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"Rehabilitation"

Original Articles

Rehabilitation policy

Electrode Placement and Continence Outcomes in Pediatric Hirschsprung’s Disease: Rectal Versus Surface Stimulation After Trans-Anal Pull-Through Surgeries
Fathia Ahmed, Safi Ahmed, Hany Elgohary, Shymaa Salem, Enas Abutaleb, Mohamed Eldesoky
Ann Rehabil Med 2026;50(2):129-138.   Published online April 17, 2026
DOI: https://doi.org/10.5535/arm.250171
Objective
To compare the outcome of rectal and surface electrode stimulation, when performed concomitantly with routine anal sphincter (AS) exercises and bio-feedback training, in children who have received corrective surgery to address Hirschsprung disease (HD).
Methods
Sixty-seven patients (pediatric) who underwent corrective surgery due to HD were randomly assigned to Group A (rectal electrode, n=34) or Group B (surface electrode, n=33). The two groups were given the same protocols of AS and bio-feedback training. The Pediatric Quality of Life Inventory (PedsQL), Bowel Function Score (BFS), Pediatric Incontinence and Constipation Scoring System Scale (PICSS) were measured at baseline, post intervention and follow-up.
Results
There were significant improvements in both groups over time across all outcomes. PedsQL increased (d=0.42–1.28, η²p up to 0.37), BFS improved notably (d=1.21, η²p=0.35), and PICSS decreased (d up to 1.15, η²p=0.33). The greatest gains occurred from baseline to follow-up, with smaller but significant changes from post-treatment to follow-up, indicating sustained effects.
Conclusion
Electrical stimulation with rectal electrodes, combined with AS exercises and bio-feedback training, is a major way of improving bowel functioning, continence and quality of life in Hirschsprung child. Such results highlight the promise of multimodal rehabilitation and should be supported by additional multicenter studies.
  • 845 View
  • 33 Download

Dysphagia

Predictive Factors Associated With Dysphagia in Patients With Traumatic Brain Injury
Shu-Mei Yang, Ting-Ju Lai, Ya-Chu Hsu, Yu-Lin Lu, Hsing-Yu Chen, Hsiao-Ting Tsai, Sheng-Hao Cheng, Ming-Yen Hsiao, Meng-Ting Lin
Ann Rehabil Med 2026;50(2):117-128.   Published online April 17, 2026
DOI: https://doi.org/10.5535/arm.250157
Objective
To identify early clinical predictors associated with dysphagia and delayed swallowing recovery in patients with traumatic brain injury (TBI).
Methods
In this retrospective study, we enrolled adult TBI patients admitted to the rehabilitation unit of a tertiary medical center between June 2019 and June 2023. Data on baseline characteristics, neurological status, imaging findings, and rehabilitation-related variables were collected. Swallowing function was assessed using two indicators: (1) nasogastric (NG) tube retention and (2) the Functional Oral Intake Scale (FOIS) scores at 1, 4, and 12 weeks post-injury. Regression analyses were conducted to identify predictors associated with dysphagia and swallowing recovery.
Results
A total of 160 patients were included. At 1 week post-injury, longer intensive care unit (ICU) stay, poor initial sitting balance and use of sedative medication in ICU were associated with NG tube retention. At 4 weeks, lower initial Rancho Los Amigos Scale (RLAS) scores, immobility-related complications, longer hospitalization, and temporal lobe hematomas were associated with persistent NG tube dependence. By 12 weeks, older age, delayed ability to follow commands, and poor initial sitting balance remained associated with NG tube retention. FOIS outcomes were also associated with older age, delayed time to follow commands, impaired initial sitting balance, prolonged ICU stay, temporal lobe hematomas, lower initial RLAS scores, immobility-related complications, prolonged endotracheal tube placement and extended hospital stays.
Conclusion
Impaired cognitive status, poor physical function, immobility-related complications, and temporal lobe hematomas were key factors associated with dysphagia and delayed oral intake in individuals with TBI.
  • 974 View
  • 36 Download

Pain & Musculoskeletal rehabilitation

Psychometric Validation of the LBP-BSTv2 for Assessing Maladaptive Beliefs in Patients With Non-Specific Low Back Pain
Christophe Demoulin, Thibault Desjardins, Irène Salamun, Michael Norberg, Violaine Foltz, Florian Bailly, Laurent Pitance, Jean-François Kaux, Romain Artico
Ann Rehabil Med 2026;50(1):33-41.   Published online February 23, 2026
DOI: https://doi.org/10.5535/arm.250049
Objective
To assess maladaptive beliefs about low back pain (LBP), valid and reliable measurement tools are required. Although some tools exist to assess them, the Low Back Pain-related Beliefs Screening Tool (LBP-BST) was developed in order to explore all different categories of misbeliefs in individuals chronic low back pain (CLBP). This study aimed to evaluate the main psychometric properties of both the short and long versions of the revised LBPBSTv2.
Methods
A total of 108 patients with CLBP completed the LBP-BSTv2 to assess its potential floor/ceiling effects, internal consistency, and construct validity. The latter was evaluated by comparing scores with the Back Beliefs Questionnaire (BBQ). Test-retest reliability was assessed in 47 of the participants one week later.
Results
No floor or ceiling effects were observed. The short and long versions of the LBPBSTv2 showed strong construct validity, with significant correlations with BBQ scores. Internal consistency was acceptable to good (Cronbach’s alpha: 0.77–0.84), and test-retest reliability was high (intraclass correlation coefficient: 0.76–0.81).
Conclusion
The LBP-BSTv2 is a valid and reliable tool for assessing maladaptive beliefs in patients with CLBP. Its integration into clinical practice could help healthcare professionals identify and address unhelpful beliefs that may hinder rehabilitation. Further research is needed to confirm its usefulness in tracking changes over time and guiding individualized interventions and to study other psychometric properties such as responsiveness.
  • 1,295 View
  • 36 Download

Pain & Musculoskeletal rehabilitation

Impact of Social Restrictions During the Coronavirus Disease 2019 Pandemic on Functional Recovery After Musculoskeletal Surgery
Yuki Kurokawa, Satoshi Kato, Tamon Kabata, Hidenori Matsubara, Noriaki Yokogawa, Takaki Shimizu, Satoru Demura
Ann Rehabil Med 2026;50(1):12-21.   Published online February 19, 2026
DOI: https://doi.org/10.5535/arm.250137
Objective
To investigate the effects of social restrictions imposed during the coronavirus disease 2019 (COVID-19) pandemic on postoperative functional recovery in patients who underwent surgery for degenerative musculoskeletal disorders.
Methods
This longitudinal prospective cohort study included 291 patients categorized into pre-pandemic (surgery in 2018), early pandemic (2019), and late-pandemic (2020) groups based on their 1-year recovery period. The primary outcome was improvement in locomotive syndrome (LS) status 1 year after surgery. We analyzed the association between social limitations and LS improvement using multivariate logistic and segmented regression analyses.
Results
The late-pandemic group exhibited the lowest LS improvement rate (50.6%) and the highest prevalence of postoperative social contact limitations (61.0%). Multivariate analysis identified the absence of postoperative social contact limitation as a highly potent independent predictor of LS improvement (odds ratio, 10.01; 95% confidence interval, 5.40–19.34; p<0.01). Segmented regression analysis revealed a time lag: social contact limitations peaked in March 2020, whereas the decline in LS improvement rates began in October 2020.
Conclusion
Prolonged social restrictions negatively impacted functional recovery, particularly during the late phase of the pandemic. Social participation, specifically direct social contact, could be a critical and independent component of postoperative rehabilitation. These findings underscore the need to integrate psychosocial assessments into standard postoperative care to optimize patient outcomes.
  • 1,178 View
  • 32 Download

Orthosis & Prosthesis

Elastic Ankle Support Devices Effectively Promoted Walking Ability and Mobility of Ambulatory Individuals With Stroke
Thaksin Chanata, Wilairat Namwong, Thiwabhorn Thaweewanakij, Arpassanan Wiyanad, Pipatana Amatachaya, Sugalya Amatachaya
Ann Rehabil Med 2025;49(6):426-436.   Published online December 31, 2025
DOI: https://doi.org/10.5535/arm.250077
Objective
To compare the walking ability, mobility, and satisfaction among 24 ambulatory participants with stroke while walking under four conditions: without an ankle support device (ASD), with a plastic ankle-foot orthosis (AFO), and with two types of elastic ASDs— namely, a long ankle sling made from a 3- to 4-inch bandage, and elastic ankle support equipment (EASE) made from elastic bands with buttonholes and rivet buttons.
Methods
This crossover design study assessed spatiotemporal gait variables and mobility using the Timed Up and Go test (TUG) while participants walked under the four conditions in random order. They then completed a self-report questionnaire regarding satisfaction with the three ASDs. The findings were compared using the Friedman and Wilcoxon signed rank test.
Results
The participants’ spatiotemporal and TUG data improved significantly when walking with a long ankle sling and EASE compared to the other two conditions (p<0.05). Participants satisfied with the dimensions, weight, safety, security, and effectiveness of the long ankle sling and EASE (p<0.001). The EASE was also comfortable and easy to adjust, whereas the AFO was noted for its durability (p<0.01).
Conclusion
With the design to promote mobility during both the swing and stance phases, the present findings support the clinical benefits of elastic ASDs, specifically a long ankle sling and EASE. The EASE is also user-friendly; thus, it can be applied in various clinical and community settings, particularly in those with limited budget.
  • 686 View
  • 84 Download

Brain disorders

Artificial Intelligence-Guided Mobile Telerehabilitation for Individuals With Cognitive Impairment: A Feasibility Study
Suebeen Kim, Doo Young Kim, Si-Woon Park, Namo Jeon, Taeksoo Jeong, Min-Soo Kang, Sangwook Park
Ann Rehabil Med 2025;49(6):371-380.   Published online December 31, 2025
DOI: https://doi.org/10.5535/arm.250060
Objective
To test the feasibility and usability of an artificial intelligence (AI)-guided mobile cognitive telerehabilitation program for patients with stroke or older adults with mild cognitive impairment (MCI).
Methods
Thirteen participants with cognitive impairment (Mini-Mental State Examination [MMSE] score≤26; nine with stroke and four with MCI) were enrolled in the study. Each participant was provided with an AI-guided mobile cognitive rehabilitation program (Zenicog®). Participants were instructed to complete 24 sessions within 6 weeks, and those with sufficient adherence (≥70%, 17 sessions) were included in the analysis. Cognitive assessments included the MMSE, digit span, and Trail Making Tests A & B. The usability questionnaire investigated equitable use and flexibility in use, simple and intuitive use, perceptible information, tolerance for error, low physical effort, size and space for use, overall product quality, overall satisfaction.
Results
Eleven participants completed the study, and 10 participants met adherence criteria. The MMSE score increased significantly from 24.00 [21.00, 25.75] at baseline to 27.50 [26.00, 28.75] after intervention. The overall product quality (Likert scale: 1–5) score was 4.00±0.87. The lowest score in the usability questionnaire was for tolerance for error. Female participants and participants with <12 years’ education gave lower scores for tolerance for error and equitable/ flexibility in use, respectively.
Conclusion
The AI-guided mobile cognitive telerehabilitation program is feasible and potentially beneficial for improving cognitive function in patients with stroke or older adults with MCI. Individuals who are less familiar with electronic devices require special consideration to improve their usability.

Citations

Citations to this article as recorded by  
  • AI-driven telerehabilitation for older adults with mild cognitive impairment: a randomized controlled trial
    Minsong Kim, Doo Young Kim, Taeksoo Jeong, Si-Woon Park
    Frontiers in Neurology.2026;[Epub]     CrossRef
  • 1,166 View
  • 76 Download
  • 1 Web of Science
  • 1 Crossref

Cardiopulmonary rehabilitation

Comparison of Center-Based and Tele-Cardiac Rehabilitation in Coronary Artery Disease: Effects on Functional Capacity, QoL, and Kinesiophobia
Nihan Burhandağ Solhan, Levent Karataş, Ayça Utkan Karasu, İlknur Onurlu, Salih Topal, Nesrin Demirsoy
Ann Rehabil Med 2025;49(5):310-322.   Published online October 31, 2025
DOI: https://doi.org/10.5535/arm.250086
Objective
To compare the efficacy, safety, and patient compliance of tele-cardiac rehabilitation (T-CR) versus center-based cardiac rehabilitation (C-CR) in patients with coronary artery disease (CAD). A secondary aim was to assess the effects of both interventions on quality of life (QoL) and kinesiophobia.
Methods
This nonrandomized, patient-preference controlled trial included 40 CAD patients (83% post-myocardial infarction) at a university hospital. Participants selected either C-CR or T-CR. The four-week intervention included supervised in-hospital exercise (C-CR) or telemonitored exercise with heart rate feedback (T-CR). The primary outcome was peak oxygen uptake (VO2 peak). Secondary outcomes included VO2 at ventilatory anaerobic threshold (VO2 at VAT), time to VAT, oxygen pulse, QoL, Fear of Activity in Patients with Coronary Artery Disease (Fact-CAD) scores, and exercise adherence.
Results
Baseline VO2 peak was higher in the T-CR group (23.2±3.5 vs. 19.4±4.2, p=0.004). Rehabilitation improved VO2 peak (p<0.001), VO2 at VAT (p=0.004), and time to VAT (p<0.001) in both groups. Fact-CAD scores decreased (p=0.004), and QoL improved (p<0.001). However, C-CR led to greater kinesiophobia reduction (p=0.038) and slightly higher QoL improvements (p=0.05). T-CR participants completed more exercise sessions (14.9±2.9 vs. 12.0±0, p<0.001), with no serious adverse events reported.
Conclusion
T-CR is a safe and effective alternative to C-CR, providing similar physiological benefits. However, C-CR may be superior in reducing kinesiophobia. Future studies should assess long-term adherence and psychological outcomes in diverse populations.

