Objective
To evaluate the longitudinal changes of swallowing kinematics based on videofluoroscopic swallowing studies (VFSSs) in subacute stroke patients grouped according to the method of dietary intake.
Methods
Sixty-nine subacute stroke patients who had taken at least 2 successive VFSSs were included. Subjects were allocated into 3 groups according to the degree of swallowing function recovery—not improved group (tube feeding recommended to patients at both studies), improved group (tube feedings recommended initially to patients and oral feeding recommended at follow-up study), and well-maintained group (oral feeding at both studies recommended to patients). Initial VFSS was performed during the subacute stage of stroke, 1 to 12 weeks after the onset of stroke, and follow-up VFSS was performed at least once. Kinematic variables were calculated by two-dimensional motion analysis of multiple structures, including the hyoid bone, epiglottis, and vocal cord. Changes of kinematic variables were analyzed in serial VFSSs.
Results
At the initial VFSS, the well-maintained group showed significantly larger angles of epiglottic folding than the not improved group, while at the follow-up VFSS, the improved and the well-maintained groups showed significantly larger epiglottic folding angles than the not improved group. The distribution of epiglottic folding angles was in a dichotomous pattern, and each cluster was related to the swallowing function.
Conclusion
This study showed that improved epiglottic folding angles are associated with the recovery of the swallowing process and suitability for oral feeding among various kinematic variables in subacute stroke patients.

Citations

• 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
• Timing of True Vocal Cords Closure for Safe Swallowing: A Review of 5 Studies Using 3D Analysis Using Computerized Tomography (CT)
  Yoko Inamoto, Marlís González-Fernández, Eiichi Saitoh
  Dysphagia.2024; 39(3): 313.     CrossRef
• A Large Cohort Analysis of Epiglottic Phenotypes and Pharyngeal Residue
  Adam Kravietz, Tyler Crosby, Jackie Yang, Stamatela Balou, Gregory R. Dion, Ashley Logan, Milan R. Amin
  Annals of Otology, Rhinology & Laryngology.2024; 133(4): 375.     CrossRef
• Predicting Swallowing Recovery in Subacute Stroke Patients via Temporal and Spatial Parameters of Videofluoroscopy
  Lian Wang, Zhenhai Wei, Wei Xin, Zulin Dou
  Brain and Behavior.2024;[Epub]     CrossRef
• Clinical Predictors of Dysphagia Recovery After Stroke: A Systematic Review
  Pamela D’Netto, Anna Rumbach, Katrina Dunn, Emma Finch
  Dysphagia.2023; 38(1): 1.     CrossRef
• Risk factors of dysphagia in patients with ischemic stroke: A meta-analysis and systematic review
  Cui Yang, Yun Pan, Massimiliano Toscano
  PLOS ONE.2022; 17(6): e0270096.     CrossRef
• Correlation of Videofluoroscopic Swallowing Study Findings With Radionuclide Salivagram in Chronic Brain-Injured Patients
  Ga Yang Shim, Ju Sun Oh, Seunghee Han, Kyungyeul Choi, Son Mi Lee, Min Woo Kim
  Annals of Rehabilitation Medicine.2021; 45(2): 108.     CrossRef
• Effects of percutaneous injection laryngoplasty on voice and swallowing problems in cancer‐related unilateral vocal cord paralysis
  Min‐Gu Kang, Han Gil Seo, Eun‐Jae Chung, Hyun Haeng Lee, Seo Jung Yun, Bhumsuk Keam, Tae Min Kim, Seong Keun Kwon, Byung‐Mo Oh
  Laryngoscope Investigative Otolaryngology.2021; 6(4): 800.     CrossRef
• Correlation Between Maximal Tongue Pressure and Swallowing Function in Spinal and Bulbar Muscular Atrophy
  Dae-Won Gwak, Seung-Hwan Jung, Yu-Sun Min, Jin-Sung Park, Hee-Jin Cho, Donghwi Park, Min Woo Hong, Min-Gu Kang
  Frontiers in Neurology.2021;[Epub]     CrossRef

Objective
To translate the Stroke Rehabilitation Motivation Scale (SRMS), developed to evaluate the motivation level of stroke patients during rehabilitation, into the Korean language and to verify the reliability and validity of the Korean version of SRMS (K-SRMS).
Methods
The K-SRMS was developed following a structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. K-SRMS reliability was evaluated by performing internal consistency and test–retest analyses. The reliability test was conducted in 50 stroke patients. Its validity was assessed by comparing the K-SRMS with the scale and performing exploratory factor analysis. The validity test was conducted in 102 stroke patients.
Results
The test–retest analysis showed good reliability, and the internal consistency of the K-SRMS was similar to that of the original version for all, except 4, items. Thus, these 4 items were excluded, and then the validity test was conducted. Pearson correlation analysis demonstrated that the K-SRMS score was significantly correlated with the BAS total score (Pearson r=0.207, p<0.05). In the exploratory factor analysis, K-SRMS items were categorized into 7 groups (factors), and factors 1 and 4 showed mutual concordance with K-SRMS subscales, including intrinsic motivation factors and amotivation, respectively.
Conclusion
The newly developed K-SRMS showed good reliability and validity. It could also be used as a tool to objectify the degree of motivation for rehabilitation among stroke patients in clinical care and research.

