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Original Article

Brain disorders

Low-Frequency Repetitive Transcranial Magnetic Stimulation in the Early Subacute Phase of Stroke Enhances Angiogenic Mechanisms in Rats
Yookyung Lee, Byung-Mo Oh, Sung-Hye Park, Tai Ryoon Han
Ann Rehabil Med 2022;46(5):228-236.   Published online October 31, 2022
DOI: https://doi.org/10.5535/arm.22040
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

Citations to this article as recorded by  
  • 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
  • 6,462 View
  • 90 Download
  • 2 Web of Science
  • 2 Crossref

Review Article

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

Citations to this article as recorded by  
  • 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
  • 6,482 View
  • 110 Download
  • 4 Web of Science
  • 4 Crossref

Corrigendum

Spinal cord injury

Correction: Effects of Resistance Circuit Training on Health-Related Physical Fitness in People With Paraplegia: A Pilot Randomized Controlled Trial
Minkyoung Son, Hyejin Lee, Bum-Suk Lee, EunYoung Kim, Hyeyeong Yun, Seck Jin Kim, JaeHak Kim, Seung-Mo Jin, Seon-Deok Eun
Ann Rehabil Med 2022;46(4):219.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22012.e
Corrects: Ann Rehabil Med 2022;46(2):87
  • 3,109 View
  • 62 Download

Original Articles

Cardiopulmonary rehabilitation

Accuracy and Validity of Commercial Smart Bands for Heart Rate Measurements During Cardiopulmonary Exercise Test
Chul Kim, Seung Hyoun Kim, Mi Rim Suh
Ann Rehabil Med 2022;46(4):209-218.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22050
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 (rc) 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 rc>0.90, while the PWB-250 correlation was rc=0.58 at rest. When evaluating the accuracy according to the magnitude of HR, all smart bands performed well (rc>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

Citations to this article as recorded by  
  • 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
  • 7,397 View
  • 145 Download
  • 6 Web of Science
  • 3 Crossref

Cancer rehabilitation

Effects of Lymphovenous Anastomosis Surgery Using Ultrasonography in Lymphedema From a Pressure Perspective
Jayoung Lee, Soojin Kim, Kyongje Woo, Hasuk Bae
Ann Rehabil Med 2022;46(4):202-208.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22063
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.
  • 4,138 View
  • 79 Download

Cancer rehabilitation

Effects of Hydrodilatation With Corticosteroid Injection and Biomechanical Properties in Patients With Adhesive Capsulitis After Breast Cancer Surgery
Chang Won Lee, In Soo Kim, Jeong-Gil Kim, Hyeoncheol Hwang, Il Young Jung, Shi-Uk Lee, Kwan-Sik Seo
Ann Rehabil Med 2022;46(4):192-201.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22059
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

Citations to this article as recorded by  
  • 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
  • 6,050 View
  • 93 Download
  • 1 Web of Science
  • 2 Crossref

Pain & Musculoskeletal rehabilitation

Ultrasonographic Identification of the High-Risk Zone for Medial Antebrachial Cutaneous Nerve Injury in the Elbow
Jeong Min Kim, Byungjun Kim, Joon Shik Yoon
Ann Rehabil Med 2022;46(4):185-191.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22071
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

Citations to this article as recorded by  
  • 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
  • 4,552 View
  • 154 Download
  • 1 Web of Science
  • 1 Crossref

Spinal cord injury

Quantitative Analysis in Cervical Spinal Cord Injury Patients Using Diffusion Tensor Imaging and Tractography
Geun Seok Park, Tae Uk Kim, Seong Jae Lee, Jung Keun Hyun, Seo Young Kim
Ann Rehabil Med 2022;46(4):172-184.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22053
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

Citations to this article as recorded by  
  • 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
  • 4,929 View
  • 114 Download
  • 1 Web of Science
  • 1 Crossref

Brain disorders

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
Ann Rehabil Med 2022;46(4):163-171.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22061
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.
  • 6,036 View
  • 158 Download

