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"Sungju Jee"

Clinical Practice Guideline

Dysphagia

Clinical Practice Guidelines for Oropharyngeal Dysphagia
Seoyon Yang, Jin-Woo Park, Kyunghoon Min, Yoon Se Lee, Young-Jin Song, Seong Hee Choi, Doo Young Kim, Seung Hak Lee, Hee Seung Yang, Wonjae Cha, Ji Won Kim, Byung-Mo Oh, Han Gil Seo, Min-Wook Kim, Hee-Soon Woo, Sung-Jong Park, Sungju Jee, Ju Sun Oh, Ki Deok Park, Young Ju Jin, Sungjun Han, DooHan Yoo, Bo Hae Kim, Hyun Haeng Lee, Yeo Hyung Kim, Min-Gu Kang, Eun-Jae Chung, Bo Ryun Kim, Tae-Woo Kim, Eun Jae Ko, Young Min Park, Hanaro Park, Min-Su Kim, Jungirl Seok, Sun Im, Sung-Hwa Ko, Seong Hoon Lim, Kee Wook Jung, Tae Hee Lee, Bo Young Hong, Woojeong Kim, Weon-Sun Shin, Young Chan Lee, Sung Joon Park, Jeonghyun Lim, Youngkook Kim, Jung Hwan Lee, Kang-Min Ahn, Jun-Young Paeng, JeongYun Park, Young Ae Song, Kyung Cheon Seo, Chang Hwan Ryu, Jae-Keun Cho, Jee-Ho Lee, Kyoung Hyo Choi
Ann Rehabil Med 2023;47(Suppl 1):S1-S26.   Published online July 30, 2023
DOI: https://doi.org/10.5535/arm.23069
Objective
Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one’s physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications. Thus a guideline was developed to provide evidence-based recommendations for assessment and management in patients with dysphagia.
Methods
Nineteen key questions on dysphagia were developed. These questions dealt with various aspects of problems related to dysphagia, including assessment, management, and complications. A literature search for relevant articles was conducted using Pubmed, Embase, the Cochrane Library, and one domestic database of KoreaMed, until April 2021. The level of evidence and recommendation grade were established according to the Grading of Recommendation Assessment, Development and Evaluation methodology.
Results
Early screening and assessment of videofluoroscopic swallowing were recommended for assessing the presence of dysphagia. Therapeutic methods, such as tongue and pharyngeal muscle strengthening exercises and neuromuscular electrical stimulation with swallowing therapy, were effective in improving swallowing function and quality of life in patients with dysphagia. Nutritional intervention and an oral care program were also recommended.
Conclusion
This guideline presents recommendations for the assessment and management of patients with oropharyngeal dysphagia, including rehabilitative strategies.

Citations

Citations to this article as recorded by  
  • Using concept mapping to guide dysphagia service enhancements in Singapore: Recommendations from the speech-language pathology workforce
    Flora M.M Poon, Elizabeth C. Ward, Clare L. Burns
    International Journal of Speech-Language Pathology.2025; 27(1): 56.     CrossRef
  • Cough Suppression Therapy in Patients With Chronic Refractory Cough and Oropharyngeal Dysphagia
    ShengYing A. Chen, Jessica F. Kim, Priya Krishna, Ethan Simmons, Brianna K. Crawley, Thomas Murry
    American Journal of Speech-Language Pathology.2025; 34(3): 1058.     CrossRef
  • Characterization of Beverage Viscosity Based on the International Dysphagia Diet Standardisation Initiative and Its Correspondence to the Japanese Dysphagia Diet 2021
    Mari Nakao-Kato, Aya Takahashi, Jin Magara
    Nutrients.2025; 17(6): 1051.     CrossRef
  • Factors influencing oropharyngeal dysphagia in individuals with chronic neurological disorders presenting to the outpatient swallowing disorder clinic
    Güleser Güney Yılmaz, Müberra Tanrıverdi, Remzi Doğan, Orhan Özturan
    Multiple Sclerosis and Related Disorders.2025; 97: 106387.     CrossRef
  • The Efficacy of Outpatient Swallowing Therapy: A Retrospective Longitudinal Cohort Study
    Tyler W. Crosby, Sonja Molfenter, Matina Balou, Uche C. Ezeh, Milan R. Amin
    Dysphagia.2025;[Epub]     CrossRef
  • The Role of Dysphagia on Head and Neck Cancer Patients’ Quality of Life, Functional Disabilities and Psychological Distress: Outcomes of Cancer Rehabilitation from an Observational Single-Center Study
    Špela Matko, Christina Knauseder, David Riedl, Vincent Grote, Michael J. Fischer, Samuel Moritz Vorbach, Karin Pfaller-Frank, Wilhelm Frank, Thomas Licht
    Current Oncology.2025; 32(4): 220.     CrossRef
  • The impact of physical therapy on dysphagia in neurological diseases: a review
    Kun Li, Cuiyuan Fu, Zhen Xie, Jiajia Zhang, Chenchen Zhang, Rui Li, Caifeng Gao, Jiahui Wang, Chuang Xue, Yuebing Zhang, Wei Deng
    Frontiers in Human Neuroscience.2024;[Epub]     CrossRef
  • Clinical Characteristics and Evaluation of Dysphagia in Patients with Parkinson’s Disease
    Seo Jung Yun, Han Gil Seo
    Journal of the Korean Dysphagia Society.2024; 14(1): 10.     CrossRef
  • Updated Clinical Practice Guidelines for the Diagnosis and Management of Long COVID
    Jun-Won Seo, Seong Eun Kim, Yoonjung Kim, Eun Jung Kim, Tark Kim, Taehwa Kim, So Hee Lee, Eunjung Lee, Jacob Lee, Yu Bin Seo, Young-Hoon Jeong, Young Hee Jung, Yu Jung Choi, Joon Young Song
    Infection & Chemotherapy.2024; 56(1): 122.     CrossRef
  • Association between the C-reactive protein/albumin ratio and mortality in older Japanese patients with dysphagia
    Chunhong Guo, Pingping Zheng, Shiyang Chen, Lin Wei, Xiuzhen Fu, Youyuan Fu, Tianhong Hu, Shaohua Chen
    Frontiers in Nutrition.2024;[Epub]     CrossRef
  • Compensatory strategies of dysphagia after anterior cervical spinal surgery: A case report
    Sung Joon Chung, Jun Ho Lee, Yunsoo Soh
    Medicine.2024; 103(29): e39016.     CrossRef
  • The Right ICD Code, Right Now: A Call to Action for Pragmatic Language Disorders After Right Hemisphere Stroke
    Jamila Minga, Shanika Phillips Fullwood, Deborah Rose, Danai Kasambira Fannin
    American Journal of Speech-Language Pathology.2024; 33(6): 3121.     CrossRef
  • Dysphagia Screening in Residential Long-Term Care Settings in the Republic of Ireland: A Cross-Sectional Survey
    Constantino Estupiñán Artiles, Claire Donnellan, Julie Regan, Mary Mooney
    Dysphagia.2024;[Epub]     CrossRef
  • Dysphagia and Dysphonia After Head and Neck Cancer
    Aaron Parsons, Karuna Dewan
    Oral Diseases.2024;[Epub]     CrossRef
  • The pathophysiology of dysphagia post‐lung transplant: A systematic review
    Sana Smaoui, Elly Cummins, Maryah Mena, Summer Scott, Rodrigo Tobar‐Fredes
    Laryngoscope Investigative Otolaryngology.2024;[Epub]     CrossRef
  • Effect of segmental tongue function training on tongue pressure attributes in individuals with dysphagia after receiving radiotherapy for nasopharyngeal carcinoma
    Fei Zhao, Chen Yang, Si-Ming Sun, Yao-Wen Zhang, Hong-Mei Wen, Zu-Lin Dou, Xiao-Mei Wei, Chun-Qing Xie
    BMC Oral Health.2024;[Epub]     CrossRef
  • Diagnosis and treatment of dysphagia
    Kyoung Hyo Choi
    Journal of the Korean Medical Association.2023; 66(10): 604.     CrossRef
  • 17,201 View
  • 706 Download
  • 16 Web of Science
  • 17 Crossref