Citations

• Fun and games: a scoping review of enjoyment and intensity assessment in studies of game-based interventions for gait rehabilitation in neurological disorders
  Laura Duval, Marie-Claire Smith, Stacey A. Reading, Winston D. Byblow, Cathy M. Stinear
  Disability and Rehabilitation.2025; 47(8): 1893.     CrossRef
• Brain-computer interface on wrist training with or without neurofeedback in subacute stroke: a study protocol for a double-blinded, randomized control pilot trial
  Myeong Sun Kim, Hyunju Park, Ilho Kwon, Kwang-Ok An, Joon-Ho Shin
  Frontiers in Neurology.2024;[Epub]     CrossRef
• Motivation as a Measurable Outcome in Stroke Rehabilitation: A Systematic Review of the Literature
  Giulio Verrienti, Cecilia Raccagni, Ginevra Lombardozzi, Daniela De Bartolo, Marco Iosa
  International Journal of Environmental Research and Public Health.2023; 20(5): 4187.     CrossRef
• Interactive Videogame Improved Rehabilitation Motivation and Walking Speed in Chronic Stroke Patients: A Dual-Center Controlled Trial
  Daegyun Lee, Youngsook Bae
  Games for Health Journal.2022; 11(4): 268.     CrossRef
• Mediating Effects of Rehabilitation Motivation between Social Support and Health-Related Quality of Life among Patients with Stroke
  Yaeram Lee, Mihwa Won
  International Journal of Environmental Research and Public Health.2022; 19(22): 15274.     CrossRef
• The Korean Version of the Fugl-Meyer Assessment: Reliability and Validity Evaluation
  Tae-lim Kim, Sung Hwan Hwang, Wang Jae Lee, Jae Woong Hwang, Inyong Cho, Eun-Hye Kim, Jung Ah Lee, Yujin Choi, Jin Ho Park, Joon-Ho Shin
  Annals of Rehabilitation Medicine.2021; 45(2): 83.     CrossRef
• Effects of Animal-Assisted Therapy on Gait Performance, Respiratory Function, and Psychological Variables in Patients Post-Stroke
  Ho-Jung An, Shin-Jun Park
  International Journal of Environmental Research and Public Health.2021; 18(11): 5818.     CrossRef

Objective
To investigate variables for assessment of stroke-related sarcopenia that are alternative options to the current assessment for sarcopenia, which focuses on age-related sarcopenia and also has limitations in addressing sarcopenia due to weakness resulting from stroke.
Methods
Forty patients (17 men, 23 women; mean age, 66.9±15.4 years) with first-ever stroke who can walk independently were included. Muscle mass was determined by measuring ultrasonographic muscle thickness of vastus intermedius, rectus femoris, tibialis anterior, medial gastrocnemius, and biceps brachii muscles in addition to using the skeletal muscle index (SMI) with bioelectrical impedance analysis. Muscle strength was assessed with the Medical Research Council (MRC) sum score as well as handgrip (HG) strength. Physical performance was measured by the Berg Balance Scale (BBS) along with 4-meter gait speed (4MGS). Correlations between each assessment in the three categories were analyzed and adjusted by stroke severity, comorbidity, and nutritional status.
Results
For muscle mass, SMI showed the highest correlation with the tibialis anterior muscle (r=0.783, p<0.001) among the other muscles. Regarding muscle strength, the MRC sum score correlated with the HG (r=0.660, p<0.001). For physical performance, the BBS correlated with the 4MGS (r=0.834, p<0.001). The same result was obtained after adjusting for factors of stroke severity, comorbidity, and nutritional status.
Conclusion
These results suggest that ultrasonographic muscle thickness of the tibialis anterior, the MRC sum score, and BBS might be alternatives to SMI, HG, and usual gait speed for sarcopenia in stroke patients.

