Annals of Rehabilitation Medicine

Cancer rehabilitation

Outcomes of a Multi-Modal Hospital-Associated Home-Based Cancer Prehabilitation Program: Kah Meng Kwok, San San Tay; Ann Rehabil Med 2023;47(1):52-67. Published online January 30, 2023; DOI: https://doi.org/10.5535/arm.22126

Objective
To assess the impact of a “one-stop”, multi-modal, hospital-associated-home-based prehabilitation model, helmed by a small core team, on newly diagnosed gastrointestinal and urological cancer patients planned for surgery.
Methods
This is a retrospective study in a tertiary public hospital, involving all newly diagnosed gastrointestinal and urological cancer patients planned for surgery. The primary outcome measure was the 6-minute walk test (6MWT). Other outcomes included physical, psychological and quality-of-life measures, and patient satisfaction surveys, taken at baseline, pre-operatively (post-prehabilitation), and at 3 months post-operatively.
Results
When comparing the baseline to pre-operatively (post-prehabilitation), there was a statistically significant improvement in the 6MWT (21.52 m, p<0.001), 30-Second Sit to Stand test (STS) (1.08 repetitions, p<0.001), Timed Up and Go test (TUG) (0.83 seconds, p=0.014) and Hospital Anxiety and Depression Scale (HADS) (total score 1.77, p<0.001). These were sustained (6MWT: 0.22, p=0.964; STS: 0.08 repetitions, p=0.863; TUG: 0.04 seconds, p=0.939) or further improved (HADS total score 2.06, p=0.003) at 3 months post-operatively. There was also a statistically significant improvement in the EuroQol-5 dimension health score (health-related quality-of-life measure) from baseline to 3 months post-operatively (7.04 points, p=0.001), with more than 90% overall patient satisfaction reported.
Conclusion
Prehabilitation applied via our model resulted in significant improvements in functional capacity, psychological and quality-of-life outcomes, sustained at 3 months post-operatively, and is a feasible and effective approach that is well-received by our patients.

Citations

Citations to this article as recorded by

Feasibility, User Acceptance, and Outcomes of Using a Cancer Prehabilitation App for Exercise: Pilot Cohort Study
Fuquan Zhang, Deepali Bang, Christine Alejandro Visperas, Mon Hnin Tun, San San Tay
JMIR Formative Research.2025; 9: e64427. CrossRef
Participation and Adherence to Prehabilitation Programs for Colorectal Cancer
Misha A. T. Sier, Eva Godina, Omar Mollema, Maud P. P. J. Cox, Thais T. T. Tweed, Jan Willem Greve, Jan H. M. B. Stoot
Nutrients.2025; 17(11): 1792. CrossRef
Measures of preoperative anxiety: Part two
Katarzyna Nowicka-Sauer, Adam Zemła, Dorota Banaszkiewicz, Bartosz G. Trzeciak, Krzysztof Jarmoszewicz
Anaesthesiology Intensive Therapy.2024; 56(1): 9. CrossRef
Prevention and treatment of noncognitive complications
André van Zundert, Stephen P. Gatt, Tom Christophe van Zundert
Saudi Journal of Anaesthesia.2023; 17(4): 557. CrossRef

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Geriatric Rehabilitation

Efficacy of an Integrated Training Device in Improving Muscle Strength, Balance, and Cognitive Ability in Older Adults: Choong-Hee Roh, Da-Sol Kim, Gi-Wook Kim, Yu-Hui Won, Sung-Hee Park, Jeong-Hwan Seo, Myoung-Hwan Ko; Ann Rehabil Med 2021;45(4):314-324. Published online August 30, 2021; DOI: https://doi.org/10.5535/arm.21072

Abstract
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Objective
To determine the effects of an integrated training device for strength and balance on extremity muscle strength, postural balance, and cognition in older adults using a combination with various rehabilitation training games, in which balance, strength, and cognitive training were configured in a single device.
Methods
This prospective study included 20 healthy participants aged 65–85 years. Participants trained for 30 minutes daily, 3 days weekly, for 6 weeks with an integrated training device for strength and balance (SBT-120; Man&Tel Inc., Gumi, Korea). Main outcomes were measured using the Korean Mini-Mental State Examination (K-MMSE), Korean version of the Montreal Cognitive Assessment (K-MoCA), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Berg Balance Scale (BBS), and Manual Muscle Test. Measurements were taken at three time points: T0 (pretreatment), T1 (immediately after treatment), and T2 (4 weeks after treatment).
Results
All 20 patients completed the training, and TUG, FRT, and BBS scores significantly improved at T1 and T2 compared to T0. Mean TUG scores decreased by 0.99±2.00 at T1 and 1.05±1.55 at T2 compared to T0. Mean FRT scores increased by 6.13±4.26 at T1 and 6.75±4.79 at T2 compared to T0. BBS scores increased by 0.60±0.94 at T1 and 0.45±1.15 at T2 compared to T0. Moreover, muscle strength and cognition (K-MMSE and K-MoCA scores) increased after training.
Conclusion
Our findings suggest that an integrated training device for strength and balance can be a safe and useful tool for older adults.