Corrigendum

Cardiopulmonary rehabilitation

  • 3,802 View
  • 84 Download

Original Articles

Cardiopulmonary rehabilitation

Objective
We conducted a systematic review and meta-analysis to analyze the effects of cardiac rehabilitation (CR) on post-discharge prognoses of patients with acute myocardial infarction (AMI).
Methods
A literature search was conducted through four international medical and two Korean databases. Primary outcomes for the effectiveness of CR included all-cause mortality, cardiovascular mortality, recurrence, revascularization, major adverse cardiovascular event, major adverse cardiocerebrovascular event, and readmission. We summarized and analyzed results of studies about CR for AMI, including not only randomized controlled trials (RCTs) but also non-RCTs. We calculated the effect size separately by the study type.
Results
Fourteen articles were finally selected. Of these, two articles were RCTs, while 12 were non-RCTs. In RCTs, the overall mortality rate was lower in the group that participated in CR than that in the conventional care group by 28% (relative risk=0.72; 95% confidence interval, 0.34–1.57). Among non-RCTs, CR participation significantly decreased the overall risk of mortality. Moreover, the rates of recurrence and major adverse cardiovascular events were lower in the group that participated in CR compared to those in the non-CR group.
Conclusion
The meta-analysis shows that CR reduces the risk of re-hospitalization and all-cause mortality after AMI, compared to no participation in CR. This outcome was seen in RCTs as well as in non-RCTs. More studies are necessary for concrete conclusions about the beneficial effects of CR after AMI in various settings.

Citations

Citations to this article as recorded by  
  • Comparison of Inpatient and Outpatient Cardiac Rehabilitation Following Myocardial Infarction
    Piotr Jankowski, Roman Topór-Mądry, Paweł Kozieł, Daniel Cieśla, Urszula Cegłowska, Monika Burzyńska, Zbigniew Eysymontt, Radosław Sierpiński, Jarosław Pinkas, Mariusz Gąsior
    Journal of Clinical Medicine.2025; 14(9): 3007.     CrossRef
  • A Detailed Analysis of Cardiac Rehabilitation on 180-Day All-Cause Hospital Readmission and Mortality
    Brian D. Duscha, Leanna M. Ross, Andrew L. Hoselton, Lucy W. Piner, Carl F. Pieper, William E. Kraus
    Journal of Cardiopulmonary Rehabilitation and Prevention.2024; 44(2): 99.     CrossRef
  • Impact of Cardiac Rehabilitation Health Insurance Coverage on Cardiac Rehabilitation Use in Korea Using an Interrupted Time Series
    Yu Shin Park, In Sun Song, Suk‐Yong Jang, Chung Mo Nam, Eun‐Cheol Park
    Journal of the American Heart Association.2024;[Epub]     CrossRef
  • Predischarge oxygen uptake efficiency slope has short and long-term value in the prognosis of patients after acute myocardial infarction
    Sheng-Hui Tuan, Jin-Hui Chung, Yi-Ju Tsai, Wei-Chun Huang, Guan-Bo Chen, Yun-Jeng Tsai, Ko-Long Lin
    Journal of the Chinese Medical Association.2024; 87(4): 414.     CrossRef
  • Clinical effects of training programs in cardiac rehabilitation. Experience from different countries
    D. M. Aronov, M. G. Bubnova
    Cardiovascular Therapy and Prevention.2024; 23(2): 3936.     CrossRef
  • A Systematic Review of the Completion of Cardiac Rehabilitation Programs for Adults Aged 18-50 Years
    Anna K. Jansson, Tracy L. Schumacher, Lucy Kocanda, Megan Whatnall, Matthew Fenwick, Dimity Betts, Adrian Bauman, Jane Kerr, Mitch J. Duncan, Clare E. Collins, Andrew Boyle, Kerry J. Inder, Ronald C. Plotnikoff
    Journal of Cardiopulmonary Rehabilitation and Prevention.2024; 44(5): E30.     CrossRef
  • Effect of a patient health engagement (PHE) model on rehabilitation participation in patients with acute myocardial infarction after PCI: a study protocol for a randomized controlled trial
    Zixian Liu, Guangfang Zhang, Xiaolei Liang, Dechun Qin
    Trials.2024;[Epub]     CrossRef
  • Cost-effectiveness of metacognitive therapy for cardiac rehabilitation participants with symptoms of anxiety and/or depression: analysis of a randomised controlled trial
    Gemma E Shields, Elizabeth Camacho, Linda M Davies, Patrick Joseph Doherty, David Reeves, Lora Capobianco, Anthony Heagerty, Calvin Heal, Deborah Buck, Adrian Wells
    BMJ Open.2024; 14(12): e087414.     CrossRef
  • Adaptation and validation of the cardiovascular version of the Return-to-Work Obstacles and Self-Efficacy Scale (ROSES-CVD) to the Italian context
    Andrea Gragnano, Marc Corbière, Eleonora Picco, Alessia Negrini, Gaia Savioli, Massimo Conti, Luca Corsiglia, Massimo Miglioretti
    Disability and Rehabilitation.2023; 45(21): 3573.     CrossRef
  • Financial InceNtives for cArdiac rehabilitatioN ComplEtion (FINANCE) (single blind pragmatic RCT)
    Jae In Lee, Jae-Young Han, Hae-Bin Gwak, Chang-Won Moon, Min Kyun Sohn, Sungju Jee, Chul Kim
    Medicine.2023; 102(8): e32936.     CrossRef
  • Fact Sheet on Cardiac Rehabilitation for Cardiovascular Disease in South Korea
    Ki-Hong Kim, Jae-Young Han
    Annals of Rehabilitation Medicine.2023; 47(5): 318.     CrossRef
  • Impact of cardiac rehabilitation on cardiovascular event in Korea
    In Sun Song, Yu shin Park, Suk-Yong Jang, Jung Mo Nam, Chan Joo Lee, Eun-Cheol Park
    Scientific Reports.2023;[Epub]     CrossRef
  • Effects of Home-Based Baduanjin Exercise on Left Ventricular Remodeling in Patients With Acute Anterior ST-Segment Elevation Myocardial Infarction: Study Protocol for a Randomized Controlled Trial
    Yinhe Cai, Liang Kang, Haiyi Li, Yuan Luo, Junmao Wen, Zhaohui Gong, Qingmin Chu, Yijun Qiu, Chuanjin Luo, Keyu Chen, Xinjun Zhao, Rong Li
    Frontiers in Cardiovascular Medicine.2022;[Epub]     CrossRef
  • Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
    Chul Kim, Jidong Sung, Jae-Young Han, Sungju Jee, Jang Woo Lee, Jong Hwa Lee, Won-Seok Kim, Heui Je Bang, Sora Baek, Kyung-Lim Joa, Ae Ryoung Kim, So Young Lee, Jihee Kim, Chung Reen Kim, Oh Pum Kwon
    Journal of Clinical Medicine.2021; 10(21): 5079.     CrossRef
  • Public Health Rehabilition after Acute Myocardial Infarction: a Randomized Controlled Study
    Damira G. Zhamankulova, Lazzat M. Zhamaliyeva, Gulnara L. Kurmanalina, Ziyash Tanbetova, Andrey M. Grjibovski
    Ekologiya cheloveka (Human Ecology).2021; 28(8): 57.     CrossRef
  • 7,519 View
  • 172 Download
  • 14 Web of Science
  • 15 Crossref
Dose-Response Effect of Daily Rehabilitation Time on Functional Gain in Stroke Patients
Hanbit Ko, Howook Kim, Yeongwook Kim, Min Kyun Sohn, Sungju Jee
Ann Rehabil Med 2020;44(2):101-108.   Published online April 29, 2020
DOI: https://doi.org/10.5535/arm.2020.44.2.101
Objective
To demonstrate the effect of daily treatment time on recovery of functional outcomes and how each type of rehabilitation treatment influences the improvement of subgroups of functional outcomes in stroke patients.
Methods
We conducted a retrospective study in 168 patients who were admitted to the Department of Rehabilitation Medicine between 2015 and 2016. Patients who experienced their first-ever stroke and unilateral lesions were included. All patients underwent conventional rehabilitation treatment, and each treatment was administered one to two times a day depending on individual and treatment room schedules. Based on the mean daily treatment time, patients were divided into two groups: a high-amount group (n=54) and low-amount group (n=114). Outcomes were measured through the Korean version of Modified Barthel Index (MBI), FuglMeyer Assessment of the upper extremity, Trunk Impairment Scale (TIS), and Berg Balance Scale (BBS) scores on admission and at discharge.
Results
The functional change and scores at discharge of MBI, TIS, and BBS were greater in the high-amount group than in the low-amount group. Among various types of rehabilitation treatments, occupational therapy training showed significant correlation with MBI, TIS, and BBS gain from admission to discharge.
Conclusion
The amount of daily mean treatment in post-stroke patients plays an important role in recovery. Mean daily rehabilitation treatment time seems to correlate with improved balance and basic activities of daily living after stroke.