Citations

Citations to this article as recorded by  
  • Intervention to improve kinesiophobia in patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials
    Lingqiao Gong, Panpan Xu, Xue Chen, Yue Kuang, Hong Tang
    BMC Cardiovascular Disorders.2026;[Epub]     CrossRef
  • 2,085 View
  • 62 Download
  • 1 Web of Science
  • 1 Crossref

Neuromuscular disorders

Effect of Telerehabilitation Exercise Program on Sleep Quality and Fatigue in Individuals With Multiple Sclerosis
Abdulkerim Kaya, Evrim Karadağ-Saygı, Zeynep Kucukosmanoglu, Özge Keniş-Coşkun, Kadriye Ağan Yıldırım
Ann Rehabil Med 2025;49(5):302-309.   Published online October 31, 2025
DOI: https://doi.org/10.5535/arm.250010
Objective
To examine the effect of the telerehabilitation program on sleep quality and fatigue level in patients with multiple sclerosis (MS) was aimed in this study. MS is a demyelinating disease defined by various signs and symptoms that affects physical, emotional, social, and cognitive functioning. Fatigue, depression, sleep disturbance and cognitive impairment are the among common symptoms of MS.
Methods
The study implemented an individual exercise program for twice a week for 12 weeks via telerehabilitation. In the home-based video exercise group, the same exercises were given as video recordings and the patients were asked to do the exercises twice a week for 12 weeks. Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), Multiple Sclerosis Quality of Life Scale-54 and Timed 25 Foot Walk Test were used in the evaluation. The trial is registered with the number of NCT04979845 on ClinicalTrials.gov.
Results
PSQI scores changed from 5.6 (2.1) to 3.66 (2.09) in telerehabilitation group (p=0.03) while no significant change were seen in the video exercise group. Similarly FSS scores decreased from 4.37 (1.42) to 3.67 (1.68) in telerehabilitation group (p=0.04) while no significant changes were seen in the video based exercise group.
Conclusion
The telerehabilitation program is thought to be an effective and accessible non-pharmacological application that can be used in the treatment of sleep quality and fatigue in individuals with MS.

Citations

Citations to this article as recorded by  
  • Comparative efficacy of non- pharmacological interventions on sleep quality in patients with multiple sclerosis: a systematic review and network meta-analysis
    Yanping Liu, Xiaoli Zhao, Congying Luo, Ai Chen, Xiaopeng Zeng
    PeerJ.2026; 14: e20900.     CrossRef
  • FATIGUE IN MULTIPLE SCLEROSIS – MECHANISMS, DIAGNOSIS, AND TREATMENT OPTIONS
    Kornelia Kaźmierkiewicz-Makanga, Weronika Spychalska, Emilia Piotrowicz, Filip Witowicz, Julia Glińska, Aleksandra Krawczyk, Wiktoria Waldon, Paulina Sumlet, Maria Gofron, Michał Duliński
    International Journal of Innovative Technologies in Social Science.2025;[Epub]     CrossRef
  • 1,747 View
  • 50 Download
  • 1 Web of Science
  • 2 Crossref

Cardiopulmonary rehabilitation

Evaluation of the Psychometric Properties of the Thai Version of the Cardiac Rehabilitation Barriers Scale
Rakchanoke Kotcharoen, Kieratikan Payngulume, Teepatad Chintapanyakun
Ann Rehabil Med 2025;49(4):246-256.   Published online August 29, 2025
DOI: https://doi.org/10.5535/arm.250022
Objective
To increase participation in cardiac rehabilitation among outpatients with heart disease in Thailand. Factors contributing to low participation are poorly understood. A scale is needed to identify barriers to participation in cardiac rehabilitation. This study aimed to evaluate the psychometric properties of the newly translated Cardiac Rehabilitation Barriers Scale Thai version to justify its use in the Thai population with cardiovascular diseases.
Methods
Psychometric testing was conducted using a cross-sectional survey of 200 outpatients at a Bangkok hospital eligible for the cardiac rehabilitation program from April 2023 to mid-April 2024. Construct validity was evaluated using principal axis factor analysis and first- and second-order confirmatory factor analysis. Cronbach’s alpha assessed the scale’s internal consistency.
Results
The average age of the total sample was 62.60±12.37 years. Principal axis factoring with Oblimin rotation and Kaiser normalization extracted four components (subscales) that explained 61.8% of the cumulative percentage of variance. These were labeled work and time conflicts, lack of perceived need factors, comorbidities, and logistical barriers. Values for the confirmatory factor analysis goodness of fit indices exceeded recommended minimum thresholds. The internal consistencies for the total scale and the four components were entirely acceptable.
Conclusion
The Cardiac Rehabilitation Barriers Scale Thai version has acceptable psychometric properties for Thai outpatients with cardiovascular diseases. It may be used to identify barriers to participating in cardiac rehabilitation, promote rehabilitation attendance, and improve patient care.
  • 3,012 View
  • 78 Download

Review Article

Others

Wearable Robots for Rehabilitation and Assistance of Gait: A Narrative Review
Jun Min Cha, Juntaek Hong, Jehyun Yoo, Dong-wook Rha
Ann Rehabil Med 2025;49(4):187-195.   Published online August 18, 2025
DOI: https://doi.org/10.5535/arm.250093
Wearable robotic exoskeletons have emerged as promising technologies for enhancing gait rehabilitation and providing mobility assistance in individuals with neurological and musculoskeletal disorders. This narrative review summarizes recent advances in wearable robots—including both rigid exoskeletons and soft exosuits—and evaluates their clinical application across diverse conditions such as stroke, spinal cord injury, cerebral palsy, and Parkinson’s disease. For rehabilitation purposes, these devices enable repetitive, task-specific gait training that promotes motor learning, reduces therapist burden, and facilitates improvements in walking speed, balance, and endurance. Rigid exoskeletons provide substantial joint support and are particularly effective for patients with severe gait impairments, whereas soft exosuits offer lightweight assistance suited to individuals with milder deficits or fatigue, albeit with limited capacity to deliver high-torque support. Beyond rehabilitation, wearable robots are increasingly used as assistive devices to compensate for permanent gait limitations and restore mobility in daily life. However, widespread clinical adoption remains constrained by several challenges, including a lack of standardized protocols; limited evidence from large-scale, multicenter studies; and practical issues such as device weight, comfort, and ease of use in community settings. Recent developments—such as adaptive control algorithms, volition-adaptive assistance, and artificial intelligence integration—are addressing these barriers by enabling more personalized and responsive support. With continued research investment, user-centered design, and supportive policies, wearable exoskeletons hold considerable potential to improve independence, participation, and quality of life for individuals across a broad spectrum of mobility impairments.

Citations

Citations to this article as recorded by  
  • The potential of robotics: A systematic review of neuroplastic changes following advanced lower limb rehabilitation in neurological disorders
    Rocco Salvatore Calabrò, Andrea Calderone, Laura Simoncini, Antonino Naro, Lorenzo Octavio Small Haughton, Angelo Quartarone, Carl Froilan D. Leochico
    Neuroscience & Biobehavioral Reviews.2026; 180: 106459.     CrossRef
  • A review of treatment methods for movement disorders
    Mahdi Khezri, Shakiba Afsar
    Behavioural Brain Research.2026; 500: 115979.     CrossRef
  • Transforming telemedicine through predictive, preventive, and personalized medicine (PPPM): innovations, challenges, and future directions
    Yufan Yang, Wangzheqi Zhang, Chang Liu, Haoling Zhang, Xinyu Shen, Yan Liao, Wenwen Shi, Li Gui
    EPMA Journal.2026; 17(1): 21.     CrossRef
  • Trust Isn’t Binary: Analysis of User Sentiment for Assistive Human–Robot Interaction
    Randyll Pandohie, Edgard M. Maboudou-Tchao, Nihad Habizada, Morris Beato, Aman Behal
    Machines.2026; 14(5): 488.     CrossRef
  • A Soft Wheel Robotic Cane for Light Mobility Disabilities
    Tomás Ferreira, João Silva Sequeira, Isabel Marques Santos, Ana Marques Oliveira
    Actuators.2026; 15(5): 232.     CrossRef
  • Interpretable side-aware kinematic-sEMG gait-state representations relevant to adaptive neurorobotic assistance after stroke: a public-dataset study
    Rocco Salvatore Calabrò, Andrea Calderone, Alessio Baricich, Andrea Santamato, Francesca Antonia Arcadi, Alessandro Marco De Nunzio, Angelo Quartarone
    Frontiers in Neurorobotics.2026;[Epub]     CrossRef
  • Design and analysis of lower limb rehabilitation exoskeleton based on pneumatic artificial muscle
    Tianhong Luo, Xiangyu Ma, Tianhao Feng, Yuan Li, Changdeng Hou
    Smart Materials and Structures.2026; 35(6): 065003.     CrossRef
  • Influence of Rehabilitation Aid Use on Obstacle Height During Gait in Patients with Foot Drop: A Case Series Study
    Joonsung Park, Himchan Shim, Changho Jang, Hanyang Yin, Jongbin Kim
    Healthcare.2025; 13(22): 2984.     CrossRef
  • A Wearable System for Knee Osteoarthritis: Based on Multimodal Physiological Signal Assessment and Intelligent Rehabilitation
    Jingyi Hu, Shuyi Wang, Yichun Shen, Xinrong Miao
    Sensors.2025; 25(23): 7334.     CrossRef
  • Ethical Horizons in Robotic Rehabilitation: Ensuring Safe AI Use Under the EU AI Act
    Rocco Salvatore Calabrò
    Medical Sciences.2025; 13(4): 317.     CrossRef
  • 10,163 View
  • 277 Download
  • 9 Web of Science
  • 10 Crossref

Original Articles

Cancer rehabilitation

Effects of Home-Based Rehabilitation for Patients With Advanced Lung Cancer Undergoing Platinum-Based Chemotherapy: A Randomized Controlled Trial
Mi Jin Hong, Yung Jin Lee, Jong Bum Park, Sin Yung Woo, Seungcheol Lee, Hokwan Ko, Ji Woong Son
Ann Rehabil Med 2025;49(3):164-174.   Published online June 20, 2025
DOI: https://doi.org/10.5535/arm.240072
Objective
To investigate the effects of a home-based rehabilitation program on physical capacity, lung function, and health-related quality of life (QOL) in patients with advanced lung cancer undergoing platinum-based chemotherapy.
Methods
Between December 2021 and December 2023, participants were randomly assigned to exercise and control groups. The exercise group engaged in a home-based exercise program, including respiratory, aerobic, and resistance training, for 60 minutes per session, three times per week, before the first tumor response evaluation. Outcome evaluations included the 6-minute walk test, spirometry to measure lung function (specifically assessing forced expiratory volume in 1 second [FEV1] and forced vital capacity, hand grip strength, and QOL assessments using the Short Form 36-Item Health Survey and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer Module 29. Participants were assessed at baseline, post-intervention, and followed up for 1 year.
Results
Twenty-one of the 26 participants completed the study. The control group showed a significant decrease in FEV1 (p=0.011). Delays in chemotherapy occurred in 40.0% of participants in the control group but none in the exercise group (p=0.019). Mental health showed improvement in the exercise group (p=0.041), whereas adverse effects were more common in the control group (p=0.007), according to QOL questionnaire results.
Conclusion
Home-based rehabilitation during chemotherapy may help maintain lung function, improve mental health, and reduce side effects in patients with lung cancer, warranting further research.

