Citations

• Responsiveness and Minimal Clinically Important Difference of the Canadian Occupational Performance Measure Among Patients With Frozen Shoulder
  Sun Woo Kim, Ji Young Lim, Seonghee Kim, Jong Geol Do, Jong In Lee, Ji Hye Hwang
  The American Journal of Occupational Therapy.2024;[Epub]     CrossRef
• Arthroscopic dual-bone tunnel repair for palmer type IB injuries of the triangular fibrocartilage complex
  Zhen Yin, Weibo Zhou, Jiayi Ma, Jie Chen, Fulin Zhou
  BMC Musculoskeletal Disorders.2024;[Epub]     CrossRef

Cardiovascular disease (CVD) poses a significant health challenge globally, including in Korea, due to its status as a leading cause of death and its impact on cardiopulmonary function. Cardiac rehabilitation (CR) is a well-established program that not only aids in restoring cardiopulmonary function, but also improves physical and social conditions. The benefits of CR are widely recognized, and it is implemented globally. While the effectiveness of CR has been proven in Korea, it is underutilized. This fact sheet summarizes the current status of CR in Korea, including the prevalence of CVD, the clinical practice guidelines for CR programs, and the challenges of implementing CR in Korea.

Citations

• Factors influencing active participation in cardiac rehabilitation among patients with cardiovascular disease: A nationwide cohort study
  Chul Kim, Jung Hwa Hong, Jang Woo Lee
  PM&R.2025;[Epub]     CrossRef
• The Accessibility and Effect of Cardiac Rehabilitation in COVID-19 Pandemic Era
  Chul Kim, Jun Hyeong Song, Seung Hyoun Kim
  Annals of Rehabilitation Medicine.2024; 48(4): 249.     CrossRef
• Effectiveness of Home-Based Cardiac Rehabilitation with Optimized Exercise Prescriptions Using a Mobile Healthcare App in Patients with Acute Myocardial Infarction: A Randomized Controlled Trial
  Hyun-Seok Jo, Hyeong-Min Kim, Chae-Hyun Go, Hae-Young Yu, Hyeng-Kyu Park, Jae-Young Han
  Life.2024; 14(9): 1122.     CrossRef
• Cardiac rehabilitation for patients with coronary artery disease
  Jang Woo Lee
  Journal of the Korean Medical Association.2024; 67(9): 566.     CrossRef

Post-stroke spastic movement disorder (PS-SMD) develops in up to 40% of stroke survivors after a first ever stroke within the first year. Chronic PS-SMD is often associated with severe disabilities and complications, emphasizing the importance of its early recognition and early adequate management. Extensive research has aimed to accurately predict and sensitively detect a PS-SMD. Symptomatic therapies include conventional rehabilitation and local intramuscular injections of botulinum toxin A (BoNT-A). The latter is widely used, but primarily in the chronic phase of stroke. However, recent studies have shown the safety and efficacy of BoNT-A therapy even in the acute phase and early sub-acute phase after stroke, i.e., within three months post-stroke, leading to an improved long-term outcome in stroke rehabilitation. Local BoNT-A injections evolve as the primary approach in focal, multifocal, and segmental chronic or acute/subacute PS-SMD. Patients at high risk for or manifest PS-SMD should be identified by an early spasticity risk assessment. By doing so, PS-SMD can be integral part of the patient-centered goal-setting process of a multiprofessional spasticity-experienced team. The benefit of an early PS-SMD treatment by BoNT-A should predominate putative degenerative muscle changes due to long-term BoNT-A therapy by far. This, as early treatment effectively avoids complications typically associated with a PS-SMD, i.e., contractures, pain, skin lesions. The management of PS-SMD requires a comprehensive and multidisciplinary approach. Early assessment, patient-centered goal setting, early intervention, and early use of BoNT-A therapy prevents from PS-SMD complications and may improve rehabilitation outcome after stroke.

