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Original Articles
Scapular Upward Rotation During Passive Humeral Abduction in Individuals With Hemiplegia Post-stroke
Jonjin Ratanapinunchai, Witaya Mathiyakom, Somporn Sungkarat
Ann Rehabil Med 2019;43(2):178-186.   Published online April 30, 2019
DOI: https://doi.org/10.5535/arm.2019.43.2.178
Objective
To describe scapular upward rotation during passive humeral abduction in individuals with hemiplegia post-stroke compared to normal subjects.
Methods
Twenty-five individuals with hemiplegia post-stroke and 25 age- and gender-matched normal subjects voluntarily participated in this study. Scapular upward rotation during resting and passive humeral abduction at 30°, 60°, 90°, 120°, and 150° were measured using a digital inclinometer.
Results
In both groups, scapular upward rotation significantly increased as humeral abduction increased (p<0.001). Scapular upward rotation was significantly less in the hemiplegic group compared to that in the control at 90° (p=0.002), 120° (p<0.001), and 150° of humeral abduction (p<0.001). The mean difference in scapular upward rotation between these two groups ranged from 6.3° to 11.38°.
Conclusion
Passive humeral abductions ranging from 90° to 150° can significantly alter scapular upward rotation in individuals with hemiplegia post-stroke compared to those of matched normal subjects. The magnitude of reduction of the scapular upward rotation may potentially lead to the development of hemiplegic shoulder pain after prolonged repetitive passive movement. Scapular upward rotation should be incorporated during passive humeral abduction in individuals with hemiplegia post-stroke, especially when the humeral is moved beyond 90° of humeral abduction. Combined movements of scapular and humeral will help maintain the relative movement between the scapula and humerus. However, further longitudinal study in patients with shoulder pain post-stroke is needed to confirm these findings.

Citations

Citations to this article as recorded by  
  • A Deep Learning-Based Upper Limb Rehabilitation Exercise Status Identification System
    Binoy B. Nair, N. R. Sakthivel
    Arabian Journal for Science and Engineering.2023; 48(2): 1237.     CrossRef
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    Binoy B. Nair, N. R. Sakthivel
    Arabian Journal for Science and Engineering.2022; 47(2): 2095.     CrossRef
  • Early multidisciplinary prevention program of post-stroke shoulder pain: A randomized clinical trial
    Bertrand Glize, Amandine Cook, Antoine Benard, Sharmila Sagnier, Stéphane Olindo, Mathilde Poli, Sabrina Debruxelles, Pauline Renou, François Rouanet, Clément Bader, Patrick Dehail, Igor Sibon
    Clinical Rehabilitation.2022; 36(8): 1042.     CrossRef
  • Moment arms of the deltoid, infraspinatus and teres minor muscles for movements with high range of motion: A cadaveric study
    Marion Hoffmann, Mickael Begon, Najoua Assila, Marc-Olivier St-Pierre, Antony Bertrand-Grenier, Sonia Duprey, Stéphane Sobczak
    Clinical Biomechanics.2022; 97: 105685.     CrossRef
  • Intervention Effect of Rehabilitation Robotic Bed Under Machine Learning Combined With Intensive Motor Training on Stroke Patients With Hemiplegia
    Guangliang Liu, Haiqin Cai, Naruemon Leelayuwat
    Frontiers in Neurorobotics.2022;[Epub]     CrossRef
  • 8,524 View
  • 191 Download
  • 5 Web of Science
  • 5 Crossref
Duration of Treatment Effect of Extracorporeal Shock Wave on Spasticity and Subgroup-Analysis According to Number of Shocks and Application Site: A Meta-Analysis
Jae Ho Oh, Hee Dong Park, Seung Hee Han, Ga Yang Shim, Kyung Yeul Choi
Ann Rehabil Med 2019;43(2):163-177.   Published online April 30, 2019
DOI: https://doi.org/10.5535/arm.2019.43.2.163
Objective
To investigate duration of the treatment effect of extracorporeal shockwave therapy (ESWT) on spasticity levels measured with Modified Ashworth Scale (MAS) regardless of the patient group (stroke, multiple sclerosis, and cerebral palsy) and evaluate its spasticity-reducing effect depending on the number of shocks and site of application.
Methods
PubMed, EMBASE, the Cochrane Library, and Scopus were searched from database inception to February 2018. Randomized controlled trials and cross-over trials were included. All participants had spasticity regardless of cause. ESWT was the main intervention and MAS score was the primary outcome. Among 122 screened articles, 9 trials met the inclusion criteria.
Results
The estimate of effect size showed statistically significant MAS grade reduction immediately after treatment (standardized mean difference [SMD]=-0.57; 95% confidence interval [CI], -1.00 to -0.13; p=0.012), 1 week after (SMD=-1.81; 95% CI, -3.07 to -0.55; p=0.005), 4 weeks after (SMD=-2.35; 95% CI, -3.66 to -1.05; p<0.001), and 12 weeks after (SMD=-1.07; 95% CI, -2.04 to -0.10; p=0.03). Meta-regression and subgroup analysis were performed for the ‘immediately after ESWT application’ group. The prediction equation obtained from metaregression was -1.0824+0.0002* (number of shocks), which was not statistically significant. Difference in MAS grade reduction depending on site of application was not statistically significant either in subgroup analysis (knee and ankle joints vs. elbow, wrist, and finger joints).
Conclusion
ESWT effectively reduced spasticity levels measured with MAS regardless of patient group. Its effect maintained for 12 weeks. The number of shocks or site of application had no significant influence on the therapeutic effect of ESWT in reducing spasticity. Ongoing trials with ESWT are needed to address optimal parameters of shock wave to reduce spasticity regarding intensity, frequency, and numbers.

Citations

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  • Shockwave therapy in persons with a spinal cord injury and spasticity: A multiple single-case experimental design study
    Boris S.G. Hellenbrand, Charlotte C.M. van Laake – Geelen, Henk A.M. Seelen
    The Journal of Spinal Cord Medicine.2025; 48(3): 429.     CrossRef
  • Using Radial Shock Wave Therapy to Control Cerebral Palsy-Related Dysfunctions: A Randomized Controlled Trial
    Hisham Hussein, Ahmed Gabr, Monira Aldhahi, Amsha Alshammari, Hand Alshammari, Khulood Altamimi, Abdulaziz Alqahtani, Ibrahim Dewir, Shamekh El-Shamy, Ahmed Ibrahim
    International Journal of General Medicine.2025; Volume 18: 1439.     CrossRef
  • Extracorporeal Shock Wave Therapy for Spasticity
    Takatsugu Okamoto, Takumi Watanabe, Shogo Uemori
    The Japanese Journal of Rehabilitation Medicine.2025; 62(2): 131.     CrossRef
  • Spasticity Treatment Beyond Botulinum Toxins
    Sheng Li, Paul Winston, Manuel F. Mas
    Physical Medicine and Rehabilitation Clinics of North America.2024; 35(2): 399.     CrossRef
  • Effects of extracorporeal shock wave therapy on spasticity, walking and quality of life in poststroke lower limb spasticity: a systematic review and meta-analysis
    Binash Afzal, Rabiya Noor, Nazia Mumtaz, Muhammad Salman Bashir
    International Journal of Neuroscience.2024; 134(12): 1503.     CrossRef
  • Therapeutic effects of extracorporeal shock wave therapy on patients with spastic cerebral palsy and Rett syndrome: clinical and ultrasonographic findings
    Ting-Yu Su, Yu-chi Huang, Jih-Yang Ko, Yi-Jung Hsin, Min-Yuan Yu, Pi-Lien Hung
    Orphanet Journal of Rare Diseases.2024;[Epub]     CrossRef
  • Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review
    Areerat Suputtitada, Supattana Chatromyen, Carl P. C. Chen, David M. Simpson
    Toxins.2024; 16(2): 98.     CrossRef
  • Extracorporeal shock wave therapy for shoulder pain after stroke: A systematic review and meta-analysis
    Tingyu Zhang, Cai Zhang
    Clinical Rehabilitation.2023; 37(6): 774.     CrossRef
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    Ileana M. Howard, Atul T. Patel
    Muscle & Nerve.2023; 67(4): 272.     CrossRef
  • A Comprehensive Review of the Effects of Extracorporeal Shock Wave Therapy on Stroke Patients: Balance, Pain, Spasticity
    Jung-Ho Lee, Eun-Ja Kim
    Medicina.2023; 59(5): 857.     CrossRef
  • Comparative Effectiveness of Botulinum Toxin Injections and Extracorporeal Shockwave Therapy for Post-Stroke Spasticity: A Systematic Review and Network Meta-Analysis
    Po-Cheng Hsu, Ke-Vin Chang, Yi-Hsiang Chiu, Wei-Ting Wu, Levent Özçakar
    eClinicalMedicine.2022; 43: 101222.     CrossRef
  • Optimizing extracorporeal shock wave with the orthogonal array design in the treatment of the spasticity of cerebral palsy
    Chuntao Zhang, Jixiang Cheng, Wenjian Zhao, Zhenhuan Liu, Xuguang Qian, Yong Zhao, Bingxu Jin, Yuan Zhou
    Journal of Neurorestoratology.2022; 10(2): 100004.     CrossRef
  • Extracorporeal Shock Wave Therapy on Spasticity After Upper Motor Neuron Injury
    Hui-Ling Zhang, Rong-Jiang Jin, Li Guan, Dong-Ling Zhong, Yu-Xi Li, Xiao-Bo Liu, Qi-Wei Xiao, Xi-Li Xiao, Juan Li
    American Journal of Physical Medicine & Rehabilitation.2022; 101(7): 615.     CrossRef
  • Treatment on patients with spastic cerebral palsy in the past 30 years: A systematic review and bibliometric analysis
    Dingfang Chen, Yuefeng Wu, HaiYing Li, Xue Pan, Jin Zhou
    Medicine.2022; 101(45): e30535.     CrossRef
  • The effects of extracorporeal shock wave therapy on hemineglect following a stroke. A case report study
    Irem Onin, Hatice Kumru, Monserrat Bernabeu, Giuseppe Lucente
    International Physical Medicine & Rehabilitation Journal.2022; 7(3): 113.     CrossRef
  • Assessments and Interventions for Spasticity in Infants With or at High Risk for Cerebral Palsy: A Systematic Review
    Lauren Ayala, Sarah Winter, Rachel Byrne, Darcy Fehlings, Alison Gehred, Lisa Letzkus, Garey Noritz, Madison C.B. Paton, Lindsay Pietruszewski, Nathan Rosenberg, Kelly Tanner, Jilda Vargus-Adams, Iona Novak, Nathalie L. Maitre
    Pediatric Neurology.2021; 118: 72.     CrossRef
  • The Current State of Knowledge on the Clinical and Methodological Aspects of Extracorporeal Shock Waves Therapy in the Management of Post-Stroke Spasticity—Overview of 20 Years of Experiences
    Józef Opara, Jakub Taradaj, Karolina Walewicz, Joanna Rosińczuk, Robert Dymarek
    Journal of Clinical Medicine.2021; 10(2): 261.     CrossRef
  • Ondas de choque. Evidencias y recomendaciones SETOC (Sociedad Española de Tratamientos con Ondas de Choque)
    S. Ramon, A. Español, M. Yebra, J.M. Morillas, R. Unzurrunzaga, K. Freitag, S. Gómez, J.R. Aranzabal
    Rehabilitación.2021; 55(4): 291.     CrossRef
  • Intrathecal baclofen, selective dorsal rhizotomy, and extracorporeal shockwave therapy for the treatment of spasticity in cerebral palsy: a systematic review
    Amogh Kudva, Mickey E. Abraham, Justin Gold, Neal A. Patel, Julian L. Gendreau, Yehuda Herschman, Antonios Mammis
    Neurosurgical Review.2021; 44(6): 3209.     CrossRef
  • Recent Advances in the Treatment of Spasticity: Extracorporeal Shock Wave Therapy
    En Yang, Henry L. Lew, Levent Özçakar, Chueh-Hung Wu
    Journal of Clinical Medicine.2021; 10(20): 4723.     CrossRef
  • Long-term Effects of Extracorporeal Shock Wave Therapy on Poststroke Spasticity: A Meta-analysis of Randomized Controlled Trials
    Gongwei Jia, Jingxi Ma, Sanrong Wang, Dandong Wu, Botao Tan, Ying Yin, Lang Jia, Li Cheng
    Journal of Stroke and Cerebrovascular Diseases.2020; 29(3): 104591.     CrossRef
  • The effectiveness and safety of extracorporeal shock wave therapy (ESWT) on spasticity after upper motor neuron injury
    Dan-Yang Liu, Dong-Ling Zhong, Juan Li, Rong-Jiang Jin
    Medicine.2020; 99(6): e18932.     CrossRef
  • The effectiveness of extracorporeal shock wave therapy for improving upper limb spasticity and functionality in stroke patients: a systematic review and meta-analysis
    Rosa Cabanas-Valdés, Pol Serra-Llobet, Pere Ramón Rodriguez-Rubio, Carlos López-de–Celis, Mercé Llauró-Fores, Jordi Calvo-Sanz
    Clinical Rehabilitation.2020; 34(9): 1141.     CrossRef
  • Long-Term Efficacy of Extracorporeal Shock Wave Therapy on Lower Limb Post-Stroke Spasticity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Emanuela Elena Mihai, Luminita Dumitru, Ilie Valentin Mihai, Mihai Berteanu
    Journal of Clinical Medicine.2020; 10(1): 86.     CrossRef
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  • 24 Web of Science
  • 24 Crossref
Correlation of Swallowing Function With Bilateral Diaphragmatic Movement in Hemiplegic Stroke Patients
Ra Yu Yun, Ho Eun Park, Ji Won Hong, Yong Beom Shin, Jin A Yoon
Ann Rehabil Med 2019;43(2):156-162.   Published online April 30, 2019
DOI: https://doi.org/10.5535/arm.2019.43.2.156
Objective
To investigate difference in bilateral diaphragm movement of patients with tracheal aspiration according to post stroke residue severity and determine correlations of Penetration-Aspiration Scale (PAS), residue scale, and bilateral diaphragm movement.
Methods
A total of 47 patients diagnosed with hemiplegic stroke were enrolled in this study. PAS, severity of valleculae, and pyriform sinus retention during videofluoroscopic swallowing study (VFSS) were assessed. Bilateral fluoroscopic diaphragm movements during spontaneous breathing and forced breathing were measured.
Results
Patients with tracheal aspiration (PAS≥6) had significantly (p=0.035) lower ipsilateral diaphragm movement during spontaneous breathing. Post-swallow residue severity showed statistically significant (p=0.028) difference in patients with ipsilateral diaphragm movement during forced breathing. In linear regression analysis, PAS showed weak correlations with ipsilateral spontaneous diaphragm movement (r=0.397, p=0.006), ipsilateral forced diaphragm movement (r=0.384, p=0.008), and contralateral forced diaphragm movement (r=0.323, p=0.027). Weak correlation was also observed between post swallow residue severity and ipsilateral diaphragm movement during spontaneous breathing (r=0.331, p=0.023) and forced breathing (r=0.343, p=0.018).
Conclusion
We confirmed the relationship between swallowing function and bilateral diaphragm movement in this study. The severity of dysphagia after hemiplegic stroke was correlated with bilateral diaphragm movement. Further longitudinal studies are needed to assess the effect of breathing exercise on post-stroke dysphagia.

