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Volume 43(4); August 2019

Original Articles

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
Ann Rehabil Med 2019;43(4):445-457.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.445
Objective
To confirm the effects of combined upper limb robotic therapy (RT) as compared to conventional occupational therapy (OT) in tetraplegic spinal cord injury (SCI) patients and to suggest the optimized treatment guidelines of combined upper limb RT.
Methods
After subject recruitment and screening for eligibility, the baseline evaluation for outcome measures were performed. We evaluated the Graded and Redefined Assessment of Strength, Sensibility, and Prehension (GRASSP), the American Spinal Injury Association upper extremity motor score, grip and pinch strength, and the Spinal Cord Independence Measurement III (SCIM-III). In this study, the pre-tested participants were divided randomly into the RT and OT group. The utilized interventions included combined upper limb RT using ArmeoPower and Amadeo (RT group), or conventional OT (OT group) in addition to daily inpatient rehabilitation program. The participants underwent 40 minutes×3 sessions×5 weeks of interventions.
Results
A total of 30 tetraplegic SCI patients completed entire study program. After 5 weeks of intervention, both groups demonstrated increases in GRASSP-strength and SCIM-III. The manual muscle test scores of elbow flexion, elbow extension, 2-5th metacarpophalangeal extension, and SCIM-III subscores of bathing-upper, dressing-upper, and grooming as well as the GRASSP-qualitative prehension score were noted to have been significantly increased in the RT group as evaluated. The OT group showed improvements in the GRASSP-quantitative prehension score and some items in grip and pinch strength. There was no significant difference between the two groups in almost all measurements except for the SCIM-III bathing-upper subscore.
Conclusion
Combined upper limb RT demonstrated beneficial effects on the upper limb motor function in patients with tetraplegic SCI, which were comparable with conventional OT.