Citations

• How many stroke survivors develop problematic spasticity requiring pharmacological therapy? An international (Europe and USA) observational study protocol
  Richard D Zorowitz, Laura Serrano Barrenechea, Simon Butet, Sergiu Groppa, David Hernández Herrero, Rama Prasad, Susan Sandars, Seema Meloni, Simon Page, Pascal Maisonobe, Alessandro Picelli
  BMJ Open.2025; 15(1): e087404.     CrossRef
• The Role of Botulinum Toxin Type-A in Spasticity: Research Trends from a Bibliometric Analysis
  Salvatore Facciorusso, Stefania Spina, Alessandro Picelli, Alessio Baricich, Gerard E. Francisco, Franco Molteni, Jörg Wissel, Andrea Santamato
  Toxins.2024; 16(4): 184.     CrossRef
• Botulinum Toxin in Treatments for Abnormal Movements
  María Gabriela González Chico, Xaviera Elizabeth Medina Godoy, Miliana Esperanza Estupiñan Bazurto, María José López Becerra
  Más Vita.2024; 6(2): 82.     CrossRef
• Botulinum Toxin Type A (BoNT-A) Use for Post-Stroke Spasticity: A Multicenter Study Using Natural Language Processing and Machine Learning
  María Jesús Antón, Montserrat Molina, José Gabriel Pérez, Santiago Pina, Noemí Tapiador, Beatriz De La Calle, Mónica Martínez, Paula Ortega, María Belén Ruspaggiari, Consuelo Tudela, Marta Conejo, Pedro Leno, Marta López, Carmen Marhuenda, Carlos Arias-Ca
  Toxins.2024; 16(8): 340.     CrossRef
• Risk factors for post-stroke spasticity: a retrospective study
  Chuanxi Zhu, Lingxu Li, Long Qiu, Guangcheng Ji
  Frontiers in Neurology.2024;[Epub]     CrossRef
• Early is Better, Then, How Early and How to Apply: Practical Approach of Botulinum Toxin Injection
  Joon-Ho Shin
  Annals of Rehabilitation Medicine.2023; 47(6): 439.     CrossRef

Sarcopenic dysphagia is characterized by weakness of swallowing-related muscles associated with whole-body sarcopenia. As the number of patients with sarcopenia increases with the aging of the world, the number of patients with sarcopenic dysphagia is also increasing. The prevalence of sarcopenic dysphagia is high in the institutionalized older people and in patients hospitalized for pneumonia with dysphagia in acute care hospitals. Prevention, early detection and intervention of sarcopenic dysphagia with rehabilitation nutrition are essential. The diagnosis of sarcopenic dysphagia is based on skeletal and swallowing muscle strength and muscle mass. A reliable and validated diagnostic algorithm for sarcopenic dysphagia is used. Sarcopenic dysphagia is associated with malnutrition, which leads to mortality and Activities of Daily Living (ADL) decline. The rehabilitation nutrition approach improves swallowing function, nutrition status, and ADL. A combination of aggressive nutrition therapy to improve nutrition status, dysphagia rehabilitation, physical therapy, and other interventions can be effective for sarcopenic dysphagia. The rehabilitation nutrition care process is used to assess and problem solve the patient’s pathology, sarcopenia, and nutrition status. The simplified rehabilitation nutrition care process consists of a nutrition cycle and a rehabilitation cycle, each with five steps: assessment, diagnosis, goal setting, intervention, and monitoring. Nutrition professionals and teams implement the nutrition cycle. Rehabilitation professionals and teams implement the rehabilitation cycle. Both cycles should be done simultaneously. The nutrition diagnosis of undernutrition, overnutrition/obesity, sarcopenia, and goal setting of rehabilitation and body weight are implemented collaboratively.