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Physical Therapy

Combined Effects of Extracorporeal Shockwave Therapy and Integrated Neuromuscular Inhibition on Myofascial Trigger Points of Upper Trapezius: A Randomized Controlled Trial: Dina Al-Amir Mohamed, Ragia Mohamed Kamal, Manal Mohamed Gaber, Yasser M. Aneis; Ann Rehabil Med 2021;45(4):284-293. Published online August 30, 2021; DOI: https://doi.org/10.5535/arm.21018

Abstract
PDF

Objective
To investigate the combined effect of extracorporeal shockwave therapy (ESWT) and integrated neuromuscular inhibition (INI) on myofascial trigger points in the upper trapezius.
Methods
Sixty subjects aged 18–24 years old with active myofascial trigger points in the upper trapezius were studied. Participants were assigned randomly to either group A who received ESWT one session/week, group B who received INI three sessions/week, or group C who received ESWT in addition to INI. All groups completed 4 weeks of intervention. The following main outcome measures were evaluated at baseline and after 4 weeks of intervention: pain intensity, functional disability, pressure pain threshold (PPT), sympathetic skin response (SSR), and neuromuscular junction response (NMJR).
Results
Within-group analysis revealed a significant decline in visual analog scale (VAS), Arabic neck disability index (ANDI), and NMJR and incline in PPT and SSR latency post-intervention (p<0.001). Multiple comparison analysis showed a substantial difference between the groups, while the major changes favored group C (p<0.05).
Conclusion
Combined treatment with ESWT and INI for treating myofascial trigger points in the upper trapezius is more effective than using only one of the two approaches in terms of clinical, functional, and neurophysiological aspects.

Citations

Citations to this article as recorded by

Effect of integrated neuromuscular inhibition technique on subjects with neck pain and forward head posture: a randomized controlled trial
Rania Reffat Ali, Somaya Nady Mohamed Elsayed, Ragia Mohamed Kamel, Ebtisam Mohamed Fahmy, Hend Ahmed Hamdy
Journal of Manual & Manipulative Therapy.2025; : 1. CrossRef
Electrostatic electricity of wool fabrics as a novel therapeutic approach for neuropathic pain relief
Hussien S. A. Meabed, Rehab Elanwar, Hanan Hosny, Marwa A. Elgaly, Manal M. Gaber, T. A. Aya Ewais, Mohamed Fareed Mehleb, Reem M. Sabry
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery.2025;[Epub] CrossRef
Effect of Extracorporeal Shock Wave on Upper Trapezius Trigger Points in Patients With Cervicogenic Headache
Radwa F. Hammam, Ahmed M. Alshimy, Omar M. Elabd, Aliaa M. Elabd
American Journal of Physical Medicine & Rehabilitation.2024; 103(11): 1000. CrossRef
Effect of ischemic compressions versus extracorporeal shockwave therapy on myofascial trigger points: A protocol of a randomized controlled trial
Melissa Nahomi Kuroda, Guilherme Thomaz de Aquino Nava, Caroline Baldini Prudencio, Daiane Affonso Paulo, Isadora Peixouto, Maiki Yoshi Moroshima, Mariana de Almeida Lourenço, Caroline Nogueira da Silva, Angélica Mércia Pascon Barbosa, Cristiane Rodrigues
PLOS ONE.2023; 18(3): e0283337. CrossRef
Water therapies (hydrotherapy, balneotherapy or aqua therapy) for patients with cancer: a systematic review
Maren Reger, Sabine Kutschan, Maren Freuding, Thorsten Schmidt, Lena Josfeld, Jutta Huebner
Journal of Cancer Research and Clinical Oncology.2022; 148(6): 1277. CrossRef
Does shockwave therapy have a role on trigger thumb?—a single-case design
Pankaj Verma, Deepak Kumar Pradhan, Sandeep Singh
Bulletin of Faculty of Physical Therapy.2022;[Epub] CrossRef
Immediate effect of shock wave versus muscle energy technique in cases of quadratus lumborum myofascial pain
Hessa Al Shehhi, Mouza Lootah, Ibrahim Moustafa, Tamer Shousha
Fizjoterapia Polska.2022; 22(4): 148. CrossRef
Usefulness of Extracorporeal Shockwave Therapy on Myofascial Pain Syndrome
Chang Han Lee, Shi-Uk Lee
Annals of Rehabilitation Medicine.2021; 45(4): 261. CrossRef

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Working Posture and Muscle Tension according to Screen Position during VDT Operation.: Yu, Ji Yeon , Ha, Tae Hyun , Son, Sook , Kim, Jeong Han , Park, Young Ok; J Korean Acad Rehabil Med 2000;24(4):765-775.

Abstract
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Objective: To evaluate working condition in way of measuring working posture and muscle tension using the desktop personal computer and notebook personal computer having different screen height.

Method: Seventeen healthy men performed wordprocessing task in three workstation: desktop PC on the conventional computer table (DPC (on)); desktop PC under the 'inside' type computer table (DPC (under)); notebook PC on the table (NPC). The viewing distance and angle, head and neck angle, thoracic bending and trunk inclination were measured. Muscle tension of right posterior neck muscle, upper trapezius, sternocleidomastoid (SCM), and upper back muscle was also measured by integrated electromyogram (IEMG).

Results: 1) The viewing distance was the longest in DPC (under). 2) The lower the screen height, the more downward viewing angle and more flexed position in upper neck. 3) The posterior neck muscle tension was the lowest in DPC (on). 4) Stooped position was most frequently seen in NPC and the highest tension of posterior neck muscle and upper back muscle was shown in NPC. 5) In relation between postural analysis and muscle tension, muscle tension decreased with increasing backward reclining position, and the neck and thorax became more erect with increasing in viewing distance.

Conclusion: These results suggest that the stooped posture was worst and most frequently seen in NPC. If neck flexion is avoided, DPC (under) position could lessen the visual and musculoskeletal problem. More Ergonomical study would be needed about working posture using computer.