Citations

Citations to this article as recorded by  
  • Nurse-supported hybrid home-based pulmonary rehabilitation improves psychological distress, quality of life, and functional performance in advanced lung cancer: A randomized controlled trial
    Wei-Ling Liu, Jung-Yien Chien, Yu-Ying Lu, Kuei-Fen Liu
    European Journal of Oncology Nursing.2026; 81: 103130.     CrossRef
  • The Role of Pulmonary Rehabilitation in Inoperable Advanced Lung Cancer: A Scoping Review
    Huang Yi, Zeng Fan, Feng Lijuan, Ricardo Santiago Gomez
    European Journal of Cancer Care.2026;[Epub]     CrossRef
  • Construction of the central symptom cluster management program for patients with lung cancer undergoing chemotherapy: a Delphi study
    Le Zhang, Yuanyuan Luo, Dongmei Mao, Benxiang Zhu, Zhihui Yang, Cui Cui, Jingxia Miao, Lili Zhang
    BMC Nursing.2025;[Epub]     CrossRef
  • 9,290 View
  • 153 Download
  • 4 Web of Science
  • 3 Crossref

Brain disorders

Objective
To examine the contribution of perceived upper limb function to participation and activity among community-dwelling people with chronic stroke.
Methods
A cross-sectional study was conducted with eighty-one people with stroke aged ≥50 years. The outcome measures included the Oxford Participation and Activities Questionnaire (Ox-PAQ), Arm Activity Measure (ArmA), Wolf Motor Function Test (WMFT), Timed Up and Go Test (TUG), and Geriatric Depression Scale (GDS).
Results
Correlation analyses revealed that perceived upper limb function, as measured using the ArmA, had the strongest and most significant correlations with the levels of participation and activity, as measured using the Ox-PAQ, among all of the tested variables (rs=0.35–0.59, p<0.01). Multiple linear regression analyses also showed that perceived upper limb function significantly associated the levels of participation and activity, accounting for 2.0% to 9.0% of the variance in the Ox-PAQ scores. The final model, which included TUG time, the GDS score, the WMFT score, and the ArmA score, could explain 54% and 28% of the variance in the routine activities and social engagement subscales of the Ox-PAQ, respectively. The model including the GDS score, the WMFT score, and the ArmA score explains 32% of the variance in the emotional well-being subscale of the Ox-PAQ.
Conclusion
Perceived upper limb function is a crucial determinant of participation and activity among community-dwelling people with chronic stroke. It could thus be a target component of stroke rehabilitation interventions to facilitate participation and activity after stroke.

Citations

Citations to this article as recorded by  
  • Upper Limb Capacity, Performance, and Leisure Participation in Children with Unilateral Cerebral Palsy
    Manel Abid, Isabelle Poitras, Léandre Gagné-Pelletier, Carole Rigourd, Charles Sèbiyo Batcho, Catherine Mercier
    Sensors.2025; 25(23): 7120.     CrossRef
  • 5,260 View
  • 87 Download
  • 1 Web of Science
  • 1 Crossref

Brain disorders

Korean Version of the Confidence of Arm and Hand Movement Scale and Its Psychometric Properties
Hanna Kim, Yeajin Ham, Joon-Ho Shin
Ann Rehabil Med 2025;49(2):104-112.   Published online April 30, 2025
DOI: https://doi.org/10.5535/arm.240077
Objective
To investigate the impact of self-efficacy in using one’s upper limbs on the overall wellbeing of stroke patients, we developed the Korean version of the Confidence of Arm and Hand Movement (K-CAHM) scale by modifying the original CAHM to suit Korean cultural conditions.
Methods
This study was conducted from May 2022 to June 2023 at a rehabilitation hospital with 54 stroke patients. Participants with sufficient cognitive and verbal abilities were included, while those with severe comorbidities were excluded. For the translation and cultural adaptation of CAHM into Korean, permission was obtained from the original author. Two translators independently translated the questionnaire, followed by a consensus discussion and expert review to create K-CAHM version 1.0. After back-translation and further review, the final Korean version was completed. Reliability and validity were assessed using Cronbach’s alpha, intraclass correlation coefficient (ICC), exploratory factor analysis, Bland–Altman analysis, and Pearson correlation.
Results
The K-CAHM showed good reliability (Cronbach’s alpha=0.97; ICC=0.895). Bland–Altman plot analysis showed good agreement, indicating test-retest reliability. Moreover, K-CAHM showed good concurrent validity, demonstrated by its correlation with three domains of the International Classification of Functioning, Disability and Health: Fugl-Meyer assessment, the Jebsen-Taylor Hand Function Test, personal hygiene and bathing in the modified Barthel Index, and hand and stroke recovery domain in the Stroke Impact Scale.
Conclusion
The newly developed K-CAHM could complement other outcome measures, facilitating patient-centered rehabilitation in the Korean context.
  • 4,397 View
  • 47 Download

Cardiopulmonary rehabilitation

Would Integrating Inspiratory Muscle Training into Pulmonary Rehabilitation of Adults with Burn Injuries Have Any Advantageous Effects? a Randomized, Double-Blind, Sham-controlled Study
Nabil Mahmoud Abdel-Aal, Maged A. Basha, Saleh M. Aloraini, Alshimaa R. Azab, FatmaAlzahraa H. Kamel
Ann Rehabil Med 2025;49(1):30-39.   Published online February 28, 2025
DOI: https://doi.org/10.5535/arm.240092
Objective
To determine the effectiveness of adding inspiratory muscle training (IMT) alongside a pulmonary rehabilitation protocol in terms of inspiratory muscle strength, lung function, and exercise capacity in burned adults.
Methods
A randomized, double-blinded, sham-controlled study. Fifty-two adult patients with burn injuries, more than 20 years old and at least 20% total body surface area, were assigned randomly either to the experimental or the conventional group. The participants in the experimental group were given IMT plus a pulmonary rehabilitation program; the conventional group received only a pulmonary rehabilitation program. The interventions were performed for 8 weeks. At the beginning and after 8 weeks of training, the respiratory muscles’ strength, lung function and exercise capacity were all examined.
Results
After 2 months of training, the experimental group demonstrated statistically significant improvements than conventional group in maximum inspiratory pressure, maximum expiratory pressure, 6-minute walk test, forced vital capacity, and forced expiratory volume in 1 second (p<0.05).
Conclusion
An 8-week IMT program coupled with pulmonary rehabilitation increases respiratory muscle strength, pulmonary functions, and functional capacity in burn patients. IMT is a beneficial and efficient therapy that can be easily implemented for burn patients.
  • 5,405 View
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Physical therapy

Early Rehabilitation Interventions by Physical Therapists for Severe COVID-19 Patients Were Associated With Decreased Incidence of Post-ICU Physical Impairment
Shinya Oku, Junji Hatakeyama, Keibun Liu, Kentaro Tojo, Masafumi Idei, Shigeaki Inoue, Kazuma Yamakawa, Takeshi Nishida, Shinichiro Ohshimo, Satoru Hashimoto, Shuhei Maruyama, Yoshitaka Ogata, Daisuke Kawakami, Hiroaki Shimizu, Katsura Hayakawa, Yuji Fujino, Taku Oshima, Tatsuya Fuchigami, Hironori Yawata, Kyoji Oe, Akira Kawauchi, Hidehiro Yamagata, Masahiro Harada, Yuichi Sato, Tomoyuki Nakamura, Kei Sugiki, Takahiro Hakozaki, Satoru Beppu, Masaki Anraku, Noboru Kato, Tomomi Iwashita, Hiroshi Kamijo, Yuichiro Kitagawa, Michio Nagashima, Hirona Nishimaki, Kentaro Tokuda, Osamu Nishida, Kensuke Nakamura
Ann Rehabil Med 2025;49(1):49-59.   Published online February 28, 2025
DOI: https://doi.org/10.5535/arm.240066
Objective
To implement early rehabilitation interventions by physical therapists is recommended. However, the effectiveness of early rehabilitation for severe coronavirus disease 2019 (COVID-19) patients in the prevention of post-intensive care syndrome (PICS) is unclear. We analyzed a multicenter prospective observational study (Post-Intensive Care outcomeS in patients with COronaVIrus Disease 2019) to examine the association between early rehabilitation interventions and PICS physical impairment.
Methods
An analysis was performed on COVID-19 patients who were admitted to intensive care units (ICUs) between March 2020 and March 2021, and required mechanical ventilation. The primary outcome was the incidence of PICS physical impairment (Barthel Index≤90) after one year. Multivariate logistic regression analysis was used to estimate the association between early rehabilitation interventions and PICS physical impairment by adjusting ICU mobility scale (IMS) during seven-day following ICU admission, and clinically relevant risk factors.
Results
The analysis included 259 patients, 54 of whom developed PICS physical impairment one year later. In 81 patients, physical therapists intervened within seven days of ICU admission. There was no significant difference in mean IMS by day seven of admission between the early and non-early rehabilitation patients (0.70 and 0.61, respectively). Multivariate logistic regression analysis showed that early rehabilitation interventions were significantly associated with a low incidence of PICS physical impairment (odds ratio, 0.294; 95% confidence interval, 0.123–0.706; p=0.006).
Conclusion
Early rehabilitation interventions by physical therapists were an independent factor associated with the decreased development of PICS physical impairment at one year, even though early rehabilitation had no significant effect on IMS.

Citations

Citations to this article as recorded by  
  • Post-COVID Respiratory Sequelae in COPD: Mucus Plugging, Infectious Complications, and Risk-Stratified Follow-Up
    Florina Cristiana Lucaciu, Norbert Wellmann, Ana Maria Mihai, Alexandra Sima, Ovidiu Rosca, Madalina-Ianca Suba, Andrada Tarau, Alexandra Bosoanca, Monica Marc
    Journal of Clinical Medicine.2026; 15(8): 2890.     CrossRef
  • 5,578 View
  • 76 Download
  • 1 Web of Science
  • 1 Crossref

Review Article

Neuromuscular disorders

Effectiveness of Non-Pharmacological Interventions for Spasticity Management in Multiple Sclerosis: A Systematic Review
Bhasker Amatya, Fary Khan, Krystal Song, Mary Galea
Ann Rehabil Med 2024;48(5):305-343.   Published online October 31, 2024
DOI: https://doi.org/10.5535/arm.240064
This systematic review aims to determine the effectiveness of non-pharmacological interventions for the management of spasticity in people with multiple sclerosis (pwMS). A comprehensive literature search in health science databases (MEDLINE, Embase, CENTRAL, CINHAL) was performed to identify randomized controlled trials (RCTs) (up to April 2024). Manual searching in journals and screening of the reference lists of identified studies were conducted. Two authors independently selected the studies, assessed the methodological quality, and summarized the evidence. A meta-analysis was not feasible due to the methodological, clinical, and statistical diversity of the included studies. Overall, 32 RCTs (n=1,481 participants) investigated various types of non-pharmacological interventions including: physical activity, transcranial magnetic stimulation (intermittent theta burst stimulation [iTBS], repetitive transcranial magnetic stimulation [rTMS]), electromagnetic therapy, transcutaneous electrical nerve stimulation, vibration therapy, shock wave therapy, self-management educational programs, and acupuncture. All studies scored ‘low’ on the methodological quality assessment, implying a high risk of bias. The findings suggest ‘moderate to low certainty’ evidence for physical activity programs used in isolation or combination with other interventions (pharmacological or non-pharmacological), and for iTBS/rTMS with or without adjuvant exercise therapy in improving spasticity in adults with MS. There is ‘very low certainty’ evidence supporting the use of other modalities for treating spasticity in this population. Despite a wide range of non-pharmacological interventions used for the management of spasticity in pwMS, there is a lack of conclusive evidence for many. More robust trials with larger sample sizes and longer-term follow-ups are needed to build evidence for these interventions.