Citations

• Dual burden of sarcopenia and impaired oral status on activities of daily living, cognition and swallowing outcomes in post-stroke patients
  Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Ayaka Matsumoto, Sayuri Shimazu, Ai Shiraishi, Yoshifumi Kido, Takahiro Bise, Takenori Hamada, Kouki Yoneda
  Archives of Gerontology and Geriatrics.2025; 129: 105648.     CrossRef
• Progress in dysphagia management in older patients
  Gero Lueg, Maryam Pourhassan, Rainer Wirth
  Current Opinion in Clinical Nutrition & Metabolic Care.2025; 28(1): 14.     CrossRef
• The rehabilitation nutrition oral care process: Implementing the triad of rehabilitation, nutrition, and oral management
  Hidetaka Wakabayashi
  Journal of General and Family Medicine.2025; 26(2): 114.     CrossRef
• Association of antipsychotic drugs and tongue strength in patients with dysphagia: A cross-sectional study
  Hiroki Maki, Akio Shimizu, Hidetaka Wakabayashi, Shinta Nishioka, Ryo Momosaki
  Geriatric Nursing.2025; : 103334.     CrossRef
• The Effect of Extremely Low-Frequency Magnetic Field on Stroke Patients: A Systematic Review
  Renata Marchewka, Tomasz Trzmiel, Katarzyna Hojan
  Brain Sciences.2024; 14(5): 430.     CrossRef
• Malnutrition and cachexia may affect death but not functional improvement in patients with sarcopenic dysphagia
  Mai Yamanaka, Hidetaka Wakabayashi, Shinta Nishioka, Ryo Momosaki
  European Geriatric Medicine.2024; 15(3): 777.     CrossRef
• Association between sarcopenia and urinary dysfunction in patients with dysphagia
  Shingo Kakehi, Hidetaka Wakabayashi, Eri Isono, Ryohei Takemura, Yuka Sato, Yukiko Otsuka, Takako Nagai, Shinta Nishioka, Ryo Momosaki
  Archives of Gerontology and Geriatrics.2024; 127: 105577.     CrossRef
• Treatment of Esophageal Achalasia With Sarcopenic Dysphagia by Rehabilitation and Nutritional Support: A Case Report
  Fumiko Furukawa, Kiyohito Kakita
  Cureus.2024;[Epub]     CrossRef
• Nutritional care in older adults: are we doing everything? An expert opinion review
  Elisabet Sanchez-Garcia, Alfonso J. Cruz-Jentoft, Paula Ravasco, Merja Suominen, Prof Kaisu Pitkälä
  Current Medical Research and Opinion.2024; 40(9): 1563.     CrossRef
• Age and sex differences in sarcopenic dysphagia: A secondary data analysis
  Hidetaka Wakabayashi, Shingo Kakehi, Ayano Nagano, Masako Kishima, Masataka Itoda, Shinta Nishioka, Ryo Momosaki
  Journal of General and Family Medicine.2024; 25(6): 343.     CrossRef
• Triad of rehabilitation, nutrition support, and oral management improves activities of daily living and muscle health in hospitalized patients after stroke
  Yoshihiro Yoshimura, Sayuri Shimazu, Ai Shiraishi, Hidetaka Wakabayashi, Fumihiko Nagano, Ayaka Matsumoto, Yoshifumi Kido, Takahiro Bise, Aomi Kuzuhara, Takenori Hamada, Kouki Yoneda
  Clinical Nutrition ESPEN.2024; 63: 837.     CrossRef
• The Prevalence and Prognosis of Cachexia in Patients with Non-Sarcopenic Dysphagia: A Retrospective Cohort Study
  Shingo Kakehi, Hidetaka Wakabayashi, Takako Nagai, Shinta Nishioka, Eri Isono, Yukiko Otsuka, Junki Ninomiya, Ryo Momosaki
  Nutrients.2024; 16(17): 2917.     CrossRef