Citations

Citations to this article as recorded by  
  • Exercise preference in stroke survivors: a concept analysis
    Yuting Dai, Huiling Shi, Kangling Ji, Yuxin Han, Minerva De Ala, Qing Wang
    Frontiers in Neurology.2024;[Epub]     CrossRef
  • Professionals’ Perspectives of Smart Stationary Bikes in Rehabilitation: Qualitative Study
    Julie Soulard, Dahlia Kairy, Roua Walha, Cyril Duclos, Sylvie Nadeau, Claudine Auger
    JMIR Rehabilitation and Assistive Technologies.2024; 11: e64121.     CrossRef
  • Reliability and validity of the Turkish version of general sleep disturbance scale (GSDS-T) in stroke
    Hüma Bölük Şenlikci, Şükran Güzel, Seyhan Sözay
    Acta Neurologica Belgica.2023; 123(3): 993.     CrossRef
  • A biomedical decision support system for meta-analysis of bilateral upper-limb training in stroke patients with hemiplegia
    Linna Jin, Zhe Yang, Zhaojun Zou, Tao Wu, Hongying Pan
    Open Life Sciences.2023;[Epub]     CrossRef
  • The Feasibility of Home-Based Treatment Using Vibratory Stimulation in Chronic Severe Dysphagia
    Erin Kamarunas, Rachel Mulheren, Seng Mun Wong, Lindsay Griffin, Christy L. Ludlow
    American Journal of Speech-Language Pathology.2022; 31(6): 2539.     CrossRef
  • Balance Performance and Motor Function After Inpatient Rehabilitation: a Retrospective Study in Post-stroke Individuals
    Wahida Wahid, Tze Yang Chung, Haidzir Manaf
    Malaysian Journal of Medicine and Health Sciences.2022; 18(s15): 240.     CrossRef
  • Relationship between average daily rehabilitation time and decline in instrumental activity of daily living among older patients with heart failure: A preliminary analysis of a multicenter cohort study, SURUGA-CARE
    Michitaka Kato, Yuji Mori, Daisuke Watanabe, Hiroshige Onoda, Keita Fujiyama, Masahiro Toda, Kazuya Kito, Hans-Peter Brunner-La Rocca
    PLOS ONE.2021; 16(7): e0254128.     CrossRef
  • 7,883 View
  • 257 Download
  • 7 Web of Science
  • 7 Crossref

Clinical Practice Guideline

Clinical Practice Guideline for Cardiac Rehabilitation in Korea
Chul Kim, Jidong Sung, Jong Hwa Lee, Won-Seok Kim, Goo Joo Lee, Sungju Jee, Il-Young Jung, Ueon Woo Rah, Byung Ok Kim, Kyoung Hyo Choi, Bum Sun Kwon, Seung Don Yoo, Heui Je Bang, Hyung-Ik Shin, Yong Wook Kim, Heeyoune Jung, Eung Ju Kim, Jung Hwan Lee, In Hyun Jung, Jae-Seung Jung, Jong-Young Lee, Jae-Young Han, Eun Young Han, Yu Hui Won, Woosik Han, Sora Baek, Kyung-Lim Joa, Sook Joung Lee, Ae Ryoung Kim, So Young Lee, Jihee Kim, Hee Eun Choi, Byeong-Ju Lee, Soon Kim
Ann Rehabil Med 2019;43(3):355-443.   Published online June 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.3.355
Objective
Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea.
Methods
This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors—primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Principal Conclusions CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