Citations

Citations to this article as recorded by  
  • Anxiety and Depression in Pediatric-Onset Traumatic Spinal Cord Injury: A Systematic Review
    Mohammad Mofatteh, Mohammad Sadegh Mashayekhi, Saman Arfaie, Yimin Chen, Armaan K. Malhotra, Georgios P. Skandalakis, Mohammed Ali Alvi, Fardad T. Afshari, Shakila Meshkat, Famu Lin, Ebtesam Abdulla, Ayush Anand, Xuxing Liao, Roger S. McIntyre, Carlo Sant
    World Neurosurgery.2024; 184: 267.     CrossRef
  • Technology-Assisted Upper Limb Therapy (TAULT): Evaluation of Clinical Practice at a Specialised Centre for Spinal Cord Injury in Switzerland
    Daniela B. Kuchen, Beatrice Hubacher, Andris Ladner, Inge-Marie Velstra, Mario Widmer
    Healthcare.2023; 11(23): 3055.     CrossRef
  • Reliability Validity and Responsiveness of the Spinal Cord Independence Measure 4th Version in a Multicultural Setup
    Amiram Catz, Malka Itzkovich, Keren Elkayam, Dianne Michaeli, Ilana Gelernter, Yoav Benjamini, Harvinder Singh Chhabra, Luigi Tesio, Einat Engel-Haber, Emiliana Bizzarini, Claudio Pilati, Giulio Del Popolo, Ilaria Baroncini, Nan Liu, Paulo Margalho, Thaba
    Archives of Physical Medicine and Rehabilitation.2022; 103(3): 430.     CrossRef
  • Donor activation focused rehabilitation approach to hand closing nerve transfer surgery in individuals with cervical level spinal cord injury
    Lorna C. Kahn, Adam G. Evans, Elspeth J. R. Hill, Ida K. Fox
    Spinal Cord Series and Cases.2022;[Epub]     CrossRef
  • The Impact of Robotic Therapy on the Self-Perception of Upper Limb Function in Cervical Spinal Cord Injury: A Pilot Randomized Controlled Trial
    V. Lozano-Berrio, M. Alcobendas-Maestro, B. Polonio-López, A. Gil-Agudo, A. de la Peña-González, A. de los Reyes-Guzmán
    International Journal of Environmental Research and Public Health.2022; 19(10): 6321.     CrossRef
  • The Outcomes of Robotic Rehabilitation Assisted Devices Following Spinal Cord Injury and the Prevention of Secondary Associated Complications
    Carmen Delia Nistor-Cseppento, Anamaria Gherle, Nicoleta Negrut, Simona Gabriela Bungau, Anca Maria Sabau, Andrei-Flavius Radu, Alexa Florina Bungau, Delia Mirela Tit, Bogdan Uivaraseanu, Timea Claudia Ghitea, Diana Uivarosan
    Medicina.2022; 58(10): 1447.     CrossRef
  • LncRNA Airsci increases the inflammatory response after spinal cord injury in rats through the nuclear factor kappa B signaling pathway
    Tao Zhang, Kang Li, Zi-Lu Zhang, Kai Gao, Chao-Liang Lv
    Neural Regeneration Research.2021; 16(4): 772.     CrossRef
  • Do any physiotherapy interventions increase spinal cord independence measure or functional independence measure scores in people with spinal cord injuries? A systematic review
    Lisa A. Harvey, Joanne V. Glinsky, Jackie Chu
    Spinal Cord.2021; 59(7): 705.     CrossRef
  • Design and Performance Evaluation of a Hybrid Hand Exoskeleton for Hand Opening/Closing
    Muhammad Ahsan Gull, Shaoping Bai, Jakob Udby Blicher, Tobias Glaston Staermose
    Journal of Medical Devices.2021;[Epub]     CrossRef
  • Upper Limb Robotic Rehabilitation for Patients with Cervical Spinal Cord Injury: A Comprehensive Review
    Giovanni Morone, Alessandro de Sire, Alex Martino Cinnera, Matteo Paci, Luca Perrero, Marco Invernizzi, Lorenzo Lippi, Michela Agostini, Irene Aprile, Emanuela Casanova, Dario Marino, Giuseppe La Rosa, Federica Bressi, Silvia Sterzi, Daniele Giansanti, Al
    Brain Sciences.2021; 11(12): 1630.     CrossRef
  • Clinical efficacy ofMajoon FalasfaandRoghan-e-Surkhin post-stroke-disability: an open labeled, pre-post analysis
    Izhar Ahmad, Tanzeel Ahmad, Mohd Aleemuddin Quamri
    Drug Metabolism and Drug Interactions.2021; 36(1): 41.     CrossRef
  • Clinical efficacy ofMajoon FalasfaandRoghan-e-Surkhin post-stroke-disability: an open labeled, pre-post analysis
    Izhar Ahmad, Tanzeel Ahmad, Mohd Aleemuddin Quamri
    Drug Metabolism and Personalized Therapy.2020;[Epub]     CrossRef
  • 13,418 View
  • 452 Download
  • 10 Web of Science
  • 12 Crossref
Risk Assessment of Injury to Palmar Cutaneous Branch of the Median Nerve Using High-Resolution Ultrasound
Young Ha Jeong, Jun Ho Choi, Hyuk Sung Choi, Seok Kang, Seung Nam Yang, Joon Shik Yoon
Ann Rehabil Med 2019;43(4):458-464.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.458
Objective
To evaluate the relationship between the palmar cutaneous branch of median nerve (PCBMN) and surrounding anatomical structures by using high-resolution ultrasound (HRUS) to assess the risk of PCBMN injury.
Methods
The PCBMN course and the characteristics of bilateral distal forearms and wrists of 30 healthy volunteers were identified. The distance between PCBMN and other anatomical structures at three different levels along its course were measured using HRUS. Moreover, the depth of PCBMN from skin and its cross-sectional area (CSA) were measured.
Results
HRUS showed the PCBMN in all subjects. PCBMN branched off from the radial aspect of the median nerve (MN) at 4.69±0.89 cm proximal to the bistyloid line (BSL) and extended radially toward the flexor carpi radialis (FCR) tendon. PCBMN was within the ulnar edge of FCR tendon sheath, and became more superficial and perforated the antebrachial fascia between the FCR tendon laterally and the palmaris longus (PL) tendon medially. PCBMN was located at 4.08±0.72 mm on the ulnar aspect of the FCR tendon and 4.78±0.36 mm radially on the PL tendon at BSL. At the distal wrist crease level, the PCBMN was located at 5.68±0.58 mm on the ulnar side of the FCR tendon. The PCBMN depth from skin at BSL and its branching point was 1.92±0.41 and 7.95±0.79 mm, respectively. The PCBMN CSA was 0.26±0.15 mm2 at BSL.
Conclusion
HRUS can be used to identify PCBMN and its relationship with other anatomical structures. Our data can be used to predict PCBMN location, and prevent complications associated with invasive procedures involving the wrist.