Citations

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  • The Impact of Ageing on Diaphragm Function and Maximal Inspiratory Pressure: A Cross-Sectional Ultrasound Study
    Toru Yamada, Taro Minami, Takahiro Shinohara, Shuji Ouchi, Suguru Mabuchi, Shunpei Yoshino, Ken Emoto, Kazuharu Nakagawa, Kanako Yoshimi, Mitsuko Saito, Ayane Horike, Kenji Toyoshima, Yoshiaki Tamura, Atsushi Araki, Ryoichi Hanazawa, Akihiro Hirakawa, Tak
    Diagnostics.2025; 15(2): 163.     CrossRef
  • Methods for Diagnosing and Predicting Diaphragm Dysfunction in the Recovery Period of a Stroke: a Narrative Review
    Ekaterina A. Melnikova, Elena Yu. Starkova, Nadezhda N. Vladimirova, Evgeniya M. Tsvetkova, Vladislav Yu. Litau
    Bulletin of Rehabilitation Medicine.2023; 22(4): 138.     CrossRef
  • Assessment of Diaphragm in Hemiplegic Patients after Stroke with Ultrasound and Its Correlation of Extremity Motor and Balance Function
    Xiaoman Liu, Qingming Qu, Panmo Deng, Yuehua Zhao, Chenghong Liu, Conghui Fu, Jie Jia
    Brain Sciences.2022; 12(7): 882.     CrossRef
  • Respiratory‐swallow coordination in a rat model of chemoradiation
    Linda M. Rowe, Nadine P. Connor, John A. Russell
    Head & Neck.2021; 43(10): 2954.     CrossRef
  • Neck Stabilization Exercises Enhance Respiratory Function after Stroke: Respiratory Function Index Change Trajectory Analyzed Using a Hierarchical Linear Model
    So-Hyun Kim, Sung-Hyoun Cho
    Medicina.2021; 57(12): 1312.     CrossRef
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    Sung-Hyoun Cho, Ki-Bok Choi
    Healthcare.2020; 8(3): 222.     CrossRef
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  • 189 Download
  • 5 Web of Science
  • 6 Crossref
Comparison of Dysphagia Between Infratentorial and Supratentorial Stroke Patients
Yong Kyun Kim, Jung Hyun Cha, Kyun Yeon Lee
Ann Rehabil Med 2019;43(2):149-155.   Published online April 30, 2019
DOI: https://doi.org/10.5535/arm.2019.43.2.149
Objective
To compare dysphagia between infratentorial stroke patients and supratentorial stroke patients.
Methods
Subjects of this study were patients with post-stroke dysphagia (PSD) who were admitted to our medical institution between May 2014 and June 2017. We evaluated a total of 64 patients with PSD. A videofluoroscopic swallowing study (VFSS) was performed to determine dysphagia severity. We measured the following parameters: pharyngeal transit time (PTT), post-swallow pharyngeal remnant, Penetration Aspiration Scale (PAS) scores, and Functional Dysphagia Scale (FDS). We analyzed patient’s results from VFSS performed at admission. All VFSS images were recorded using a camcorder running at 30 frames per second. An AutoCAD 2D screen was used to measure post-swallow pharyngeal remnant.
Results
In this study, PTT and FDS were similar (p>0.05) between infratentorial stroke patients and supratentorial stroke patients. However, there were significant differences in pharyngeal remnant and PAS scores between the two groups (p<0.01 and p<0.05, respectively).
Conclusion
Both pharyngeal remnant and PAS score registered higher levels from VFSS test for infratentorial stroke patients than those for supratentorial stroke patients. This suggests greater chances of problems occurring with swallowing, the major functions of pons. Thus, clinicians should pay particular attention to active dysphagia evaluation and treatment in PSD of infratentorial stroke patients.

Citations

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  • Investigation of neurogenic dysphagia in commonly seen neurological diseases
    Müberra Tanrıverdi, Senanur Düzenli, Merve Sevinç Gündüz, Ayça Arslantürk, Ayşenur Erekdağ
    Anadolu Kliniği Tıp Bilimleri Dergisi.2025; 30(1): 150.     CrossRef
  • Post-stroke dysphagia: identifying the evidence missing
    Zicong Wang, Ran Shi, Paulo Moreira
    Frontiers in Medicine.2025;[Epub]     CrossRef
  • Temporal Characteristics of Penetration and Aspiration in Patients with Severe Dysphagia Associated with Lateral Medullary Syndrome
    Meng Dai, Jiao Qiao, Huayu Chen, Zhonghui Shi, Binbin Liu, Zu-Lin Dou
    Dysphagia.2024; 39(2): 255.     CrossRef
  • Correlation between lesion location and dysphagia characteristics in post-stroke patients
    Qing-lu Yang, Yang Chen, Xue-jie Wang, Hui-ying Qiu, Meng-ting Chen, Xu-hui Zhou, Chu-yao Jian, Shao-feng Zhao
    Journal of Stroke and Cerebrovascular Diseases.2024; 33(6): 107682.     CrossRef
  • Factors Influencing Early Diagnosis and Poor Prognosis of Dysphagia After Senile Ischemic Stroke
    Qingxian Fan, Yan Zhao, Jianrong Zhang, Yu’e Wu, Qingping Huang, Ying Gao, Jingqin Wang, Changqiong Guo, Shuqing Zhang
    Journal of Molecular Neuroscience.2024;[Epub]     CrossRef
  • Effects of Cerebellar Repetitive Transcranial Magnetic Stimulation in the Treatment of Post-Stroke Dysphagia: A Meta-Analysis and Systematic Review of Randomized Controlled Trials
    Ying Liu, Shao Yin, Xinwei Yang, Shanshan Luo, Fengya Zhu, Zijian Zeng, Qian Hu, Li Xu, Qian Yu
    European Neurology.2024; 87(2): 67.     CrossRef
  • The Respiratory-Swallow Coordination may be Related to Aspiration in Infratentorial Stroke Patients
    Jia Qiao, Meng Dai, Fang Sun, Zhi-Min Wu, Lian Wang, Qiu-Pin Ye, Yong Dai, Hong-Mei Wen, Zu-Lin Dou
    Dysphagia.2024;[Epub]     CrossRef
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    Pan Zhang, Pengfei Xu, Zuowei Duan, Feng Zhang, Yirong Fang, Dingyi Yan, Hanhong Zhang, Qiankun Cai, Xianjun Huang, Zhixin Huang, Mengmeng Gu, Lulu Xiao, Jinjing Wang, Wen Sun
    Journal of NeuroInterventional Surgery.2023; 15(e2): e270.     CrossRef
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    Jeong Min Kim, Ji Eun Park, Seung Jun Baek, Seung Nam Yang
    Dysphagia.2023; 38(6): 1487.     CrossRef
  • Effect of cerebellar transcranial magnetic stimulation with double-cone coil on dysphagia after subacute infratentorial stroke: A randomized, single-blinded, controlled trial
    Meng Dai, Jia Qiao, Zhonghui Shi, Xiaomei Wei, Huayu Chen, Luxi Shen, Hongmei Wen, Zulin Dou
    Brain Stimulation.2023; 16(4): 1012.     CrossRef
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    Jong Keun Kim, Sangpil Son, InHyuk Suh, Jin Seok Bae, Jong Youb Lim
    Dysphagia.2022; 37(5): 1112.     CrossRef
  • Predictive value of the videofluoroscopic swallowing study for long-term mortality in patients with subacute stroke
    Daham Kim, Jae-Hyung Kim, Si-Woon Park, Hyung-Wook Han, Sang Joon An, Yeong In Kim, Hyo Jin Ju, YoonHee Choi, Doo Young Kim
    Medicine.2022; 101(4): e28623.     CrossRef
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  • The influence of pharyngeal width on post-stroke laryngeal aspiration
    Wonil Kang, Jane Chung, Jeongeun Lee, Kwang-Ik Jung, Woo-Kyoung Yoo, Suk Hoon Ohn
    NeuroRehabilitation.2021; 49(3): 435.     CrossRef
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Association Between Duration of Dysphagia Recovery and Lesion Location on Magnetic Resonance Imaging in Patients With Middle Cerebral Artery Infarction
Jae Ho Kim, Se Hyun Oh, Ho Joong Jeong, Young Joo Sim, Dung Gyu Kim, Ghi Chan Kim
Ann Rehabil Med 2019;43(2):142-148.   Published online April 30, 2019
DOI: https://doi.org/10.5535/arm.2019.43.2.142
Objective
To investigate association between lesion location on magnetic resonance imaging (MRI) performed after an infarction and the duration of dysphagia in middle cerebral artery (MCA) infarction.
Methods
A videofluoroscopic swallowing study was performed for 59 patients with dysphagia who were diagnosed as cerebral infarction of the MCA territory confirmed by brain MRI. Lesions were divided into 11 regions of interest: primary somatosensory cortex, primary motor cortex, supplementary motor cortex, anterior cingulate cortex, orbitofrontal cortex, parieto-occipital cortex, insular cortex, posterior limb of the internal capsule (PLIC), thalamus, basal ganglia (caudate nucleus), and basal ganglia (putamen). Recovery time was defined as the period from the first day of L-tube feeding to the day that rice porridge with thickening agent was prescribed. Recovery time and brain lesion patterns were compared and analyzed.
Results
The mean recovery time of all patients was 26.71±16.39 days. The mean recovery time was 36.65±15.83 days in patients with PLIC lesions and 32.6±17.27 days in patients with caudate nucleus lesions. Only these two groups showed longer recovery time than the average recovery time for all patients. One-way analysis of variance for recovery time showed significant differences between patients with and without lesions in PLIC and caudate (p<0.001).
Conclusion
Injury to both PLIC and caudate nucleus is associated with longer recovery time from dysphagia.