Citations

Citations to this article as recorded by  
  • Transforming patient education in cardiac rehabilitation: A vision for the future
    Gabriela Lima de Melo Ghisi
    Patient Education and Counseling.2025; 138: 109176.     CrossRef
  • Impact of Cardiac Rehabilitation Health Insurance Coverage on Cardiac Rehabilitation Use in Korea Using an Interrupted Time Series
    Yu Shin Park, In Sun Song, Suk‐Yong Jang, Chung Mo Nam, Eun‐Cheol Park
    Journal of the American Heart Association.2024;[Epub]     CrossRef
  • Smartphone application-based rehabilitation in patients with chronic respiratory and cardiovascular diseases
    Chiwook Chung, Ah-Ram Kim, Dongbum Kim, Hee Kwon, Seong Ho Lee, Il-Young Jang, Min-Woo Jo, Do-Yoon Kang, Sei Won Lee
    Scientific Reports.2024;[Epub]     CrossRef
  • Exercise intensity prescription in cardiovascular rehabilitation: bridging the gap between best evidence and clinical practice
    Juliana Goulart Prata Oliveira Milani, Mauricio Milani, Kenneth Verboven, Gerson Cipriano, Dominique Hansen
    Frontiers in Cardiovascular Medicine.2024;[Epub]     CrossRef
  • Cardiac rehabilitation for patients with coronary artery disease
    Jang Woo Lee
    Journal of the Korean Medical Association.2024; 67(9): 566.     CrossRef
  • Awareness of cardiac rehabilitation in people with cardiovascular diseases in Hatay: A cross-sectional study
    İrem HÜZMELİ, Nihan KATAYIFÇI, Oğuz AKKUŞ, Dilay SUNGUR
    Anadolu Kliniği Tıp Bilimleri Dergisi.2023; 28(3): 382.     CrossRef
  • Smartphone application-based rehabilitation in patients with chronic respiratory and cardiovascular diseases: a randomised controlled trial study protocol
    Chiwook Chung, Ah-Ram Kim, Il-Young Jang, Min-Woo Jo, Seongho Lee, Dongbum Kim, Hee Kwon, Do-Yoon Kang, Sei Won Lee
    BMJ Open.2023; 13(9): e072698.     CrossRef
  • Fact Sheet on Cardiac Rehabilitation for Cardiovascular Disease in South Korea
    Ki-Hong Kim, Jae-Young Han
    Annals of Rehabilitation Medicine.2023; 47(5): 318.     CrossRef
  • Ventilatory Gas Analysis during Cardiopulmonary Exercise Testing
    Sora Baek
    Annals of CardioPulmonary Rehabilitation.2023; 3(2): 47.     CrossRef
  • Evaluation of Current Resources Available for Community-Based Cardiac Rehabilitation in Korea: A Nationwide Survey Study
    Chul Kim, Jidong Sung, Jae-Young Han, Sungju Jee, Jang Woo Lee, Jong Hwa Lee, Won-Seok Kim, Heui Je Bang, Sora Baek, Kyung Lim Joa, Ae Ryoung Kim, So Young Lee, Jihee Kim, Chung Reen Kim, Oh Pum Kwon
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • A Comparison of Barrier Factors between Hospitals with and without Cardiac Rehabilitation Programs in Korea: A Nation-Wide Survey Research
    Chul Kim, Jidong Sung, Jae-Young Han, Sungju Jee, Jang Woo Lee, Jong Hwa Lee, Won-Seok Kim, Heui Je Bang, Sora Baek, Kyung-Lim Joa, Ae Ryoung Kim, So Young Lee, Jihee Kim, Chung Reen Kim, Oh Pum Kwon
    Journal of Clinical Medicine.2022; 11(9): 2560.     CrossRef
  • Long-term Management of Patients with Myocardial Infarction: An Updated Review
    Runzhen Chen, Hanjun Zhao, Hongbing Yan
    Cardiology Discovery.2022; 2(4): 241.     CrossRef
  • Evaluation of the efficacy of Tian dan shu gan rehabilitation exercise in improving the short-term quality of life of patients with acute myocardial infarction after percutaneous coronary intervention
    Jia-Yan Qu, Jing-Bo Lu, Yong-Hong Shen, Rong Yao, Cai-Ping Meng, Li-Yuan Rong
    Frontiers of Nursing.2022; 9(4): 389.     CrossRef
  • Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures
    Kyunghoon Min, Jaewon Beom, Bo Ryun Kim, Sang Yoon Lee, Goo Joo Lee, Jung Hwan Lee, Seung Yeol Lee, Sun Jae Won, Sangwoo Ahn, Heui Je Bang, Yonghan Cha, Min Cheol Chang, Jung-Yeon Choi, Jong Geol Do, Kyung Hee Do, Jae-Young Han, Il-Young Jang, Youri Jin,
    Annals of Rehabilitation Medicine.2021; 45(3): 225.     CrossRef
  • Cardiac Rehabilitation in Patients with Ischemic Heart Disease
    Yun-Chol Jang, Jae-Young Han
    Annals of CardioPulmonary Rehabilitation.2021; 1(1): 42.     CrossRef
  • Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
    Chul Kim, Jidong Sung, Jae-Young Han, Sungju Jee, Jang Woo Lee, Jong Hwa Lee, Won-Seok Kim, Heui Je Bang, Sora Baek, Kyung-Lim Joa, Ae Ryoung Kim, So Young Lee, Jihee Kim, Chung Reen Kim, Oh Pum Kwon
    Journal of Clinical Medicine.2021; 10(21): 5079.     CrossRef
  • Factors associated with health-related quality of life in Chinese patients with heart failure: a cross-sectional study
    Guangpeng Wang, Qingmin Yang
    Collegian.2020; 27(5): 512.     CrossRef
  • Validation of FRIEND and ACSM Equations for Cardiorespiratory Fitness: Comparison to Direct Measurement in CAD Patients
    Won Young Jang, Dong Oh Kang, Yoonjee Park, Jieun Lee, Woohyeun Kim, Jah Yeon Choi, Seung-Young Roh, Yuna Jang, Se-Hyun Park, Woo-Sub Kim, Jin Oh Na, Cheol Ung Choi, Seung-Woon Rha, Chang Gyu Park, Hong Seog Seo, Eung Ju Kim
    Journal of Clinical Medicine.2020; 9(6): 1889.     CrossRef
  • Underutilization of Hospital-based Cardiac Rehabilitation after Acute Myocardial Infarction in Korea
    Sun-Hyung Kim, Jun-soo Ro, Yoon Kim, Ja-Ho Leigh, Won-Seok Kim
    Journal of Korean Medical Science.2020;[Epub]     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
  • Cardiac rehabilitation and 5-year mortality after acute myocardial infarction. Report from 11 tertiary hospitals in Korea (ETHIK Study)
    Chul KIM, Insun CHOI, Songhee CHO, Jae-Young HAN, Ae-Ryoung KIM, Won-Seok KIM, Sungju JEE, Jong H. LEE, Min C. JOO, Heui J. BANG, Kyung-Lim JOA, Eun Y. HAN, Sora BAEK, Jung-Im SHIM, Jin A. CHOI
    European Journal of Physical and Rehabilitation Medicine.2020;[Epub]     CrossRef
  • 27,683 View
  • 458 Download
  • 18 Web of Science
  • 21 Crossref

Corrigendum

Correction: Barriers to Outpatient Hospital-Based Cardiac Rehabilitation in Korean Patients With Acute Coronary Syndrome
Hyo Won Im, Sora Baek, Sungju Jee, Jung-Min Ahn, Myung Woo Park, Won-Seok Kim
Ann Rehabil Med 2019;43(1):119-119.   Published online February 28, 2019
DOI: https://doi.org/10.5535/arm.2019.43.1.119
Corrects: Ann Rehabil Med 2018;42(1):154

Citations

Citations to this article as recorded by  
  • Experience of Cardiac Rehabilitation in Patients with Coronary Artery Disease: a Qualitative Study
    Seok-Hee Lee, Go-Eun Kim, Jeehee Pyo, Minsu Ock
    Quality Improvement in Health Care.2022; 28(2): 14.     CrossRef
  • 4,966 View
  • 84 Download
  • 1 Crossref
Original Articles
Effects of Repetitive Peripheral Magnetic Stimulation Over Vastus Lateralis in Patients After Hip Replacement Surgery
Junghyun Baek, Nohkyoung Park, Bongju Lee, Sungju Jee, Shinseung Yang, Sangkuk Kang
Ann Rehabil Med 2018;42(1):67-75.   Published online February 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.1.67
Objective

To investigate the effects of repetitive peripheral magnetic stimulation (rPMS) on the vastus lateralis (VL) in the early stage after hip replacement surgery.

Methods

Twenty-two patients who underwent hip replacement after proximal femur fracture were included in this study. After hip surgery, the experimental group was applied with 15 sessions of 10 Hz rPMS over the VL 5 times per week for 3 weeks, while the control group took sham stimulation. All patients were also given conventional physical therapy. The VL strength was measured with the root mean square (RMS) value of the VL with surface electromyography technique. The ratio of RMS values between fractured and unfractured legs and tandem stand test were used to assess standing balance. Usual gait speed was measured to evaluate gait function. Pain in two groups was assessed with visual analog scale (VAS).