Objective
To systematically review the efficacy of e-Health interventions on physical performance, activity and quality of life in older adults with sarcopenia or frailty.
Methods
A systematic review was conducted by searching the MEDLINE, Embase, Cochrane Library, CINHAL, Web of Science, and the Physiotherapy Evidence Database for experimental studies published in English from 1990 to 2021. E-Health studies investigating physical activity, physical performance, quality of life, and activity of daily living assessment in adults aged ≥65 years with sarcopenia or frailty were selected.
Results
Among the 3,164 identified articles screened, a total of 4 studies complied with the inclusion criteria. The studies were heterogeneous by participant characteristics, type of e-Health intervention, and outcome measurement. Age criteria for participant selection and sex distribution were different between studies. Each study used different criteria for frailty, and no study used sarcopenia as a selection criteria. E-Health interventions were various across studies. Two studies used frailty status as an outcome measure and showed conflicting results. Muscle strength was assessed in 2 studies, and meta-analysis showed statistically significant improvement after intervention (standardized mean difference, 0.51; 95% confidence interval, 0.07–0.94; p=0.80, I²=0%).
Conclusion
This systematic review found insufficient evidence to support the efficacy of e-Health interventions. Nevertheless, the studies included in this review showed positive effects of e-Health interventions on improving muscle strength, physical activity, and quality of life in older adults with frailty.

Citations

• Frail Older Adults' Needs and Preferences for Mobile Health Exercise Interventions Guided by Nudge Theory: AQualitative Analysis
  Ruotong Peng, Zeng Cao, Shaolong Hu, Xinzhou Liu, Yongzhen Guo, Xiaoyang Li, Chi Zhang, Hui Feng
  Journal of Clinical Nursing.2025; 34(5): 1830.     CrossRef
• A multidisciplinary telemedicine approach for managing frailty in Parkinson's disease. A longitudinal, case-control study
  Álvaro García-Bustillo, José Miguel Ramírez-Sanz, José Luis Garrido-Labrador, Alicia Olivares-Gil, Florita Valiñas-Sieiro, Marta Allende-Río, Josefa González-Santos, Jerónimo Javier González-Bernal, Maha Jahouh, Sara Calvo-Simal, Lucía Simón-Vicente, Nati
  Parkinsonism & Related Disorders.2025; 130: 107215.     CrossRef
• Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR)