Citations

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  • Predictors of recovery from dysphagia after stroke: A systematic review and meta-analysis
    Xiaoyan Jin, Shaomei Shang, HoiYee Tong, Ming Liu, Dan Li, Ying Xiao
    International Journal of Nursing Sciences.2025; 12(2): 184.     CrossRef
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    Min Zou, Xingzhi Zhu, Juan Li, Huan Yu, Peipei Guo
    International Journal of General Medicine.2025; Volume 18: 1555.     CrossRef
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    Kuo-Chang Wei, Tyng-Guey Wang, Ming-Yen Hsiao
    Dysphagia.2024; 39(2): 177.     CrossRef
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    Pamela D’Netto, Anna Rumbach, Katrina Dunn, Emma Finch
    Dysphagia.2023; 38(1): 1.     CrossRef
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    Yin Qin, Yuting Tang, Xiaoying Liu, Shuting Qiu
    Frontiers in Human Neuroscience.2023;[Epub]     CrossRef
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    Pei-Ling Huang, Song-Jian Wang, Rui-Feng Sun, Zi-Man Zhu, Xiao-Ling Li, Wen-Shan Li, Meng-Yue Wang, Meng Lin, Wei-Jun Gong
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    Yaoyao Yu, Tianyi Xia, Zhouli Tan, Huwei Xia, Shenping He, Han Sun, Xifan Wang, Haolan Song, Weijian Chen
    Frontiers in Neurology.2022;[Epub]     CrossRef
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    Janina Wilmskoetter, Stephanie K. Daniels, Arthur J. Miller
    American Journal of Speech-Language Pathology.2020; 29(2S): 1030.     CrossRef
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  • 165 Download
  • 9 Web of Science
  • 8 Crossref
Intensive Rehabilitation Therapy Following Brain Tumor Surgery: A Pilot Study of Effectiveness and Long-Term Satisfaction
Junghoon Yu, Youngsu Jung, Joonhyun Park, Jong Moon Kim, Miri Suh, Kyung Gi Cho, MinYoung Kim
Ann Rehabil Med 2019;43(2):129-141.   Published online April 30, 2019
DOI: https://doi.org/10.5535/arm.2019.43.2.129
Objective
To evaluate the effectiveness of intensive rehabilitation to support recovery of neurological function after brain tumor surgery and assess long-term satisfaction.
Methods
This retrospective study included patients with neurological impairment after brain tumor surgery who underwent intensive rehabilitation therapy between December 2013 and May 2017. To assess effectiveness of rehabilitation, functional outcomes (motor, cognition, and activities of daily living [ADL]) were compared between brain tumor group and a control group enrolling stroke patients who received equivalent rehabilitation during the study period. Long-term satisfaction with rehabilitation was evaluated by surveying family caregivers.
Results
This study included 21 patients with benign brain tumor, 14 with malignant brain tumor, and 108 with stroke. Significant and similar improvement in motor, cognition, and ADL function were noted in both the brain tumor group and the stroke group. Malignancy status did not influence the extent of functional improvement. According to medical records and surveys, 9 (69.2%) patients with malignant tumor and 2 (11.8%) with benign tumor had expired by the time of the survey. Most family caregivers confirmed that rehabilitation was effective for functional improvement (>60%), expressing overall satisfaction and stating they would recommend such therapy to patients with similar conditions (approximately 70%).
Conclusion
Intensive rehabilitation may help promote functional improvement following brain tumor surgery regardless of malignancy compared with stroke patients. Family caregivers expressed overall satisfaction with rehabilitation at long-term follow-up. These findings support the provision of intensive rehabilitation therapy for neurologic function recovery following brain tumor surgery.

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Proportion of Aspiration Pneumonia Cases Among Patients With Community-Acquired Pneumonia: A Single-Center Study in Korea
Inpyo Jeon, Gwang Pyo Jung, Han Gil Seo, Ju Seok Ryu, Tai Ryoon Han, Byung-Mo Oh
Ann Rehabil Med 2019;43(2):121-128.   Published online April 30, 2019
DOI: https://doi.org/10.5535/arm.2019.43.2.121
Objective
To investigate the proportion of aspiration pneumonia cases among patients with community-acquired pneumonia in Korea.
Methods
This retrospective study included patients with community-acquired pneumonia who had been admitted to the emergency department of a university-affiliated tertiary hospital in Gyeonggi Province, Korea between January 1, 2016 and December 31, 2016. Among these patients, those with aspiration pneumonia were identified using ICD-10 codes (J69.*). Patients with recurrent pneumonia were excluded, as were those who were immunocompromised. The proportion of cases of aspiration pneumonia was calculated, and the characteristics and clinical outcomes of patients with aspiration pneumonia and non-aspiration pneumonia were compared.
Results
The proportion of aspiration pneumonia cases among patients with community-acquired pneumonia was 14.2%. Patients with aspiration pneumonia were significantly more likely to be older (p<0.001) and male (p<0.001), and to have a higher confusion, uremia, respiratory rate, blood pressure, and age ≥65 years (CURB-65) score (p<0.001) as compared to patients with non-aspiration pneumonia. They were also more likely to require admission to the intensive care unit (p<0.001) and a longer hospital stay (p<0.001).
Conclusion
Aspiration pneumonia accounts for 14.2% of all cases of community-acquired pneumonia in Korea. These data may contribute to the establishment of healthcare strategies for managing aspiration pneumonia among Korean adults.

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Combined Therapy With Functional Electrical Stimulation and Standing Frame in Stroke Patients
Joung Bok Lee, Sang Beom Kim, Kyeong Woo Lee, Jong Hwa Lee, Jin Gee Park, Sook Joung Lee
Ann Rehabil Med 2019;43(1):96-105.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.96
Objective
To investigate the effects of combination functional electrical stimulation (FES) and standing frame training on standing balance in stroke patients.
Methods
Patients who had hemiparesis and postural instability after stroke were randomly assigned to one of the two groups; study group underwent FES on the quadriceps and tibialis anterior muscle simultaneously with standing balance training. The control group received standing frame training and FES separately. Both the groups received their respective therapies for 3 weeks. Stability index in Biodex Balance master system, Berg Balance Scale (BBS), manual muscle test, the Korean version of Modified Barthel Index, and Korean version of Mini-Mental State Examination were used to evaluate the effects of the treatment.
Results
In total, 30 patients were recruited to the study group and 30 to the control group. Three weeks after treatment, both the groups showed improvement in postural stability scores and physical and cognitive functions. When changes in postural stability were compared between the groups, the study group showed more significant improvement than the control group with regards to the scores of BBS and the stability indices.
Conclusion
In this study, we found the therapeutic effectiveness of combined therapy of FES and standing frame in subacute stroke patients. The presented protocol is proposed as time-saving and can be applied easily in the clinical setting. Thus, the proposed combined therapy could be a useful method for improving standing balance in subacute stroke patients.

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Introduction of Fall Risk Assessment (FRA) System and Cross-Sectional Validation Among Community-Dwelling Older Adults
Woo-Chul Park, Miji Kim, Sunyoung Kim, Jinho Yoo, Byung Sung Kim, Jinmann Chon, Su Jin Jeong, Chang Won Won
Ann Rehabil Med 2019;43(1):87-95.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.87
Objective
To predict the risk of falls, Fall Risk Assessment (FRA) system has been newly developed to measure multi-systemic balance control among community-dwelling older adults. The aim of this study was to examine the association between FRA and fall-related physical performance tests.
Methods
A total of 289 community-dwelling adults aged 65 years and older participated in this cross-sectional study. All participants underwent FRA test and physical performance tests such as Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), and Timed Up and Go Test (TUG).
Results
Participants who were younger, male, highly educated, living with family members, having high body mass index, having high appendicular lean mass index, and having no irritative lower urinary tract syndrome were more likely to have higher FRA scores. SPPB (β=1.012), BBS (β=0.481), and TUG (β=-0.831) were significantly associated with FRA score after adjusting for the variables (all p<0.001).
Conclusion
FRA composite score was closely correlated with SPPB, BBS, and TUG, suggesting that FRA is a promising candidate as a screening tool to predict falls among community-dwelling elderly people.

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    Tae-Seok Jeong, Chang-Hwa Joo
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Diagnostic Significance of Fibrin Degradation Products and D-Dimer in Patients With Breast Cancer-Related Lymphedema
Sang Hyeong Ryu, Sang Won Min, Jae Ho Kim, Ho Joong Jeong, Ghi Chan Kim, Dong Kyu Kim, Young-Joo Sim
Ann Rehabil Med 2019;43(1):81-86.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.81
Objective
To find out whether levels of fibrin degradation products (FDP) and D-dimer are increased in breast cancer-related lymphedema (BCRL) as in many vascular diseases. FDP and D-dimer have been used in blood tests to help differentiate deep vein thrombosis in the diagnosis of lymphedema. Levels of FDP and D-dimer are often elevated in patients with BCRL.
Methods
Patients with BCRL (group I), non-lymphedema after breast cancer treatment (group II), and deep venous thrombosis (group III) from January 2012 to December 2016 were enrolled. Levels of FDP and D-dimer were measured in all groups and compared among groups.
Results
Mean values of FDP and D-dimer of group I were 5.614±12.387 and 1.179±2.408 μg/μL, respectively. These were significantly higher than their upper normal limits set in our institution. Levels of FDP or D-dimer were not significantly different between group I and group II. However, values of FDP and D-dimer in group III were significantly higher than those in group I.
Conclusion
Values of FDP and D-dimer were much higher in patients with thrombotic disease than those in patients with lymphedema. Thus, FDP and D-dimer can be used to differentiate between DVT and lymphedema. However, elevated levels of FDP or D-dimer cannot indicate the occurrence of lymphedema.

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    Se Hyun Oh, Sung Hwan Ryu, Ho Joong Jeong, Jung Hyun Lee, Young-Joo Sim
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Could Ultrasound-Guided Stimulation of Sural Nerve Affect Nerve Conduction Study?
Hanboram Choi, Seong Yun Chung, Seok Kang, Seong-Ho Son, Joon Shik Yoon
Ann Rehabil Med 2019;43(1):74-80.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.74
Objective
To determine anatomical variation of the sural nerve (SN) by ultrasonography (US) and compare sensory nerve action potential (SNAP) of the SN obtained by a control method to that obtained with adjusted method using US.
Methods
Eighty legs of 40 healthy volunteers were enrolled. The location and formation of SN were investigated through US. Two methods of nerve conduction study (NCS) were then performed. In the control method, the cathode was placed 14 cm proximal to the lateral malleolus and the greatest SNAP amplitude was obtained by moving the cathode medially or laterally from just lateral to the calf-mid line. In adjusted NCS, the exact SN union site was stimulated in type 1. In other SN types, the stimulation was done directly over the nerve and the distance from the lateral malleolus was set to be 14 cm.
Results
It was found that 73.8% of the SNs were type 1, 22.5% were direct continuation of MSCN (type 2), and 3.8% were MSCN and LSCN without communicating (type 4). However, type 3 was not found. The union point in type 1 SN was 12.6±2.5 cm proximal to the lateral malleolus and 1.4±0.7 cm lateral to the calf-midline. After stimulation adjustment, SNAP amplitude in type 1 SN was significantly increased (20.7±5.5 μV vs. 27.1±6.7 μV).
Conclusion
Anatomical variation of SN and its location were verified by US. US provides additional information for conducting sural NCS and helps obtain more accurate results.

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  • The value of ultrasound-guidance of nerves and muscles for patient tolerance and parameters electrodiagnostic studies
    Marie Laure Inghilleri, Sandrine Alonso, Hélène Moron, Hector Ruiz, Sophie Bastide, Sarah Coudray
    Clinical Neurophysiology Practice.2024; 9: 78.     CrossRef
  • An overview of neuromuscular ultrasound of important small nerves
    Eman A. Tawfik
    Egyptian Rheumatology and Rehabilitation.2024;[Epub]     CrossRef
  • Anatomical patterns of the sural nerve: a meta-analysis with clinical and surgical considerations
    Diogo Costa Garção, Maria Stephany de Souza Paiva, Karolaine Santos Corcinio
    Surgical and Radiologic Anatomy.2023; 45(6): 681.     CrossRef
  • Variations in sural nerve formation and course in fetuses
    Diogo Costa Garção, Maria Stephany de Souza Paiva, Karolaine Santos Corcinio
    Neurosurgical Review.2023;[Epub]     CrossRef
  • The Application of Ultrasound Guidance in Electrodiagnostic Studies – A Narrative Review
    Kuo-Chang Wei, Chueh-Hung Wu, Tyng-Guey Wang
    Journal of Medical Ultrasound.2023; 31(4): 263.     CrossRef
  • 8,470 View
  • 143 Download
  • 6 Web of Science
  • 5 Crossref
Repetitive Transcranial Magnetic Stimulation Enhances Recovery in Central Cord Syndrome Patients
Hana Choi, Kyung Cheon Seo, Tae Uk Kim, Seong Jae Lee, Jung Keun Hyun
Ann Rehabil Med 2019;43(1):62-73.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.62
Objective
To investigate the effect of repetitive transcranial magnetic stimulation (rTMS) on neurological and functional recovery in patients with central cord syndrome (CCS) involving the upper extremities between the treated and non-treated sides of the treated group and whether the outcomes are comparable to that of the untreated control group.
Methods
Nineteen CCS patients were treated with high-frequency (20 Hz) rTMS over the motor cortex for 5 days. The stimulation side was randomly selected, and all the subjects received conventional occupational therapy during the rTMS-treatment period. Twenty CCS patients who did not receive rTMS were considered as controls. Clinical assessments, including those by the International Standard for Neurological Classification of Spinal Cord Injury, the Jebsen-Taylor Hand Function Test, and the O'Connor Finger Dexterity Test were performed initially and followed up for 1 month after rTMS treatment or 5 weeks after initial assessments.
Results
The motor scores for upper extremities were increased and the number of improved cases was greater for the treated side in rTMS-treated patients than for the non-treated side in rTMS-treated patients or controls. The improved cases for writing time and score measured on the Jebsen-Taylor Hand Function Test were also significantly greater in number on the rTMS-treated side compared with the non-treated side and controls. There were no adverse effects during rTMS therapy or the follow-up period.
Conclusion
The results of the application of high-frequency rTMS treatment to CCS patients suggest that rTMS can enhance the motor recovery and functional fine motor task performance of the upper extremities in such individuals.