Review Article

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

Citations to this article as recorded by  
  • 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
  • 6,518 View
  • 130 Download
  • 1 Web of Science
  • 1 Crossref

Original Articles

Cancer rehabilitation

Efficacy of Tibial Nerve Stimulation on Fecal Incontinence in Patients With Low Anterior Resection Syndrome Following Surgery for Colorectal Cancer
Aigul Tazhikova, Abay Makishev, Aizhan Bekisheva, Mariya Dmitriyeva, Medet Toleubayev, Alina Sabitova
Ann Rehabil Med 2022;46(3):142-153.   Published online June 30, 2022
DOI: https://doi.org/10.5535/arm.22025
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

Citations to this article as recorded by  
  • 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
  • 7,160 View
  • 113 Download
  • 6 Web of Science
  • 5 Crossref

Cardiopulmonary rehabilitation

Is Age-Predicted Maximal Heart Rate Applicable in Patients With Heart or Lung Disease?
Sang Hun Han, Min Soo Choi, Young Mo Kim, Dong Min Kim, Ho Eun Park, Ji Won Hong, Sang Hun Kim, Yong Beom Shin, Byeong Ju Lee
Ann Rehabil Med 2022;46(3):133-141.   Published online June 30, 2022
DOI: https://doi.org/10.5535/arm.21181
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

Citations to this article as recorded by  
  • 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
  • 6,682 View
  • 129 Download
  • 5 Web of Science
  • 6 Crossref

Pain & Musculoskeletal rehabilitation

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

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  • 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
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    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
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    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
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  • 115 Download
  • 9 Web of Science
  • 9 Crossref

Brain disorders

Effect of Antigravity Treadmill Gait Training on Gait Function and Fall Risk in Stroke Patients
Kyungrok Oh, Namgyu Im, Young Lee, Nana Lim, Taehwan Cho, Sura Ryu, Seora Yoon
Ann Rehabil Med 2022;46(3):114-121.   Published online June 30, 2022
DOI: https://doi.org/10.5535/arm.22034
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

Citations to this article as recorded by  
  • 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
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    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
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    Dae-Hwan Lee, Bong-Sik Woo, Yong-Hwa Park, Jung-Ho Lee
    Medicina.2024; 60(5): 711.     CrossRef
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    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
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    Sattam M. Almutairi
    Bulletin of Faculty of Physical Therapy.2023;[Epub]     CrossRef
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  • 11 Crossref

Editorial

Cancer rehabilitation

Recent Trends in Rehabilitation for Cancer Patients
Kwan-Sik Seo
Ann Rehabil Med 2022;46(3):111-113.   Published online June 30, 2022
DOI: https://doi.org/10.5535/arm.22072
  • 4,119 View
  • 106 Download

Corrigenda

Pediatric rehabilitation

Correction: Effect of Pilates Exercises on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy
Hanaa Mohsen Abd-Elfattah, Dina Othman Shokri Morsi Galal, Mahmoud Ibrahim Elsayed Aly, Sobhy M. Aly, Tamer Emam Elnegamy
Ann Rehabil Med 2022;46(2):110-110.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.21148.e
Corrects: Ann Rehabil Med 2022;46(1):45
  • 3,822 View
  • 102 Download

Spinal cord injury

Correction: Factors Affecting Metabolic Syndrome in Individuals With Chronic Spinal Cord Injury
Ji Won Shin, Tayeon Kim, Bum-Suk Lee, Onyoo Kim
Ann Rehabil Med 2022;46(2):109-109.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.21144.e
Corrects: Ann Rehabil Med 2022;46(1):24
  • 3,324 View
  • 56 Download

Brain disorders

Correction: Stroke Rehabilitation Fact Sheet in Korea
Se Hee Jung
Ann Rehabil Med 2022;46(2):108-108.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.22001.e
Corrects: Ann Rehabil Med 2022;46(1):1
  • 3,668 View
  • 72 Download