  Mikel Izquierdo, Philipe de Souto Barreto, Hidenori Arai, Heike A. Bischoff-Ferrari, Eduardo L. Cadore, Matteo Cesari, Liang-Kung Chen, Paul M. Coen, Kerry S. Courneya, Gustavo Duque, Luigi Ferrucci, Roger A. Fielding, Antonio García-Hermoso, Luis Miguel
  The Journal of nutrition, health and aging.2025; 29(1): 100401.     CrossRef
• What are end-users’ needs and preferences for a comprehensive e-health program for type 2 diabetes? – A qualitative user preference study
  Tina Rishaug, Anne-Marie Aas, André Henriksen, Gunnar Hartvigsen, Kåre Inge Birkeland, Eirik Årsand, Ai Theng Cheong,
  PLOS ONE.2025; 20(3): e0318876.     CrossRef
• The Impact of Depression and Leisure Activities on E-Health Literacy Among Older Adults: A Cross-Cultural Study in the EU and Japan
  Kumi Morishita-Suzuki, Toshimi Ogawa, Roberta Bevilacqua, Sebastien Dacunha, Vera Stara, Johanna Möller, Cecilia Palmier, Asako Ohara, Ai Abe, Denilson Brilliant T., Maribel Pino, Rainer Wieching, Elvira Maranesi, Anne-Sophie Rigaud, Shuichiro Watanabe, V
  International Journal of Environmental Research and Public Health.2025; 22(3): 403.     CrossRef
• Evidence on non-pharmacological interventions for preventing or reversing physical frailty in community-dwelling older adults aged over 50 years: overview of systematic reviews
  Annemarie Money, Aylish MacKenzie, Amelia Parchment, Gill Norman, Danielle Harris, Saima Ahmed, Lisa McGarrigle, Helen Hawley-Hague, Chris Todd
  BMC Geriatrics.2025;[Epub]     CrossRef
• Digital health interventions for non-older individuals at risk of frailty: A systematic review and meta-analysis
  Momoko Tohyama, Ryo Momosaki, Yuka Shirai, Kenta Ushida, Yuki Kato, Miho Shimizu, Issei Kameda, Yuya Sakurai, Asuka Hori, Masatsugu Okamura, Takahiro Tsuge, Hiroki Sato, Yuki Nakashima, Kaori Endo, Shota Hayashi, Norio Yamamoto, Daisuke Matsumoto, Kenichi
  DIGITAL HEALTH.2025;[Epub]     CrossRef
• Strategies to Optimize Recovery in Frail Patients With Cardiovascular Disease Through Exercise-Based Cardiac Rehabilitation
  Kyuwan Lee
  Journal of Lipid and Atherosclerosis.2025; 14(2): 159.     CrossRef
• Current and Future Challenges for Rehabilitation for Inflammatory Arthritis
  Rikke Helene Moe, Thea P. M. Vliet Vlieland
  Journal of Clinical Medicine.2024; 13(6): 1808.     CrossRef
• A Real-Time Web-Based Intervention with a Multicomponent Group-Based Program for Older Adults: Single-Arm Feasibility Study
  Tsubasa Nakada, Kayo Kurotani, Takako Kozawa, Satoshi Seino, Shinichi Murota, Miki Eto, Junko Shimasawa, Yumiko Shimizu, Shinobu Tsurugano, Fuminori Katsukawa, Kazunori Sakamoto, Hironori Washizaki, Yo Ishigaki, Maki Sakamoto, Keiki Takadama, Keiji Yanai,
  Healthcare.2024; 12(23): 2365.     CrossRef

