023; 111(1): 228.     CrossRef
• Texture properties of foods targeted for individuals with limited oral processing capabilities: the elderly, dysphagia, and head and neck cancer patients
  James Makame, Alissa A. Nolden, M Naushad Emmambux
  Food & Function.2023; 14(9): 3949.     CrossRef
• Longitudinal changes in swallowing function after surgery and proactive swallowing therapy for oral cancer
  Nai‐Hsin Meng, Chia‐Ing Li, Chun‐Hung Hua, Tzu‐Chieh Lin, Chien‐Jen Chiu, Chien‐Lin Lin, Ming‐Hsui Tsai, Pei‐Ju Chiu, Wen‐Dien Chang, Yung‐An Tsou
  Head & Neck.2023; 45(7): 1632.     CrossRef
• Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients
  Back Min Oh, Hyun Seok, Sang-Hyun Kim, Seung Yeol Lee, Su Jung Park, Beom Jin Kim, Hyun Jung Kim
  Annals of Rehabilitation Medicine.2023; 47(3): 192.     CrossRef
• Effects of personalized swallowing rehabilitation in patients with oral cancer after free flap transplantation: A cluster randomized controlled trial
  Jing Zhang, Hong-Yun Wu, Qian Lu, Xiao-Feng Shan, Zhi-Gang Cai, Lei Zhang, Li Wei, Yue Yang
  Oral Oncology.2022; 134: 106097.     CrossRef