Original Articles

Sports Medicine

Early Return to Play After Anterior Cruciate Ligament Reconstruction: Is It Worth the Risk?
László Török, Péter Jávor, Katalin Török, Ferenc Rárosi, Petra Hartmann
Ann Rehabil Med 2022;46(2):97-107.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.22010
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

Citations to this article as recorded by  
  • 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
  • 6,230 View
  • 112 Download
  • 2 Web of Science
  • 4 Crossref

Spinal cord injury

Effects of Resistance Circuit Training on Health-Related Physical Fitness in People With Paraplegia: A Pilot Randomized Controlled Trial
Minkyoung Son, Hyejin Lee, Bum-Suk Lee, EunYoung Kim, Hyeyeong Yun, Seck Jin Kim, JaeHak Kim, Seung-Mo Jin, Seon-Deok Eun
Ann Rehabil Med 2022;46(2):87-96.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.22012
Correction in: Ann Rehabil Med 2022;46(4):219
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

Citations to this article as recorded by  
  • 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
  • 7,182 View
  • 170 Download
  • 3 Web of Science
  • 5 Crossref

Brain disorders

Development of the Korea Dysarthria Test Following Stroke
Hyo Jong Kim, Kyoung Moo Lee
Ann Rehabil Med 2022;46(2):71-86.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.21153
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

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  • 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
  • 6,498 View
  • 124 Download
  • 2 Web of Science
  • 2 Crossref

Review Articles

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.