Objective
To systematically review the effects of protein supplementation in older adults with sarcopenia.
Methods
A systematic literature search was conducted in PubMed, Cochrane Library, and Embase databases until May 2023. The inclusion criteria were as follows: (1) randomized controlled trials with a quantitative study design; (2) studies with a study group of older adults with sarcopenia; (3) studies comparing muscle mass, muscle strength, and performance of older adults with sarcopenia after protein supplementation; and (4) studies published up to May 2023.
Results
Six retrospective comparative studies, including 715 patients, met the inclusion criteria. The nutritional supplementation group exhibited significant improvement in appendicular skeletal muscle mass (standardized mean difference [SMD]=0.41; 95% confidence interval [CI], 0.24–0.58; p<0.001; I²=1%), while handgrip strength (SMD=0.37; 95% CI, -0.32–1.07; p=0.29; I²=94%) and Short Physical Performance Battery (SPPB) (SMD=0.35; 95% CI, -0.47–1.18; p=0.40; I²=94%) showed a tendency for improvement.
Conclusion
Nutritional supplementation with protein increased appendicular muscle mass in older adults with sarcopenia and improved handgrip strength and SPPB scores.

Citations

• Age-related and cancer-related sarcopenia: is there a difference?
  Federico Bozzetti
  Current Opinion in Clinical Nutrition & Metabolic Care.2024; 27(5): 410.     CrossRef
• Protein‐enriched soup and weekly exercise improve muscle health: A randomized trial in mid‐to‐old age with inadequate protein intake
  Li‐Ning Peng, Ming‐Hsien Lin, Sung‐Hua Tseng, Ko‐Han Yen, Huei‐Fang Lee, Fei‐Yuan Hsiao, Liang‐Kung Chen
  Journal of Cachexia, Sarcopenia and Muscle.2024; 15(4): 1348.     CrossRef
• SuperAgers and centenarians, dynamics of healthy ageing with cognitive resilience
  Md Ariful Islam, Ujala Sehar, Omme Fatema Sultana, Upasana Mukherjee, Malcolm Brownell, Sudhir Kshirsagar, P. Hemachandra Reddy
  Mechanisms of Ageing and Development.2024; 219: 111936.     CrossRef
• Consumption of protein supplements/protein-fortified foods among young adults in Jeju
  Hyoju Lee, Youjeong Jang, Sumin Kim, Kyungho Ha
  Journal of Nutrition and Health.2024; 57(2): 261.     CrossRef
• Impact of increased protein intake in older adults: a 12-week double-blind randomised controlled trial
  Janine Wirth, Annalisa Segat, Katy Horner, Domenico Crognale, Thomas Smith, Maurice O’Sullivan, Lorraine Brennan
  Age and Ageing.2024; 53(Supplement): ii13.     CrossRef
• Nutrition resilience for healthy ageing
  Claire T McEvoy, Colin D McClure
  Age and Ageing.2024; 53(Supplement): ii1.     CrossRef
• Study of whey protein on muscle mass and functional rehabilitation in postoperative total knee arthroplasty patients
  Mengshi Li, Qiongfang Shi, Xinle Che, Xingyan Du, Dongming Wang, Yufeng Song
  Journal of Back and Musculoskeletal Rehabilitation.2024; 37(5): 1381.     CrossRef
• Functional status of the cardiovascular system in elderly patients with sarcopenia
  Iu. Samoilova, M. Matveeva, D. Podchinenova, Ya. Yakimova, L. Shuliko, V. Avkhimenko, D. Kudlay, E. Samoylov, E. Khoroshunova, A. Ragimov
  Vrach.2024; : 48.     CrossRef

Objective
To translate the 22-item Longer-term Unmet Needs after Stroke (LUNS) questionnaire, validate it in the Korean stroke population, and assess the reliability of face-to-face and telephone surveys.
Methods
Sixty-six adult patients with stroke from Seoul National University Bundang Hospital and Kangwon National University Hospital were involved in the validation. Participants were interviewed twice using the LUNS Korean version: first, a face-to-face survey for validation, and second, a telephone survey for test-retest reliability. Participants completed the Frenchay Activities Index (FAI) and Short Form 12 (SF-12) Mental and Physical Component Summary (MCS and PCS) scores at the first interview. For concurrent validity, the differences in health status (FAI, SF-12 MCS and PCS) between the groups that reported unmet needs and those that did not were analyzed for each item. Cohen’s kappa and percentage of agreement between the first and second administrations were calculated for each item to determine the test-retest reliability.
Results
The average age of the participants was 61.2±12.8 years and 74.2% were male. Fifty-seven patients were involved in the second interview. Depending on the unmet needs, SF-12 MCS, PCS, and FAI were significantly different in 12 of 22 items. In the test-retest reliability test, 12 items had a kappa of 0.6 or higher, and two had a kappa of <0.4.
Conclusion
The LUNS instrument into Korean (LUNS-K) is a reliable and valid instrument for assessing unmet health needs in patients with stroke. In addition, telephone surveys can be considered reliable.

Citations

• Psychometric validation of the Chinese version of the longer-term Unmet Needs after Stroke monitoring tool for stroke patients
  Fanling Li, Chang Gao, Yan Qu, Xiaohong Hu, Yue Ma, Wenxuan Ding, Xiaomei Li, Jingjun Zhang
  Disability and Rehabilitation.2025; 47(13): 3452.     CrossRef