Results

Both RMS value of the VL and the ratio of RMS values after rPMS were significantly improved (p<0.05). Also, tandem standing time and usual gait speed in rPMS group were dramatically increased (p<0.05). However, no significant difference in VAS was found between the two groups after 3 weeks.

Conclusion

rPMS on the VL improved muscle strength, standing balance and gait function in the early stage after hip surgery. Therefore, rPMS could be applied to patients who cannot take electrical stimulation due to pain and an unhealed wound.

Citations

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  • The Effect of Peripheral Magnetic Stimulation on Functional Mobility and Morphology in Cerebral Palsy with Spastic Diplegia: A Randomized Controlled Trial
    Kultida Klarod, Oranat Sukkho, Sirirat Kiatkulanusorn, Phurichaya Werasirirat, Chananwan Wutthithanaphokhin, Danguole Satkunskienė, Siraya Lueang-On, Pornpimol Muanjai, Nongnuch Luangpon
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    K. Taraldsen, A. Polhemus, M. Engdal, C.-P. Jansen, C. Becker, N. Brenner, H. Blain, L.G. Johnsen, B. Vereijken
    Osteoporosis International.2024; 35(2): 203.     CrossRef
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    Masanori Kamiue, Akio Tsubahara, Tomotaka Ito, Yasuhiro Koike
    Annals of Rehabilitation Medicine.2024; 48(3): 203.     CrossRef
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    Masanori Kamiue, Akio Tsubahara, Tomotaka Ito
    Japanese Journal of Comprehensive Rehabilitation Science.2024; 15: 27.     CrossRef
  • [Erratum] Brain Imaging and neurostimulation in health and disorders: status report
    Abrahão Fontes Baptista, Adenauer Girardi Casali, Adriana Leico Oda, Alexandre Hideki Okano, Alexandre Moreira, Ana Lúcia Yaeko da Silva Santos, Ana Mércia Fernandes, Ana Paula Fontana, André Brunoni, André Fonseca, Artur Padão Gosling, Catarina Costa Bof
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    Masanori Kamiue, Akio Tsubahara, Tomotaka Ito, Yasuhiro Koike
    Japanese Journal of Comprehensive Rehabilitation Science.2024; 15: 49.     CrossRef
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    Anna M. Nekrasova, Rezeda A. Bodrova, Darya L. Nefedeva
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  • Feasibility of Functional Repetitive Neuromuscular Magnetic Stimulation (frNMS) Targeting the Gluteal Muscle in a Child with Cerebral Palsy: A Case Report
    Michaela V. Bonfert, Anne Meuche, Giada Urban, Corinna Börner, Ute Breuer, Birgit Warken, Christine Wimmer, Henriette Strattner, Tessa Müller, Matthias Hösl, Florian Heinen, Steffen Berweck, Sebastian A. Schröder
    Physical & Occupational Therapy In Pediatrics.2023; 43(3): 338.     CrossRef
  • Clinical Application of High Frequency Repetitive Peripheral Nerve Magnetic Stimulation for Pain and Development of a Stimulator Specialized for Peripheral Nerve Stimulation
    Shin-Ichi Izumi
    The Japanese Journal of Rehabilitation Medicine.2023; 60(3): 210.     CrossRef
  • Addressing gross motor function by functional repetitive neuromuscular magnetic stimulation targeting to the gluteal muscles in children with bilateral spastic cerebral palsy: benefits of functional repetitive neuromuscular magnetic stimulation targeting
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    Japanese Journal of Comprehensive Rehabilitation Science.2021; 12: 27.     CrossRef
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Barriers to Outpatient Hospital-Based Cardiac Rehabilitation in Korean Patients With Acute Coronary Syndrome
Hyo Won Im, Sora Baek, Sungju Jee, Jung-Min Ahn, Myung Woo Park, Won-Seok Kim
Ann Rehabil Med 2018;42(1):154-165.   Published online February 28, 2018
DOI: https://doi.org/10.5535/arm.2018.42.1.154
Correction in: Ann Rehabil Med 2019;43(1):119
Objective

To investigate factors associated with enrollment and participation in cardiac rehabilitation (CR) in Korea.

Methods

Patients admitted to four university hospitals with acute coronary syndrome between June 2014 and May 2016 were enrolled. The Cardiac Rehabilitation Barriers Scale (CRBS) made of 21-item questionnaire and divided in four subdomains was administered during admission. CRBS items used a 5-point Likert scale and ≥2.5 was considered as a barrier. Differences between CR non-attender and CR attender, or CR non-enroller and CR enroller in subscale and each items of CRBS were examined using the chi-square test.

Results

The CR participation rate in four hospitals was 31% (170 of the 552). Logistical factors (odds ratio [OR]=7.61; 95% confidence interval [CI], 4.62–12.55) and comorbidities/functional status (OR=6.60; 95% CI, 3.95–11.01) were identified as a barrier to CR enrollment in the subdomain analysis. Among patients who were enrolled (agreed to participate in CR during admission), only work/time conflict was a significant barrier to CR participation (OR=2.17; 95% CI, 1.29–3.66).

Conclusion

Diverse barriers to CR participation were identified in patients with acute coronary syndrome. Providing the tailored model for CR according to the individual patient's barrier could improve the CR utilization. Further multicenter study with large sample size including other CR indication is required.

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The Characteristics of Cognitive Impairment and Their Effects on Functional Outcome After Inpatient Rehabilitation in Subacute Stroke Patients
Soo Ho Park, Min Kyun Sohn, Sungju Jee, Shin Seung Yang
Ann Rehabil Med 2017;41(5):734-742.   Published online October 31, 2017
DOI: https://doi.org/10.5535/arm.2017.41.5.734
Objective

To determine the frequency and characteristics of vascular cognitive impairment (VCI) in patients with subacute stroke who underwent inpatient rehabilitation and to analyze whether cognitive function can predict functional assessments after rehabilitation.

Methods

We retrospectively reviewed the medical records of patients who were admitted to our rehabilitation center after experiencing a stroke between October 2014 and September 2015. We analyzed the data from 104 patients who completed neuropsychological assessments within 3 months after onset of a stroke.

Results

Cognitive impairment was present in 86 out of 104 patients (82.6%). The most common impairment was in visuospatial function (65, 62.5%) followed by executive function (63, 60.5%), memory (62, 59.6%), and language function (34, 32.6%). Patients with impairment in the visuospatial and executive domains had poor scores of functional assessments at both admission and discharge (p<0.05). A multivariate analysis revealed that age (β=−0.173) and the scores on the modified Rankin Scale (β=−0.178), Korean version of the Modified Barthel Index (K-MBI) (β=0.489) at admission, and Trail-Making Test A (TMT-A) (β=0.228) were related to the final K-MBI score at discharge (adjusted R2=0.646).

Conclusion

In our study, VCI was highly prevalent in patients with stroke. TMT-A scores were highly predictive of their final K-MBI score. Collectively, our results suggest that post-stroke executive dysfunction is a significant and independent predictor of functional outcome.