Citations

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  • Development and validation of a practical documentation of inpatient rehabilitation goals, therapy content and outcomes for improving mobility in people with multiple sclerosis in Austria: A multicentre single-arm pragmatic clinical trial
    Andreas Wanitschek, Barbara Seebacher, Barbara Linert, Andreas Mühlbacher, Robert Hatschenberger, Nicole Kranawetter, Lisa Tischler, Monika Scarpatetti, Verena Walder, Alexandra Holzinger, Bernhard Haider, Doris Hörtenhuber, Eva Kronberger-Schaffer, Vikto
    Multiple Sclerosis and Related Disorders.2026; 109: 107100.     CrossRef
  • The effect of the EXOPULSE Mollii suit on motor functions in patients with multiple sclerosis – a randomized sham-controlled crossover trial
    Samar S Ayache, Joseph G Mattar, Alain Créange, Mohamed Abdellaoui, Mickael Zedet, Jean-Pascal Lefaucheur, Hana Megherbi, Hayfa Khaled, Georges Naïm Abi Lahoud, Moussa A Chalah
    Multiple Sclerosis Journal – Experimental, Translational and Clinical.2025;[Epub]     CrossRef
  • Efeito agudo do ultrassom no padrão espástico do bíceps braquial em indivíduos com distúrbios neurológicos
    João Sávio Carneiro Silva, Letícia Costa Mengoni, Gabriel Pádua da Silva, Wellington Marcelo Queixas Moreira, Oswaldo Luiz Stamato Taube, Bruno Ferreira
    RCMOS - Revista Científica Multidisciplinar O Saber.2025;[Epub]     CrossRef
  • Balancing innovation and affordability in relapsing-remitting multiple sclerosis: a budget impact analysis from Saudi Arabia
    Ahmed Al-Jedai, Hajer Almudaiheem, Faisal Al-Suweidan, Mohamed al Jumah, Ahmed al-Thobaiti, Fahad Alzureiqan, Wejdan Abu Ras, Fahad M. Al-Dosari, Yaser Al Malik, Pratik Dhopte, Rita Ojeil
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • Trigeminal neuralgia in multiple sclerosis patients: a systematic review and meta-analysis of minimally invasive surgical procedures, decompression, and the pain outcomes
    Daniel Encarnación-Santos, Gennady Chmutin, Nazmin Ahmed, Egor Chmutin, Emmanuel Batista-Geraldino, Bipin Chaurasia
    Headache Medicine.2025; 16(4): 244.     CrossRef
  • 16,426 View
  • 225 Download
  • 3 Web of Science
  • 5 Crossref

Original Articles

Brain disorders

Objective
To distinguish infarct location and type with the utmost precision using the advantages of the Swin UNEt TRansformers (Swin UNETR) architecture.
Methods
The research employed a two-phase training approach. In the first phase, the Swin UNETR model was trained using the Ischemic Stroke Lesion Segmentation Challenge (ISLES) 2022 dataset, which included cases of acute and subacute infarcts. The second phase involved training with data from 309 patients. The 110 categories result from classifying infarcts based on 22 specific brain regions. Each region is divided into right and left sides, and each side includes four types of infarcts (acute, acute lacunar, subacute, subacute lacunar). The unique architecture of Swin UNETR, integrating elements of both the transformer and u-net designs with a hierarchical transformer computed with shifted windows, played a crucial role in the study.
Results
During Swin UNETR training with the ISLES 2022 dataset, batch loss decreased to 0.8885±0.1897, with training and validation dice scores reaching 0.4224±0.0710 and 0.4827±0.0607, respectively. The optimal model weight had a validation dice score of 0.5747. In the patient data model, batch loss decreased to 0.0565±0.0427, with final training and validation accuracies of 0.9842±0.0005 and 0.9837±0.0010.
Conclusion
The results of this study surpass the accuracy of similar studies, but they involve the issue of overfitting, highlighting the need for future efforts to improve generalizability. Such detailed classifications could significantly aid physicians in diagnosing infarcts in clinical settings.

Citations

Citations to this article as recorded by  
  • Deep learning–based cognitive impairment brain imaging analysis: New methods, new technologies, and new paradigms
    Qingqin Xu, Jianwei Lu, Zhongfu Zhang, Dongsheng Xu, Chengxiang Guo
    Neural Regeneration Research.2026; 21(9): 4135.     CrossRef
  • Prediction of NIHSS Scores and Acute Ischemic Stroke Severity Using a Cross-attention Vision Transformer Model with Multimodal MRI
    Pahati Tuxunjiang, Chencui Huang, Zhen Zhou, Wenyi Zhao, Bingyan Han, Weixiong Tan, Jingru Wang, HuangHanjiaerbieke Kukun, Wei Zhao, Rui Xu, Ainikaerjiang Aihemaiti, Yimuran Subi, Jingyang Zou, Chao Xie, Yifan Chang, Yunling Wang
    Academic Radiology.2025; 32(9): 5453.     CrossRef
  • 8,301 View
  • 79 Download
  • 2 Web of Science
  • 2 Crossref

Cardiopulmonary rehabilitation

The Accessibility and Effect of Cardiac Rehabilitation in COVID-19 Pandemic Era
Chul Kim, Jun Hyeong Song, Seung Hyoun Kim
Ann Rehabil Med 2024;48(4):249-258.   Published online July 30, 2024
DOI: https://doi.org/10.5535/arm.240021
Objective
To prospectively compare the efficacy of conventional center-based cardiac rehabilitation (CBCR) and home-based cardiac rehabilitation (HBCR) during the coronavirus disease 2019 (COVID-19) pandemic.
Methods
Ninety Patients were divided into HBCR and CBCR groups based on cardiovascular risk stratification and individual preference. The CBCR group performed supervised in-hospital exercise training 2–3 times/week and subsequent self-exercise at home. The HBCR group performed self-exercise at home after one or two sessions of exercise education. The cardiopulmonary exercise test results at baseline and those at the 3-, 6-, and 12-month follow-ups were analyzed as primary outcome.
Results
The peak oxygen consumption (peak VO2, mL/kg/min) in the CBCR group was 20.1 and 24.0 at baseline and 12 months, respectively, showing significant improvement (p=0.006). In the HBCR group, it only increased from 24.4 to 25.5, showing suboptimal improvement. A significant increase in the Korean activity scale/index was confirmed only in the CBCR group (p=0.04). The cardiovascular outcome did not differ between the two groups, nor did the dropout rate or demographic factors.
Conclusion
During the COVID-19 pandemic, only CBCR was associated with a significant improvement in peak VO2 and physical activity levels, a finding that differs from those of other studies and seems to be affected by COVID-19. Therefore, in situations where the importance of HBCR is emphasized, it is essential to introduce measures to monitor and enhance exercise adherence among participants.

Citations

Citations to this article as recorded by  
  • Design and Rationale of the EARMI Trial: A Randomized Controlled Trial on Early-Phase Cardiac Rehabilitation Post-Percutaneous Coronary Intervention in Acute Myocardial Infarction Patients
    Kaiyuan Cen, Fatimah Ahmedy, Mexmollen Marcus, Mohd Fadzli Shukor, Sukhbeer Kaur Darsin Singh
    Cardiology.2026; : 1.     CrossRef
  • Prognostic Factors for Responders of Home-Based Pulmonary Rehabilitation—Secondary Analysis of a Randomized Controlled Trial
    Chul Kim, Hee-Eun Choi, Chin Kook Rhee, Jae Ha Lee, Ju Hyun Oh, Jun Hyeong Song
    Healthcare.2025; 13(3): 308.     CrossRef
  • Cardiovascular disease prevention and management in COVID-19: a clinical consensus statement of the European Association of Preventive Cardiology, the European Association of Cardiovascular Imaging, the Association of Cardiovascular Nursing & Allied Profe
    Vassilios S Vassiliou, Vasiliki Tsampasian, Maria Luiza Luchian, Flavio D’Ascenzi, Fabrizio D’Ascenzo, Marc R Dweck, Javier Escaned, Sabiha Gati, Martin Halle, Konstantinos C Koskinas, Lis Neubeck, Michael Papadakis, Steffen E Petersen, Arsen Ristic, Marc
    European Journal of Preventive Cardiology.2025;[Epub]     CrossRef
  • 7,257 View
  • 61 Download
  • 3 Web of Science
  • 3 Crossref

Pain & Musculoskeletal rehabilitation

Changes in Health-Related Quality of Life by Patient Education and Rehabilitation Based on a Behavior Change Program in Knee Osteoarthritis
Takako Nagai, Hiroshi Uei, Kazuyoshi Nakanishi
Ann Rehabil Med 2024;48(3):211-219.   Published online June 19, 2024
DOI: https://doi.org/10.5535/arm.240010
Objective
The purpose of this study was to examine how rehabilitation and patient education for knee osteoarthritis improves health-related quality of life (HRQOL) and to identify factors influencing HRQOL.
Methods
Between May 2020 and March 2022, 30 patients with osteoarthritis of the knee were treated conservatively and rehabilitated with a patient education program. The patient education program was based on the health belief model by Sedlak et al., and patient education using pamphlets was provided during the rehabilitation intervention. The survey items were patient basic information, instrumental activities of daily living (ADL) (FAI), fear of falling (FES), degree of depression (GDS), HRQOL (SF-8), knee function assessment (JOA score), and X-ray classification (K-L classification), and the survey method was a self-administered questionnaire at the start of rehabilitation, 1 month after the intervention, and at the end of the rehabilitation intervention. We examined factors affecting the physical component summary (PCS) and mental component summary (MCS) of HRQOL scores.
Results
JOA score, FES, FAI, GDS, and SF-8 improved significantly (p<0.01). MCS was also negatively correlated with FES and age (r=-0.486, -0.368). Sex was extracted as a factor for PCS as a factor affecting HRQOL (p<0.01). MCS was extracted with FES as a factor (p=0.046).
Conclusion
A rehabilitation intervention incorporating patient education in osteoarthritis of the knee showed improvement in HRQOL and may be useful for improving depression, fear of falling, and instrumental ADL.

Citations

Citations to this article as recorded by  
  • Effectiveness of 6 weeks individual rehabilitation on the functionality and quality of life in patients with bilateral gonarthrosis
    Amanda Maria Kostro, Anna Kuryliszyn-Moskal, Anna Hryniewicz, Artur Augustynik, Janusz Dzięcioł, Zofia Dzięcioł-Anikiej
    Acta Balneologica.2025; 67(1): 15.     CrossRef
  • 6,179 View
  • 88 Download
  • 1 Web of Science
  • 1 Crossref

Brain disorders

Feasibility of Computerized Visuomotor Integration System for Visual Field Defects and Spatial Neglect in Poststroke Patients
Hyeon-Taek Hong, Myeong Geun Jeong, Kyoung Tae Kim
Ann Rehabil Med 2024;48(2):146-154.   Published online April 25, 2024
DOI: https://doi.org/10.5535/arm.230028
Objective
To develop a computerized visuomotor integration system for assessment and training of visual perception impairments and evaluate its safety and feasibility in patients with a stroke. Visual field defects and spatial neglect lead to substantial poststroke impairment. Most diagnostic assessments are anchored in traditional methods, and clinical effects of rehabilitation treatments are limited.
Methods
The CoTras Vision system included two evaluations and four training modules. The evaluation modules were based on the Albert’s test and Star cancellation test, and training modules were based on visual tracking, central-peripheral integration, and visuomotor perception techniques. Bland–Altman plots for agreement with the traditional paper-and-pencil test were performed, and the modified Intrinsic Motivation Inventory, Patient Satisfaction Questionnaire, and Simulator Sickness Questionnaire were conducted.
Results
Ten patients with acute stroke completed the study. Bland–Altman plots revealed good agreements for Albert’s test (mean difference, -0.3±4.5) and Star cancellation test (mean difference, 0.3±0.7). The mean±standard deviation scores of the modified Intrinsic Motivation Inventory, Patient Satisfaction Survey, and Simulator Sickness Questionnaire were 84.7±30.6, 40.5±7.9, and 34.0±34.5 respectively.
Conclusion
The CoTras Vision system is feasible and safe in patients with stroke. Most patients had a high degree of motivation to use the system and did not experience severe adverse events. Further studies are needed to confirm its usefulness in stroke patients with visual field defects and hemineglect symptoms. Furthermore, a large, well-designed, randomized controlled trial will be needed to confirm the treatment effect of the CoTras Vision system.

Citations

Citations to this article as recorded by  
  • Tablet computer-based cognitive training for visuomotor integration in children with developmental delay: a pilot study
    Jee Hyun Suh, Soo Jeong Han, Sun Ah Choi, Hyesung Yang, Sihyun Park
    BMC Pediatrics.2024;[Epub]     CrossRef
  • 6,140 View
  • 85 Download
  • 1 Web of Science
  • 1 Crossref

Pediatric rehabilitation

Establishing Reference Values for a New Computerized Cognitive Function Test Program for Children
Hyunji Lee, Hajeong Kim, Suan Lee, Goo Joo Lee
Ann Rehabil Med 2024;48(2):135-145.   Published online April 22, 2024
DOI: https://doi.org/10.5535/arm.230014
Objective
To establish reference values for the computerized cognitive test and evaluate cognitive function improvements across different age groups, we introduce the computerized Cognitive Function Test program (eCFT), specifically designed for children. We aimed to establish eCFT reference values and assess cognitive function improvements across different age groups.
Methods
We included children aged 3–6 years with confirmed normal cognition based on the Korean Developmental Screening Test for Infants and Children and Kaufman Assessment Battery for Children-II. The eCFT consists of 8 subtests for visual perception, attention, memory, and executive function.
Results
A total of 66 participants (36 males and 30 females) with an average age of 4.4 years participated. The age 6 group consistently outperformed both age group 3 and 4 in terms of correct responses. With regard to the completed stage, the “selective auditory stimulus” test findings were 2.0 and 3.9 for the age 3 and age 6 groups, respectively (p<0.05). The “trail-making” test findings were 1.7, 2.1, 2.6, and 2.8, respectively (between ages 3 and 6, p<0.01; between ages 4 and 6, p<0.05); moreover, the age 5 group surpassed the age 3 group (2.6 and 1.7, respectively, p<0.05).
Conclusion
The eCFT is an easily accessible tool to evaluate cognitive function in young children. We introduce reference values with a cutoff range for preschool-aged children, enabling early intervention for those with cognitive impairment. Given its accessibility and relatively short evaluation time, the eCFT has potential for clinical use.
  • 6,221 View
  • 57 Download