Citations

• The Feasibility of non-motorized Treadmill Training on Lower Extremity Muscle Strength, Balance, and Gait in Patients with Stroke: A Pilot Study
  Minkwon Cho, Taewoong Jeong, Yijung Chung
  NeuroRehabilitation: An International, Interdisciplinary Journal.2025; 56(2): 186.     CrossRef
• Prevalence and predictive factors for obesity, sarcopenia and sarcopenic obesity in patients with chronic stroke
  Charuwan Nimphan, Preeda Arayawichanon, Charoonsak Somboonporn, Jittima Saengsuwan
  World Academy of Sciences Journal.2025;[Epub]     CrossRef
• Training modalities for elder sarcopenic obesity: a systematic review and network meta-analysis
  Hao Qiu, Wanxia Zheng, Xi Zhou, Qianrong Liu, Xuehong Zhao
  Frontiers in Nutrition.2025;[Epub]     CrossRef
• Relationship between progressive improvement in gait ability one year after discharge and skeletal muscle characteristics of stroke survivors
  Shu Tanaka, Yosuke Kimura, Yusuke Terao, Iwao Kojima, Mizue Suzuki, Ryosuke Kita, Katsumi Suzukawa, Megumi Moriya, Minoru Yamada
  Clinical Neurology and Neurosurgery.2024; 243: 108401.     CrossRef
• Handheld Ultrasound Parameters of Lower Limb Muscles versus Bioelectrical Impedance Analysis Parameters for Skeletal Muscle Assessments in Arabic Female Adults
  Nada H. Alamoudi, Dara Aldisi, Mohamed S. El-Sharkawy, Mahmoud M. A. Abulmeaty
  Diagnostics.2024; 14(15): 1582.     CrossRef
• The Feasibility and Validity of Sarcopenia Assessment Using Standard of Care Stroke Imaging
  Katrina Knight, Niall Finnegan, Aisling Rafter, Daniel Forbes, Douglas Black, Terry Quinn
  Cerebrovascular Diseases.2024; : 1.     CrossRef
• Physical Therapy Assessment Tool Threshold Values to Identify Sarcopenia and Locomotive Syndrome in the Elderly
  Hae-In Kim, Myung-Chul Kim
  International Journal of Environmental Research and Public Health.2023; 20(12): 6098.     CrossRef
• Sarkopeni’ye Genel Bakış ve İlişkili Faktörler
  Tuba Tülay KOCA, Buket TUĞAN YILDIZ
  Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi.2023; 18(3): 99.     CrossRef
• Relationship between Generalized Sarcopenia and the Severity of Dysphagia after a Stroke
  Gyu Seong Kim, Hyun Im Moon, Jeong A Ham, Min Kyeong Ma
  Journal of the Korean Dysphagia Society.2022; 12(1): 24.     CrossRef
• Impaired Nutritional Condition After Stroke From the Hyperacute to the Chronic Phase: A Systematic Review and Meta-Analysis
  Viviënne Huppertz, Sonia Guida, Anne Holdoway, Stefan Strilciuc, Laura Baijens, Jos M. G. A. Schols, Ardy van Helvoort, Mirian Lansink, Dafin F. Muresanu
  Frontiers in Neurology.2022;[Epub]     CrossRef
• Impact of Sarcopenia on Functional Outcomes Among Patients With Mild Acute Ischemic Stroke and Transient Ischemic Attack: A Retrospective Study
  Hyungwoo Lee, Il Hyung Lee, JoonNyung Heo, Minyoul Baik, Hyungjong Park, Hye Sun Lee, Hyo Suk Nam, Young Dae Kim
  Frontiers in Neurology.2022;[Epub]     CrossRef
• Nutrition Management in Patients With Traumatic Brain Injury: A Narrative Review
  Hoo Young Lee, Byung-Mo Oh
  Brain & Neurorehabilitation.2022;[Epub]     CrossRef
• Nutrition Management Across the Stroke Continuum of Care to Optimize Outcome and Recovery
  Anne Holdoway, Ethem Murat Arsava, Stephen A. Ashford, Emanuele Cereda, Rainer Dziewas, Gerard E. Francisco
  The Journal of the International Society of Physical and Rehabilitation Medicine.2022; 5(4): 121.     CrossRef
• Effect of Aquatic Treadmill Training on Patients with Hemiplegia after Stroke
  Yanan WANG, Tong ZHANG, Huilin LIU, Xuejing DU, Xiaomin ZHU, Yuanmin LIU
  Rehabilitation Medicine.2022; 32(4): 299.     CrossRef
• Are Sarcopenia and Cognitive Dysfunction Comorbid after Stroke in the Context of Brain–Muscle Crosstalk?
  Sophia X. Sui, Brenton Hordacre, Julie A. Pasco
  Biomedicines.2021; 9(2): 223.     CrossRef
• Association Between Length of Stay in the Intensive Care Unit and Sarcopenia Among Hemiplegic Stroke Patients
  Aeri Jang, Chang Hoon Bae, Soo Jeong Han, Hasuk Bae
  Annals of Rehabilitation Medicine.2021; 45(1): 49.     CrossRef
• Sarcopenia Diagnosis: Reliability of the Ultrasound Assessment of the Tibialis Anterior Muscle as an Alternative Evaluation Tool
  Massimiliano Leigheb, Alessandro de Sire, Matteo Colangelo, Domenico Zagaria, Federico Alberto Grassi, Ottavio Rena, Patrizio Conte, Pierluigi Neri, Alessandro Carriero, Gian Mauro Sacchetti, Fabio Penna, Giuseppina Caretti, Elisabetta Ferraro
  Diagnostics.2021; 11(11): 2158.     CrossRef
• How Does Stroke Affect Skeletal Muscle? State of the Art and Rehabilitation Perspective
  Valentina Azzollini, Stefania Dalise, Carmelo Chisari
  Frontiers in Neurology.2021;[Epub]     CrossRef
• Sarcopenia in neurodegenerative disorders
  M. A. Korotysh, S. N. Svetozarskiy, S. V. Kopishinskaia
  Medical alphabet.2021; (36): 52.     CrossRef
• Sarcopenia as a Mediator of the Effect of a Gerontogymnastics Program on Cardiorespiratory Fitness of Overweight and Obese Older Women: A Randomized Controlled Trial
  Pablo Jorge Marcos-Pardo, Noelia González-Gálvez, Gemma María Gea-García, Abraham López-Vivancos, Alejandro Espeso-García, Rodrigo Gomes de Souza Vale
  International Journal of Environmental Research and Public Health.2020; 17(19): 7064.     CrossRef