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  • Therapeutic efficacy of repetitive transcranial magnetic stimulation on gait and limb balance function in patients with lower limb dysfunction post-cerebral infarction: a systematic review and meta-analysis
    De-mei Jia, Xuan Li, Bin-cang Zhang, Bing-ran Zhang, Qiu-juan Zhang, Ming-wei Liu, Lin-ming Zhang
    BMC Neurology.2025;[Epub]     CrossRef
  • Stimulation Parameters Used During Repetitive Transcranial Magnetic Stimulation for Motor Recovery and Corticospinal Excitability Modulation in SCI: A Scoping Review
    Nabila Brihmat, Didier Allexandre, Soha Saleh, Jian Zhong, Guang H. Yue, Gail F. Forrest
    Frontiers in Human Neuroscience.2022;[Epub]     CrossRef
  • rTMS induces analgesia and modulates neuroinflammation and neuroplasticity in neuropathic pain model rats
    Roberta Ströher Toledo, Dirson João Stein, Paulo Roberto Stefani Sanches, Lisiane Santos da Silva, Helouise Richardt Medeiros, Felipe Fregni, Wolnei Caumo, Iraci L.S. Torres
    Brain Research.2021; 1762: 147427.     CrossRef
  • Research on Assisting Clinicians to Operate rTMS Precisely Based on the Coil Magnetic Field Spatial Distribution With Magnetic Resonance Imaging Navigation
    Shijun Li, Yi Wang, ShengJie Li, Yanwei Lv, Lei Zhang, Jun Zou, Lin Ma
    Frontiers in Neuroscience.2019;[Epub]     CrossRef
  • Effects of Combined Upper Limb Robotic Therapy in Patients With Tetraplegic Spinal Cord Injury
    Joo Hwan Jung, Hye Jin Lee, Duk Youn Cho, Jung-Eun Lim, Bum Suk Lee, Seung Hyun Kwon, Hae Young Kim, Su Jeong Lee
    Annals of Rehabilitation Medicine.2019; 43(4): 445.     CrossRef
  • 9,905 View
  • 205 Download
  • 7 Web of Science
  • 5 Crossref
Long-Term Efficacy of Mirabegron Add-On Therapy to Antimuscarinic Agents in Patients With Spinal Cord Injury
Seok-Hee Han, In Kyoung Cho, Joo Hwan Jung, Seong Ho Jang, Bum-Suk Lee
Ann Rehabil Med 2019;43(1):54-61.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.54
Objective
To evaluate the long-term efficacy of mirabegron add-on therapy in patients with spinal cord injury (SCI) based on an urodynamic study.
Methods
This retrospective study involved a chart audit of individuals with SCI who underwent two consecutive urodynamic studies between April 1, 2015 and April 1, 2018. After adding 50 mg of mirabegron once a day to the pre-existing antimuscarinic therapy for a period of, at least 6 months, the following variables were analyzed: change in cystometric capacity, change in bladder compliance, change in maximal detrusor pressure, change in reflex volume, and presence of significant leakage during filling cystometry.
Results
A total of 31 participants with a mean age of 41±15 years were included in the analysis. A significant increase in cystometric capacity (mean, 362 to 424 mL; p=0.03), reflex volume (mean, 251 to 329 mL; p=0.02), and bladder compliance (median, 12 to 18 mL/cmH2O; p=0.04) was observed. The presence of leakage during filling cystometry was significantly reduced (29% to 10%; p=0.03). Likewise, a non-significant decrease in the change in maximal detrusor pressure was observed (mean, 31 to 27 cmH2O; p=0.39).
Conclusion
Adding mirabegron to conventional antimuscarinics further improved urodynamic parameters in patients with chronic SCI, and sustained efficacy was observed in long-term use.

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  • Mirabegron in the treatment of neurogenic detrusor overactivity: pharmacological and clinical aspects
    Igor V. Kuzmin
    Urology reports (St. - Petersburg).2025; 15(1): 51.     CrossRef
  • Drug Repurposing for Spinal Cord Injury: Progress Towards Therapeutic Intervention for Primary Factors and Secondary Complications
    Lahanya Guha, Hemant Kumar
    Pharmaceutical Medicine.2023; 37(6): 463.     CrossRef
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    Anne Shirley Hoselton, Paige Kuhlmann, Ramy Goueli
    Current Bladder Dysfunction Reports.2023; 18(4): 293.     CrossRef
  • Bowel and Bladder Care in Patients With Spinal Cord Injury
    Eren O. Kuris, Daniel Alsoof, Camilo Osorio, Alan H. Daniels
    Journal of the American Academy of Orthopaedic Surgeons.2022; 30(6): 263.     CrossRef
  • Urological Care After Spinal Cord Injury
    Gamal Ghoniem, Dena Moskowitz, Catherine Nguyen
    Current Physical Medicine and Rehabilitation Reports.2022; 10(2): 89.     CrossRef
  • Efficacy and safety of mirabegron for treatment of neurogenic detrusor overactivity in adults with spinal cord injury or multiple sclerosis: a systematic review
    Yesim Akkoc
    Spinal Cord.2022; 60(10): 854.     CrossRef
  • Urogenital dysfunction following neurotrauma
    Udit Saraf, Anand Kumar A, Jalesh N. Panicker
    Current Opinion in Neurology.2022; 35(6): 753.     CrossRef
  • 7,059 View
  • 156 Download
  • 8 Web of Science
  • 7 Crossref
Optimal Ultrasonographic Measurements for Diagnosing Carpal Tunnel Syndrome in Patients With Diabetic Sensorimotor Polyneuropathy: A Case-Control Study
Ji Woong Park, Seokmin Lee, Rhee Wook Jang, Sungche Lee, Sanghoon Lee, Hyunchul Cho, Yoon-Hee Choi, Jinmyoung Kwak
Ann Rehabil Med 2019;43(1):45-53.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.45
Objective
To investigate the optimal sonographic method for diagnosing carpal tunnel syndrome (CTS) in patients with diabetic sensorimotor polyneuropathy (DSP).
Methods
A total of 190 participants were divided into four groups based on DSP history and electrodiagnostic results of CTS. The absolute parameters were measured at baseline and the relative values were calculated: maximal cross-sectional area (CSA) of the median nerve throughout the carpal tunnel (Mmax), median nerve CSA at the forearm level (Mf), ulnar nerve CSA at the pisiform level (Upi), difference between Mmax and Mf (∆MM), and difference between Mmax and Upi (∆MU). Then, the optimal ultrasonographic parameters for diagnosing CTS, according to the presence of DSP, using absolute and relative cutoff values were analyzed.
Results
Median and ulnar nerve CSAs were significantly larger in the DSP group than in the control group. In the DSP participants, the mean Mmax, ∆MM, and ∆MU values were significantly larger in patients with both DSP and CTS than in patients with DSP only. The Mmax thresholds of 9.5 mm2 in the control group and 11.5 mm2 in the DSP group showed the greatest sensitivity and specificity for diagnosing CTS. The ∆MM thresholds of 2.5 mm2 and ∆MU thresholds of 4.5 mm2 had the greatest sensitivity and specificity in both the DSP and control groups.
Conclusion
Measurement of Mmax, ∆MM and ∆MU is an optimal ultrasonographic evaluation method for diagnosing CTS in patients with DSP.

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  • Stroke detection in the brain using MRI and deep learning models
    Subba Rao Polamuri
    Multimedia Tools and Applications.2024; 84(12): 10489.     CrossRef
  • Why surgical decompression of the carpal tunnel may not be effective. Obvious and unusual reasons for the failure of surgical treatment
    M. R. Kalashnikova, A. K. Dulaev, D. G. Nakonechny, D. I. Kutianov, A. V. Zhigalo, V. V. Pochtenko, V. V. Morozov, E. V. Ogorodnik
    The Scientific Notes of the Pavlov University.2024; 31(1): 10.     CrossRef
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    Mehmet Burak Yalçın, Ejder Saylav Bora, Adem Çakır, Sabiye Akbulut, Oytun Erbaş
    Acta Cirúrgica Brasileira.2023;[Epub]     CrossRef
  • The Validity of Electromyography and Patient Evaluation Measurement in Evaluating Late-term Satisfaction Level of Patients Undergone Carpal Tunnel Syndrome Decompression Surgery
    Ahmet Aybar, Mehmet Ümit Çetin, Abdulkadir Polat, Akif Kurtan, Cüneyt May, Nihat Acar
    Bakirkoy Tip Dergisi / Medical Journal of Bakirkoy.2022; 18(1): 40.     CrossRef
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    Jana Dengler, J.D. Stephens, H. Brent Bamberger, Amy M. Moore
    JBJS Reviews.2020; 8(2): e0087.     CrossRef
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  • 104 Download
  • 3 Web of Science
  • 5 Crossref
Does Adequate Lumbar Segmental Motion Reflect Recovery Process in Acute Lumbar Disc Herniation?
Hyuntae Kim, Ho Joong Jung, Minsun Kim, Seong-Eun Koh, In-Sik Lee
Ann Rehabil Med 2019;43(1):38-44.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.38
Objective
To investigate if the extent of lumbar segmental motion is correlated with the recovery process in the form of pain intensity in patients with acute single level lumbar disc herniation (LDH).
Methods
A retrospective review of medical records was performed on patients presented with acute low back pain from January 2011 to December 2017. With prerequisites of undergoing both lumbar spine magnetic resonance imaging and functional radiography, patients with etiologies other than single level LDH were excluded. A total of 46 patients were selected, including 27 patients with disc herniation at L4-5 level and 19 patients at L5-S1 level. Pearson correlation analysis of pain intensity against segmental range of motion (sROM) and percentage of sROM of each lumbar segment was performed at the initial evaluation point and follow-ups.
Results
Serial documentation of pain intensity and functional radiography exhibited an inverse correlation between changes in visual analogue scale (VAS) and sROM in single level LDH at L4-5 level (r=-0.69, p<0.05). In addition, percentage of sROM showed a negative correlation with pain intensity at the aforementioned segment (r=-0.74, p<0.05). Initial pain intensity was also inversely correlated to sROM of the affected segment (r=-0.83, p<0.01 at L4-5; r=-0.82, p<0.05 at L5-S1).
Conclusion
Improvement in sagittal mobility of the affected segment in LDH adequately reflected mitigation of low back pain during the recovery process. This conjunction could illustrate that the involved segment is overcoming natural immobilization, evidently demonstrating an inverse relationship between initial pain intensity and limitation of sagittal range of motion.