Review Article

Geriatric Rehabilitation

Effectiveness of Community-Based Rehabilitation (CBR) Centers for Improving Physical Fitness for Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
Wei Xin, Dan Xu, Zulin Dou, Angela Jacques, Josephine Umbella, Anne-Marie Hill
Ann Rehabil Med 2024;48(1):5-21.   Published online February 28, 2024
DOI: https://doi.org/10.5535/arm.23148
To synthesise the best available evidence for the effectiveness of interventions delivered in community-based rehabilitation (CBR) centers on physical fitness, for community-dwelling older adults living in Asian countries. This study is a systematic review and meta-analysis. Seven English and two Chinese electronic databases were searched for randomised controlled trials (RCTs) and quasi-experimental studies that were conducted by centers providing CBR. Independent reviewers screened, quality-appraised and extracted data. The primary outcome was physical fitness measured by validated assessment tools, including the Timed Up and Go Test (TUG), gait speed, hand grip strength, Functional Reach Test (FRT), and one-leg standing test. Assessments of activity of daily living and quality of life using tools including the Barthel Index, Short Form (SF)-12, and SF-36 were secondary outcomes. After screening 5,272 studies, 29 studies were included (16 RCTs, 13 quasi-experimental studies) from four countries. Meta-analyses found that CBR programs significantly decreased TUG time (mean difference [MD], -1.89 seconds; 95% confidence interval [95% CI], -2.84 to -0.94; I2=0%; Z=3.90, p<0.0001), improved gait speed (MD, 0.10 m/s; 95% CI, 0.01–0.18; I2=0%; Z=2.26, p=0.02), and increased one-leg standing time (MD, 2.81 seconds; 95% CI, 0.41–5.22; I2=0%; Z=2.29, p=0.02). Handgrip strength and FRT showed no statistically significant improvement in the meta-analyses. CBR may improve aspects of physical fitness for older adults in Asian countries. However, variability in intervention components and measurement tools reduced the ability to pool individual studies. Further trials are required with robust designs including standardised measures of physical fitness.
  • 16,337 View
  • 190 Download
  • 7 Web of Science

Original Articles

Others

Impact of COVID-19 Pandemic on People with Locomotor Disability in North India: A Cross-Sectional Analysis
Siddharth Rai, Harleen Uppal, Mallikarjun Gunjiganvi, Nitin Joshi, Prabhaker Mishra
Ann Rehabil Med 2024;48(1):94-101.   Published online February 28, 2024
DOI: https://doi.org/10.5535/arm.23118
Objective
To assess, analyse, and infer the impact of the coronavirus disease 2019 (COVID-19) pandemic on people living with locomotor disability in North India.
Methods
Patients with locomotor disabilities who met the inclusion criteria received a questionnaire that had already undergone testing and validation. It covered topics highlighting the effect of the pandemic on general health, financial burden, psychological and mental health, social life and behaviour, disability and comorbidity management, transportation, and healthcare accessibility during the pandemic. In order to gauge the pandemic’s effects on the population of people with locomotor disabilities, the answers to the questions were collected and analyzed.
Results
The COVID-19 pandemic has adversely affected people living with locomotor disability, ranging from loss of wages and financial crisis to anxiety, depression and lack of sleep. People with disabilities had limited reach to health and community services that were vital for them, including basic life and functional needs, besides risks of mistreatment and other psychological consequences.
Conclusion
This analysis suggests that the root cause of pandemic disparities is the lack of disability-inclusive planning and, more significantly, the pre-existing socioeconomic disparities and challenges that disabled people have been experiencing for a long time. We suggest that unambiguous public health and policy responses should be incorporated, and health, social participation, and socioeconomic disparity causes for disabled people should be addressed in tandem.
  • 5,424 View
  • 45 Download

Brain disorders

The Effectiveness of Goal-Oriented Dual Task Proprioceptive Training in Subacute Stroke: A Retrospective Observational Study
Rita Chiaramonte, Salvatore D’Amico, Salvatore Caramma, Giuseppina Grasso, Simona Pirrone, Maria Giovanna Ronsisvalle, Marco Bonfiglio
Ann Rehabil Med 2024;48(1):31-41.   Published online February 28, 2024
DOI: https://doi.org/10.5535/arm.23086
Objective
To show the effectiveness of goal-oriented proprioceptive training in subacute stroke for balance, autonomy, and fall risk.
Methods
Out a total of 35 patients, consistent in age (75.31±8.65 years), type of stroke (ischemic, 3 to 11 weeks before), and motor impairment, 18 patients underwent solely proprioceptive rehabilitation, the other 17 dual task exercises. The study assessed autonomy using Barthel Index, fall risk with Timed Up and Go Test (TUG), balance through Berg Balance Scale (BBS) and Tinetti test.
Results
After two months, significant improvements were recorded in Barthel Index, BBS (p<0.0001), Tinetti test (p<0.0001 in dual task group, p=0.0029 in single task group), and TUG (p=0.0052 in dual task group, p=0.0020 in single task group) in both groups. Comparing the two groups, dual task group showed a significant difference in Tinetti balance assessment (p=0.0052), between the total score of Tinetti test and TUG in single (p=0.0271), and dual task (p=0.0235). Likewise, Tinetti gait test was significantly related to TUG in single (p=0.0536), and dual task (p=0.0466), while Tinetti balance test to Barthel Index (p=0.0394), BBS (p<0.0001), and TUG in single (p=0.0219), and dual task (p=0.0196). Lastly, there is a positive correlation of the use of aids with BBS (p=0.0074), and total score of Tinetti test (p=0.0160).
Conclusion
In subacute stroke, goal-oriented proprioceptive training improved balance, but only partially autonomy. Furthermore, the use of aids after dual-task exercises improved recovery of balance, but did not reduced falls.

Citations

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  • Interaction effect of rehabilitation initiation timing and hospitalization frequency on long-term functional outcomes after stroke in rural China: a retrospective cohort study
    Juming Liu, Luwen Zhang, Changyu Ju, Xiping Jia, Chao Zhang, Feng Wu, Tao Qin, Qianqian Sun
    Frontiers in Neurology.2026;[Epub]     CrossRef
  • Radial Extracorporeal Shock Wave Therapy for Lower‐Limb Spasticity in an Individual With Subacute Stroke: A Case Report
    Daisuke Kato, Satoshi Hirano, Naoki Mori, Shota Itoh, Toshiki Ito, Taiki Yokote, Hirofumi Maeda, Yohei Otaka
    Clinical Case Reports.2026;[Epub]     CrossRef
  • Effect of dual-task exercises on balance, risk for fall and activities of daily living dependency of patients with stroke: a quasi-experimental study
    Mona Mahmoud Ali, Dalia Abdallah Abdelatief, Mona Mohamed Saad, Heba Abdelgawad Elfeky
    Frontiers in Rehabilitation Sciences.2026;[Epub]     CrossRef
  • Comparative effects of transcranial direct and alternating current stimulation combined with cognitive-motor dual-task training on functional and cognitive recovery in stroke survivors
    Yutong Fu, Wenli Wang, Qianxi Yan, Jin Song, YanMei Li, Chang Zhu, Siaw Chui Chai, Ponnusamy Subramaniam, Liqing Yao, Devinder Kaur Ajit Singh
    Frontiers in Neurology.2026;[Epub]     CrossRef
  • Effect of Goal Oriented Dual Task Training Versus Proprioceptive Neuromuscular Facilitation on Balance and Gait in Post Stroke Subjects
    Chunduru Durga Pavan Kalyan, Kiran Prakash Pappala, Patchava Apparao, Nandina Venkatesh, Chintada Ganapathi Swamy
    International Journal of Science and Healthcare Research.2026; : 166.     CrossRef
  • Effects of Combining Modified Response Elaboration Training, Semantic Feature Analysis, and Arm Ability Training on Cognitive, Language, and Motor Recovery in Poststroke Broca's Aphasia: A Randomized Controlled Trial
    Reihaneh Saber-Moghadam, Milad Karimi, Afsaneh Zeinalzadeh, Negar Sangsefidi, Mohammad Taghi Farzadfard, Davood Sobhani-Rad
    American Journal of Speech-Language Pathology.2026; 35(3): 1063.     CrossRef
  • Effect of occupational therapy on upper limb function and related rehabilitation outcomes after stroke: a systematic review and meta-analysis
    Jie Bai, Tianyun Liu, Xuelian Du, Wenrui Huang
    Frontiers in Neurology.2026;[Epub]     CrossRef
  • The public health system and the longing for autonomy. Enhancing ability through powered mobility aid in a metropolitan urban area: a cross-sectional cohort study
    Rita Chiaramonte, Michele Vecchio, Matteo Cioni, Fabrizio Li Gotti, Francesco Leonforte, Antonio Mistretta, Giuseppe Laganga Senzio, Tamara Civello
    Disability and Rehabilitation: Assistive Technology.2026; : 1.     CrossRef
  • AI-Enhanced Extended Reality for Rehabilitation in Africa: A Perspective on Explainable Agents, Co-Creation, and Generative Worlds
    Chala Diriba Kenea, Bruno Bonnechère
    Applied Sciences.2026; 16(10): 4946.     CrossRef
  • Validez convergente de la escala Tinetti en pacientes con ictus en fase subaguda
    Adrián Arranz–Escudero, Patricia Martín–Casas, Ester Carpio–Calatayud, Ibai López–de–Uralde–Villanueva
    Revista Científica de la Sociedad Española de Enfermería Neurológica.2025; 62: 500168.     CrossRef
  • A scoping review on the body awareness rehabilitation after stroke: are we aware of what we are unaware?
    Davide Cardile, Viviana Lo Buono, Francesco Corallo, Angelo Quartarone, Rocco Salvatore Calabrò
    Frontiers in Neurology.2025;[Epub]     CrossRef
  • Dual tasking as a predictor of falls in post-stroke: A cross-sectional analysis comparing Walking While Talking versus Stops Walking While Talking
    Disha Lamba, Abraham M. Joshua, Vijaya kumar K, Akshatha Nayak, Prasanna Mithra, Rohit Pai, Shivananda Pai, Shyam Krishnan K., Vijayakumar Palaniswamy
    F1000Research.2025; 13: 1395.     CrossRef
  • Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial
    Kap-Soo Han, Myoung-Hwan Ko
    Geriatrics.2025; 10(1): 23.     CrossRef
  • AdaptRehab VR: Development of an Immersive Virtual Reality System for Upper Limb Stroke Rehabilitation Designed for Low- and Middle-Income Countries Using a Participatory Co-Creation Approach
    Chala Diriba Kenea, Teklu Gemechu Abessa, Dheeraj Lamba, Bruno Bonnechère
    Bioengineering.2025; 12(6): 581.     CrossRef
  • Making Sense of Proprioception by Bibliometric Research
    Kevser Sevik Kacmaz
    Brain and Behavior.2025;[Epub]     CrossRef
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    Tim Unger, Benjamin Kühnis, Lena Sauerzopf, Martina R. Spiess, Alexander de Spindler, Andreas R. Luft, Chris Easthope Awai, Josef G. Schönhammer, Elena Gavagnin
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  • The Impact of Virtual Reality as a Rehabilitation Method Using TRAVEE System on Functional Outcomes and Disability in Stroke Patients: A Pilot Study
    Claudia-Gabriela Potcovaru, Delia Cinteză, Miruna Ioana Săndulescu, Daniela Poenaru, Ovidiu Chiriac, Cristian Lambru, Alin Moldoveanu, Ana Magdalena Anghel, Mihai Berteanu
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  • 192 Download
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  • 36 Crossref

others

Association Between Mobilization Level And Activity of Daily Living Independence in Critically Ill Patients
Shinichi Watanabe, Keibun Liu, Ryo Kozu, Daisetsu Yasumura, Kota Yamauchi, Hajime Katsukawa, Keisuke Suzuki, Takayasu Koike, Yasunari Morita
Ann Rehabil Med 2023;47(6):519-527.   Published online November 22, 2023
DOI: https://doi.org/10.5535/arm.23056
Objective
To examine the association between the mobilization level during intensive care unit (ICU) admission and independence in activity of daily living (ADL), defined as Barthel Index (BI)≥70.
Methods
This was a post-hoc analysis of the EMPICS study involving nine hospitals. Consecutive patients who spend >48 hours in the ICU were eligible for inclusion. Mobilization was performed at each hospital according to the shared protocol and the highest ICU mobility score (IMS) during the ICU stay, baseline characteristics, and BI at hospital discharge. Multiple logistic regression analysis, adjusted for baseline characteristics, was used to deter-mine the association between the highest IMS (using the receiver operating characteristic [ROC]) and ADL.
Results
Of the 203 patients, 143 were assigned to the ADL independence group and 60 to the ADL dependence group. The highest IMS score was significantly higher in the ADL independence group than in the dependence group and was a predictor of ADL independence at hospital discharge (odds ratio, 1.22; 95% confidence interval, 1.07–1.38; adjusted p=0.002). The ROC cutoff value for the highest IMS was 6 (specificity, 0.67; sensitivity, 0.70; area under the curve, 0.69).
Conclusion
These results indicate that, in patients who were in the ICU for more than 48 hours, that patients with good function in the ICU also exhibit good function upon discharge. However, prospective, multicenter trials are needed to confirm this conclusion.