Objective
To evaluate the prevalence rate, types, characteristics, and associated factors of esophageal dysphagia detected on chest X-ray images after videofluoroscopic swallowing study (VFSS).
Methods
The medical records of 535 adults were reviewed retrospectively. Chest X-ray images taken after barium swallow study were analyzed and presence of any residual barium in the esophagus was considered as esophageal dysphagia. Esophageal dysphagia was classified based on the largest width of barium deposit (mild, <2 cm; severe ≥2 cm) and the anatomic level at which it was located (upper and lower esophagus).
Results
Esophageal residual barium on chest X-ray images was identified in 40 patients (7.5%, 40/535). Esophageal dysphagia was more frequent in individuals aged 65–79 years (odds ratio=4.78, p<0.05) than in those aged <65 years. Mild esophageal dysphagia was more frequent (n=32) than its severe form (n=8). Lower esophageal dysphagia was more frequent (n=31) than upper esophageal dysphagia (n=9). Esophageal residual barium in patients diagnosed with esophageal cancer or lung cancer was significantly associated with severe esophageal dysphagia (p<0.05) and at the upper esophagus level (p<0.01).
Conclusion
Esophageal residual barium was observed on chest X-ray imaging after VFSS. Esophageal barium in the upper esophagus with a diameter of ≥2 cm is an important indicator of malignancy, and chest X-ray image taken after VFSS is an important step to evaluate the presence of esophageal disorder.

Citations

• Extremely Severe Dysphagia Secondary to Tracheostomy: A Case Report
  Daham Kim, Bum-Seok Lee, Si-Woon Park, Hyung-Wook Han, Namo Jeon, Hyeon-Woo Jeon, Doo Young Kim
  Journal of the Korean Dysphagia Society.2023; 13(1): 65.     CrossRef
• Esophageal dysphagia in neuromuscular disorder patients with validity and reliability study of the brief esophageal dysphagia questionnaire
  Ebru Umay, Yusuf Serdar Sakin, Mehlika Panpallı Ates, Sibel Alicura, Ibrahim Gundogdu, Erhan Arif Ozturk, Guray Koc
  Acta Neurologica Belgica.2022; 122(2): 315.     CrossRef
• Application Value of Gastroenterography Combined With CT in the Evaluation of Short-Term Efficacy and Prognosis in Patients With Esophageal Cancer Radiotherapy
  Liangliang Xue, Linning E, Zhifeng Wu, Dongqiang Guo
  Frontiers in Surgery.2022;[Epub]     CrossRef
• Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart Failure
  Jintae Park, Sora Baek, Gowun Kim, Seung-Joo Nam, Byung-Ryul Cho
  The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(2): 146.     CrossRef
• Esophageal Motility Disorders in Patients With Esophageal Barium Residue After Videofluoroscopic Swallowing Study
  Jintae Park, Sora Baek, Gowun Kim, Seung-Joo Nam, Ji Hyun Kim
  Annals of Rehabilitation Medicine.2022; 46(5): 237.     CrossRef