Citations

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  • Sonography of the Thenar Motor Branch of the Median Nerve
    Márcio Luís Duarte, Ocacir de Souza Reis Soares, Jean‐Louis Brasseur
    Journal of Ultrasound in Medicine.2025;[Epub]     CrossRef
  • Pillar Pain After Minimally Invasive and Standard Open Carpal Tunnel Release: A Systematic Review and Meta-analysis
    Annora Ai-Wei Kumar, Matthew Lawson-Smith
    Journal of Hand Surgery Global Online.2024; 6(2): 212.     CrossRef
  • Transbrachial Artery as Single or Combined Approach for Complex Interventions in Patients with Peripheral Artery Disease
    Jiawen Wu, Jinyan Xu, Qingyuan Yu, Cheng Chen, Yu Xiao, Junmin Bao, Liangxi Yuan
    Annals of Vascular Surgery.2024; 102: 209.     CrossRef
  • Cadaveric Study of Thread Carpal Tunnel Release Using Newly Developed Thread, With a Histologic Perspective
    Hae-Yeon Park, Jae Min Kim, In Jong Kim, Minsuk Kang, Jung Ryul Ham, Yong Seok Nam
    Annals of Rehabilitation Medicine.2023; 47(1): 19.     CrossRef
  • Ultrasound Imaging and Guidance for Distal Peripheral Nerve Pathologies at the Wrist/Hand
    Wei-Ting Wu, Ke-Vin Chang, Yu-Chun Hsu, Yuan-Yuan Tsai, Kamal Mezian, Vincenzo Ricci, Levent Özçakar
    Diagnostics.2023; 13(11): 1928.     CrossRef
  • Modified Carpal Tunnel Release
    Tarik Mujadzic, Harold I. Friedman, Mirza M. Mujadzic, Charles Gober, Elliot Chen, Abdelaziz Atwez, Martin Durkin, Mirsad M. Mujadzic
    Annals of Plastic Surgery.2021; 86(6S): S503.     CrossRef
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    Sarah Henning, Matthew Weston, Michael David
    Orthopaedics and Trauma.2021; 35(4): 174.     CrossRef
  • Prevention and Management of Complications of Tissue Flaps
    Travis J. Miller, Christopher V. Lavin, Arash Momeni, Derrick C. Wan
    Surgical Clinics of North America.2021; 101(5): 813.     CrossRef
  • Is Palmar Cutaneous Branch of the Median Nerve More Swollen in Carpal Tunnel Syndrome?
    Ha Mok Jeong, Young Ha Jeong, Joon Shik Yoon
    Annals of Rehabilitation Medicine.2021; 45(4): 325.     CrossRef
  • Anatomy of the nerves, vessels, and muscular compartments of the forearm, as revealed by high-resolution ultrasound. Part 1: overall structure and forearm compartments
    Áurea V. R. Mohana Borges, Sergio A. L Souza
    Radiologia Brasileira.2021; 54(6): 388.     CrossRef
  • Ultrasound Findings in Less Frequent Causes of Carpal Tunnel Syndrome
    Stefano Bianchi, Douglas F. Hoffman, Giorgio Tamborrini, Pierre‐Alexandre Poletti
    Journal of Ultrasound in Medicine.2020; 39(12): 2469.     CrossRef
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  • 232 Download
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Effect of Pre-training and Post-training Nordic Exercise on Hamstring Injury Prevention, Recurrence, and Severity in Soccer Players
Ahmed Ebrahim Elerian, Mohsen M. El-Sayyad, Hend Adel Abdelhalim Dorgham
Ann Rehabil Med 2019;43(4):465-473.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.465
Objective
To investigate the effect of adding Nordic exercise as post-training in decreasing hamstring initial, recurrent injuries rates, and their severity.
Methods
In this randomly controlled trial study, 34 professional football players aged 21 to 35 years were randomly assigned into two groups (17 players each) from Sporting clubs at Alexandria, Egypt. For group one, Nordic hamstring exercise (NHE) was performed pre-training and post-training. For group two, NHE was only performed pre-training. The control group was the same team during the previous season. Length of the trial was 12 weeks. The Australian football association injury form was used to collect incidence of injuries for each subject in both groups.
Results
Pooled results based on total injuries showed that group one had significantly less hamstring initial injuries (92% less) than the previous season, while group two had 80% less initial injuries and 85% less recurrent injuries than previous season. Regarding the severity of injuries in term of mean number of absent days, it was 1 day for group one and 2.7 days for group two while it was 7.95 days for the previous season during total risk time of 116.3±13.2 and 117.6±5.7 exposure hours for group one and group two, respectively.
Conclusion
The use of NHE as a prevention protocol was effective in reducing all hamstring injuries with the use of NHE during pre-training and post-training having the greatest effect.