Citations

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Cardiopulmonary rehabilitation

A Pulmonary Telerehabilitation Program Improves Exercise Capacity and Quality of Life in Young Females Post-COVID-19 Patients
Ashwag S. Alsharidah, FatmaAlzahraa H. Kamel, Afrah A. Alanazi, Enas A. Alhawsah, Hajar K. Alharbi, Zahrah O. Alrshedi, Maged A. Basha
Ann Rehabil Med 2023;47(6):502-510.   Published online November 20, 2023
DOI: https://doi.org/10.5535/arm.23060
Objective
To examine the impact of telerehabilitation training on exercise capacity, lung function, and health-related quality of life (HRQOL) in comparison to no rehabilitation for post-COVID-19 symptoms in adult females.
Methods
A randomized controlled trial of 48 females after mild to moderate COVID-19 survival were equally and randomly assigned to one of two groups: intervention group or control group. Three sessions per week for 6 weeks of a telerehabilitation program provided via a smartphone to the intervention group. Spirometry was used to quantify lung function, a 6-minute walk test (6MWT) measured in meters to measure exercise capacity, and the Short Form Health Survey-36 was used to assess HRQOL.
Results
After treatment, there was no statistically significant difference in forced vital capacity (FVC) or forced expiratory volume in 1 second (FEV1) between groups (p>0.05), but the 6MWT of the intervention group increased significantly more than that of the control group (p=0.001). The percent of change in 6MWT for the intervention group and control group was 14.22% and 4.21%, respectively. After therapy, the intervention group’s HRQOL significantly improved when compared to the control group’s (p=0.001).
Conclusion
This study showed that a telerehabilitation programs improved exercise capacity and HRQOL in young females post-COVID-19 compared to no rehabilitation.

Citations

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    Fabrice Gambaraza, Germain Perrin, Sven Günther, Virginie Korb-Savoldelli, Anne-Isabelle Tropeano, Thibaut Caruba, Sarah Berdot, Brigitte Sabatier
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    Lalita Khuna, Ruschada Sriarmad, Marco Y. C. Pang, Khomkrip Longlalerng
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    Cardiopulmonary Physical Therapy Journal.2025; 36(2): 105.     CrossRef
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    Jose Luis Estela-Zape, Valeria Sanclemente-Cardoza, Leidy Tatiana Ordoñez-Mora
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    Xu Guo, Xuemei Li
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    Yinghua Yue, Xinyi Han, Qiming Chen, Lirong Dai, Qingjuan Ai, Zhigang Zhang, Fangli Ma, Jing Gao
    Frontiers in Rehabilitation Sciences.2025;[Epub]     CrossRef
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    Kamil Franczyk, Wojciech Machulski, Karolina Świerk, Damian Podkościelny, Jan Krzysztof Makulski, Adam Januszkiewicz, Wiktoria Januszkiewicz, Maria Gierasimiuk, Michał Górski, Martyna Ciarkowska
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    Rainer Gloeckl, Ralf H. Zwick, Ulrich Fürlinger, Tessa Schneeberger, Daniela Leitl, Inga Jarosch, Uta Behrends, Carmen Scheibenbogen, Andreas Rembert Koczulla
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    Jiang Yang, Huiru Li, Hulei Zhao, Yang Xie, Jiansheng Li, Minghang Wang
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    Oliver MARTÍNEZ-POZAS, Camilo CORBELLINI, Juan N. CUENCA-ZALDÍVAR, Érika MELÉNDEZ-OLIVA, Pierluigi SINATTI, Eleuterio A. SÁNCHEZ ROMERO
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Review Article

Cardiopulmonary rehabilitation

Fact Sheet on Cardiac Rehabilitation for Cardiovascular Disease in South Korea
Ki-Hong Kim, Jae-Young Han
Ann Rehabil Med 2023;47(5):318-325.   Published online October 31, 2023
DOI: https://doi.org/10.5535/arm.23050
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.

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    Kyungdo Han, Jin-Hyung Jung, Sang-Suk Choi, Seung-Hyun Ko
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    Min Soo Lim, Ju Yeon Lee, So Jung Lee, Youngjee Jeon
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    Chul Kim, Jun Hyeong Song, Seung Hyoun Kim
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    Hyun-Seok Jo, Hyeong-Min Kim, Chae-Hyun Go, Hae-Young Yu, Hyeng-Kyu Park, Jae-Young Han
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    Jang Woo Lee
    Journal of the Korean Medical Association.2024; 67(9): 566.     CrossRef
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Original Article

Cardiopulmonary rehabilitation

Translation, Cultural Adaptation, and Validation of a Korean Version of the Information Needs in Cardiac Rehabilitation Scale
Seungsu Jeong, Heeju Kim, Won-Seok Kim, Won Kee Chang, Seungwoo Cha, Eunjeong Choi, Chul Kim, Sherry L. Grace, Sora Baek
Ann Rehabil Med 2023;47(5):403-425.   Published online October 27, 2023
DOI: https://doi.org/10.5535/arm.23042
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.

Citations

Citations to this article as recorded by  
  • Identification of patient-reported core information needs and associated factors in hospitalized patients with heart failure: A network analysis
    Mei Yang, Yilin Zhang, Wenjie Fang, Wenjie Sun, Ziwei Geng, Xiuzhen Fan
    Heart & Lung.2025; 74: 27.     CrossRef
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  • 68 Download
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Review Article

Brain disorders

Post-Stroke Spastic Movement Disorder and Botulinum Toxin A Therapy: Early Detection And Early Injection
Jörg Wissel, Anatol Kivi
Ann Rehabil Med 2023;47(5):326-336.   Published online October 23, 2023
DOI: https://doi.org/10.5535/arm.23108
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.

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    Atul Patel, Jinming Zhang, Simon Page, Sarah Harding, Mathieu Beneteau, Colin Navickas, Alberto Esquenazi
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    Michiyuki Kawakami, Daisuke Ito, Ken Azuma, Takayuki Kamimoto, Arisa Kawabata, Tetsuya Tsuji
    Journal of Rehabilitation Medicine.2026; 58: jrm44906.     CrossRef
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    Muhammad Adnan, Muhammad Waqar, Rais Ahmed, Haroon Afzal, Muhammad Abdullah Mueen, Urooj Qayyum, Farhang Hameed Awlqadr, Muhammad Talha Yaqoob, Sabrin R. M. Ibrahim, Gamal A. Mohamed, Iqra Rafiq, Hagar M. Mohamed
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    Klemens Fheodoroff, Benjamin Waeschle, Manuela Schuetzer, Georg Comes, Joerg Wissel
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    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
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    Alessandro Picelli, Andrea Santamato, Michela Cosma, Alessio Baricich, Carmelo Chisari, Marzia Millevolte, Cristina Del Prete, Ilenia Mazzù, Rita Di Censo, Nicola Smania, Mirko Filippetti
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    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
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    Frontiers in Neurology.2024;[Epub]     CrossRef
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Original Article

Brain disorders

Torque Onset Angle of the Knee Extensor as a Predictor of Walking Related Balance in Stroke Patients
Min Kyeong Ma, TaeHwan Cho, Joo Won Lee, Hyun Im Moon
Ann Rehabil Med 2023;47(4):291-299.   Published online August 28, 2023
DOI: https://doi.org/10.5535/arm.23061
Objective
To investigate the relationship between the torque onset angle (TOA) of the isokinetic test for knee extensors in the paretic side and walking related balance in subacute stroke patients.
Methods
We retrospectively reviewed patients with first-ever strokes who have had at least two isokinetic tests within 6 months of onset. 102 patients satisfied the inclusion criteria. The characteristics of walking related balance were measured with the Berg Balance Scale sub-score (sBBS), Timed Up and Go test (TUG), 10-m Walk Test (10MWT) and Functional Independence Measure sub-score (sFIM). The second isokinetic test values of the knee extensor such as peak torque, peak torque to weight ratio, hamstring/quadriceps ratio, TOA, torque stop angle, torque at 30 degrees, and peak torque asymmetry ratio between paretic and non-paretic limb were also taken into account. Pearson’s correlation, simple regression and multiple regression analysis were used to analyze the correlation between TOA and walking related balance.
Results
TOA of the knee extensor of the paretic limb showed significant correlations with BBS, sBBS, TUG, 10MWT, and sFIM according to Pearson’s correlation analysis. TOA also had moderate to good correlations with walking related balance parameters in partial correlation analysis. In multiple regression analysis, TOA of the paretic knee extensor was significantly associated with walking related balance parameters.
Conclusion
This study demonstrated that TOA of the paretic knee extensor is a predictable parameter of walking related balance. Moreover, we suggest that the ability to recruit muscle quickly is important in walking related balance.

Citations

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    G. Corvini, M. Lorusso, N. L. Tagliamonte, M. Masciullo, M. Molinari, G. Scivoletto, F. Tamburella, J. C. Moreno
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Review Article

Others

Disaster Response and Management: The Integral Role of Rehabilitation
Bhasker Amatya, Fary Khan
Ann Rehabil Med 2023;47(4):237-260.   Published online August 22, 2023
DOI: https://doi.org/10.5535/arm.23071
With the increasing frequency of disasters and the significant upsurge of survivors with severe impairments and long-term disabling conditions, there is a greater focus on the importance of rehabilitation in disaster management. During disasters, rehabilitation services confront a greater load due to the influx of victims, management of persons with pre-existing disabilities and chronic conditions, and longer-term care continuum. Despite robust consensus amongst the international disaster response and management community for the rehabilitation-inclusive disaster management process, rehabilitation is still less prioritised. Evidence supports the early involvement of rehabilitation professionals in disaster response and management for minimising mortality and disability, and improving clinical outcomes and participation in disaster survivors. In the last two decades, there have been substantial developments in disaster response/management processes including the World Health Organization Emergency Medical Team (EMT) initiative, which provides a standardized structured plan to provide effective and coordinated care during disasters. However, rehabilitation-inclusive disaster management plans are yet to be developed and/or implemented in many disaster-prone countries. Strong leadership and effective action from national and international bodies are required to strengthen national rehabilitation capacity (services and skilled workforce) and empower international and local EMTs and health services for comprehensive disaster management in future calamities. This narrative review highlights the role of rehabilitation and current developments in disaster rehabilitation; challenges and key future perspectives in this area.

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    Cem Zafer Yıldır
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Original Articles

Cardiopulmonary rehabilitation

The Effect of Home-Based Cardiac Rehabilitation on Cardiovascular Risk Factors Management
Chul Kim, Seok Hyeon Lee
Ann Rehabil Med 2023;47(4):272-281.   Published online August 18, 2023
DOI: https://doi.org/10.5535/arm.23041
Objective
To compare the efficacy of home-based cardiac rehabilitation (HBCR) and center-based cardiac rehabilitation (CBCR) in cardiovascular risk factor management.
Methods
We performed retrospective review of the electronic medical records of 72 patients who were hospitalized for acute coronary syndrome and participated in a cardiac rehabilitation (CR) program for the first time. The participants were stratified into the HBCR group, receiving educational programs and performing self-exercise at home, and the CBCR group, participating in electrocardiogram monitoring monitoring exercise training in hospital settings. The results of the Lifestyle Questionnaire survey were investigated at baseline, 3 months, and 6 months.
Results
Both groups showed significant improvements in serum low-density lipoprotein levels, frequency of alcohol consumption, eating habits and psychological status. Moderate-intensity exercise duration and the maximal metabolic equivalents values improved significantly in both groups but slightly more in the CBCR group. However, the number of current smokers increased in both groups, and no significant changes were found in body mass index, serum glycated hemoglobin levels, serum high-density lipoprotein levels, or high-intensity exercise duration.
Conclusion
Regardless of the CR program type, a patient’s lifestyle can be modified. Therefore, patients should continue participating in any type of CR program.