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  • Relationships and representations of brain structures, connectivity, dynamics and functions
    Oliver Schmitt
    Progress in Neuro-Psychopharmacology and Biological Psychiatry.2025; 138: 111332.     CrossRef
  • 5,498 View
  • 97 Download
  • 1 Crossref
Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte
Hee Eun Choi, Geun Yeol Jo, Woo Jin Kim, Hwan Kwon Do, Jun Koo Kwon, Se Heum Park
Ann Rehabil Med 2019;43(1):27-37.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.27
Objective
To investigate swallowing characteristics of patients with dysphagia caused by anterior cervical osteophytes (ACOs) and compare clinical courses according to treatment options.
Methods
A retrospective analysis of 1,866 videofluoroscopic swallowing studies (VFSS) of patients with ACOs from electronic medical records was performed. Patients with other diseases that could explain the dysphagia were excluded. Dysphagia characteristics and severity and clinical and radiological characteristics of subjects with ACOs were evaluated. Dysphagia characteristics and clinical course were compared among three treatment groups: surgical treatment, swallowing rehabilitation, and conservative treatment.
Results
Subjects were 22 men and 1 woman with a mean age of 78.69±8.01 years. The mean osteophyte thickness was 9.07±3.84 mm. It was significantly thicker in the surgical group than that in other groups (p=0.01). ACOs were most frequently found at C5 level. This level also had the thickest osteophytes. However, videofluoroscopic dysphagia scales (VDS) were not significantly different among the three treatment groups. The pharyngeal phase score of the VDS was significantly higher in the surgical group (p=0.041). Dysphagia severity was decreased significantly in the surgical group at 3 months after the initial VFSS (p=0.004).
Conclusion
The main swallowing characteristics in patients with ACOs were dysphagia features of the pharyngeal phase, including inappropriate airway protection, decreased laryngeal elevation, and reduced epiglottis inversion. When determining treatment options, it may be helpful to consider dysphagia severity at pharyngeal phase and osteophyte thickness.

Citations

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  • Dysphagia as the main symptom in anterior cervical spine osteophytes (Forestier disease and cervical spondylosis deformans). Case reports and literature review
    A.V. Trashin, N.V. Vikherev, E.M. Belov, V.A. Shamanin, V.V. Stepanenko
    Burdenko's Journal of Neurosurgery.2024; 88(2): 69.     CrossRef
  • A Case of Dysphagia Due to Large Osteophytic Lesions in the Cervical Spine: A Conservative Approach
    Christos Lyrtzis, Alexandros Poutoglidis, Athina Stamati, Nikolaos Lazaridis, George Paraskevas
    Cureus.2024;[Epub]     CrossRef
  • Diagnosis and Management of Anatomical Causes of Dysphagia: From Hypopharynx to Upper Esophagus
    Min Woo Park
    Journal of the Korean Dysphagia Society.2023; 13(1): 8.     CrossRef
  • The Impact of Cervical Spinal Disease on Pharyngeal Swallowing Function
    Rameen K. Walters, Rachana Gudipudi, Kate Davidson, Melissa Cooke, Jenna Barengo, Drasti Smyre, Kendrea L. Garand, Bonnie Martin-Harris, Maria G. Matheus, Shaun A. Nguyen, Ashli K. O'Rourke
    American Journal of Speech-Language Pathology.2023; 32(2): 565.     CrossRef
  • Anterior Cervical Spine Surgery Complicated With Dysphagia
    Liu Wei, Li Sulian, Li Tonglian, Zhang Yan, Liu Zongchao
    Orthopaedic Nursing.2023; 42(5): 297.     CrossRef
  • Spinal Osteophytosis: An Uncommon Cause of Dysphagia
    Andreia De Matos, Cristiane Macedo, Patrícia Afonso Mendes
    GE - Portuguese Journal of Gastroenterology.2022; 29(3): 215.     CrossRef
  • Disfagia por osteofitose cervical anterior: relato de caso
    Mateus Morais Aires, Gabriela Marie Fukumoto, Sarah Lima Ribeiro, Leonardo Haddad, Eliézia Helena de Lima Alvarenga
    CoDAS.2022;[Epub]     CrossRef
  • Zero‐Profile Implant System for Treatment of Dysphagia Caused by Noncontiguous Anterior Cervical Osteophytes—A Case Report with Literature Review
    Zihan Peng, Hao Liu, Ying Hong, Yang Meng
    Orthopaedic Surgery.2022; 14(10): 2782.     CrossRef
  • Giant Anterior Cervical Osteophyte Causing Dysphagia
    Sang Joon Kang, Hoe Jong Jeong, Won Cheol Jeong, Sang-Won Ha, Seung Min Kim
    Journal of the Korean Neurological Association.2022; 40(3): 267.     CrossRef
  • Aggravation of dysphagia after surgical removal of anterior cervical osteophytes: a case report
    Young-In Go, Gi-Wook Kim, Yu-Hui Won, Sung-Hee Park, Myoung-Hwan Ko, Jeong-Hwan Seo, Da-Sol Kim
    Journal of International Medical Research.2022;[Epub]     CrossRef
  • Anterior Cervical Osteophyte Resection for Treatment of Dysphagia
    Joshua M. Kolz, Mohammed A. Alvi, Atiq R. Bhatti, Marko N. Tomov, Mohamad Bydon, Arjun S. Sebastian, Benjamin D. Elder, Ahmad N. Nassr, Jeremy L. Fogelson, Bradford L. Currier, Brett A. Freedman
    Global Spine Journal.2021; 11(4): 488.     CrossRef
  • Hypertrophic anterior cervical osteophyte
    Takaomi Kobayashi, Alan Kawarai Lefor, Tadatsugu Morimoto
    Reumatología Clínica.2021; 17(9): 552.     CrossRef
  • Hypertrophic anterior cervical osteophyte
    Takaomi Kobayashi, Alan Kawarai Lefor, Tadatsugu Morimoto
    Reumatología Clínica (English Edition).2021; 17(9): 552.     CrossRef
  • Ostéophytes vertébraux : une cause rare de dysphagie chez le sujet jeune
    M. Le Guen, G. Lahlou, S. Le Burel, T. Chaara, H. Nielly, H. Vanquaethem, L. Gilardin
    La Revue de Médecine Interne.2019; 40: A112.     CrossRef
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  • 14 Crossref
Transabdominal Functional Magnetic Stimulation for the Treatment of Constipation in Brain-Injured Patients: A Randomized Controlled Trial
Young-Cheol Yun, Yong-Soon Yoon, Eun-Sil Kim, Young-Jae Lee, Jin-Gyeong Lee, Won-Jae Jo, Kwang Jae Lee
Ann Rehabil Med 2019;43(1):19-26.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.19
Objective
To investigate the effects of the transabdominal functional magnetic stimulation (A-FMS) for constipation in stroke or brain-injured patients.
Methods
Twenty-four brain-injured patients (11 males and 13 females; median age, 65 years; 22 cases of stroke and 2 cases of traumatic brain injury) with constipation, who were admitted to the rehabilitation department, were enrolled and randomly divided into magnetic stimulation (MS) group and sham stimulation (Sham) group. Several parameters related with constipation such as total and segmental colon transit time (CTT), defecation frequency, and Bristol Stool Scale (BSS) before and after 2 weeks of A-FMS (5 times per week, total 10 times of A-FMS) were evaluated. The Korean version of the Modified Barthel Index (K-MBI) was also evaluated.
Results
A significant decrease in segmental CTT in the left colon (-8.2±3.9 vs. 4.1±2.5 hours; p<0.05 by paired sample t-test) and a significant increase in the frequency of defecation (1.5±0.2 vs 0.7±0.3; p<0.05 by paired sample t-test) were observed in the MS group compared with the Sham group. Stool hardness became significantly softer in the MS group compared with the Sham group (2.3–3.5 in the MS and 2.6–3.1 in the Sham; p<0.05 by chi-square test) as evaluated by BSS. No difference in the K-MBI was observed between the two groups.
Conclusion
The present study suggests that A-FMS can be an additional therapeutic tool for managing constipation in brain-injured patients with abnormal bowel movement, defecation frequency, and stool hardness.

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    Ghasem Zarei, Sorour Mosleh, Soraya Zare, Mohammad Sadegh Abotalebi
    Iranian Journal of Nursing and Midwifery Research.2024; 29(4): 417.     CrossRef
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    Mei Huang, Bofang Zheng, Wanfei Zhou, Huaili Fu, Xinrun Chen, Heyong Wu, Jianguo Zhang, Xianju Zhou
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Effects of Neuromuscular Electrical Stimulation for Masseter Muscle on Oral Dysfunction After Stroke
Kyeong Woo Lee, Sang Beom Kim, Jong Hwa Lee, Sook Joung Lee, Jin Gee Park, Kyung Won Jang
Ann Rehabil Med 2019;43(1):11-18.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.11
Objective
To determine positive effect of neuromuscular electrical stimulation (NMES) in conventional dysphagia therapy on masseter muscle oral dysfunction of patients after subacute stroke.
Methods
Among subacute stroke patients who were diagnosed as oropharyngeal dysphagia by videofluoroscopy swallowing study (VFSS), those with oral dysfunction were enrolled. They were randomly assigned to a study group or a control group. The study group received NMES on masseter muscle and suprahyoid muscle simultaneously, while the control group received NMES only on suprahyoid muscle. NMES therapy session as applied 30 minutes each time, two times per day for a total of 20 sessions. Both groups received conventional dysphagia therapy for 2 weeks. All enrolled patients were evaluated by VFSS after 2 weeks. Oropharyngeal swallowing function was evaluated by Penetration-Aspiration Scale, Functional Dysphagia Scale (FDS), and American Speech-Language-Hearing Association National Outcome Measurement System swallowing scale based on results of VFSS.
Results
Patients were randomly assigned to the study group (n=20) or the control group (n=20). There were no significant differences in baseline characteristics or initial values between the two groups. After 2 weeks of NMES, both groups showed improvement in scores of total FDS and pharyngeal phase FDS. Additionally, the study group showed improvement in oral phase FDS. Changes in all measurements were similar between the two groups.
Conclusion
In this preliminary study, NMES for masseter muscle has a therapeutic effect on oral dysfunction of patients after subacute stroke.

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    Elif Tarihci Cakmak, Ekin Ilke Sen, Can Doruk, Comert Sen, Selim Sezikli, Ayse Yaliman
    Dysphagia.2023; 38(3): 874.     CrossRef
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    Yuhan Wang, Lu Xu, Linjia Wang, Minjiao Jiang, Ling Zhao
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    James C. Borders, Alessandro A. Grande, Michelle S. Troche
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    Thanh-Nhan Doan, Wen-Chao Ho, Liang-Hui Wang, Fei-Chun Chang, Trang Thi Quynh Tran, Li-Wei Chou
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Effect of Task-Specific Lower Extremity Training on Cognitive and Gait Function in Stroke Patients: A Prospective Randomized Controlled Trial
Sae Hoon Chung, Ji Hyun Kim, Sang Yeol Yong, Young Hee Lee, Jung Mee Park, Sung Hoon Kim, Hi Chan Lee
Ann Rehabil Med 2019;43(1):1-10.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.1
Objective
To elucidate the effect of task-specific lower extremity training (TSLET) on cognitive and gait function in stroke patients.
Methods
Thirty-eight patients were assigned to either the TSLET group or the control group. The individuals of TSLET group went through a TSLET plus conventional physical therapy. The control group received two sessions of conventional physical therapy. The primary outcome involved the assessment with visual and auditory digit span test. The secondary outcome was evaluated by the Korean version of Mini-Mental State Examination (K-MMSE) and Global Deterioration Scale (GDS) for cognitive function, Berg Balance Scale (BBS), Time Up and Go Test (TUG), 10 meters Walking Test (10mWT), 6 minutes Walking Test (6MWT), and Korean version of Modified Barthel Index (K-MBI) for gait, balance, and functional ability.
Results
After intervention (3 weeks) and 2 weeks of follow-up, the TSLET group showed statistically significant improvement in the visual digit span test backwards compared with the control group. In secondary outcome, a significant improvement was observed in GDS, BBS, TUG, and 10mWT in the TSLET group. There was no significant difference between the two groups concerning visual digit span test forward, auditory forward and backward digit span tests, K-MMSE, 6MWT, and K-MBI.
Conclusion
TSLET could be a useful alternative strategy for improving cognitive and gait function in stroke patients.

Citations

Citations to this article as recorded by  
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Evaluation of Validity and Reliability of Inertial Measurement Unit-Based Gait Analysis Systems
Young-Shin Cho, Seong-Ho Jang, Jae-Sung Cho, Mi-Jung Kim, Hyeok Dong Lee, Sung Young Lee, Sang-Bok Moon
Ann Rehabil Med 2018;42(6):872-883.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.872
Objective
To replace camera-based three-dimensional motion analyzers which are widely used to analyze body movements and gait but are also costly and require a large dedicated space, this study evaluates the validity and reliability of inertial measurement unit (IMU)-based systems by analyzing their spatio-temporal and kinematic measurement parameters.
Methods
The investigation was conducted in three separate hospitals with three healthy participants. IMUs were attached to the abdomen as well as the thigh, shank, and foot of both legs of each participant. Each participant then completed a 10-m gait course 10 times. During each gait cycle, the hips, knees, and ankle joints were observed from the sagittal, frontal, and transverse planes. The experiments were conducted with both a camerabased system and an IMU-based system. The measured gait analysis data were evaluated for validity and reliability using root mean square error (RMSE) and intraclass correlation coefficient (ICC) analyses.
Results
The differences between the RMSE values of the two systems determined through kinematic parameters ranged from a minimum of 1.83 to a maximum of 3.98 with a tolerance close to 1%. The results of this study also confirmed the reliability of the IMU-based system, and all of the variables showed a statistically high ICC.
Conclusion
These results confirmed that IMU-based systems can reliably replace camera-based systems for clinical body motion and gait analyses.