Objective
To demonstrate the association between the physical and functional characteristics of individuals with spinal cord injury (SCI) and suicidality, an area of research that is less understood than the association with demographic, social, and psychological characteristics.
Methods
A retrospective cross-sectional study was conducted with 259 patients with SCI admitted for rehabilitation at the National Rehabilitation Center, Seoul, between January 2019 and December 2021. Demographic, SCI-related, physical, and functional data were collected from their medical records. Suicide risk was assessed using the Mini International Neuropsychiatric Interview.
Results
The 259 participants had an average age of 49.1 years, and 75.7% were male. The analysis revealed a statistically significant negative correlation between age and suicidality. No significant differences were found for sex, education, occupation, or SCI-related factors. Lower upper extremity motor score (UEMS) was significantly associated with higher suicide risk. Regarding functional factors, the inability to perform independent rolling, come to sit, wheelchair propelling, and self-driving were associated with increased suicidality. In the multiple linear regression analysis, lower UEMS, limited shoulder joint motion, upper extremity spasticity, and dependent wheelchair propulsion were predictors of higher suicide risk.
Conclusion
This study highlights the associations among physical status, functional dependency, and suicide risk in individuals with SCI. These findings emphasize the need to address psychological aspects and physical and functional factors in the management of individuals with SCI who are at a high risk of suicide.

Citations

• A Case Report of a Patient with Suicidal Trauma, Abdominal Surgery, and Short Bowel Syndrome
  Ghasem Zarei, Iman Nariman, Hosein Ghaderi-Zefrhi, Mohamad Sadegh Aboutalebi
  Journal of Surgery and Trauma.2024; 12(4): 160.     CrossRef

Objective
To analyze the epidemiological information of patients with traumatic spinal cord injury (SCI) and concomitant traumatic brain injury (TBI) and to suggest points to be aware of during the initial physical examination of patients with SCI.
Methods
This study was a retrospective, observational study conducted in a regional trauma center. All the records of patients diagnosed with traumatic SCI between 2016 and 2020 were reviewed. A total of 627 patients with confirmed traumatic SCI were hospitalized. A retrospective study was conducted on 363 individuals.
Results
The epidemiological data of 363 individuals were investigated. Changes in American Spinal Injury Association Impairment Scale (AIS) scores in patients with SCI were evaluated. The initial evaluation was performed on average 11 days after the injury, and a follow-up examination was performed 43 days after. Fourteen of the 24 patients identified as having AIS A and SCI with concomitant TBI in the initial evaluation showed neurologic level of injury (NLI) recovery with AIS B or more. The conversion rate in patients with SCI and concomitant TBI exceeded that reported in previous studies in individuals with SCI.
Conclusions
Physical, cognitive, and emotional impairments caused by TBI present significant challenges in rehabilitating patients with SCI. In this study, the influence of concomitant TBI lesions could have caused the initial AIS assessment to be incorrect.

Citations

• Neurologic Decline After Spinal Cord Injury
  Zakari R. Dymock, Sara Shahid Salles
  Physical Medicine and Rehabilitation Clinics of North America.2025; 36(1): 47.     CrossRef
• Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review
  Deborah L. Snell, Phoebe Wynands, Jennifer Dunn, Joanne Nunnerley, Alice Theadom
  Journal of Rehabilitation Medicine.2025; 57: jrm41897.     CrossRef
• The Critical Management of Spinal Cord Injury: A Narrative Review
  Emilio Moreno-González, Antonio Ibarra
  Clinics and Practice.2024; 15(1): 2.     CrossRef

Objective
To assess the effectiveness of combining physiotherapy techniques with conservative medical treatment in chronic rhinosinusitis (CRS) patients.
Methods
Sixty-eight volunteers with CRS were randomly assigned. Group A received only traditional medical treatment, whereas group B received a physiotherapy program that included pulsed ultrasound therapy, sinus manual drainage techniques, and self-sinus massage technique in addition to traditional medical treatment. Interventions were applied 3 sessions a week for 4 weeks. The rhinosinusitis disability index (RSDI) served as the main outcome indicator for assessing the quality of life, and the secondary outcome measure was the pressure pain threshold (PPT) using a pressure algometer.
Results
Wilcoxon signed rank test revealed a significant reduction (p<0.001) in total RSDI values from 71.08±1.13 pretest to 47.14±1.15 posttest for group A, while it decreased from 70.64±1.20 pretreatment to 31.76±1.04 posttreatment for group B; furthermore, Mann–Whitney U-test revealed a significant difference (p<0.001) in total RSDI values between both groups when comparing the change of the pre-post data values, it was 23.94±0.95 for group A and 38.88±0.67 for group B. The independent t-test revealed a highly statistically significant increase (p<0.001) in the PPT values in the experimental group compared to the control group.
Conclusion
The physiotherapy program which included pulsed ultrasound therapy, sinus manual drainage technique, and self-sinus massage technique in conjunction with conventional medical treatment was more beneficial for enhancing the quality of life and PPT than traditional medical treatment alone in CRS patients.