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    Juan Santiago Serna-Trejos, Carlos Andrés Castro-Galvis, Stefanya Geraldine Bermúdez-Moyano, Laura Catalina Rodríguez-Fonseca, Álvaro Andrés Montenegro-Apraez, Jorge Fernando Miño-Bernal, Lina María Salazar-Rodríguez, Valentina Bravo-Echeverry
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Cardiopulmonary rehabilitation

Validation of Wearable Digital Devices for Heart Rate Measurement During Exercise Test in Patients With Coronary Artery Disease
Chul Kim, Jun Hyeong Song, Seung Hyoun Kim
Ann Rehabil Med 2023;47(4):261-271.   Published online August 4, 2023
DOI: https://doi.org/10.5535/arm.23019
Objective
To assess the accuracy of recently commercialized wearable devices in heart rate (HR) measurement during cardiopulmonary exercise test (CPX) under gradual increase in exercise intensity, while wearable devices with HR monitors are reported to be less accurate in different exercise intensities.
Methods
CPX was performed for patients with coronary artery disease (CAD). Twelve lead electrocardiograph (ECG) was the gold standard and Apple watch 7 (AW7), Galaxy watch 4 (GW4) and Bio Patch Mobicare 200 (MC200) were applied for comparison. Paired absolute difference (PAD), mean absolute percentage error (MAPE) and intraclass correlation coefficient (ICC) were evaluated for each device.
Results
Forty-four participants with CAD were included. All the devices showed MAPE under 2% and ICC above 0.9 in rest, exercise and recovery phases (MC200=0.999, GW4=0.997, AW7=0.998). When comparing exercise and recovery phase, PAD of MC200 and AW7 in recovery phase were significantly bigger than PAD of exercise phase (p<0.05). Although not significant, PAD of GW4 tended to be bigger in recovery phase, too. Also, when stratified by HR 20, ICC of all the devices were highest under HR of 100, and ICC decreased as HR increased. However, except for ICC of GW4 at HR above 160 (=0.867), all ICCs exceeded 0.9 indicating excellent accuracy.
Conclusion
The HR measurement of the devices validated in this study shows a high concordance with the ECG device, so CAD patients may benefit from the devices during high-intensity exercise under conditions where HR is measured reliably.

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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.

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  • Initial encounter and discharge disposition of Medicare beneficiaries with post-stroke dysphagia
    Molly Jacobs, Richard C. Lindrooth, Marcelo C. Perraillon, Karen Hegland, Robert McGowan, Charles Ellis
    Frontiers in Stroke.2025;[Epub]     CrossRef
  • Safety of FEES Performed by Speech-Language Pathologists and Physicians–Evidence Supporting Task Sharing from a Retrospective Observational Study of 964 Consecutive Examinations
    Małgorzata Polit, Joanna Chmielewska-Walczak, Maria Sobol, Izabela Domitrz, Kazimierz Niemczyk
    Nutrients.2025; 17(20): 3193.     CrossRef
  • La formación como estrategia para mejorar la atención de los pacientes con disfagia orofaríngea
    M. Avellanet, E. Pages Bolibar, J. Garcia-Expósito, M.E. Gea Rodríguez, C. Grillo García, A. Boada-Pladellorens, M. Ros Armengol
    Rehabilitación.2025; 59(4): 100948.     CrossRef
  • A dysphagia és a neglektszindróma kapcsolata a rehabilitáció során
    Mariann Németh, Babett Tóth, Gyula Demeter, Zoltán Dénes
    Orvosi Hetilap.2025; 166(27): 1053.     CrossRef
  • Clinical and Economic Impact in Dysphagia Management: A Preliminary Economic Evaluation for the WeanCare-Dysphameal Approach
    Chiara Monti, Paolo Landa, Antonio Rosario Romano, Marco Di Nitto, Axsinia Torsello, Stefania Ripamonti, Gianluca Catania, Annamaria Bagnasco, Milko Zanini
    Nutrients.2025; 17(20): 3259.     CrossRef
  • The effectiveness of kinesiology taping on dysphagia in brain tumor survivors after neurosurgery: study protocol for a pilot randomized controlled trial
    Júlio Belo Fernandes, Leonor Monteiro, Abílio Costa, Ana Sofia Gonçalves, John Dean, Carlos Família, Josefa Domingos, Catarina Godinho
    Frontiers in Medicine.2025;[Epub]     CrossRef
  • Preventing Aspiration Among Older Adults in Long-term Care
    Felice Chang, Kathy Shaw
    Clinical Nurse Specialist.2025; 39(6): 247.     CrossRef
  • Knowledge Levels and Learning Needs in Dysphagia Management: Perspectives from Professional and Non-Professional Stakeholders in Five European Countries
    Sara Remón, Ana Ferrer-Mairal, Vijolė Bradauskienė, Ana Cristina Cortés, Teresa Sanclemente
    Healthcare.2025; 13(23): 3140.     CrossRef
  • Feasibility and acceptability of a dysphagia screening intervention for hospitalised older patients - a process evaluation
    Helene Nørgaard Kristensen, Charlotte Overgaard, Dorte Melgaard, Anja Leth Egsgaard, Kirstine Lyngsøe Hvidberg, Michella Stenholt, Asger Roer Pedersen, Anne Mette Schmidt
    Disability and Rehabilitation.2025; : 1.     CrossRef
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    Varanya Techasukthavorn, David Julian McClements, Jiakai Lu, Joseph Heng, Jirarat Anuntagool
    Food Biophysics.2025;[Epub]     CrossRef
  • Clinical Practice Guideline Recommendations for Post-Acute Sequelae of COVID-19
    Jun-Won Seo, Yu Bin Seo, Seong Eun Kim, Yoonjung Kim, Eun Jung Kim, Tark Kim, Taehwa Kim, So Hee Lee, Eunjung Lee, Jacob Lee, Yeong-Hoon Jeong, Yeong Hee Jung, Yu Jung Choi, Joon Young Song
    Infection & Chemotherapy.2025; 57(4): 478.     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
  • 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
  • 40,731 View
  • 1,118 Download
  • 40 Web of Science
  • 43 Crossref

Review Article

Pediatric rehabilitation

Early Neurodevelopmental Assessments of Neonates Discharged From the Neonatal Intensive Care Unit: A Physiatrist’s Perspective
Sung Eun Hyun, Jeong-Yi Kwon, Bo Young Hong, Jin A Yoon, Ja Young Choi, Jiyeon Hong, Seong-Eun Koh, Eun Jae Ko, Seung Ki Kim, Min-Keun Song, Sook-Hee Yi, AhRa Cho, Bum Sun Kwon
Ann Rehabil Med 2023;47(3):147-161.   Published online June 27, 2023
DOI: https://doi.org/10.5535/arm.23038
The survival rate of children admitted in the neonatal intensive care unit (NICU) after birth is on the increase; hence, proper evaluation and care of their neurodevelopment has become an important issue. Neurodevelopmental assessments of individual domains regarding motor, language, cognition, and sensory perception are crucial in planning prompt interventions for neonates requiring immediate support and rehabilitation treatment. These assessments are essential for identifying areas of weakness and designing targeted interventions to improve future functional outcomes and the quality of lives for both the infants and their families. However, initial stratification of risk to select those who are in danger of neurodevelopmental disorders is also important in terms of cost-effectiveness. Efficient and robust functional evaluations to recognize early signs of developmental disorders will help NICU graduates receive interventions and enhance functional capabilities if needed. Several age-dependent, domain-specific neurodevelopmental assessment tools are available; therefore, this review summarizes the characteristics of these tools and aims to develop multidimensional, standardized, and regular follow-up plans for NICU graduates in Korea.

Citations

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    Jungha Yun, Seong Phil Bae, Do Hyun Kim, Woo Ryoung Lee, Suyeon Park
    Pediatric Research.2026;[Epub]     CrossRef
  • Recurrent peripheral intravenous catheterization in neonates: A case series
    Stephanie Hall, Emily Larsen, Linda Cobbald, Nicole Marsh, Linda McLaughlin, Mari Takashima, Robert S. Ware, Amanda Ulman, Deanne August
    Nursing in Critical Care.2025;[Epub]     CrossRef
  • Evaluating Non-Invasive Computer Vision-Based Quantification of Neonatal Movement as a Marker of Development in Preterm Infants: A Pilot Study
    Janet Pigueiras-del-Real, Lionel C. Gontard, Isabel Benavente-Fernández, Syed Taimoor Hussain, Syed Adil Hussain, Simón P. Lubián-López, Angel Ruiz-Zafra
    Healthcare.2025; 13(13): 1577.     CrossRef
  • Improvement in functional motor scores in patients with non-ambulatory spinal muscle atrophy during Nusinersen treatment in South Korea: a single center study
    Jin A. Yoon, Yuju Jeong, Jiae Lee, Dong Jun Lee, Kyung Nam Lee, Yong Beom Shin
    BMC Neurology.2024;[Epub]     CrossRef
  • NICU Graduates and Psychosocial Problems in Childhood: A Systematic Review
    Ravi Gajula, Veerabadram Yeshala, Nagalakshmi Gogikar, Rakesh Kotha
    Cureus.2024;[Epub]     CrossRef
  • Performance of Activities of Daily Living in Typically Developing Children in Korea: Normative Value of K-MBI
    Mi-Jeong Yoon, Sungwoo Paek, Jongbin Lee, Youngdeok Hwang, Joon-Sung Kim, Yeun-Jie Yoo, Bo Young Hong
    Annals of Rehabilitation Medicine.2024; 48(4): 281.     CrossRef
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    Natalia V. Andrushchenko, Alexander B. Palchik, Marina V. Osipova
    Russian Family Doctor.2024; 28(4): 24.     CrossRef
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  • 224 Download
  • 9 Web of Science
  • 7 Crossref

Original Articles

Brain disorders

Feasibility and Usability of a Robot-Assisted Complex Upper and Lower Limb Rehabilitation System in Patients with Stroke: A Pilot Study
Kyoung Tae Kim, Yongmin Choi, Jang Hyuk Cho, Soyoung Lee
Ann Rehabil Med 2023;47(2):108-117.   Published online April 30, 2023
DOI: https://doi.org/10.5535/arm.23017
Objective
To evaluate the feasibility and usability of cost-effective complex upper and lower limb robot-assisted gait training in patients with stroke using the GTR-A, a foot-plate based end-effector type robotic device.
Methods
Patients with subacute stroke (n=9) were included in this study. The enrolled patients received 30-minute robot-assisted gait training thrice a week for 2 weeks (6 sessions). The hand grip strength, functional ambulation categories, modified Barthel index, muscle strength test sum score, Berg Balance Scale, Timed Up and Go Test, and Short Physical Performance Battery were used as functional assessments. The heart rate was measured to evaluate cardiorespiratory fitness. A structured questionnaire was used to evaluate the usability of robot-assisted gait training. All the parameters were evaluated before and after the robot-assisted gait training program.
Results
Eight patients completed robot-assisted gait training, and all parameters of functional assessment significantly improved between baseline and posttraining, except for hand grip strength and muscle strength test score. The mean scores for each domain of the questionnaire were as follows: safety, 4.40±0.35; effects, 4.23±0.31; efficiency, 4.22±0.77; and satisfaction, 4.41±0.25.
Conclusion
Thus, the GTR-A is a feasible and safe robotic device for patients with gait impairment after stroke, resulting in improvement of ambulatory function and performance of activities of daily living with endurance training. Further research including various diseases and larger sample groups is necessary to verify the utility of this device.

Citations

Citations to this article as recorded by  
  • Effect of Progressive Speed Increase Versus Constant Speed in Robot-Assisted Gait Training on Balance and Gait Ability in Chronic Stroke: A Randomized Controlled Trial
    Dong-Yun Bae, Soo-Yong Kim, Jong-Chul Jung, Min-Chull Park
    NeuroRehabilitation.2026; 58(1): 135.     CrossRef
  • Changes in body composition, physical fitness and quality of life on robotic gait assisted training in patients with Guillain-Barré Syndrome: a case report
    Moon Jin Lee, Sung Jin Yoon
    Physical Activity and Nutrition.2024; 28(4): 009.     CrossRef
  • Smart Devices for Health and Wellness Applied to Tele-Exercise: An Overview of New Trends and Technologies Such as IoT and AI
    Antonio Fabbrizio, Alberto Fucarino, Manuela Cantoia, Andrea De Giorgio, Nuno D. Garrido, Enzo Iuliano, Victor Machado Reis, Martina Sausa, José Vilaça-Alves, Giovanna Zimatore, Carlo Baldari, Filippo Macaluso
    Healthcare.2023; 11(12): 1805.     CrossRef
  • 9,201 View
  • 144 Download
  • 3 Web of Science
  • 3 Crossref

Cardiopulmonary rehabilitation

Phase Angle Is Associated With Handgrip Strength in Older Patients With Heart Failure
Wataru Kawakami, Takuya Umehara, Yoshitaka Iwamoto, Makoto Takahashi, Nobuhisa Katayama
Ann Rehabil Med 2023;47(2):129-137.   Published online March 21, 2023
DOI: https://doi.org/10.5535/arm.22138
Objective
To assess the relationships between phase angle and muscle mass, strength, and physical function in patients with heart failure.
Methods
This study used a cross-sectional design. The analysis included 51 patients with heart failure. The Short Physical Performance Battery, one-leg standing time, handgrip strength, phase angle, and skeletal muscle index were measured. To identify explanatory variables of phase angle, hierarchical multiple regression analysis was performed.
Results
Handgrip strength was found to be an explanatory variable of phase angle independent of age, sex, and body mass index. This model was able to explain 30.4% of the model variance for phase angle.
Conclusion
In patients with heart failure, improving muscle strength rather than muscle mass or physical function might be more important for improving phase angle. Handgrip strength is an important outcome for improving prognosis in patients with heart failure.