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    Reyhaneh Aminalroaya, Fatemeh Sadat Mirzadeh, Kazem Heidari, Mahtab Alizadeh-Khoei, Farshad Sharifi, Mohammad Effatpanah, Leila Angooti-Oshnari, Sadeqh Fadaee, Homan Saghebi, Sakar Hormozi
    The International Journal of Aging and Human Development.2021; 93(3): 864.     CrossRef
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    Ya-Ting Chang, Yung-Lung Chen, Hong-Yo Kang
    International Journal of Molecular Sciences.2021; 22(16): 8776.     CrossRef
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    Huixian Yu, Qianqian Zhang, Sihao Liu, Changbin Liu, Pei Dai, Yue Lan, Guangqing Xu, Hao Zhang, Feng Zhang
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    Ravikiran Mane, Tushar Chouhan, Cuntai Guan
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    Janne Evensen, Helene Lundgaard Soberg, Unni Sveen, Knut A Hestad, Berit Arnesveen Bronken
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    Carl Moritz Zipser, Jeremy Deuel, Jutta Ernst, Maria Schubert, Roland von Känel, Sönke Böttger
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    Yosuke Kimura, Shunsuke Ohji, Daisuke Ishiyama, Naohito Nishio, Yuhei Otobe, Mizue Suzuki, Hideyuki Ogawa, Takeo Ichikawa, Ryota Taguchi, Shuhei Shino, Shu Tanaka, Minoru Yamada
    International Journal of Rehabilitation Research.2019; 42(3): 249.     CrossRef
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    Mirena Valkova
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Clinical Characteristics of Sleep-Disordered Breathing in Subacute Phase of Stroke
Hyunkyu Jeon, Min Kyun Sohn, Minsoo Jeon, Sungju Jee
Ann Rehabil Med 2017;41(4):556-563.   Published online August 31, 2017
DOI: https://doi.org/10.5535/arm.2017.41.4.556
Objective

To assess the frequency and severity of sleep-disordered breathing (SDB) in subacute stroke patients in Korea.

Methods

We consecutively enrolled subacute stroke patients who were transferred to the Department of Rehabilitation Medicine from February 2016 to August 2016. The inclusion criteria were as follows: diagnosis of the first onset of cerebral infarction or hemorrhage in the brain by computed tomography or magnetic resonance imaging; patients between 18 and 80 years old; and patients admitted within 7 days to 6 months after stroke onset. We evaluated baseline clinical data on patients' admission to the Department of Rehabilitation Medicine. We assessed demographic data, stroke severity, neurologic impairment, cognition and quality of life. We used the Epworth Sleepiness Scale to assess quality of sleep. We used a portable polysomnography to detect SDB.

Results

Of the 194 stroke patients, 76 patients enrolled in this study. We evaluated and included 46 patients in the outcome analysis. The mean apnea-hypopnea index (AHI) was 24.2±17.0 and 31 patients (67.4%) exhibited an AHI ≥15. Those in the SDB group showed a higher National Institutes of Health Stroke Scale, lower Functional Ambulation Category, lower Korean version of Modified Barthel Index, and lower EuroQol five dimensions questionnaire (EQ-5D) at admission. Prevalence and clinical characteristics of SDB did not show significant differences among stroke types or locations.

Conclusion

SDB is common in subacute stroke patients. SDB must be evaluated after a stroke, particularly in patients presenting severe neurologic impairment.

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  • Study of the Agreement of the Apnea–Hypopnea Index Measured Simultaneously by Pressure Transducer via Respiratory Polygraphy and by Thermistor via Polysomnography in Real Time with the Same Individuals
    Bich-Ty Tran-Thi, Minh Quach-Thieu, Bao-Ngoc Le-Tran, Duy Nguyen-Duc, Nguyen Tran-Hiep, Thao Nguyen-Thi, Yen-Linh Nguyen-Ngoc, Anh Nguyen-Tuan, Tram Tang-Thi-Thao, Toi Nguyen-Van, Sy Duong-Quy
    Journal of Otorhinolaryngology, Hearing and Balance Medicine.2022; 3(2): 4.     CrossRef
  • Health State Utility Values in People With Stroke: A Systematic Review and Meta‐Analysis
    Raed A. Joundi, Joel Adekanye, Alexander A. Leung, Paul Ronksley, Eric E. Smith, Alexander D. Rebchuk, Thalia S. Field, Michael D. Hill, Stephen B. Wilton, Lauren C. Bresee
    Journal of the American Heart Association.2022;[Epub]     CrossRef
  • The Impact of Sleep Disorders on Functional Recovery and Participation Following Stroke: A Systematic Review and Meta-Analysis
    George D. Fulk, Pierce Boyne, Makenzie Hauger, Raktim Ghosh, Samantha Romano, Jonathan Thomas, Amy Slutzky, Karen Klingman
    Neurorehabilitation and Neural Repair.2020; 34(11): 1050.     CrossRef
  • Improvement of Cognitive Function after Continuous Positive Airway Pressure Treatment for Subacute Stroke Patients with Obstructive Sleep Apnea: A Randomized Controlled Trial
    Howook Kim, Soobin Im, Jun il Park, Yeongwook Kim, Min Kyun Sohn, Sungju Jee
    Brain Sciences.2019; 9(10): 252.     CrossRef
  • 4,962 View
  • 78 Download
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Cardiopulmonary Exercise Test in Leukemia Patients After Chemotherapy: A Feasibility Study
Soojae Kim, Ik-Chan Song, Sungju Jee
Ann Rehabil Med 2017;41(3):456-464.   Published online June 29, 2017
DOI: https://doi.org/10.5535/arm.2017.41.3.456
Objective

To explore the feasibility of cardiopulmonary exercise test (CPET) in leukemia patients after chemotherapy.

Methods

Leukemia patients with histologically confirmed hematologic malignancies were reviewed. We evaluated for CPET, between receiving chemotherapy and undergoing stem cell transplantation after 2 weeks. We recorded exercise testing and physiologic parameters during CPET between January 2013 to May 2015. All patients were subjected to symptoms limited to exercise testing, according to the Modified Bruce Protocol. We considered that if respiratory exchange ratio achieved was over 1.10, participants had successfully completed CPET. We dichotomized all participants into two groups (normal group, normal range of resting heart rate; higher group, over 100 per minute of heart rate).

Results

30 patients were finally enrolled. All participants had no adverse effects during the exercise test. Mean peak double product was 26,998.60 mmHg·beats/min (range, 15,481–41,004), and mean peak oxygen consumption (VO2 peak) was 22.52±4.56 mL/kg/min. Significant differences were observed in the normal group with VO2 peak (mean, 24.21 mL/kg/min; p=0.027) and number of prior intensive chemotherapy, compared to the higher group (mean, 1.95; p=0.006).

Conclusion

Our results indicate that CPET in leukemia patients before stem cell transplantation was very safe, and is an efficient method to screen for patients with poor cardiac functions. As CPET presents the parameters which reveal the cardiopulmonary functions, including VO2 peak, double product and exercise capacity, this exercise test would help to predict the physical performance or general condition of the leukemia patients.