Objective
To evaluate the gait pattern of patients with gait disturbances without consideration of defilades due to assistive devices. This study focuses on gait analysis using the inertial measurement unit (IMU) system, which can also be used to determine the most appropriate assistive device for patients with gait disturbances.
Methods
Records of 18 disabled patients who visited the Department of Rehabilitation from May 2018 to June 2018 were selected. Patients’ gait patterns were analyzed using the IMU system with different assistive devices to determine the most appropriate device depending on the patient’s condition. Evaluation was performed using two or more devices, and the appropriate device was selected by comparing the 14 parameters of gait evaluation. The device showing measurements nearer or the nearest to the normative value was selected for rehabilitation.
Results
The result of the gait evaluation in all 18 patients was analyzed using the IMU system. According to the records, the patients were evaluated using various assistive devices without consideration of defilades. Moreover, this gait analysis was effective in determining the most appropriate device for each patient. Increased gait cycle time and swing phase and decreased stance phase were observed in devices requiring significant assistance.
Conclusion
The IMU-based gait analysis system is beneficial in evaluating gait in clinical fields. Specifically, it is useful in evaluating patients with gait disturbances who require assistive devices. Furthermore, it allows the establishment of an evidence-based decision for the most appropriate assistive walking devices for patients with gait disturbances.

Citations

• Gait detection of lower limb exoskeleton robot integrating visual perception and geometric features
  BinHao Huang, Jian Lv, Ligang Qiang
  Intelligent Service Robotics.2025;[Epub]     CrossRef
• Gait phase recognition method for lower limb exoskeleton robot based on SE channel attention mechanism enhanced TCN-SVM
  BinHao Huang, Jian Lv, Ligang Qiang
  Computer Methods in Biomechanics and Biomedical Engineering.2025; : 1.     CrossRef
• GMM‐LIME explainable machine learning model for interpreting sensor‐based human gait
  Mercy Mawia Mulwa, Ronald Waweru Mwangi, Agnes Mindila
  Engineering Reports.2024;[Epub]     CrossRef
• Modelling and analysis of orthoses generated whole-body vertical vibrations impact on limb stability and compliant dynamics in a ramp gait
  Imran Mahmood, Muhammad Zia Ur Rahman, Abbas A. Dehghani-Sanij
  Biomedical Signal Processing and Control.2023; 79: 104163.     CrossRef
• Depth-aware pose estimation using deep learning for exoskeleton gait analysis
  Yachun Wang, Zhongcai Pei, Chen Wang, Zhiyong Tang
  Scientific Reports.2023;[Epub]     CrossRef

Objective
To investigate the differences of spinal curvature, thoracic sagittal mobility, and respiratory strength between patients with chronic neck pain (CNP) and people without cervical pain, and to determine the correlation between respiratory strength and thoracic mobility in CNP patients.
Methods
A total of 78 participants were finally included in this study, of whom 30 had no cervical pain and 48 had CNP. The Neck Disability Index (NDI), cervical lordotic curvature, thoracic kyphotic curvature, thoracic sagittal range of motion (ROM), maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) were measured and analyzed.
Results
In males, thoracic sagittal ROM_MEP-MIP and MEP showed a significant difference between the no cervical pain group and the CNP group. In females, thoracic kyphotic curvature, thoracic sagittal ROM_MEP-MIP, MIP, and MEP were significantly different between the no cervical pain group and the CNP group. Thoracic kyphotic curvature was significantly correlated with MEP and MIP in all population groups, and significantly correlated with NDI in the female group. Thoracic sagittal ROM_MEP-MIP had a significant linear relationship with NDI, MEP, and MIP in all population groups.
Conclusion
The thoracic mobility during forced respiration was reduced in patients with CNP and was correlated with respiratory strength. Changes in the biomechanics of the cervicothoracic spine and rib cage due to CNP may contribute to impairment of respiratory strength.