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    Loubna Baroudi, Mark W. Newman, Elizabeth A. Jackson, Kira Barton, K. Alex Shorter, Stephen M. Cain
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    Jung Ho Yang, Jae Hyeon Park, Seong-Ho Jang, Jaesung Cho
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Correlation of Radiographic and Patient Assessment of Spine Following Correction of Nonstructural Component in Juvenile Idiopathic Scoliosis
Jin Gyeong Lee, Young Cheol Yun, Won Jae Jo, Tae Yong Seog, Yong-Soon Yoon
Ann Rehabil Med 2018;42(6):863-871.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.863
Objective
To evaluate the association between progression of curvature of scoliosis, and correction for functional component in patients with juvenile idiopathic scoliosis (JIS).
Methods
We retrospectively reviewed medical data of patients prescribed custom molded foot orthosis (FO) to correct inequality of RCSPA (resting calcaneal stance position angle), and chose 52 patients (26 females, 26 males) with Cobb angle ≥10° in radiology and uneven pelvic level at iliac crest by different RCSPA (≥3°) as a factor of functional scoliosis. They had different hump angle ≥5° in forward bending test, for idiopathic scoliosis component. Their mean age and mean period of wearing FO were 79.5±10.6 months and 18.6±0.70 months.
Results
Cobb angle was reduced from 22.03°±4.39° initially to 18.86°±7.53° after wearing FO. Pelvis height difference and RCSPA difference, were reduced from 1.07±0.25 cm initially to 0.60±0.36, and from 4.25°±0.71° initially to 1.71°±0.75° (p<0.01). Cobb angle improved most in 9 months. However, there was no significant improvement for those with more than 25° of Cobb angle initially. Mean Cobb angle improved in all age groups, but patients less than 6 years had clinically significant improvement of more than 5°.
Conclusion
JIS can have functional components, which should be identified and managed. Foot orthosis is useful in correcting functional factors, in the case of pelvic inequality caused by different RCSPA, for patients with juvenile idiopathic scoliosis.

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  • IS SCOLIOSIS A COMMON DEFORMITY IN CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS?
    Eylül Pınar Kısa, Ela Tarakcı, Gökçe Leblebici, Mehmet Akif Çaçan, Özgür Kasapçopur
    Türk Fizyoterapi ve Rehabilitasyon Dergisi.2024; 35(1): 37.     CrossRef
  • The Role of Sole Lift in Treating Pediatric Idiopathic Scoliosis with Mild Thoracolumbar/Lumbar Curve
    Wang Zhi‐wei, Liang Cheng‐zhen, Chen Jun‐nan, Li Fang‐cai, Chen Qi‐xin, Chen Wei‐shan, Chen Gang, Zhang Ning, Li Jun, Li Hao
    Orthopaedic Surgery.2024; 16(11): 2654.     CrossRef
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    Akiko Fujimoto, Katsuhiro Mizuno, Yasuyuki Iwata, Hiroyuki Yajima, Daisuke Nishida, Hirofumi Komaki, Akihiko Ishiyama, Madoka Mori-yoshimura, Hisateru Tachimori, Yoko Kobayashi
    Progress in Rehabilitation Medicine.2023; 8: n/a.     CrossRef
  • 3D Stereophotogrammetric Quantitative Evaluation of Posture and Spine Proprioception in Subacute and Chronic Nonspecific Low Back Pain
    Edyta Kinel, Piero Roncoletta, Tiziana Pietrangelo, Moreno D’Amico
    Journal of Clinical Medicine.2022; 11(3): 546.     CrossRef
  • The radiographic assessments of spino-pelvic compensation using IoT-based real-time ischial pressure adjustment
    Moon-Jun Sohn, Haenghwa Lee, Byung-Jou Lee, Hae-Won Koo, Kwang Hyeon Kim, Sang-Won Yoon
    Medicine.2022; 101(5): e28783.     CrossRef
  • Indications of sole lift and foot orthoses in the management of mild idiopathic scoliosis—a review
    Diego Rothschild, Shu Yan Ng, Yin Ling Elaine Ng
    Journal of Physical Therapy Science.2020; 32(3): 251.     CrossRef
  • Intervention versus Observation in Mild Idiopathic Scoliosis in Skeletally Immature Patients
    Shu Yan NG, Ying Ling NG, Ka Ping Cheng, Wing Yan Chan, Tsz Ki Ho
    The Open Orthopaedics Journal.2020; 14(1): 186.     CrossRef
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Objective
To investigate the effect of treadmill training with eyes open (TEO) and closed (TEC) on the knee joint position sense (JPS), functional balance and mobility in children with spastic diplegia.
Methods
Forty-five children with spastic diplegia aged 11–13 years participated in this study. They were randomly assigned to three groups of equal number. The control group (CON) underwent designed physical therapy program whereas, the study groups (TEO and TEC) underwent the same program, in addition to treadmill gait training with eyes open and closed, respectively. Outcome measures were the degree of knee joint position error, functional balance and mobility. Measurements were taken before and after 12 weeks of intervention.
Results
After training, the three groups showed statistically significant improvement in all measured outcomes, compared to the baseline with non-significant change in the knee JPS in the CON group. When comparing posttreatment results, the TEC group showed greater significant improvement in all measured outcomes, than the TEO and CON groups.
Conclusion
Treadmill training with eyes open and closed is effective in rehabilitation of children with diplegia, but blocked vision treadmill training has more beneficial effect.

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  • Combining Intensive Rehabilitation With a Nonfunctional Isokinetic Strengthening Program in Adolescents With Cerebral Palsy: Protocol for a Randomized Controlled Trial
    Mathias Guérin, Benoit Sijobert, Benjamin Zaragoza, Flore Cambon, Laurence Boyer, Karine Patte
    JMIR Research Protocols.2023; 12: e43221.     CrossRef
  • The Effectiveness of Proprioceptive Training for Improving Motor Performance and Motor Dysfunction: A Systematic Review
    Leoni Winter, Qiyin Huang, Jacquelyn V. L. Sertic, Jürgen Konczak
    Frontiers in Rehabilitation Sciences.2022;[Epub]     CrossRef
  • Joint-Position Sense Accuracy Is Equally Affected by Vision among Children with and without Cerebral Palsy
    Flávia de Andrade e Souza Mazuchi, Luis Mochizuki, Joseph Hamill, Patricia Martins Franciulli, Aline Bigongiari, Isabella Tábata de Almeida Martins, Ulysses Fernandes Ervilha
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    I. Helmich, J. Coenen, S. Henckert, E. Pardalis, S. Schupp, H. Lausberg
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    Hsiu-Ching Chiu, Louise Ada, Theofani A Bania
    Cochrane Database of Systematic Reviews.2020;[Epub]     CrossRef
  • 7,904 View
  • 266 Download
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  • 5 Crossref
Effects of Ultrasound, Laser and Exercises on Temporomandibular Joint Pain and Trismus Following Head and Neck Cancer
Hany Mohamed Elgohary, Hadaya Mosaad Eladl, Ashraf Hassan Soliman, Elsadat Saad Soliman
Ann Rehabil Med 2018;42(6):846-853.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.846
Objective
To compare the effects of low intensity ultrasound (LIUS), traditional exercise therapy (TET), low level laser therapy (LLLT) and TET on temporomandibular joint (TMJ) pain and trismus following recovery from head and neck cancer (HNC).
Methods
Sixty participants following, who had experienced HNC, were randomly allocated to three groups of 20 people each. Each group received different therapy. Group A received LIUS and TET; group B received LLLT and TET; while group C received TET. All 60 participants were evaluated under the visual analog scale (VAS), the University of Washington Quality of Life questionnaire (UW-QOL) and the Vernier caliper scale (VCS) at the beginning of the therapies and after 4 weeks.
Results
ANOVA test revealed significant improvements across all three groups with outcomes of p<0.05. The results of the UW-QOL questionnaire showed a significant difference between groups A, B and C in favor of group A (p<0.05). The VAS results showed a more improvement in group A as compared to group B (p<0.05), while there was no statistical difference between groups B and C (p>0.05). The VCS results showed more improvement for the individuals in group B as compared to those in group C (p<0.05), while there was minimal difference between groups A and B (p>0.05).
Conclusion
The LIUS and TET are more effective than LLLT and/or TET in reducing TMJ pain and trismus following HNC.

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  • Efficiency of different treatment modalities on radiation induced trismus for maxillofacial cases: a parallel randomized clinical trial
    Marwa Ahmed Aboelez, Abdallah Mohammed Ibrahim, Mohammed A ElSawy, Nermeen El sayed El-Khamisy
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    Ling Yang, Guihua Hao, Lili Hou, Wenyu Yang
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    Mădălina Gabriela Iliescu, Liliana-Elena Stanciu, Andreea-Bianca Uzun, Adelina-Elena Cristea, Irina Motoască, Laszlo Irsay, Dan Marcel Iliescu, Titus Vari, Alina Deniza Ciubean, Bogdan Marian Caraban, Nicolae Ciufu, Olgun Azis, Viorela Mihaela Ciortea
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    Anesthesiology and Pain Medicine.2024;[Epub]     CrossRef
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    Soumyajit Mandal, Subhajit Mandal, Deepika Malik, Kanika Thakur, Aksh Chahal
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    Margherita Gobbo, Praveen R. Arany, Elisabetta Merigo, René-Jean Bensadoun, Alan Roger Santos-Silva, Luiz Alcino Gueiros, Giulia Ottaviani
    Supportive Care in Cancer.2023;[Epub]     CrossRef
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    Insha Azam, Aksh Chahal, Gaurav Kapoor, Pooja Chaudhuri, Ahmad H. Alghadir, Masood Khan, Faizan Z. Kashoo, Vandana Esht, Mohammed M. Alshehri, Mohammad Abu Shaphe, Abdur Raheem Khan, Gurjant Singh
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    Marcela Maria Fontes Borges, Cássia Emanuella Nóbrega Malta, Anna Clara Aragão Matos Carlos, André Alves Crispim, José Fernando Bastos de Moura, Lievin Matos Rebouças, Bruna Carolina Coelho da Silva, Clarissa Gondim Picanço de Albuquerque, Paulo Goberlâni
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    Mohamed Asan, Shruthi Hegde, Babu Subhas, Vidya Ajila, Viabhav Pandita
    Acta stomatologica Naissi.2023; 39(87): 2605.     CrossRef
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  • 9,006 View
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  • 16 Web of Science
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Objective
To investigate the effect of a rehabilitation program in terms of De Morton Mobility Index (DEMMI) score, in hematologic cancer patients after chemotherapy.
Methods
Hematologic cancer patients admitted for chemotherapy were reviewed. They received a rehabilitation program during their hospital stay. DEMMI score measurement was performed, before and after rehabilitation. Demographics, diagnosis, chemotherapy information, rehabilitation program duration, mortality, body mass index (BMI), and laboratory test results were collected. For analysis, patients were classified according to diagnosis (multiple myeloma, leukemia, and others), mortality, and additional chemotherapy.
Results
There was statistically significant improvement in DEMMI score of 10.1 points (95% confidence interval, 5.9–14.3) after rehabilitation. It was more evident in the multiple myeloma group, and they revealed less mortality. When patients were divided according to mortality, survivors received the program earlier, and in a shorter period than in mortality cases. Although survivors revealed higher initial DEMMI score, improvement after rehabilitation did not differ significantly.
Conclusion
In hematologic cancer patients, rehabilitation program was effective for recovery from deconditioning, revealing significant increase in DEMMI score. Multiple myeloma patients may be good candidates for rehabilitation. Rehabilitation could be sustained during chemotherapy and for high-risk patients.

