Annals of Rehabilitation Medicine

"Joongmo Kang"

Original Article

Spinal cord injury

Epidemiology of Spinal Cord Injury: Changes to Its Cause Amid Aging Population, a Single Center Study: Ha Seong Kim, Kil-Byung Lim, Jiyong Kim, Joongmo Kang, Hojin Lee, Sang Wan Lee, Jeehyun Yoo; Ann Rehabil Med 2021;45(1):7-15. Published online February 9, 2021; DOI: https://doi.org/10.5535/arm.20148

Abstract
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Objective
To investigate the epidemiologic and demographic characteristics of patients with spinal cord injury (SCI) who were admitted to a department of rehabilitation of a university hospital.
Methods
This was a descriptive cross-sectional study. Medical records including sex, age at injury, type of disability, traumatic or non-traumatic etiology and presence of ossification of posterior longitudinal ligament (OPLL) of patients with SCI who were admitted to the department of rehabilitation between 2012 and 2018 were reviewed.
Results
Of the 221 cases of SCI, 161 were traumatic and 60 were non-traumatic. The mean age at injury was 52.8 years. People aged 40–49 years showed highest proportion among overall SCI patients (19.0%). The proportion of male patients was higher in traumatic SCI at 4.96:1 than in non-traumatic SCI at 1.30:1. The most common cause of traumatic SCI was falling off (37.3%), followed by motor vehicle crash (35.4%) and tripping over (19.3%). Meanwhile, the most common cause of non-traumatic SCI was neoplasm (35.0%). Tripping over was the leading cause of traumatic SCI in patients aged ≥60 years (42.6%). A high proportion of traumatic SCI patients were found to have underlying OPLL (26.1%), particularly those who were injured by tripping over (64.5%).
Conclusion
The mean age of SCI patients was higher than that of previous studies. Falls was the single most common cause of traumatic SCI, and tripping over was the most common cause of injury in the elderly patients. OPLL was prevalent in patients who were injured from tripping over.

Citations

Citations to this article as recorded by

Effect of Cervical Epidural STimulation After Neurological Damage: protocol for phase I/II open label controlled CE-STAND trial
Nadine Mansour, Manda Keller-Ross, Walter Low, David Young Balser, Ann Parr
BMJ Open.2026; 16(2): e107661. CrossRef
Prevalence of opioid use in adults with spinal cord injury: A systematic review and meta-analysis
Samantha J. Borg, Cate M. Cameron, Karen Luetsch, Adam Rolley, Timothy Geraghty, Steven McPhail, Victoria McCreanor
The Journal of Spinal Cord Medicine.2025; 48(2): 170. CrossRef
Improving current understanding of cognitive impairment in patients with a spinal cord injury: A UK-based clinician survey
Hamish Patel, Daniel Blackburn, Ram Hariharan, Krishnan Padmakumari Sivaraman Nair, Simon M. Bell
The Journal of Spinal Cord Medicine.2025; 48(6): 1061. CrossRef
The potential role of RhoA/ROCK-inhibition on locomotor recovery after spinal cord injury: a systematic review of in-vivo studies
Armin Khavandegar, Negar Sadat Ahmadi, Maryam Alsadat Mousavi, Zahra Ramezani, Elaheh Khodadoust, Mahgol Sadat Hasan Zadeh Tabatabaei, Zahra Hasanpour Segherlou, Arman Zeinaddini-Meymand, Fatemeh Nasehi, Maral Moafi, Kimia RayatSanati, Rasool Masoomi, Sor
Spinal Cord.2025; 63(3): 95. CrossRef
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Vladislav E. Sobolev, Yuriy I. Sysoev, Tatiana V. Vyunova, Pavel E. Musienko
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Robert J. Quon, Josh Feler, Ziqi Wang, Owen P. Leary, Anarina Murillo, Jared S. Fridley
Scientific Reports.2025;[Epub] CrossRef
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Arman Abroumand Gholami, Fatemeh Tahmasebi, Hossein Haghir, Hamideh Babaloo
Inflammopharmacology.2025; 33(8): 4377. CrossRef
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Yi Zhang, Weilun Zhao, Xiaoming Peng, Fayun Yang, Shaohui Zong
Frontiers in Public Health.2025;[Epub] CrossRef
Interplay of axon regeneration genes and immune infiltration in spinal cord injury
Zimin Xiang, Dingxi Fang, Danping Gao, Qi Zhang, Yuxuan Zhang, Yuping Sun, Liyan Li, Xiaoqian Zhang, Jiaxin Li, Lingzhi Ding
Journal of Translational Medicine.2025;[Epub] CrossRef
Improving current understanding of cognitive impairment in spinal cord injury: The patient perspective
Hamish Patel, Liam Knox, Daniel Blackburn, Clare Bartlett, Lise Sproson, Krishnan Padmakumari Sivaraman Nair, Ram Hariharan, Simon M. Bell
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International Journal of Medicine and Medical Sciences.2024; 16(1): 15. CrossRef
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Beverley Catharine Craven, Emma A. Bateman, Heather Flett, Farnoosh Farahani, Dalton L. Wolfe, Sussan Askari, Maryam Omidvar, Mohammad Alavinia
Healthcare.2024; 12(11): 1084. CrossRef
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Journal of Integrative Nursing.2024; 6(2): 103. CrossRef
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Maricela Dragomir, Claudiu Mereuță, Carmen Gheorghe
Balneo and PRM Research Journal.2024; 15(Vol.15, no): 739. CrossRef
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Lucie Bourguignon, Louis P. Lukas, Bethany R. Kondiles, Bobo Tong, Jaimie J. Lee, Tomás Gomes, Wolfram Tetzlaff, John L. K. Kramer, Matthias Walter, Catherine R. Jutzeler
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Mechanisms of Ageing and Development.2024; 222: 112000. CrossRef
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Journal of Clinical Medicine.2024; 13(23): 7114. CrossRef
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Journal of Korean Medical Science.2023;[Epub] CrossRef
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Nancy P. Thorogood, Vanessa K. Noonan, Xiaozhi Chen, Nader Fallah, Suzanne Humphreys, Nicolas Dea, Brian K. Kwon, Marcel F. Dvorak
Frontiers in Neurology.2023;[Epub] CrossRef
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Case Report

Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report: Jeehyun Yoo, Kil-Byung Lim, Hong-Jae Lee, Jiyong Kim, Eun-Cheol You, Joongmo Kang; Ann Rehabil Med 2018;42(3):488-493. Published online June 27, 2018; DOI: https://doi.org/10.5535/arm.2018.42.3.488

Abstract
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Compressive femoral neuropathy is a disabling condition accompanied by difficulty in hip flexion and knee extension. It may result from retroperitoneal hematoma or bleeding, or from complications associated with pelvic, hip surgery, and renal transplants. A 55-year-old female with autosomal dominant polycystic kidney disease presented with proximal muscle weakness in lower extremities. The patient experienced recurrent renal cyst infection, with aggravated weakness during each event. Electromyography and nerve conduction study revealed bilateral femoral neuropathy. Computed tomography and magnetic resonance images were added to further identify the cause. As a result, a diagnosis of femoral neuropathy caused by enlarged polycystic kidney was made. Cyst infection was managed with antibiotics. Renal function was maintained by frequent regular hemodialysis. While avoiding activities that may increase abdominal pressure, rehabilitation exercises were provided. Motor strength in hip flexion and knee extension improved, and was confirmed via electrodiagnostic studies.

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Original Article

Correlation Between Montreal Cognitive Assessment and Functional Outcome in Subacute Stroke Patients With Cognitive Dysfunction: Kil-Byung Lim, Jiyong Kim, Hong-Jae Lee, JeeHyun Yoo, Eun-Cheol You, Joongmo Kang; Ann Rehabil Med 2018;42(1):26-34. Published online February 28, 2018; DOI: https://doi.org/10.5535/arm.2018.42.1.26

Abstract
PDF

Objective

To investigate the correlation between the Montreal Cognitive Assessment (MoCA) and functional outcome among subacute stroke patients with cognitive dysfunction.

Methods

Records of 61 inpatients were reviewed. Patients were divided into two groups based on their initial MoCA score. MoCA score of 11 was set as the differentiating criterion. We compared the improvements in Modified Barthel Index (MBI) from initial assessment to discharge between the two groups.

Results

There were no significant differences between the two groups in relation to age, duration from onset to admission, hospitalization period, or years of education. In a comparison of the results of Mini-Mental Status Examinations (MMSE) administered at admission and again at discharge, there was significantly more improvement in MMSE scores in the group with low MoCA scores than in the group with high MoCA scores. However, the group with high MoCA scores also showed high MBI scores at discharge and exhibited greater MBI improvement.

Conclusion

Higher initial MoCA scores (which reflect preservation of executive function) indicate better functional outcome in the subacute stroke phase.