Citations

• Optimal target localization for botulinum toxin A in treating splenius muscles dystonia based on the distribution of intramuscular nerves and spindles
  Xiaojiao He, Sifeng Wen, Xuan Liu, Yutong Li, Shengbo Yang
  Anatomical Science International.2025;[Epub]     CrossRef
• Differences of diaphragmatic muscle contraction between female patients with chronic neck pain and asymptomatic controls: A case-control study based on ultrasonography
  Gamze Yalcinkaya Colak, Seher Ozyurek, Yesim Salik Sengul, Orhan Kalemci
  Musculoskeletal Science and Practice.2024; 69: 102894.     CrossRef
• Effect of Chronic Non-specific Neck Pain on Aerobic Capacity in Females
  Özlem MENEVŞE, Filiz ALTUĞ, Orçin TELLİ ATALAY
  Bezmialem Science.2024; 12(1): 55.     CrossRef
• Respiratory dysfunction in patients with chronic neck pain: systematic review and meta-analysis
  Ibai López-de-Uralde-Villanueva, Tamara del Corral, Rodrigo Salvador-Sánchez, Santiago Angulo-Díaz-Parreño, José-Javier López-Marcos, Gustavo Plaza-Manzano
  Disability and Rehabilitation.2023; 45(15): 2422.     CrossRef
• Respiratory Function Analysis in Patients with Chronic Pain: An Umbrella Review and Meta-Analysis of Pooled Findings
  Ferran Cuenca-Martínez, Núria Sempere-Rubio, Elena Muñoz-Gómez, Sara Mollà-Casanova, Enrique Carrasco-González, Francisco M. Martínez-Arnau
  Healthcare.2023; 11(9): 1358.     CrossRef
• Impact of Indoor Air Quality and Breathing on Back and Neck Pain: A Systematic Review
  Ezequiel D Gherscovici, John M Mayer
  Cureus.2023;[Epub]     CrossRef
• Association between Smartphone Addiction and Breathing Pattern in Sedentary Young College-Going Students – A Cross-Sectional Study
  IK Shah, A Kumar, S Rajasekar, AA Pathak, N Suvarna, K Gopal, R Muthukrishnan
  Nigerian Journal of Clinical Practice.2023; 26(11): 1637.     CrossRef
• Chronic neck pain and respiratory dysfunction: a review paper
  Shruti P. Nair, Chaitrali S. Panchabhai, Vrushali Panhale
  Bulletin of Faculty of Physical Therapy.2022;[Epub]     CrossRef
• Effects of breathing re-education on endurance, strength of deep neck flexors and pulmonary function in patients with chronic neck pain: A randomised controlled trial
  Sahreen Anwar, Syed A. Arsalan, Hamayun Zafar, Ashfaq Ahmed, Syed A. Gillani, Asif Hanif
  South African Journal of Physiotherapy.2022;[Epub]     CrossRef
• Pulmonary Functions in Patients With Chronic Neck Pain: A Case-Control Study
  Figen Dağ, Serkan Taş, Özlem Bölgen Çimen
  Journal of Manipulative and Physiological Therapeutics.2022; 45(4): 290.     CrossRef
• A Comparative Study of a Novel Postural Garment Versus Exercise for Women with Nonspecific Cervical Pain
  Merce Avellanet, Anna Boada-Pladellorens, Esther Pages, Aleix Dorca, Betlem Sabria, Michael Pfeifer, Elvira Gea
  Spine.2021; 46(22): 1517.     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

Objective
To investigate the factors affecting the discharge destination of patients with spinal bone metastases.
Methods
We reviewed the medical records of patients admitted to our institute with a diagnosis of skeletalrelated events secondary to malignant disease. Exclusion criteria comprised decreased cognitive function and hypercalcemia, brain metastasis, peritoneal dissemination, and pleural dissemination. The factors examined included the discharge destination, age, sex, the Barthel Index (BI) at admission and discharge, pain at admission and discharge, number of co-resident household members, length of hospital stay, treatment strategy, spinal instability neoplastic score, vertebral body collapse, spinal level of bone metastases, and motor paralysis. For the discharge destination, patients at discharge were grouped into two categories. The home group included patients discharged to their own homes, and the non-home group included patients discharged to other hospitals.
Results
Of 140 patients, the home group comprised 120 patients and the non-home group comprised 20 patients. Activities of daily living (ADL) and pain at rest and during motion improved significantly in the home group, whereas only pain at rest and during motion improved significantly in the non-home group. The results indicated that discharge BI and motor paralysis were the best predictors of the discharge destination; a BI cut-off value of 72.5 predicted discharge to home.
Conclusion
This study showed that the ADL level on discharge and motor paralysis affected the discharge destination of patients with spinal bone metastases. These results are likely to be helpful in predicting the discharge destination of patients with spinal bone metastases.