Objective
To translate and culturally adapt the Information Needs in Cardiac Rehabilitation (INCR) questionnaire into Korean and perform psychometric validation.
Methods
The original English version of the INCR, in which patients are asked to rate the importance of 55 topics, was translated into Korean (INCR-K) and culturally adapted. The INCR-K was tested on 101 cardiac rehabilitation (CR) participants at Kangwon National University Hospital and Seoul National University Bundang Hospital in Korea. Structural validity was assessed using principal component analysis, and Cronbach’s alpha of the areas was computed. Criterion validity was assessed by comparing information needs according to CR duration and knowledge sufficiency according to receipt of education. Half of the participants were randomly selected for 1 month of re-testing to assess their responsiveness.
Results
Following cognitive debriefing, the number of items was reduced to 41 and ratings were added to assess participants’ sufficient knowledge of each item. The INCR-K structure comprised eight areas, each with sufficient internal consistency (Cronbach’s alpha>0.7). Criterion validity was supported by significant differences in mean INCR-K scores based on CR duration and knowledge sufficiency ratings according to receipt of education (p<0.05). Information needs and knowledge sufficiency ratings increased after 1 month of CR, thus supporting responsiveness (p<0.05).
Conclusion
The INCR-K demonstrated adequate face, content, cross-cultural, structural, and criterion validities, internal consistency, and responsiveness. Information needs changed with CR, such that multiple assessments of information needs may be warranted as rehabilitation progresses to facilitate patient-centered education.

Objective
To examine activities of daily living (ADL) and physical activity in older adults with heart failure admitted to a rehabilitation ward for subacute musculoskeletal disease.
Methods
This study included patients with musculoskeletal disease (aged ≥75 years) who were admitted to the rehabilitation ward. Data on age, ADL, and time for physical activity (metabolic equivalents [METs]) were collected. Patients were divided into groups with or without heart failure, and the differences were compared using Mann–Whitney U-test.
Results
This study included 84 musculoskeletal patients, including 25 with heart failure. The heart-failure group had similar levels of ADL independence compared to the without-heart-failure group (p=0.28) but had shorter duration of continuous and sustained physical activities and less total time (p<0.01) of light-intensity physical activity or higher.
Conclusion
Older adults with subacute musculoskeletal disease with heart failure do not necessarily require a large amount of physical activity to maintain ADL at the time of discharge. But very low physical activity may increase the risk for developing hospitalization-associated disability. Physical activity in older adults with subacute musculoskeletal disease with heart failure should be monitored separately from ADL.

Citations

• Relationship between independence in activities of daily living at discharge and physical activity at admission of older postoperative hip fracture rehabilitation inpatients: A retrospective case‐control study
  Tomoko Shimizu, Chiaki Kanai, Yasuyoshi Asakawa
  Physiotherapy Research International.2024;[Epub]     CrossRef
• Exploring the Causal Effects of Physical Activity, Sedentary Behaviour, and Diet on Atrial Fibrillation and Heart Failure: A Multivariable Mendelian Randomisation Analysis
  Yunong Zhang, Ye Tao, Hyunsoo Choi, Haonan Qian
  Nutrients.2024; 16(23): 4055.     CrossRef