Citations

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  • Effects of Cancer Rehabilitation Interventions for Women Treated for Gynaecological Cancers: A Meta‐Analysis of Randomised Controlled Trials
    Liuxin Zhang, Ankie Tan Cheung, Yongfeng Chen, Ka Ming Chow
    Journal of Clinical Nursing.2025;[Epub]     CrossRef
  • Perceived bioethical issues in cancer rehabilitation: a qualitative study among Italian physiotherapists
    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
    Journal of Physical Activity and Health.2025; : 1.     CrossRef
  • Bridging the gap: Advancing occupational therapy in cancer recovery for better outcomes
    Amanda dos Santos Pereira, Alexander Miller, Amos Olalekan Akinyemi
    Journal of Medicine, Surgery, and Public Health.2025; 6: 100196.     CrossRef
  • Physiotherapists' training in oncology rehabilitation from entry‐level to advanced education: A qualitative study
    Gianluca Bertoni, Valentina Conti, Marco Testa, Ilaria Coppola, Stefania Costi, Simone Battista
    Physiotherapy Research International.2024;[Epub]     CrossRef
  • The efficacy of progressive muscle relaxation training on cancer-related fatigue and quality of life in patients with cancer: A systematic review and meta-analysis of randomized controlled studies
    Yajiao Wang, Liu Yang, Guijiao Lin, Bichun Huang, Xia Sheng, Ligang Wang, Liuyin Chen, Xiahua Qiu, Xinlei Wu, Rujia Lin
    International Journal of Nursing Studies.2024; 152: 104694.     CrossRef
  • Reasons for non-participation in cancer rehabilitation: a scoping literature review
    Mikala Erlik, Helle Timm, Anders Thyge Steen Larsen, Morten Quist
    Supportive Care in Cancer.2024;[Epub]     CrossRef
  • Obesity and Cancer Rehabilitation for Functional Recovery and Quality of Life in Breast Cancer Survivors: A Comprehensive Review
    Lorenzo Lippi, Alessandro de Sire, Arianna Folli, Alessio Turco, Stefano Moalli, Marco Marcasciano, Antonio Ammendolia, Marco Invernizzi
    Cancers.2024; 16(3): 521.     CrossRef
  • Association of cancer diagnosis with disability status among older survivors of colorectal cancer: a population-based retrospective cohort study
    Shiming Zhang, Lin-Na Chou, Michael D. Swartz, Hemalkumar B. Mehta, James S. Goodwin, Yong-Fang Kuo, Sharon Hermes Giordano, Carole A. Tucker, Karen M. Basen-Engquist, Elizabeth J. Lyons, Brian Downer, Susan K. Peterson, Tru Cao, Maria C. Swartz
    Frontiers in Oncology.2024;[Epub]     CrossRef
  • Impact of Virtual Reality on Pain, ROM, Muscle Strength and Quality of Life among Breast Cancer Patients: An Integrative Review of Literature
    Abhishek Sharma, Nidhi Sharma, Aksh Chahal
    Pain Management Nursing.2024; 25(5): 538.     CrossRef
  • Occupational Therapy and Cancer: Perspectives of Patients and Health Care Providers
    Marisa Monbrod, Yaseena Gurra, Connor Graves, Krimaben Mehta, Lisa Jean Knecht-Sabres
    Journal of Rehabilitation Practices and Research.2024;[Epub]     CrossRef
  • 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.2024; : 1.     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
  • Rehabilitation of oncological patients: a comparative analysis of clinical guidelines for managing oncological patients with renal parenchyma cancer, bladder cancer and female cancer in Russia, Europe, and USA
    D. A. Petrenko, A. G. Aleksandrov
    Journal of Medical Rehabilitation.2024; 1(1): 80.     CrossRef
  • Behavior change theory and behavior change technique use in cancer rehabilitation interventions: a secondary analysis
    M. Lauren VOSS, Rachelle BRICK, Lynne S. PADGETT, Stephen WECHSLER, Yash JOSHI, Genevieve AMMENDOLIA TOMÉ, Sasha ARBID, Grace CAMPBELL, Kristin L. CAMPBELL, Dima EL HASSANIEH, Caroline KLEIN, Adrienne LAM, Kathleen D. LYONS, Aisha SABIR, Alix G. SLEIGHT,
    European Journal of Physical and Rehabilitation Medicine.2024;[Epub]     CrossRef
  • Differences in the Analgesic Effect of Opioids on Pain in Cancer Patients With Spinal Metastases
    Miho Takemura, Kazuyuki Niki, Yoshiaki Okamoto, Hiroshi Tamura, Tomohiro Kawamura, Makie Kohno, Yoshinobu Matsuda, Kenji Ikeda
    Palliative Medicine Reports.2023; 4(1): 220.     CrossRef
  • User-Centered Development of a Mobile App to Assess the Quality of Life of Patients With Cancer: Iterative Investigation and Usability Testing
    Chantal N L Beutter, Katharina Zeller, Uwe M Martens, Bettina Pfleiderer, Christian Fegeler
    JMIR Cancer.2023; 9: e44985.     CrossRef
  • Selenium in Cancer Rehabilitation—A Retrospective Study from a Specialized Clinic
    Christina Pfister, Joerg Schoenemann
    Nutrients.2023; 15(17): 3827.     CrossRef
  • Recent Trends in Rehabilitation for Cancer Patients
    Kwan-Sik Seo
    Annals of Rehabilitation Medicine.2022; 46(3): 111.     CrossRef
  • Cancer Rehabilitation Fact Sheet in Korea
    Jin A Yoon, Bo Young Hong
    Annals of Rehabilitation Medicine.2022; 46(4): 155.     CrossRef
  • 12,148 View
  • 199 Download
  • 18 Web of Science
  • 20 Crossref

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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    Patrick Pui Kin Kor, Justina Yat Wa Liu, Arkers Kwan Ching Wong, Alex Pak Lik Tsang, Han Zhi Tan, Daphne Sze Ki Cheung, Humphrey Kwong Wai Leung, Frances Kam Yuet Wong
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    International Journal of Molecular Sciences.2023; 24(18): 14251.     CrossRef
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    Liang Wang, Serena Shah, Cristina Nicole Llaneras, Raquel Goldhardt
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    Hye-soo Youn, Eun-chang Lee, Jung-min Son, Sun-woo Kwon, Choong-hyun Park, Yi-jae Kwon, Hyo-jeong Lee, Jung-eun Lee
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Original Articles