Citations

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  • Strengthening football: The role of the nordic hamstring exercise in preventing hamstring injuries
    Roberto Tedeschi, Giacomo Farì, Federica Giorgi, Daniela Platano, Lisa Berti, Andrea Bernetti, Danilo Donati
    Journal of Back and Musculoskeletal Rehabilitation.2025;[Epub]     CrossRef
  • Weekly Programming of Hamstring-Related Training Contents in European Professional Soccer
    Pedro Gómez-Piqueras, Antonio Martínez-Serrano, Tomás T. Freitas, Antonio Gómez Díaz, Irineu Loturco, Enric Giménez, Joao Brito, David García-López, Hernan Giuria, Paulino Granero-Gil, Shaun Huygaerts, Francesc Cos, Julio Calleja-González, Emmanuel Vallan
    Sports.2024; 12(3): 73.     CrossRef
  • Acute effects of Nordic hamstring exercise on hip and knee joints proprioception
    Mohsen Sadeghi, Mohammad H. Alizadeh, Hooman Minoonejad
    Journal of Bodywork and Movement Therapies.2024; 39: 382.     CrossRef
  • Comparison of the Effects of Pilates and Yoga Exercise on the Dynamic Balancing Ability and Functional Movement of Fencers
    So-Jung Lim, Hyun-Jin Kim, Yong-Soo Kim, Eunkuk Kim, Inyoung Hwang, Ju-Seop Kang
    Life.2024; 14(5): 635.     CrossRef
  • Implementing the Copenhagen Adductor Exercise and Nordic Hamstring Exercise in West African Academy Soccer Players: An Intervention Study
    Matthew D DeLang, Lasse Ishøi, Maren Nielsen Hole, Prince Wilson, Michael Segbefia, Kristian Thorborg
    International Journal of Sports Physical Therapy.2024;[Epub]     CrossRef
  • Comparing activity of the gluteus maximus and hamstring muscles in fatigue conditions between hamstring injury-experienced and inexperienced individuals
    Sirinda Jaotawipart, Hironobu Kuruma, Takuya Matsumoto, Shunsuke Tsutsumi, Hikari Takashina, Nene Iwamoto, Minjoon Kim
    Journal of Bodywork and Movement Therapies.2024; 40: 1693.     CrossRef
  • Effectiveness of different weekly frequencies of nordic hamstring exercise on performance and injury-associated factors in intermittent sports athletes: protocol of a randomised clinical trial
    Gianfranco Sganzerla, Rodrigo Luiz Carregaro, Paula Felippe Martinez, Silvio Assis de Oliveira-Junior
    European Journal of Physiotherapy.2023; 25(4): 223.     CrossRef
  • Effects of Different Hamstring Eccentric Exercise Programs on Preventing Lower Extremity Injuries: A Systematic Review and Meta-Analysis
    Chenxi Hu, Zhikun Du, Mei Tao, Yafeng Song
    International Journal of Environmental Research and Public Health.2023; 20(3): 2057.     CrossRef
  • Relationship Between Nordic Hamstring Strength and Single Leg Bridge Test in University Soccer Players
    Yuta Murakami, Satoru Nishida, Riku Yoshida, Kazuki Kasahara, Akira Kumazaki, Hirokazu Sakuma, Hirosi Fujimoto, Yuki Kaneko, Otoka Abe, Masatoshi Nakamura
    Journal of Sport Rehabilitation.2023; : 1.     CrossRef
  • Eccentric force and electromyogram comparison between the eccentric phase of the Nordic hamstring exercise and the razor hamstring curl
    Yuta Murakami, Satoru Nishida, Kaziki Kasahara, Riku Yoshida, Ryo Hayakawa, Masatoshi Nakamura, Esedullah Akaras
    PLOS ONE.2023; 18(12): e0293938.     CrossRef
  • Hamstring Strain Injury in Athletes
    Robroy L. Martin, Michael T. Cibulka, Lori A. Bolgla, Thomas A. Koc, Janice K. Loudon, Robert C. Manske, Leigh Weiss, John J. Christoforetti, Bryan C. Heiderscheit
    Journal of Orthopaedic & Sports Physical Therapy.2022; 52(3): CPG1.     CrossRef
  • Quo Vadis Nordic Hamstring Exercise-Related Research?—A Scoping Review Revealing the Need for Improved Methodology and Reporting
    Tobias Alt, Jannik Severin, Marcus Schmidt
    International Journal of Environmental Research and Public Health.2022; 19(18): 11225.     CrossRef