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  • Effects of a self-managed return to work intervention for colorectal cancer survivors: A prospective randomized controlled trial
    Soo Yeun Park, Myung Kyung Lee
    European Journal of Oncology Nursing.2024; 70: 102593.     CrossRef
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    Savanna Gilson
    Seminars in Oncology Nursing.2024; 40(4): 151676.     CrossRef
  • Effectiveness of Physical Activity Interventions on Return to Work After a Cancer Diagnosis: A Systematic Review and Meta-analysis
    Têtê Norbert Wilson, Aboubakari Nambiema, Bertrand Porro, Alexis Descatha, Agnès Aublet-Cuvelier, Bradley Evanoff, Yves Roquelaure
    Journal of Occupational Rehabilitation.2023; 33(1): 4.     CrossRef
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    Fadime Cenik, Mohammad Keilani, Timothy Hasenöhrl, Dominikus Huber, Bianca Stuhlpfarrer, Anna Pataraia, Richard Crevenna
    Wiener klinische Wochenschrift.2020; 132(5-6): 124.     CrossRef
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    Rabeya A. Chowdhury, Frank P. Brennan, Matthew D. Gardiner
    Journal of Pain and Symptom Management.2020; 60(6): 1239.     CrossRef
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  • 180 Download
  • 7 Web of Science
  • 5 Crossref
Improvement of Peak Cough Flow After the Application of a Mechanical In-exsufflator in Patients With Neuromuscular Disease and Pneumonia: A Pilot Study
Ji Ho Jung, Hyeon Jun Oh, Jang Woo Lee, Mi Ri Suh, Jihyun Park, Won Ah Choi, Seong-Woong Kang
Ann Rehabil Med 2018;42(6):833-837.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.833
Objective
To investigate and demonstrate persistent increase of peak cough flow after mechanical in-exsufflator application, in patients with neuromuscular diseases and pneumonia.
Methods
A mechanical in-exsufflator was applied with patients in an upright or semi-upright sitting position (pressure setting, +40 and −40 cmH2O; in-exsufflation times, 2–3 and 1–2 seconds, respectively). Patients underwent five cycles, with 20–30 second intervals to prevent hyperventilation. Peak cough flow without and with assistive maneuvers, was evaluated before, and 15 and 45 minutes after mechanical in-exsufflator application.
Results
Peak cough flow was 92.6 L/min at baseline, and 100.4 and 100.7 L/min at 15 and 45 minutes after mechanical in-exsufflator application, respectively. Assisted peak cough flow at baseline, 15 minutes, and 45 minutes after mechanical in-exsufflator application was 170.7, 179.3, and 184.1 L/min, respectively. While peak cough flow and assisted peak cough flow increased significantly at 15 minutes after mechanical in-exsufflator application compared with baseline (p=0.030 and p=0.016), no statistical difference was observed between 15 and 45 minutes.
Conclusion
Increased peak cough flow after mechanical in-exsufflator application persists for at least 45 minutes.

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    Stephen W. Littleton, Franco Laghi
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    Antonello NICOLINI, Paola PRATO, Laura BECCARELLI, Bruna GRECCHI, Giancarlo GARUTI, Paolo BANFI, Francesco D’ABROSCA
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Sleep Quality and Attention May Correlate With Hand Grip Strength: FARM Study
Gyuhyun Lee, Sora Baek, Hee-won Park, Eun Kyoung Kang
Ann Rehabil Med 2018;42(6):822-832.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.822
Objective
To determine the socio-demographic, psychologic, hematologic, or other relevant factors associated with hand grip strength in Korean farmers.
Methods
A total of 528 healthy Korean farmers were enrolled. Hand grip strength was measured in both hands using a hydraulic dynamometer. Socio-demographic characteristics were assessed and anthropometric measurements were obtained. Psycho-cognitive measurements such as sleep quality (Pittsburgh Sleep Quality Index) and Go/No-Go test response time were conducted. In addition to physical measurements, serologic parameters including insulin-like growth factor 1 were measured. The factors associated with hand grip strength were analyzed using multiple linear regression analysis after adjusting for age, height, and weight.
Results
The mean hand grip strength was associated with the Pittsburgh Sleep Quality Index total score (β=-0.12, p=0.01), the Go/No-Go test response time (β=-0.18, p=0.001), vitamin D (β=0.12, p=0.02), and insulin-like growth factor 1 levels (β=0.1, p=0.045). In female farmers, hand grip strength was only associated with the Pittsburgh Sleep Quality Index total score (β=-0.32, p<0.001).
Conclusion
The results of this study demonstrate that hand grip strength was associated with sleep quality and attention in Korean farmers.

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  • 18 Crossref
Needle Entry Angle to Prevent Carotid Sheath Injury for Fluoroscopy-Guided Cervical Transforaminal Epidural Steroid Injection
Jaewoo Choi, Doo Hoe Ha, Shinyoung Kwon, Youngsu Jung, Junghoon Yu, MinYoung Kim, Kyunghoon Min
Ann Rehabil Med 2018;42(6):814-821.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.814
Objective
To suggest rotation angles of fluoroscopy that can bypass the carotid sheath according to vertebral levels for cervical transforaminal epidural steroid injection (TFESI).
Methods
Patients who underwent cervical spine magnetic resonance imaging (MRI) from January 2009 to October 2017 were analyzed. In axial sections of cervical spine MRI, three angles to the vertical line (α, angle not to insult carotid sheath; β, angle for the conventional TFESI; γ, angle not to penetrate carotid artery) were measured.
Results
Alpha (α) angles tended to increase for upper cervical levels (53.3° in C6-7, 65.2° in C5-6, 75.3° in C4-5, 82.3° in C3-4). Beta (β) angles for conventional TFESI showed a constant value of 45° to 47° (47.5° in C6-7, 47.4° in C5-6, 45.7° in C4-5, 45.0° in C3-4). Gamma (γ) angles increased at higher cervical levels as did α angles (25.2° in C6-7, 33.6° in C5-6, 43.0° in C4-5, 56.2° in C3-4).
Conclusion
The risk of causing injury by penetrating major vessels in the carotid sheath tends to increase at upper cervical levels. Therefore, prior to cervical TFESI, measuring the angle is necessary to avoid carotid vessels in the axial section of CT or MRI, thus contributing to a safer procedure.

Citations

Citations to this article as recorded by  
  • A Randomized Comparative Trial of Targeted Steroid Injection via Epidural Catheter vs Standard Transforaminal Epidural Injection for the Treatment of Unilateral Cervical Radicular Pain: Six-Month Results
    Zachary L McCormick, Aaron Conger, Beau P Sperry, Masaru Teramoto, Russell Petersen, Fabio Salazar, Shellie Cunningham, A Michael Henrie, Erica Bisson, Richard Kendall
    Pain Medicine.2020; 21(10): 2077.     CrossRef
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  • 157 Download
  • 1 Web of Science
  • 1 Crossref
Effect of Whole Body Horizontal Vibration Exercise in Chronic Low Back Pain Patients: Vertical Versus Horizontal Vibration Exercise
Heejae Kim, Bum Sun Kwon, Jin-Woo Park, Hojun Lee, Kiyeun Nam, Taejune Park, Yongjin Cho, Taeyeon Kim
Ann Rehabil Med 2018;42(6):804-813.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.804
Objective
To elucidate the effect of a 12-week horizontal vibration exercise (HVE) in chronic low back pain (CLBP) patients as compared to vertical vibration exercise (VVE).
Methods
Twenty-eight CLBP patients were randomly assigned to either the HVE or VVE group. All participants performed the exercise for 30 minutes each day, three times a week, for a total of 12 weeks. Altered pain and functional ability were evaluated using the visual analog scale (VAS) and Oswestry Disability Index (ODI), respectively. Changes in lumbar muscle strength, transverse abdominis (TrA) and multifidus muscle thicknesses, and standing balance were measured using an isokinetic dynamometer, ultrasonography, and balance parameters, respectively. These assessments were evaluated prior to treatment, 6 weeks and 12 weeks after the first treatment, and 4 weeks after the end of treatment (that is, 16 weeks after the first treatment).
Results
According to the repeated-measures analysis of variance, there were significant improvements with time on VAS, ODI, standing balance score, lumbar flexor, and extensor muscle strength (all p<0.001 in both groups) without any significant changes in TrA (p=0.153 in HVE, p=0.561 in VVE group) or multifidus (p=0.737 in HVE, p=0.380 in VVE group) muscle thickness. Further, there were no significant differences between groups according to time in any of the assessments. No adverse events were noticed during treatment in either group.
Conclusion
HVE is as effective as VVE in reducing pain, strengthening the lumbar muscle, and improving the balance and functional abilities of CLBP patients. Vibrational exercise increases muscle strength without inducing muscle hypertrophy.

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  • Effects of whole-body vibration therapy on pain, functionality, postural stability, and proprioception in patients with subacute and chronic non-specific low back pain: a systematic review
    Franziska Remer, Mohammad Keilani, Philipp Kull, Richard Crevenna
    Wiener Medizinische Wochenschrift.2025; 175(1-2): 20.     CrossRef
  • Are changes in pain intensity related to changes in balance control in individuals with chronic non-specific low back pain? A systematic review and meta-analysis
    Daniel K.Y. Zheng, Jae Q.J. Liu, Jeremy R. Chang, Jeffrey C.Y. Ng, Zhixing Zhou, Jinlong Wu, Chelsia K.C. Cheung, Frank F. Huang, Sabina M. Pinto, Dino Samartzis, Manuela L. Ferreira, Kanchana Ekanayake, Stephen Lord, Xueqiang Wang, Arnold Y.L. Wong
    Journal of Sport and Health Science.2025; 14: 100989.     CrossRef
  • Reporting and incorporation of social risks in low back pain and exercise studies: A scoping review
    Andrew Bernstetter, Nicole H. Brown, Brandon Fredhoff, Daniel I. Rhon, Chad Cook
    Musculoskeletal Science and Practice.2025; 77: 103310.     CrossRef
  • The effects of exercise therapy on lumbar muscle structure in low back pain: A systematic review and meta-analysis
    Vasiliki Karagiannopoulou, Hannes Meirezonne, Indra De Greef, Jessica Van Oosterwijck, Thomas Matheve, Lieven Danneels, Tine Marieke Willems
    Annals of Physical and Rehabilitation Medicine.2025; 68(5): 101988.     CrossRef
  • Effect of Whole-Body Vibration Exercise on Pain, Disability, Balance, Proprioception, Functional Performance and Quality of Life in People with Non-Specific Chronic Low Back Pain: A Systematic Review and Meta-Analysis
    Tasneem Zafar, Saima Zaki, Md Farhan Alam, Saurabh Sharma, Reem Abdullah Babkair, Shibili Nuhmani, Sujata Pandita
    Journal of Clinical Medicine.2024; 13(6): 1639.     CrossRef
  • Effects of 12 weeks of inspiratory muscle training and whole body vibration on the inflammatory profile, BDNF and muscular system in pre-frail elderly women: A randomized controlled trial
    Helga Cecília Muniz de Souza, Maíra Florentino Pessoa, Rafaela dos Santos Clemente, Alanna Vasconcelos da Silva, Pablo Ramon Gualberto Cardoso, Juliana Fernandes, Arméle Dornelas de Andrade
    Archives of Gerontology and Geriatrics.2024; 123: 105421.     CrossRef
  • Effect of Whole-Body Vibration on Balance or Proprioception in Nonspecific Chronic Low Back Pain: A Systematic Review
    Nuaima Tariq, Zainy Khan, Zubia Veqar
    Journal of Chiropractic Medicine.2023; 22(4): 284.     CrossRef
  • Effect of platelet-rich plasma injections for chronic nonspecific low back pain
    Sun Jae Won, Da-ye Kim, Jae Min Kim
    Medicine.2022; 101(8): e28935.     CrossRef
  • Whole-body vibration provides additional benefits to patients with patellofemoral pain: A protocol for systematic review and meta analysis of randomized controlled trials
    Xinyue Yang, Guang Yang, Yunxia Zuo
    Medicine.2022; 101(47): e31536.     CrossRef
  • Core and Whole Body Vibration Exercise Influences Muscle Sensitivity and Posture during a Military Foot March
    Kaitlin D. Lyons, Aaron G. Parks, Oluwagbemiga Dadematthews, Nilophar Zandieh, Paige McHenry, Kenneth E. Games, Michael D. Goodlett, William Murrah, Jaimie Roper, JoEllen M. Sefton
    International Journal of Environmental Research and Public Health.2021; 18(9): 4966.     CrossRef
  • Exercise therapy for chronic low back pain
    Jill A Hayden, Jenna Ellis, Rachel Ogilvie, Antti Malmivaara, Maurits W van Tulder
    Cochrane Database of Systematic Reviews.2021;[Epub]     CrossRef
  • Inconsistent descriptions of lumbar multifidus morphology: A scoping review
    Anke Hofste, Remko Soer, Hermie J. Hermens, Heiko Wagner, Frits G. J. Oosterveld, André P. Wolff, Gerbrand J. Groen
    BMC Musculoskeletal Disorders.2020;[Epub]     CrossRef
  • Effects of exercise combined with whole body vibration in patients with patellofemoral pain syndrome: a randomised-controlled clinical trial
    Angel Yañez-Álvarez, Beatriz Bermúdez-Pulgarín, Sergio Hernández-Sánchez, Manuel Albornoz-Cabello
    BMC Musculoskeletal Disorders.2020;[Epub]     CrossRef
  • The Effectiveness of Trunk Stabilization Exercise Combined with Vibration for Adolescent Patients with Nonspecific Low Back Pain
    Kyoung-sim Jung, Jin-hwa Jung, Tae-sung In, Hwi-young Cho
    International Journal of Environmental Research and Public Health.2020; 17(19): 7024.     CrossRef
  • Acute and Cumulative Effects With Whole-Body Vibration Exercises Using 2 Biomechanical Conditions on the Flexibility and Rating of Perceived Exertion in Individuals With Metabolic Syndrome: A Randomized Clinical Trial Pilot Study
    P. C. Paiva, C. A. Figueiredo, A. Reis-Silva, A. Francisca-Santos, L. L. Paineiras-Domingos, E. Martins-Anjos, M. E. S. Melo-Oliveira, G. M. G. Lourenço-Revelles, E. Moreira-Marconi, E. O. Guedes-Aguiar, A. A. Brandão, M. F. T. Neves, V. L. Xavier, D. L.
    Dose-Response.2019;[Epub]     CrossRef
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  • 202 Download
  • 15 Web of Science
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Clinical Importance of Peak Cough Flow in Dysphagia Evaluation of Patients Diagnosed With Ischemic Stroke
Sang Won Min, Se Hyun Oh, Ghi Chan Kim, Young Joo Sim, Dong Kyu Kim, Ho Joong Jeong
Ann Rehabil Med 2018;42(6):798-803.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.798
Objective
To investigate the relationship between peak cough flow (PCF), pulmonary function tests (PFT), and severity of dysphagia in patients with ischemic stroke.
Methods
This study included patients diagnosed with ischemic stroke, who underwent videofluoroscopic swallowing study (VFSS), PCF and PFT from March 2016 to February 2017. The dysphagia severity was assessed using the videofluoroscopic dysphagia scale (VDS). Correlation analysis of VDS, PFT and PCF was performed. Patients were divided into three groups based on VDS score. One-way ANOVA of VDS was performed to analyze PCF, forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and age among the different groups.
Results
The correlation coefficients of VDS and PCF, VDS and FVC, and VDS and FEV1 were -0.836, -0.508, and -0.430, respectively, all of which were statistically significant at the level of p<0.001. The one-way ANOVA indicated statistically significant differences in PCF, FVC, FEV1, and age among the VDS groups. Statistically significant differences in VDS and age were observed between aspiration pneumoia and non-aspiration pneumonia groups.
Conclusion
Coughing is a useful factor in evaluating the risk of aspiration in dysphagia patients. Evaluation of respiratory and coughing function should be conducted during the swallowing assessment of patients with ischemic stroke.