Pediatric rehabilitation

Effect of Pilates Exercises on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy
Hanaa Mohsen Abd-Elfattah, Dina Othman Shokri Morsi Galal, Mahmoud Ibrahim Elsayed Aly, Sobhy M. Aly, Tamer Emam Elnegamy
Ann Rehabil Med 2022;46(1):45-52.   Published online February 28, 2022
DOI: https://doi.org/10.5535/arm.21148
Correction in: Ann Rehabil Med 2022;46(2):110
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

Citations to this article as recorded by  
  • 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
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  • 11 Crossref

Physical Therapy

Effects of Paraplegia Fitness Integrated Training on Physical Function and Exercise Self-Efficacy and Adherence Among Individuals With Spinal Cord Injury
Hafifi Hisham, Maria Justine, Nazirah Hasnan, Haidzir Manaf
Ann Rehabil Med 2022;46(1):33-44.   Published online February 28, 2022
DOI: https://doi.org/10.5535/arm.21127
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

Citations to this article as recorded by  
  • 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
  • 8,683 View
  • 195 Download
  • 4 Crossref

Spinal cord injury

Factors Affecting Metabolic Syndrome in Individuals With Chronic Spinal Cord Injury
Ji Won Shin, Tayeon Kim, Bum-Suk Lee, Onyoo Kim
Ann Rehabil Med 2022;46(1):24-32.   Published online February 28, 2022
DOI: https://doi.org/10.5535/arm.21144
Correction in: Ann Rehabil Med 2022;46(2):109
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

Citations to this article as recorded by  
  • 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
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  • 165 Download
  • 9 Web of Science
  • 8 Crossref

Electrodiagnosis

Reference Standards for Nerve Conduction Studies of Individual Nerves of Lower Extremity With Expanded Uncertainty in Healthy Korean Adults
Jae Yoon Kim, Eunkyung Kim, Hyung Seok Shim, Jae Hyun Lee, Goo Joo Lee, Keewon Kim, Jae-Young Lim, Jaewon Beom, Sang Yoon Lee, Shi-Uk Lee, Sun Gun Chung, Byung-Mo Oh
Ann Rehabil Med 2022;46(1):9-23.   Published online February 28, 2022
DOI: https://doi.org/10.5535/arm.21170
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

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    Vera Kleinveld, Christian Eggers, Wolfgang Löscher, Cristina Cerinza Sick
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    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
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    Journal of Clinical Monitoring and Computing.2023; 37(2): 431.     CrossRef
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    Mahmood D. Al-Mendalawi
    The Egyptian Journal of Bronchology.2023;[Epub]     CrossRef
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    Shahar Shelly, Roni Ramon-Gonen, Pritikanta Paul, Christopher J. Klein, Eyal Klang, Nisim Rahman, Vera Nikitin, Merav Ben David, Amir Dori
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Review Article

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.

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Corrigendum

Correction: Validation of Korean Version of Coma Recovery Scale-Revised (K-CRSR)
Hee Jun Han, Ee Jin Kim, Hae Jin Lee, Sung Bom Pyun, Kyung Lim Joa, Han Young Jung
Ann Rehabil Med 2021;45(6):471-471.   Published online December 31, 2021
DOI: https://doi.org/10.5535/arm.17102.e
Corrects: Ann Rehabil Med 2018;42(4):536
  • 3,447 View
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Original Article

Orthosis & Prosthesis

Effect of Foot Orthoses in Children With Symptomatic Flexible Flatfoot Based on Ultrasonography of the Ankle Invertor and Evertor Muscles
Dong Joon Cho, So Young Ahn, Soo-Kyung Bok
Ann Rehabil Med 2021;45(6):459-470.   Published online December 31, 2021
DOI: https://doi.org/10.5535/arm.21137
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

Citations to this article as recorded by  
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