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    DM Tumiñá-Ospina, Y Rivas-Campo, PA García-Garro, A Gómez-Rodas, Diego Fernando Afanador
    Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte.2022; 11(3): 47.     CrossRef
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    José Afonso, Sílvia Rocha-Rodrigues, Filipe M. Clemente, Michele Aquino, Pantelis T. Nikolaidis, Hugo Sarmento, Alberto Fílter, Jesús Olivares-Jabalera, Rodrigo Ramirez-Campillo
    Frontiers in Physiology.2021;[Epub]     CrossRef
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    Carlo Biz, Pietro Nicoletti, Giovanni Baldin, Nicola Luigi Bragazzi, Alberto Crimì, Pietro Ruggieri
    International Journal of Environmental Research and Public Health.2021; 18(16): 8272.     CrossRef
  • Why methods matter in a meta-analysis: a reappraisal showed inconclusive injury preventive effect of Nordic hamstring exercise
    Franco M. Impellizzeri, Alan McCall, Maarten van Smeden
    Journal of Clinical Epidemiology.2021; 140: 111.     CrossRef
  • Exercise-Based Strategies to Prevent Muscle Injury in Elite Footballers: A Systematic Review and Best Evidence Synthesis
    Maurizio Fanchini, Ida Bo Steendahl, Franco M. Impellizzeri, Ricard Pruna, Gregory Dupont, Aaron J. Coutts, Tim Meyer, Alan McCall
    Sports Medicine.2020; 50(9): 1653.     CrossRef
  • No relationship between the nordic hamstring and two different isometric strength tests to assess hamstring muscle strength in professional soccer players
    Víctor Moreno-Pérez, Alberto Méndez-Villanueva, Aitor Soler, Juan Del Coso, Javier Courel-Ibáñez
    Physical Therapy in Sport.2020; 46: 97.     CrossRef
  • 12,466 View
  • 608 Download
  • 19 Web of Science
  • 18 Crossref
The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
Yukio Mikami, Naoya Orita, Takuma Yamasaki, Yoshiichiro Kamijo, Hiroaki Kimura, Nobuo Adachi
Ann Rehabil Med 2019;43(4):474-482.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.474
Objective
To assess the effectiveness of our devised hybrid physiotherapy regime using an anti-gravity treadmill and a low-frequency electrical stimulation device, as measured in patients with hip osteoarthritis after total hip arthroplasty (THA).
Methods
The outcomes of the postoperative rehabilitation in 44 patients who underwent THA for hip osteoarthritis were retrospectively examined. The conventional group (n=22) underwent the postoperative rehabilitation according to our protocol, while the hybrid group (n=22) underwent the same training, along with training on an anti-gravity treadmill and training using a low-frequency therapeutic device. The outcome measures were recorded and reviewed with the Numerical Rating Scale for pain, which rates pain on an 11-point scale from 0 to 10, surgical side knee joint extension force, 10-m walking test, Timed Up and Go test, and the 6-minute walking distance (6MD). The outcome measurement was taken 2 weeks after conducting pre-operation and antigravity treadmill training and electrical muscle stimulation, and compared the respective results.
Results
At the timeframe of 2 weeks from the surgery after conducting a devised hybrid physiotherapy, the values of knee extension muscle strength and 6MD were not worse in the hybrid group than conventional group. In the evaluation at 2 weeks after surgery, the knee extension muscle strength and 6MD values significantly decreased compared with the preoperative values only in the conventional group.
Conclusion
Lower limb muscular strength and endurance were maintained in the hybrid group, which suggested that hybrid physiotherapy could maintain physical functions early after THA operation.