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    Shan Liu, Zhenfeng Fan, Minke FU, Keling Cheng, Xin Zhang, Jun Ni, ZhiYong Wang
    Brain Research.2025; 1850: 149396.     CrossRef
  • Pulmonary Function Tests Post-Stroke. Correlation between Lung Function, Severity of Stroke, and Improvement after Respiratory Muscle Training
    Fotios Drakopanagiotakis, Konstantinos Bonelis, Paschalis Steiropoulos, Dimitrios Tsiptsios, Anastasia Sousanidou, Foteini Christidi, Aimilios Gkantzios, Aspasia Serdari, Styliani Voutidou, Chrysoula-Maria Takou, Christos Kokkotis, Nikolaos Aggelousis, Ko
    Neurology International.2024; 16(1): 139.     CrossRef
  • A simple nomogram for predicting aspiration associated with dysphagia in hospitalized patients after stroke
    Lihua Chen, Juan Li, Fang Tian, Huan Tang, Zuoxiu Chen, Chao Xue, Mingqing Hao, Juan Xue
    Neurological Sciences.2024; 45(6): 2729.     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
  • Predictive Ability of Systemic Inflammation Response Index for the Risk of Pneumonia in Patients with Acute Ischemic Stroke
    Dan Yan, Caijun Dai, Ruoting Xu, Qiqi Huang, Wenwei Ren
    Gerontology.2023; 69(2): 181.     CrossRef
  • Effect of transcranial direct current stimulation combined with respiratory training on dysphagia in post-stroke patients
    Hao Li, Long Zhao, Xiaokai Yuan, Qingjuan Zhang, Yatao Pang, Hongling Li
    Technology and Health Care.2023; 31(1): 11.     CrossRef
  • Oropharyngeal Dysphagia in Acute Cervical Spinal Cord Injury: A Literature Review
    Jackie McRae, Sarah Morgan, Emma Wallace, Anna Miles
    Dysphagia.2023; 38(4): 1025.     CrossRef
  • Could clinical nursing procedures lead to tracheal cuff pressure drop? A prospective observational study
    Lijun Xiang, Meng Cao, Yuan Wang, Xuemei Song, Miaoqin Tan, Xiaomei Zhang
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  • Cough reflex testing in clinical dysphagia practice
    Emma S. Wallace, Maggie-lee Huckabee, Phoebe Macrae
    Advances in Communication and Swallowing.2022; 25(2): 73.     CrossRef
  • Vitamin D level in relation to phonetic function among subacute stroke patients
    Eo Jin Park, Seung Don Yoo
    Medicine.2022; 101(50): e31769.     CrossRef
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    Kengo Kato, Ryoukichi Ikeda, Jun Suzuki, Ai Hirano-Kawamoto, Yayoi Kamakura, Masako Fujiu-Kurachi, Masamitsu Hyodo, Shin-Ichi Izumi, Shigeto Koyama, Keiichi Sasaki, Junko Nakajima, Takahiro Karaho, Yurika Kimura, Yoshihiko Kumai, Yasushi Fujimoto, Takahar
    Auris Nasus Larynx.2021; 48(2): 241.     CrossRef
  • Relationship between Swallowing Function, Diet Level and Pulmonary Function in Post-Stroke Patients
    Myungeun Yoo, Hyo Jeong Lee, Eu Jeong Ko, Jinyoung Park, Yoon Ghil Park
    Journal of the Korean Dysphagia Society.2021; 11(1): 25.     CrossRef
  • Usefulness of Maximal Expiratory Pressure in Evaluating Dysphagia after Ischemic Stroke
    Bo Seong Jang, Ho Joong Jeong, Han Eum Choi, Jae Hyun Lee, Young Joo Sim, Ghi Chan Kim
    Journal of the Korean Dysphagia Society.2021; 11(1): 59.     CrossRef
  • Utilizing Pulmonary Function Parameters to Predict Dysphagia in Individuals With Cervical Spinal Cord Injuries
    So Jung Lee, Sungchul Huh, Sung-Hwa Ko, Ji Hong Min, Hyun-Yoon Ko
    Annals of Rehabilitation Medicine.2021; 45(6): 450.     CrossRef
  • Peak Voluntary Cough Flow and Oropharyngeal Dysphagia as Risk Factors for Pneumonia
    Jayoon Choi, Sora Baek, Gowun Kim, Hee-won Park
    Annals of Rehabilitation Medicine.2021; 45(6): 431.     CrossRef
  • Response to the Commentary on ‘Concordant Validity of a Digital Peak Cough Flow Meter to Assess Voluntary Cough Strength in Individuals with ALS’
    L. Tabor Gray, T. Vasilopoulos, E. K. Plowman
    Dysphagia.2020; 35(5): 876.     CrossRef
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Effect of Combined Therapy of Robot and Low-Frequency Repetitive Transcranial Magnetic Stimulation on Hemispatial Neglect in Stroke Patients
Sang Beom Kim, Kyeong Woo Lee, Jong Hwa Lee, Sook Joung Lee, Jin Gee Park, Joung Bok Lee
Ann Rehabil Med 2018;42(6):788-797.   Published online December 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.6.788
Objective
To investigate the effect of upper limb rehabilitation combining robot with low-frequency repetitive transcranial magnetic stimulation (rTMS) on unilateral spatial neglect in stroke patients.
Methods
Patients who had hemispatial neglect after right hemisphere stroke were randomly divided into rTMS only group, robot only group, and combined group. All groups received conventional neglect therapy and additional treatment for each group. rTMS group received rTMS therapy. Robot group received robot therapy, while combined group received both therapies. The effect of therapy was assessed with Motor-Free Visual Perception Test-3 (MVPT-3), line bisection test, star cancellation test, Catherine Bergego Scale (CBS), Mini-Mental State Examination (MMSE), and the Korean version of Modified Barthel Index (K-MBI). These measurements were evaluated before and after treatment.
Results
For each group, 10 patients were recruited. There were no significant differences in baseline characteristics or initial values among the three groups. Two weeks after the therapy, all groups showed significant improvement in MVPT-3, line bisection test, star cancellation test, CBS, MMSE, and K-MBI. However, changes in measurements showed no significant differences among groups.
Conclusion
Treatment effect of the combined therapy of robotic therapy and low-frequency rTMS therapy for hemispatial neglect was not statistically different from that of each single treatment. Results of this study did not prove the superiority of any of the three treatments. Further study with large number of patients is needed to evaluate the superiority of these treatments.

Citations

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  • Repetitive transcranial magnetic stimulation for cognitive rehabilitation in stroke survivors: A systematic review and meta-analysis of randomized controlled trials
    Anas R. Alashram
    Applied Neuropsychology: Adult.2025; : 1.     CrossRef
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    Mengyu Yan, Jiarui Liu, Yiming Guo, Qingtao Hou, Jiaqi Song, Xiaoqin Wang, Weihua Yu, Yang Lü
    Aging Clinical and Experimental Research.2024;[Epub]     CrossRef
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    Xiaodong Duan, Delong Huang, Haoshu Zhong, Junhao Wu, Zhihan Xiao, Peng Yang, Yuanhang Han, Haodong Jiang, Ping Zhou, Xi Liu
    Neurological Sciences.2024; 45(8): 3887.     CrossRef
  • Does repetitive transcranial magnetic stimulation have a beneficial effect on improving unilateral spatial neglect caused by stroke? A meta-analysis
    Ruixuan Lin, Jack Jiaqi Zhang, Lingling Zhong, Sofina S. Y. Chan, Patrick W. H. Kwong, Lukas Lorentz, Usman Jawed Shaikh, Tommy L. H. Lam, David M. A. Mehler, Kenneth N. K. Fong
    Journal of Neurology.2024; 271(10): 6494.     CrossRef
  • A Review on Combined Strategy of Non-invasive Brain Stimulation and Robotic Therapy
    Leiyu Zhang, Yawei Chang, Feiran Zhang, Jianfeng Li
    Chinese Journal of Mechanical Engineering.2024;[Epub]     CrossRef
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    Alex R. Carter, A.M. Barrett
    Expert Review of Neurotherapeutics.2023; 23(7): 587.     CrossRef
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    Chuka Umeonwuka, Ronel Roos, Veronica Ntsiea
    Disability and Rehabilitation.2022; 44(11): 2158.     CrossRef
  • Effect of Robot-Assisted Training on Unilateral Spatial Neglect After Stroke: Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Rodrigo Bazan, Bruno Henrique de Souza Fonseca, Jessica Mariana de Aquino Miranda, Hélio Rubens de Carvalho Nunes, Silméia Garcia Zanati Bazan, Gustavo José Luvizutto
    Neurorehabilitation and Neural Repair.2022; 36(8): 545.     CrossRef
  • A Complex Intervention Integrating Prism Adaptation and Neck Vibration for Unilateral Neglect in Patients of Chronic Stroke: A Randomised Controlled Trial
    Hyun-Se Choi, Bo-Min Lee
    International Journal of Environmental Research and Public Health.2022; 19(20): 13479.     CrossRef
  • Systematic review and network meta-analysis of effects of noninvasive brain stimulation on post-stroke cognitive impairment
    Yueying Wang, Ning Xu, Runfang Wang, Weiyi Zai
    Frontiers in Neuroscience.2022;[Epub]     CrossRef
  • Neglect syndrome in post-stroke conditions: assessment and treatment (scoping review)
    Ibolya Tavaszi, Alexandra Szilvia Nagy, Gabor Szabo, Gabor Fazekas
    International Journal of Rehabilitation Research.2021; 44(1): 3.     CrossRef
  • The effects of robot-assisted left-hand training on hemispatial neglect in older patients with chronic stroke
    Jin-Hyuck Park
    Medicine.2021; 100(9): e24781.     CrossRef
  • Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury
    Verity Longley, Christine Hazelton, Calvin Heal, Alex Pollock, Kate Woodward-Nutt, Claire Mitchell, Gorana Pobric, Andy Vail, Audrey Bowen
    Cochrane Database of Systematic Reviews.2021;[Epub]     CrossRef
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    Giovanni Morone, Ilaria Cocchi, Stefano Paolucci, Marco Iosa
    Expert Review of Medical Devices.2020; 17(3): 223.     CrossRef
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  • 200 Download
  • 14 Web of Science
  • 14 Crossref
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