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    Arthur Gavotto, Vincent Dubard, Martina Avesani, Helena Huguet, Marie-Christine Picot, Hamouda Abassi, Sophie Guillaumont, Gregoire De La Villeon, Stephanie Haouy, Nicolas Sirvent, Anne Sirvent, Alexandre Theron, Anne Requirand, Stefan Matecki, Pascal Ame
    Pediatric Research.2023; 94(2): 626.     CrossRef
  • Cardiopulmonary Exercise Test With Comorbidity Index Before Allogeneic Hematopoietic Stem Cell Transplantation
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    Integrative Cancer Therapies.2022;[Epub]     CrossRef
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    Disability and Rehabilitation.2021; 43(20): 2937.     CrossRef
  • Maximal cardiopulmonary exercise testing in childhood acute lymphoblastic leukemia survivors exposed to chemotherapy
    Maxime Caru, Caroline Laverdière, Valerie Lemay, Simon Drouin, Laurence Bertout, Maja Krajinovic, Gregor Andelfinger, Daniel Sinnett, Daniel Curnier
    Supportive Care in Cancer.2021; 29(2): 987.     CrossRef
  • Impact of respiratory physical therapy on heart rate autonomic control in children with leukemia
    Jociele M. Kirizawa, David M. Garner, Vitor E. Valenti
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  • Heart rate response and chronotropic incompetence during cardiopulmonary exercise testing in childhood acute lymphoblastic leukemia survivors
    Émilie Bertrand, Maxime Caru, Valérie Lemay, Gregor Andelfinger, Caroline Laverdiere, Maja Krajinovic, Daniel Sinnett, Daniel Curnier
    Pediatric Hematology and Oncology.2021; 38(6): 564.     CrossRef
  • Childhood Acute Lymphoblastic Leukemia Survivors Have a Substantially Lower Cardiorespiratory Fitness Level Than Healthy Canadians Despite a Clinically Equivalent Level of Physical Activity
    Maxime Caru, Mariia Samoilenko, Simon Drouin, Valérie Lemay, Laurence Kern, Lucia Romo, Laurence Bertout, Geneviève Lefebvre, Gregor Andelfinger, Maja Krajinovic, Caroline Laverdiere, Daniel Sinnett, Daniel Curnier
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    Grigory Syrkin, Matthew N. Bartels
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  • 56 Download
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Quality of Life and Awareness of Cardiac Rehabilitation Program in People With Cardiovascular Diseases
Sehi Kweon, Min Kyun Sohn, Jin Ok Jeong, Soojae Kim, Hyunkyu Jeon, Hyewon Lee, Seung-Chan Ahn, Soo Ho Park, Sungju Jee
Ann Rehabil Med 2017;41(2):248-256.   Published online April 27, 2017
DOI: https://doi.org/10.5535/arm.2017.41.2.248
Objective

To evaluate the level of health-related quality of life (HRQoL), life satisfaction, and their present awareness of cardiac rehabilitation (CR) program in people with cardiovascular diseases.

Methods

A questionnaire survey was completed by 53 patients (mean age, 65.7±11.6 years; 33 men and 20 women) with unstable angina, myocardial infarction, or heart failure. The questionnaire included the Medical Outcome Study 36-item Short-Form Health Survey (MOS SF-36), life domain satisfaction measure (LDSM), and the awareness and degree of using CR program.

Results

The average scores of physical component summary (PCS) and mental component summary (MCS) were 47.7±18.5 and 56.5±19.5, respectively. There were significant differences in physical role (F=4.2, p=0.02), vitality (F=10.7, p<0.001), mental health (F=15.9, p<0.001), PCS (F=3.6, p=0.034), and MCS (F=11.9, p<0.001) between disease types. The average LDSM score was 4.7±1.5. Age and disease duration were negatively correlated with multiple HRQoL areas (p<0.05). Monthly income, ejection fraction, and LDSM were positively correlated with several MOS SF-36 factors (p<0.05). However, the number of modifiable risk factors had no significant correlation with medication. Thirty-seven subjects (69.8%) answered that they had not previously heard about CR program. Seventeen patients (32.1%) reported that they were actively participating in CR program. Most people said that a reasonable cost of CR was less than 100,000 Korean won per month.

Conclusion

CR should focus on improving the physical components of quality of life. In addition, physicians should actively promote CR to cardiovascular disease patients to expand the reach of CR program.

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  • Changes in swallowing response on patients undergoing chemoradiotherapy for head and neck cancer
    Nao Hashida, Motoyuki Suzuki, Kiyohito Hosokawa, Yukinori Takenaka, Takahito Fukusumi, Norihiko Takemoto, Hidenori Tanaka, Koji Kitamura, Hirotaka Eguchi, Masanori Umatani, Itsuki Kitayama, Masayuki Nozawa, Chieri Kato, Eri Okajima, Hidenori Inohara
    Supportive Care in Cancer.2025;[Epub]     CrossRef
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    Jinlong Liang, Shuguang Deng, Heping Yang, Shuyan Zhu, Rui Zheng
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    Celia Redondo-Rodríguez, Santos Villafaina, María Isabel Ramos-Fuentes, Juan Pedro Fuentes-García
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    Maurizio Volterrani, Giuseppe Caminiti
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    Mohammad Ali Zakeri, Asghar Tavan, Ali Esmaeili Nadimi, Golamreza Bazmandegan, Maryam Zakeri, Nadia Sedri
    HLRP: Health Literacy Research and Practice.2023;[Epub]     CrossRef
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    Dion Candelaria, Laila Akbar Ladak, Sue Randall, Ann Kirkness, Kellie Roach, Judith Fethney, Robyn Gallagher
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  • Factibilidad y resultados de un programa de rehabilitación cardiaca intensiva. Perspectiva del estudio aleatorizado MxM (Más por Menos)
    Almudena Castro-Conde, Manuel Abeytua, Vicente I. Arrarte Esteban, Pedro Caravaca Pérez, Regina Dalmau González-Gallarza, Fernando Garza Benito, Rafael J. Hidalgo Urbano, Joan Torres Marqués, Rafael Vidal-Pérez, Iván J. Nuñez-Gil
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    Chul Kim, Insun Choi, Songhee Cho, Ae Ryoung Kim, Wonseok Kim, Sungju Jee
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  • Kardiyopulmoner Rehabilitasyon Hakkında Sağlık Çalışanlarının Farkındalık Düzeyi: Kesitsel Bir Çalışma
    Ayşe Sarsan
    OSMANGAZİ JOURNAL OF MEDICINE.2018;[Epub]     CrossRef
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Change of Swallowing in Patients With Head and Neck Cancer After Concurrent Chemoradiotherapy
Sehi Kweon, Bon Seok Koo, Sungju Jee
Ann Rehabil Med 2016;40(6):1100-1107.   Published online December 30, 2016
DOI: https://doi.org/10.5535/arm.2016.40.6.1100
Objective

To evaluate the functional characteristics of swallowing and to analyze the parameters of dysphagia in head and neck cancer patients after concurrent chemoradiotherapy (CCRT).

Methods

The medical records of 32 patients with head and neck cancer who were referred for a videofluoroscopic swallowing study from January 2012 to May 2015 were retrospectively reviewed. The patients were allocated by duration after starting CCRT into early phase (<1 month after radiation therapy) and late phase (>1 month after radiation therapy) groups. We measured the modified penetration aspiration scale (MPAS) and American Speech-Language-Hearing Association National Outcome Measurement System swallowing scale (ASHA-NOMS). The oral transit time (OTT), pharyngeal delay time (PDT), and pharyngeal transit time (PTT) were recorded to assess the swallowing physiology.

Results

Among 32 cases, 18 cases (56%) were of the early phase. In both groups, the most common tumor site was the hypopharynx (43.75%) with a histologic type of squamous cell carcinoma (75%). PTT was significantly longer in the late phase (p=0.03). With all types of boluses, except for soup, both phases showed a statistically significant difference in MPAS results. The mean ASHA-NOMS level for the early phase was 5.83±0.78 and that for the late phase was 3.79±1.80, with statistical significance (p=0.01). The PTT and ASHA-NOMS level showed a statistically significant correlation (correlation coefficient=–0.52, p=0.02). However, it showed no relationship with the MPAS results.