Citations

Citations to this article as recorded by  
  • Functional assessment in patients undergoing total hip arthroplasty
    Richard J. Rivera, Theofilos Karasavvidis, Cale Pagan, Rowan Haffner, Michael P. Ast, Jonathan M. Vigdorchik, Eytan M. Debbi
    The Bone & Joint Journal.2024; 106-B(8): 764.     CrossRef
  • Sarcopenia and hip osteoarthritis: possible role for targeted electrical and biophysical muscle stimulation applications
    Ray Marks
    International Physical Medicine & Rehabilitation Journal.2023; 8(1): 80.     CrossRef
  • 7,316 View
  • 290 Download
  • 2 Web of Science
  • 2 Crossref
Correlations Between Values of Articulation Tests and Language Tests for Children With Articulation Disorder in Korea
Kwang Min Choi, Seung Don Yoo, Dong Hwan Kim, Jin Mann Chon, Seung Ah Lee, Young Rok Han, Myung Chul Yoo, Jae Joon Lee, Miryeong Yang, Young Hwa Choi, Min Ji Jung
Ann Rehabil Med 2019;43(4):483-489.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.483
Objective
To evaluate correlations between values of articulation tests and language tests for children with articulation disorder in Korea.
Methods
Data of outpatients with chief complaint of an articulation problem were retrospectively collected. Patients who underwent Urimal Test of Articulation and Phonation (U-TAP) with Assessment of Phonology and Articulation for Children (APAC), Preschool Receptive-Expressive Language Scale (PRES), or Receptive and Expressive Vocabulary Test (REVT) simultaneously were identified. Patients whose word-level percentages of correct consonants in U-TAP (UTAP_wC) were more than 2 standard deviations below the mean as diagnostic criteria for articulation disorder were selected. Those whose receptive language age (P_RLA), expressive language age (P_ELA), or combined language age (P_CLA) in PRES was delayed more than 24 months compared to their chronological age in months as diagnostic criteria for language disorder were excluded.
Results
Thirty-three children aged 3–6 years were enrolled retrospectively. PRES and U-TAP showed significant correlations for most of value relationships. PRES and APAC showed significant correlations for all value relationships except for receptive language age. All values of REVT were significantly correlated with all values from U-TAP, but not with any value from APAC. Articulation tests U-TAP and APAC showed significant correlations between percentages of correct consonants. Language tests PRES and REVT showed significant correlations for all value relationships.
Conclusion
This study suggests that articulation abilities and language abilities might be correlated in children with articulation disorder.