Citations

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Anas R. Alashram
Applied Neuropsychology: Adult.2026; : 1. CrossRef
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Balneo and PRM Research Journal.2025; 16(Vol 16 No.): 783. CrossRef
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Małgorzata Dec‐Ćwiek, Paweł Wrona, Tomasz Homa, Joanna Słowik, Aleksandra Bodzioch, Agnieszka Słowik
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Fadi Thabtah, David Peebles
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The Journal of Neuropsychiatry and Clinical Neurosciences.2025;[Epub] CrossRef
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Baraka Alphonce, John Meda, Azan Nyundo, Kamal Sharma
PLOS ONE.2024; 19(4): e0287952. CrossRef
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Karl Cristie F. Figuracion, Christine Mac Donald, David Hunt, Tresa McGranahan, Frances M. Lewis, Jason Rockhill, Myron Goldberg, Lia M. Halasz, Hilaire J. Thompson
Journal of Neuroscience Nursing.2024; 56(6): 229. CrossRef
Análisis del estado cognitivo y su relación con la dependencia en las actividades de la vida diaria: un estudio transversal en pacientes con accidente cerebrovascular
Víctor Sánchez Silverio, Vanesa Abuín Porras, Isabel Rodríguez Costa
Revista Científica de la Sociedad Española de Enfermería Neurológica.2022; 56: 4. CrossRef
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Víctor Sanchez Silverio, Vanesa Abuín Porras, Isabel Rodríguez Costa
Revista Científica de la Sociedad de Enfermería Neurológica (English ed.).2022; 56: 4. CrossRef
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Anastasia Tynterova, Svetlana Perepelitsa, Arкady Golubev
Brain Sciences.2022; 12(5): 554. CrossRef
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Miaoran Lin, Jinxin Ren, Jingsong Wu, Jia Huang, Jing Tao, Lidian Chen, Zhizhen Liu, Peng-Yue Zhang
Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1. CrossRef
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Xiaoling Liao, Lijun Zuo, Yanhong Dong, Yuesong Pan, Hongyi Yan, Xia Meng, Hao Li, Xingquan Zhao, Yilong Wang, Jiong Shi, Yongjun Wang
BMC Geriatrics.2022;[Epub] CrossRef
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Rhayun Song, Moonkyoung Park, Taejeong Jang, Jiwon Oh, Min Kyun Sohn
International Journal of Environmental Research and Public Health.2021; 18(10): 5453. CrossRef
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Liu Xuefang, Wang Guihua, Miao Fengru
International Journal of Methods in Psychiatric Research.2021;[Epub] CrossRef
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Ha Seong KIM, Kil-Byung LIM, Jeehyun YOO, Yong Wook KIM, Sang Wan LEE, Sungsik SON, Changgyu KIM, Jiyong KIM
European Journal of Physical and Rehabilitation Medicine.2021;[Epub] CrossRef
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Jennapher Lingo VanGilder, Cielita Lopez-Lennon, Serene S. Paul, Leland E. Dibble, Kevin Duff, Sydney Y. Schaefer
Frontiers in Rehabilitation Sciences.2021;[Epub] CrossRef
Multiple relationships between cognition-motor impairment and activity-based clinical outcome measures in 218 hemiplegic stroke patients1
Seon Ah Jeong, Chanhee Park, Seung Jun Oh, Joshua (Sung) H. You
NeuroRehabilitation.2021; 49(4): 553. CrossRef
Association Between Early Cognitive Impairment and Midterm Functional Outcomes Among Chinese Acute Ischemic Stroke Patients: A Longitudinal Study
Juan Li, Jing Wang, Bei Wu, Hanzhang Xu, Xiongfeng Wu, Lanshu Zhou, Benqiang Deng
Frontiers in Neurology.2020;[Epub] CrossRef
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Sang-Hwa Lee, So Young Park, Min Uk Jang, Yerim Kim, Jungyoup Lee, Chulho Kim, Yeo Jin Kim, Jong-Hee Sohn
Medicina.2020; 56(6): 307. CrossRef
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Shengjie Zhao, Tong Zhang, Jun Zhao, Bingjie Li, Zhangwei Wu
American Journal of Physical Medicine & Rehabilitation.2020; 99(11): 1004. CrossRef
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Richa Sharma, Dania Mallick, Rafael H. Llinas, Elisabeth B. Marsh
Frontiers in Neurology.2020;[Epub] CrossRef
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Jin Bong Choi, Kang Jun Cho, Joon Chul Kim, Chung Ho Kim, Yong-An Chung, Hyeonseok S. Jeong, Yong Soo Shim, Jun Sung Koh
Clinical Psychopharmacology and Neuroscience.2019; 17(3): 432. CrossRef
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