Citations

• Factors Associated with Discharge Destination in Patients with Bone Metastases
  Hanako Himematsu, Yukiyo Shimizu, Tami Yuhara, Kenta Hiasa, Masashi Yamazaki, Yasushi Hada
  Medicina.2024; 60(6): 881.     CrossRef
• Perioperative complications and cost of posterior decompression with fusion in thoracic spine for ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum -a comparative study using a national inpatient database
  Shingo Morishita, Toshitaka Yoshii, Hiroyuki Inose, Takashi Hirai, Kentaro Yamada, Yu Matsukura, Satoru Egawa, Jun Hashimoto, Takuya Takahashi, Takahisa Ogawa, Kiyohide Fushimi
  BMC Musculoskeletal Disorders.2024;[Epub]     CrossRef
• Differences in the Analgesic Effect of Opioids on Pain in Cancer Patients With Spinal Metastases
  Miho Takemura, Kazuyuki Niki, Yoshiaki Okamoto, Hiroshi Tamura, Tomohiro Kawamura, Makie Kohno, Yoshinobu Matsuda, Kenji Ikeda
  Palliative Medicine Reports.2023; 4(1): 220.     CrossRef
• Hospital Frailty Risk Score and healthcare resource utilization after surgery for metastatic spinal column tumors
  Aladine A. Elsamadicy, Andrew B. Koo, Benjamin C. Reeves, Zach Pennington, James Yu, C. Rory Goodwin, Luis Kolb, Maxwell Laurans, Sheng-Fu Larry Lo, John H. Shin, Daniel M. Sciubba
  Journal of Neurosurgery: Spine.2022; 37(2): 241.     CrossRef
• Immediate family support is important to discharge home for cancer patient with bone metastasis after rehabilitation
  Ryosuke Ikeguchi, Manabu Nankaku, Rie Yamawaki, Hiroki Tanaka, Ryota Hamada, Takumi Kawano, Masanobu Murao, Gakuto Kitamura, Tatsuya Sato, Toru Nishikawa, Takashi Noguchi, Shinichi Kuriyama, Akio Sakamoto, Shuichi Matsuda
  Medicine.2021; 100(37): e27273.     CrossRef
• Rehabilitation Principles in Bone Metastasis
  Diana M. Molinares, Laura Y. Huang
  Operative Techniques in Orthopaedics.2021; 31(3): 100900.     CrossRef
• Interhospital transfer status for spinal metastasis patients in the United States is associated with more severe clinical presentations and higher rates of inpatient complications
  Rafael De la Garza Ramos, Christine Park, Edwin McCray, Meghan Price, Timothy Y. Wang, Tara Dalton, César Baëta, Melissa M. Erickson, Norah Foster, Zach Pennington, John H. Shin, Daniel M. Sciubba, Khoi D. Than, Isaac O. Karikari, Christopher I. Shaffrey,
  Neurosurgical Focus.2021; 50(5): E4.     CrossRef

Objective
To test the hypothesis that a longer duration of phase II cardiac rehabilitation is required to recover the exercise capacity of elderly patients compared to younger patients.
Methods
We retrospectively reviewed and analyzed the medical records of patients who were referred to our cardiac rehabilitation (CR) center and underwent percutaneous coronary intervention for acute myocardial infarction (AMI). A total of 70 patients were enrolled who underwent an exercise tolerance test (ETT) 3 weeks after the occurrence of an AMI (T0), 6 weeks after the first ETT (T1), and 12 weeks after the first ETT (T2). Patients older than 65 years were assigned to the elderly group (n=24) and those aged 65 years and younger to the younger group (n=46). Both groups performed center-based or home-based CR for 12 weeks (3 times per week and 1 session per day). Exercise intensity for each individual was based on the target heart rate calculated by the Karvonen formula. The change in maximal metabolic equivalents (MET_max) of the two groups was measured at each assessment point (T0, T1, and T2) to investigate the recovery of exercise capacity.
Results
The younger group showed improvement in MET_max between T0 and T1. However, MET_max of the elderly group showed no significant improvement between T0 and T1. The exercise capacity, measured with MET_max, of all groups showed improvement between T0 and T2.
Conclusion
Elderly patients with AMI need a longer duration of CR (>6 weeks) than younger patients with AMI.

Citations

• Advancements, challenges, and innovative strategies in cardiac rehabilitation for patients with acute myocardial infarction: A systematic review
  Sisheng Zhang, Yuhui Lin
  Current Problems in Cardiology.2025; 50(2): 102934.     CrossRef
• L’unité de gériatrie aiguë à orientation cardio-gériatrique : une innovation pour la prise en charge des patients âgés
  Amaury Broussier, Nina Liu, Nathalie Marie-Nelly, Émilie Thomas, Livia Labon, Gita Motamed
  Soins.2025;[Epub]     CrossRef
• Effect of Combined Exercise Training on Physical and Cognitive Function in Women With Type 2 Diabetes
  Nafiseh Ghodrati, Amir Hossein Haghighi, Seyed Alireza Hosseini Kakhak, Sadegh Abbasian, Gary S. Goldfield
  Canadian Journal of Diabetes.2023; 47(2): 162.     CrossRef
• The effects of rate pressure product at admission on cardiopulmonary function during hospitalization in patients with acute myocardial infarction
  Chun-Mei Zeng, Yan-Mei Zhao, Yi-Yi Li, Rong-Rong Gan, Zheng Ling, Ping Li
  Postgraduate Medicine.2023; 135(8): 803.     CrossRef
• Relationship Between Number of Cardiac Rehabilitation Exercise Training Sessions, Muscle Mass, and Cardiorespiratory Fitness in Rural Elderly Patients with Coronary Artery Disease
  Seong Bok Choi, Ji Hee Kim
  Journal of Multidisciplinary Healthcare.2023; Volume 16: 3309.     CrossRef
• Cardiac Rehabilitation and Complementary Physical Training in Elderly Patients after Acute Coronary Syndrome: A Pilot Study
  Aurelija Beigienė, Daiva Petruševičienė, Vitalija Barasaitė, Raimondas Kubilius, Jūratė Macijauskienė
  Medicina.2021; 57(6): 529.     CrossRef
• Shorter Wait Times to Cardiac Rehabilitation Associated With Greater Exercise Capacity Improvements
  Dion Candelaria, Robert Zecchin, Cate Ferry, Laila Ladak, Sue Randall, Robyn Gallagher
  Journal of Cardiopulmonary Rehabilitation and Prevention.2021; 41(4): 243.     CrossRef
• Predictors for one-year outcomes of cardiorespiratory fitness and cardiovascular risk factor control after cardiac rehabilitation in elderly patients: The EU-CaRE study
  Prisca Eser, Thimo Marcin, Eva Prescott, Leonie F. Prins, Evelien Kolkman, Wendy Bruins, Astrid E. van der Velde, Carlos Peña Gil, Marie-Christine Iliou, Diego Ardissino, Uwe Zeymer, Esther P. Meindersma, Arnoud W. J. Van’tHof, Ed P. de Kluiver, Matthias
  PLOS ONE.2021; 16(8): e0255472.     CrossRef
• Community-Based Cardiac Rehabilitation Conducted in a Public Health Center in South Korea: A Preliminary Study
  Sora Baek, Yuncheol Ha, Jaemin Mok, Hee-won Park, Hyo-Rim Son, Mi-Suk Jin
  Annals of Rehabilitation Medicine.2020; 44(6): 481.     CrossRef