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    Min Jeong Han, Ju Hong Min, Sun Jun Kim
    Journal of Clinical Neurology.2023; 19(1): 76.     CrossRef
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    Jong Hwan Lee, Su Il Kim, Seul Ah Lee, Tae Hoon Kim, Young-Gyu Eun, Young Chan Lee
    Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2023; 66(7): 462.     CrossRef
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    Jin A Yoon, Shin Wook An, Ye Seul Choi, Jae Sik Seo, Seon Jun Yoon, Soo-Yeon Kim, Yong Beom Shin
    Annals of Rehabilitation Medicine.2022; 46(5): 256.     CrossRef
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    Hojin Park, Joo Seok Park, Woo Shik Jeong, Jong Woo Choi
    Annals of Plastic Surgery.2021; 86(3): 308.     CrossRef
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    Jung-Hae Yun, So-Min Shin, Su-Min Son
    Children.2021; 8(12): 1106.     CrossRef
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    Min Jeong Han, Sun Jun Kim
    Annals of Child Neurology.2021; 30(1): 8.     CrossRef
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    Hayoung Jung, Soo-Yeon Kim, Xin Cui, Wonsup Lee, Dohoon Kwon, Ji-Won Seo, Hyun-Yoon Ko, Sang Hun Kim, Ra Yu Yun, Heecheon You, Sungchul Huh
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    International Journal of Pediatric Otorhinolaryngology.2020; 136: 110146.     CrossRef
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  • 156 Download
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Clinical Usefulness of the Korean Developmental Screening Test (K-DST) for Developmental Delays
Chul Hoon Jang, Seong Woo Kim, Ha Ra Jeon, Da Wa Jung, Han Eol Cho, Jiyong Kim, Jang Woo Lee
Ann Rehabil Med 2019;43(4):490-496.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.490
Objective
To evaluate the clinical usefulness of the Korean Developmental Screening Test (K-DST) via comparison with Korean Ages and Stages Questionnaire (K-ASQ) for the diagnosis of developmental delay in pediatric patients.
Methods
The K-DST and K-ASQ were used to screen pediatric patients who visited the hospital for evaluation and diagnosis of delayed development. Korean Bayley Scales of Infant Development-II (K-BSID-II) or Korean Wechsler Preschool and Primary Scale of Intelligence III (K-WPPSI-III) were used for the standardized assessment. Moreover, the final clinical diagnosis was confirmed by three expert physicians (rehabilitation doctor, psychiatrist, and neurologist). The sensitivity and specificity of each screening tool for the final diagnosis were investigated and correlated with standardized assessments.
Results
A total of 145 pediatric consultations were conducted, which included 123 developmental disorders (40 autism spectrum disorders, 46 global developmental delay/intellectual disability, and 37 developmental language disorders) and another 22 that were not associated with any such disorders. The sensitivity and specificity of K-DST based on the final clinical diagnosis were 82.9% and 90.9%, respectively, which were not significantly different from that of K-ASQ (83.7% and 77.3%). Both K-DST and K-ASQ showed good correlation with K-BSID-II and K-WPPSI-III. No significant difference was found between the K-DST and K-ASQ measures.
Conclusion
K-DST is an excellent screening tool and is expected to replace K-ASQ with high validity.

Citations

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Effect of Sensory Impairment on Balance Performance and Lower Limb Muscle Strength in Older Adults With Type 2 Diabetes
Ratchanok Kraiwong, Mantana Vongsirinavarat, Vimonwan Hiengkaew, Petra von Heideken Wågert
Ann Rehabil Med 2019;43(4):497-508.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.497
Objective
To compare balance performance and lower limb muscle strength between older adults with type 2 diabetes mellitus (DM), with and without sensory impairments and non-DM groups. Influence of a number of sensory impairments, and muscle strength on balance performance were explored.
Methods
Ninety-two older adults with and without type 2 DM, were examined relative to visual function with the Snellen chart, Melbourne Edge test, and Howard-Dolman test, vestibular function with the modified Romberg test, proprioception of the big toe, and diabetic peripheral neuropathy with the Michigan Neuropathy Screening Instrument. Balance performances were evaluated with the Romberg test, Functional Reach Test (FRT), and Timed Up and Go test (TUG). Strength of knee and ankle muscles was measured.
Results
FRT of type 2 DM groups with at least two sensory impairments, was lower than the non-DM group (p<0.05). TUG of all DM groups, was worse than the non-DM group (p<0.01). Lower limb muscle strength of type 2 DM groups with two and three sensory impairments, was weaker than non-DM group (p<0.05). Regression analysis showed that type 2 DM with three sensory impairments, ankle dorsiflexors strength, and age were influential predictors of TUG.
Conclusion
There were significant differences, of muscle strength and balance performance among groups. Poorer balance and reduced lower limb strength were marked in older adults with type 2 DM, even ones without sensory impairment. Muscle weakness seemed to progress, from the distal part of lower limbs. A greater number of sensory impairments, weaker dorsiflexors, and advanced age influenced balance performance.

