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"Young Jin Song"

Clinical Practice Guideline

Geriatric Rehabilitation

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, Dong Hwan Kim, Du Hwan Kim, In Jong Kim, Myung Chul Kim, Won Kim, Yun Jung Lee, In Seok Lee, In-Sik Lee, JungSoo Lee, Chang-Hyung Lee, Seong Hoon Lim, Donghwi Park, Jung Hyun Park, Myungsook Park, Yongsoon Park, Ju Seok Ryu, Young Jin Song, Seoyon Yang, Hee Seung Yang, Ji Sung Yoo, Jun-il Yoo, Seung Don Yoo, Kyoung Hyo Choi, Jae-Young Lim
Ann Rehabil Med 2021;45(3):225-259.   Published online June 30, 2021
DOI: https://doi.org/10.5535/arm.21110
Objective
The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries. Methods Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method. Results A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost.
Conclusion
This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.

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Original Article
The Effect of Virtual Reality Training on Unilateral Spatial Neglect in Stroke Patients
Yong Mi Kim, Min Ho Chun, Gi Jeong Yun, Young Jin Song, Han Eun Young
Ann Rehabil Med 2011;35(3):309-315.   Published online June 30, 2011
DOI: https://doi.org/10.5535/arm.2011.35.3.309
Objective

To investigate the effect of virtual reality training on unilateral spatial neglect in stroke patients.

Method

Twenty-four stroke patients (14 males and 10 females, mean age=64.7) who had unilateral spatial neglect as a result of right hemisphere stroke were recruited. All patients were randomly assigned to either the virtual reality (VR) group (n=12) or the control group (n=12). The VR group received VR training, which stimulated the left side of their bodies. The control group received conventional neglect therapy such as visual scanning training. Both groups received therapy for 30 minutes a day, five days per week for three weeks. Outcome measurements included star cancellation test, line bisection test, Catherine Bergego scale (CBS), and the Korean version of modified Barthel index (K-MBI). These measurements were taken before and after treatment.

Results

There were no significant differences in the baseline characteristics and initial values between the two groups. The changes in star cancellation test results and CBS in the VR group were significantly higher than those of the control group after treatment. The changes in line bisection test score and the K-MBI in the VR group were not statistically significant.

Conclusion

This study suggests that virtual reality training may be a beneficial therapeutic technique on unilateral spatial neglect in stroke patients.

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