Conclusion

The results of our study suggest that in the late phase that after CCRT, the OTT, PDT, and PTT were longer than in the early phase and the PTT prolongation was statistically significant. Therefore, swallowing therapy targeting the pharyngeal phase is recommended after CCRT.

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  • Chemotherapy/Radiotherapy-Induced Dysphagia in Head and Neck Tumors: A Challenge for Otolaryngologists in Low- to Middle-Income Countries
    Álvaro Gómez, María Alejandra García-Chabur, Daniel Peñaranda, Antonieta Gómez-Mendoza, Juan Carlos Forero
    Dysphagia.2025; 40(3): 515.     CrossRef
  • Changes in swallowing response on patients undergoing chemoradiotherapy for head and neck cancer
    Nao Hashida, Motoyuki Suzuki, Kiyohito Hosokawa, Yukinori Takenaka, Takahito Fukusumi, Norihiko Takemoto, Hidenori Tanaka, Koji Kitamura, Hirotaka Eguchi, Masanori Umatani, Itsuki Kitayama, Masayuki Nozawa, Chieri Kato, Eri Okajima, Hidenori Inohara
    Supportive Care in Cancer.2025;[Epub]     CrossRef
  • Does swallow rehabilitation improve recovery of swallow function after treatment for advanced head and neck cancer
    Yung-An Tsou, Nai-Hsin Meng, Wen-Dien Chang, Chun-Hung Hua
    Scientific Reports.2025;[Epub]     CrossRef
  • Neck Disability and Swallowing Function in Posttreatment Head and Neck Cancer Patients
    Alexandria Harris, Lingyun Lyu, Tamara Wasserman‐Winko, Susan George, Jonas T. Johnson, Marci Lee Nilsen
    Otolaryngology–Head and Neck Surgery.2020; 163(4): 763.     CrossRef
  • Simultaneous Radiological and Fiberendoscopic Evaluation of Swallowing (“SIRFES”) in Patients After Surgery of Oropharyngeal/Laryngeal Cancer and Postoperative Dysphagia
    M. Scharitzer, I. Roesner, P. Pokieser, M. Weber, D. M. Denk-Linnert
    Dysphagia.2019; 34(6): 852.     CrossRef
  • Organ Preservation and Late Functional Outcome in Oropharyngeal Carcinoma: Rationale of EORTC 1420, the “Best of” Trial
    Jean-Jacques Stelmes, Vincent Gregoire, Vincent Vander Poorten, Wojciech Golusiñski, Mateusz Szewczyk, Terry Jones, Mohssen Ansarin, Martina A. Broglie, Roland Giger, Jens Peter Klussmann, Mererid Evans, Jean Bourhis, C. René Leemans, Giuseppe Spriano, An
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  • Effects of a swallowing exercise education program on dysphagia-specific health-related quality of life in oral cavity cancer patients post-treatment: a randomized controlled trial
    Shu-Ching Chen, Bing-Shen Huang, Chia-Yin Chung, Chien-Yu Lin, Kang-Hsing Fan, Joseph Tung-Chien Chang, Shu-Chen Wu
    Supportive Care in Cancer.2018; 26(8): 2919.     CrossRef
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    Andrew M. Vahabzadeh‐Hagh, Alexander N. Goel, John W. Frederick, Gerald S. Berke, Jennifer L. Long
    Laryngoscope Investigative Otolaryngology.2018; 3(6): 450.     CrossRef
  • Acoustic Voice Analysis in Patients with Penetration/Aspiration Via Videofluoroscopic Swallowing Study
    Young Ae Kang, Sung Ju Jee, Bon Seok Koo
    Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2017; 60(9): 454.     CrossRef
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  • 86 Download
  • 9 Web of Science
  • 9 Crossref
Quantitative Muscle Ultrasonography in Carpal Tunnel Syndrome
Hyewon Lee, Sungju Jee, Soo Ho Park, Seung-Chan Ahn, Juneho Im, Min Kyun Sohn
Ann Rehabil Med 2016;40(6):1048-1056.   Published online December 30, 2016
DOI: https://doi.org/10.5535/arm.2016.40.6.1048
Objective

To assess the reliability of quantitative muscle ultrasonography (US) in healthy subjects and to evaluate the correlation between quantitative muscle US findings and electrodiagnostic study results in patients with carpal tunnel syndrome (CTS). The clinical significance of quantitative muscle US in CTS was also assessed.

Methods

Twenty patients with CTS and 20 age-matched healthy volunteers were recruited. All control and CTS subjects underwent a bilateral median and ulnar nerve conduction study (NCS) and quantitative muscle US. Transverse US images of the abductor pollicis brevis (APB) and abductor digiti minimi (ADM) were obtained to measure muscle cross-sectional area (CSA), thickness, and echo intensity (EI). EI was determined using computer-assisted, grayscale analysis. Inter-rater and intra-rater reliability for quantitative muscle US in control subjects, and differences in muscle thickness, CSA, and EI between the CTS patient and control groups were analyzed. Relationships between quantitative US parameters and electrodiagnostic study results were evaluated.

Results

Quantitative muscle US had high inter-rater and intra-rater reliability in the control group. Muscle thickness and CSA were significantly decreased, and EI was significantly increased in the APB of the CTS group (all p<0.05). EI demonstrated a significant positive correlation with latency of the median motor and sensory NCS in CTS patients (p<0.05).

Conclusion

These findings suggest that quantitative muscle US parameters may be useful for detecting muscle changes in CTS. Further study involving patients with other neuromuscular diseases is needed to evaluate peripheral muscle change using quantitative muscle US.

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Transcranial Motor Evoked Potentials of Lower Limbs Can Prognosticate Ambulation in Hemiplegic Stroke Patients
Pyoungsik Hwang, Min Kyun Sohn, Sungju Jee, Hyunkeun Lee
Ann Rehabil Med 2016;40(3):383-391.   Published online June 29, 2016
DOI: https://doi.org/10.5535/arm.2016.40.3.383
Objective

To examine the association between motor evoked potentials (MEPs) in lower limbs and ambulatory outcomes of hemiplegic stroke patients.

Methods

Medical records of hemiplegic patients with the first ever stroke who received inpatient rehabilitation from January 2013 to May 2014 were reviewed. Patient who had diabetes, quadriplegia, bilateral lesion, brainstem lesion, severe musculoskeletal problem, and old age over 80 years were excluded. MEPs in lower limbs were measured when they were transferred to the Department of Rehabilitation Medicine. Subjects were categorized into three groups (normal, abnormal, and absent response) according to MEPs findings. Berg Balance Scale (BBS) and Functional Ambulation Category (FAC) at initial and discharge were compared among the three groups by one-way analysis of variance (ANOVA). Correlation was determined using a linear regression model.

Results

Fifty-eight hemiplegic patients were included. BBS and FAC at discharge were significantly (ANOVA, p<0.001) different according to MEPs findings. In linear regression model of BBS and FAC using stepwise selection, patients' age (p<0.01), BBS at admission (p<0.01), and MEPs (p<0.01) remained significant covariates. In regression assumption model of BBS and FAC at admission, MEPs and gender were significant covariates.

Conclusion

Initial MEPs of lower limbs can prognosticate the ambulatory outcomes of hemiplegic patients.

Citations

Citations to this article as recorded by  
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