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Effects of Breathing Exercises in Patients With Chronic Obstructive Pulmonary Disease: Systematic Review and Meta-Analysis
Nutsupa Ubolnuar, Anong Tantisuwat, Premtip Thaveeratitham, Somrat Lertmaharit, Chathipat Kruapanich, Witaya Mathiyakom
Ann Rehabil Med 2019;43(4):509-523.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.509
Objective
To update evidence on the effects of breathing exercises (BEs) on ventilation, exercise capacity, dyspnea, and quality of life (QoL) in chronic obstructive pulmonary disease (COPD) patients.
Methods
Randomized controlled trials investigating the effects of BEs in COPD patients published through May 2018, were retrieved from five electronic databases (MEDLINE, CINAHL, Cochrane, Scopus, and ScienceDirect). Risk of bias and quality of evidence were assessed, using Cochrane Collaboration’s tool, and the Grading of Recommendation Assessment, Development, and Evaluation (GRADE) approach, respectively.
Results
Nineteen studies (n=745), were included. Quality of evidence, was low to moderate. When compared to the control groups, respiratory rate significantly (p≤0.001) improved in the pursed-lip breathing (PLB), ventilatory feedback (VF) plus exercise, diaphragmatic breathing exercise (DBE), and combined BEs. Additionally, PLB significantly improved tidal volume (p<0.001), inspiratory time (p=0.007), and total respiratory time (p<0.001). VF plus exercise significantly improved inspiratory capacity (p<0.001), and singing significantly improved the physical component of QoL, than did the control groups (p<0.001). All BEs did not significantly improve dyspnea, compared to the controls (p>0.05).
Conclusion
PLB, VF plus exercise, DBE, combined BEs, and singing could be used to improve ventilation and QoL. Based on low to moderate quality of evidence, use of these BEs to improve ventilation and QoL in COPD patients is conditional (Registration No. CRD42018102995).

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Case Reports
Ten-Year Follow-Up of Transcranial Magnetic Stimulation Study in a Patient With Congenital Mirror Movements: A Case Report
Eu-Deum Kim, Gi-Wook Kim, Yu Hui Won, Myoung-Hwan Ko, Jeong-Hwan Seo, Sung-Hee Park
Ann Rehabil Med 2019;43(4):524-529.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.524
Most studies concerning congenital mirror movements (CMMs) have been focused on the motor organization in the distal hand muscles exclusively. To the best of our knowledge, there is no data on motor organization pattern of lower extremities, and a scarcity of data on the significance of forearm and arm muscles in CMMs. Here, we describe the case of a 19-year-old boy presenting mirror movements. In these terms, a 10-year transcranial magnetic stimulation study demonstrated that the motor organization pattern of the arm muscles was different from that of distal hand and forearm muscles even in the same upper extremity, and that the lower extremities showed the same pathways as healthy children. Moreover, in this case, an ipsilateral motor evoked potentials (MEPs) for distal hand muscles increased in amplitude with age, even though the intensity of mirror movements decreased. In the arm muscles, however, it was concluded that the contralateral MEPs increased in amplitude with age.

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Subacute Combined Degeneration Caused by Nitrous Oxide Intoxication: A Report of Two Cases
Cheol Choi, Taehee Kim, Ki Deok Park, Oh Kyung Lim, Ju Kang Lee
Ann Rehabil Med 2019;43(4):530-534.   Published online August 31, 2019
DOI: https://doi.org/10.5535/arm.2019.43.4.530
We report two cases of subacute combined degeneration (SCD) caused by nitrous oxide (N2O) gas intoxication, which is rarely reported in Korea. Two patients recreationally inhaled N2O gas daily for several months. They presented with paresthesia of limbs, voiding difficulty, and gait disturbance. The initial vitamin B12 levels were normal or decreased, but homocysteine levels of the two patients were increased. Magnetic resonance imaging of the cervical spine showed T2-weighted hyperintensity in the bilateral dorsal columns of the cervical spinal cord. Electromyography and somatosensory evoked potential tests for both patients suggested posterior column lesion of the spinal cord combined with sensorimotor polyneuropathy. According to these findings, we concluded that the two patients had SCD. The patient’s symptoms partially improved after cessation of N2O gas inhalation and the receiving of vitamin B12 supplementation therapy. As the incidence of recreational N2O gas inhalation is increasing in Korea, physicians must be alert to the N2O induced SCD in patients presenting with progressive myelopathy.

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