Flank pain is a common reason for visits to the emergency room. The most common reason warranting hospital visits are urology-related problems. However, there are many other causes, such as musculoskeletal lesions, that difficult to achieve a correct diagnosis. Here, we describe a rare case of flank pain caused by thoracolumbar junction syndrome, accompanying renal artery stenosis. A 54-year-old male with hypertension presented with severe left flank pain for 1 week. Initially, he was diagnosed with left renal artery stenosis by computed tomography and decreased renal function on renal scan (Tc-99m DTPA). Although a stent was inserted into the left renal artery, flank pain persisted with only minor improvement. Through detailed physical examination, he was finally diagnosed with thoracolumbar junction syndrome. After three injections in the left deep paravertebral muscles at the T10–T12 levels, flank pain completely ceased. Clinicians must consider thoracolumbar junction syndrome, when treating patients with flank pain.

We report two cases of postictal urinary retention in pediatric patients with cognitive impairment. Two girls with intellectual disabilities, concomitant cerebral palsy (case 1) and Rett syndrome (case 2), developed urinary retention following seizures. Their caregivers brought them to the hospital with complaints of abdominal distension. After excluding neurological progression, they were referred to the rehabilitation clinic for the evaluation and management of postictal urinary retention. We followed two different approaches in each case to restore normal urination. While serial manual cystometrograms were performed in case 1, clean intermittent catheterization with a voiding diary was performed in case 2 until restoration of normal urination. Based on these pediatric cases of successfully managed postictal urinary retention, we suggest that more attention may be needed for children with cognitive impairment to diagnose and manage postictal urinary retention.

Citations

• Neurogenic Bladder: A Rare Autonomic Sign in a Patient With Preserved Speech Variant (Zappella Variant) Rett Syndrome
  Özge Tanıdır Artan, Büşranur Çavdarlı, Umut Selda Bayrakçı, Bilge Karabulut, Aydan Değerliyurt
  Turkish Journal of Pediatric Disease.2024; : 1.     CrossRef
• Acute urinary retention in pediatric cerebral palsy: Is there an optimal management strategy?
  Laura B. Cornwell, Emily Ewing, Jeffrey Algra, George J. Chiang
  Journal of Pediatric Urology.2021; 17(4): 527.e1.     CrossRef

Arytenoid cartilage dislocation is one of the most common mechanical causes of vocal fold immobility. The most common etiologies are intubation and external trauma, but its incidence is lower than 0.1%. Its symptoms include dysphonia, vocal fatigue, loss of vocal control, breathiness, odynophagia, dysphagia, dyspnea, and cough. Although there are some reports of arytenoid cartilage dislocation in adults, there are only few reports on its occurrence in children. It is particularly difficult to detect the symptoms of arytenoid cartilage dislocation in uncooperative pediatric patients with brain lesions without verbal output or voluntary expression. We report a case of arytenoid cartilage dislocation with incidental findings in a videofluoroscopic swallowing study performed to evaluate the swallowing function.

Citations

• Incidence and Risk Factors of Arytenoid Dislocation Following Endotracheal Intubation: A Systematic Review and Meta-Analysis
  Nasser Saad Alalyani, Alhanouf Abdulaziz Alhedaithy, Hind Khaled Alshammari, Rafeef I AlHajress, Rakan H Alelyani, Malak Fawaz Alshammari, Abdullah Hassan Alhalafi, Amani Alharbi, Nada Aldabal
  Cureus.2024;[Epub]     CrossRef