Citations

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  • Phase Angle and Impedance Ratio as Indicators of Physical Function and Fear of Falling in Older Adult Women: Cross-Sectional Analysis
    Danielle A Sterner, Jeffrey R Stout, Kworweinski Lafontant, Joon-Hyuk Park, David H Fukuda, Ladda Thiamwong
    JMIR Aging.2024; 7: e53975.     CrossRef
  • Prevalence and clinical characteristics of Sarcopenia in older adult patients with stable chronic obstructive pulmonary disease: a cross-sectional and follow-up study
    Sang Hun Kim, Cho Hui Hong, Myung-Jun Shin, Ki Uk Kim, Tae Sung Park, Jun Yong Park, Yong Beom Shin
    BMC Pulmonary Medicine.2024;[Epub]     CrossRef
  • Malnutrition in Amyotrophic Lateral Sclerosis: Insights from Morphofunctional Assessment and Global Leadership Initiative on Malnutrition Criteria
    María Teresa Zarco-Martín, Carmen Freire, María Carmen Andreo-López, Socorro Leyva-Martínez, María Luisa Fernández-Soto
    Nutrients.2024; 16(16): 2625.     CrossRef
  • 10,022 View
  • 138 Download
  • 5 Web of Science
  • 3 Crossref

Review Article

Spinal Cord Injury

Spinal Cord Injury Fact Sheet in Korea
Han-Kyoul KIM, Ja-Ho Leigh, Yoonjeong Choi, Jong Hwa Lee, Moon Suk Bang
Ann Rehabil Med 2023;47(1):4-10.   Published online February 28, 2023
DOI: https://doi.org/10.5535/arm.23020
Spinal cord injury (SCI) has been recognized as a medically complex and life-disrupting condition. As the aging of the population accelerates, the trend of SCI has changed. This review aimed to provide comprehensive statistics and recent epidemiological changes in SCI and rehabilitation in Korea. All three insurance databases (National Health Insurance Service [NHIS], automobile insurance [AUI], and industrial accident compensation insurance [IACI]) were considered. These nationwide databases provide data on the current trends in term of incidence, etiology, and rehabilitation of SCI. Traumatic spinal cord injury (TSCI) was more frequent among the elderly in the NHIS compared to working age individuals in the AUI and IACI. In all three trauma-related insurance databases, male with TSCI outnumbered female. TSCI incidence per year was approximately 17 times higher among males than females, on average, in IACI. In all three insurances, the cervical level of TSCI was the most frequent. Although the ratio of SCI patients receiving rehabilitation treatment at primary and secondary hospitals increased for nine years, the increase in training on activities of daily living (ADL training) was found to be relatively small. This review provides a broader and comprehensive understanding of the incidence, etiology, and rehabilitation treatment of SCI in Korea.

Citations

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  • Clinical Predictors of Dysphagia in Acute and Subacute Traumatic Cervical Spinal Cord Injury: A Retrospective Observational Study
    Yong Beom Shin, Jin A Yoon, Byeong Ju Lee, Myung Hun Jang, Hyuk Jin Choi, Sang Hun Kim
    Dysphagia.2026; 41(1): 149.     CrossRef
  • Traumatic spinal cord injury: A four-year study in Puerto Rico
    Manuel F. Mas, Félix Pérez, Anna Blanco, Javier Deya, Natasha L. Frontera, Marcos R. Latimer, José Quintana, José G. Conde, Walter R. Frontera
    The Journal of Spinal Cord Medicine.2025; 48(5): 773.     CrossRef
  • Effectiveness of a Community-Based Exercise Program for Ambulatory Individuals With Spinal Cord Injury: A Randomized Controlled Trial
    Sungchul Huh, Yuna Kim, Hyun-Yoon Ko, Mi Sook Yun, Yong Il Shin, Jung Lim Lee, Sung-Hwa Ko
    Archives of Physical Medicine and Rehabilitation.2025; 106(4): 481.     CrossRef
  • Capturing Community Living Experiences and Health of Korean Community Spinal Cord Injury Population: A Cross-Sectional Survey
    Boram Lee, Hyeong Jun Kim
    International Journal of Environmental Research and Public Health.2025; 22(8): 1222.     CrossRef
  • Deep Learning-Based Prediction Model for Gait Recovery after a Spinal Cord Injury
    Hyun-Joon Yoo, Kwang-Sig Lee, Bummo Koo, Chan-Woo Yong, Chae-Won Kim
    Diagnostics.2024; 14(6): 579.     CrossRef
  • Risk of fracture among patients with spinal cord injury: A nationwide cohort study in South Korea
    Seonghye Kim, Bongseong Kim, Kyung-Do Han, Junhee Park, Jung Eun Yoo, Hea Lim Choi, Won Hyuk Chang, In Young Cho, Dong Wook Shin
    Bone.2024; 183: 117093.     CrossRef
  • Significance of physical factors on activities of daily living in patients with tetraplegia after spinal cord injury: a retrospective study
    Kimin Yun, Jin-cheol Lim, Onyoo Kim
    BMC Sports Science, Medicine and Rehabilitation.2024;[Epub]     CrossRef
  • Community-Based Exercise Programs Post Spinal Cord Injury Hospitalization: A Pilot Study for a Randomized, Multicenter, Double-Blind Controlled Setting
    Dongheon Kang, Jiyoung Park
    Life.2024; 14(9): 1135.     CrossRef
  • Trends in the Incidence and Etiology of Non-Traumatic Spinal Cord Injury in Korea: A Nationwide Population-Based Study From 2007 to 2020
    Yoonjeong Choi, Ja-Ho Leigh, Jooeun Jeon, Goo Joo Lee, Hyung-Ik Shin, Moon Suk Bang
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Risk Factors for Suicidality in Individuals With Spinal Cord Injury: A Focus on Physical and Functional Characteristics
    Sora Han, Wooyeung Kim, Onyoo Kim
    Annals of Rehabilitation Medicine.2023; 47(5): 377.     CrossRef
  • 13,950 View
  • 186 Download
  • 10 Web of Science
  • 10 Crossref

Original Articles

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  
  • Effects of a functional training prehabilitation program supported by the Prehab® App on functional capacity in preoperative oncological patients
    Monique Messaggi-Sartor, Raquel Sebio Garcia, Marta Amor-Barbosa, David Blanco, Graciela Martinez-Pallí
    Supportive Care in Cancer.2026;[Epub]     CrossRef
  • 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 Sier, Eva Godina, Omar Mollema, Maud Cox, Thais Tweed, Jan Greve, Jan 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
  • 7,667 View
  • 128 Download
  • 6 Web of Science
  • 5 Crossref

Cardiopulmonary rehabilitation

Effect of the Inspiratory Method and Timing of Voluntary Cough on Peak Cough Flow
Fumiya Kotajima, Masakiyo Yatomi, Takeshi Hisada
Ann Rehabil Med 2023;47(2):118-128.   Published online January 30, 2023
DOI: https://doi.org/10.5535/arm.22103
Objective
To define the effect of the inspiratory method and cough timing on peak cough flow (PCF).
Methods
We investigated the effect of measurement conditions on PCF in healthy subjects (n=10). We then compared obstructive and restrictive pulmonary diseases (n=20) to assess for similar results in respiratory diseases. The PCF was measured under four conditions: before coughing, without maneuver 1 or with maneuver 2 a temporary respiratory pause (4–6 seconds) after rapid inspiration, and without maneuver 3 or with maneuver 4 a temporary respiratory pause after slow inspiration. After the measurements were completed, the PCF between the four conditions was compared for each subject group, and the effect size was calculated.
Results
PCF of maneuvers 1 and 3 were significantly higher than maneuver 4 in healthy subjects (476.34±102.05 L/min and 463.44±107.14 L/min vs. 429.54±116.83 L/min, p<0.01 and p<0.05, respectively) and patients with restrictive pulmonary disease (381.96±145.31 L/min, 354.60±157.36 L/min vs. 296.94±137.49 L/min, p<0.01 and p<0.05, respectively). In obstructive pulmonary disease, maneuver 1 was significantly higher than maneuver 4 (327.42±154.73 L/min vs. 279.48±141.10 L/min, p<0.05). The largest effect sizes were shown by maneuvers 4 and 1.
Conclusion
PCF depends on changes in inspiratory speed before coughing and on temporary respiratory pauses after maximal inspiration. It will become necessary to unify the measurement methods for coughing strength and present appropriate coughing methods.

Citations

Citations to this article as recorded by  
  • Objective Assessment of the Cough: Listening to the Patient’s Voice. A Narrative Review
    Tai Joon An
    Tuberculosis and Respiratory Diseases.2026; 89(2): 193.     CrossRef
  • Factors related to pre-operative cough strength in cardiac surgical patients: a cross-sectional study
    Yan Zhang, Zheng Lin, Yuhong Chen, Liang Hong, Xiao Shen
    Heart & Lung.2024; 63: 128.     CrossRef
  • 9,696 View
  • 119 Download
  • 2 Web of Science
  • 2 Crossref

Physical Therapy

Effects of Intensive Exercise on Cognitive Dysfunction in Patients With Pure Cerebellar Degeneration: A Single-Arm Pilot Study
Toshiya Shimamoto, Katsuhisa Uchino, Akira Mori, Kengo Nojima, Junichi Iiyama, Yohei Misumi, Mitsuharu Ueda, Makoto Uchino
Ann Rehabil Med 2022;46(5):263-273.   Published online October 31, 2022
DOI: https://doi.org/10.5535/arm.22014
Objective
To clarify the profile of cognitive dysfunction and the effects of intensive exercise in spinocerebellar degeneration (SCD).
Methods
We enrolled 60 healthy controls and 16 patients with purely cerebellar type SCD without gait disturbance or organic changes other than cerebellar changes. To assess cognitive function, we evaluated the participants using the Mini-Mental State Examination (MMSE), Frontal Assessment Battery (FAB), and Montreal Cognitive Assessment-Japanese (MoCA-J) at admission and after intensive exercise.
Results
Compared to the controls, SCD patients showed significant cognitive decline. As a result of intensive exercise, significant improvements in motor and cognitive functions were observed: the MMSE score improved from 27.7±1.9 to 29.0±1.3 points (p<0.001); the FAB score improved from 14.8±2.2 to 15.8±2.0 points (p=0.002); and the MoCA-J score improved from 24.6±2.2 to 26.7±1.9 points (p<0.001). For sub-scores, significant improvements were noted in serial 7, lexical fluency, motor series, and delayed recall.
Conclusion
Our study indicates that intensive exercise can be effective not only for motor dysfunction but also for cognitive dysfunction (Clinical Trial Registration No. UMIN-CTR: UMIN000040079).

Citations

Citations to this article as recorded by  
  • Exercise and cognition in people with degenerative cerebellar ataxia: a narrative review
    Chelsea E. Macpherson, Meghan Bjalme-Evans, Fatima Awad, Sheng-Han Kuo, Lori Quinn
    Neurodegenerative Disease Management.2026; 16(1): 81.     CrossRef
  • Home-based Hybrid Assistive Limb Lumbar Type Telerehabilitation in Spinocerebellar Ataxias: A Nonrandomized Open-label Trial
    Yoshiyuki Kishimoto, Shinichiro Yamada, Atsushi Hashizume, Daisuke Ito, Shota Komori, Takahiro Kawase, Ayano Kondo, Yu Mori, Kazuki Obara, Munetaka Yamamoto, Yachiyo Kuwatsuka, Masahiko Ando, Tomokazu Abe, Yoshihiro Yasunaga, Masahisa Katsuno
    The Cerebellum.2025;[Epub]     CrossRef
  • 7,462 View
  • 103 Download
  • 2 Web of Science
  • 2 Crossref

Review Article

Cancer rehabilitation

Cancer Rehabilitation Fact Sheet in Korea
Jin A Yoon, Bo Young Hong
Ann Rehabil Med 2022;46(4):155-162.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22102
Cancer rehabilitation aims to enable patients to maximize their physical, social, psychological, and vocational functions within the limits that arise during the course of the disease and its treatment. According to recent domestic studies, most patients report one or more physical problems during or after cancer treatment. This review presents the latest updates on cancer-related rehabilitation issues. Cancer rehabilitation in Korea still faces various barriers, including a lack of awareness, problems with the healthcare delivery system, and high costs, and recognizing the need for rehabilitation during cancer treatment varies among patients and even physicians. Hence, an appropriate cooperative referral system for cancer rehabilitation requires improvement. We herein review the current status of and barriers to cancer rehabilitation in South Korea to resolve the issues of domestic cancer rehabilitation.

Citations

Citations to this article as recorded by  
  • Use of Pulmonary Rehabilitation for Lung Cancer Patients in Korea: Analysis of the National Health Insurance Service Database
    Sang Hun Kim, Cho Hui Hong, Jong-Hwa Jeong, Jinmi Kim, Jeong Su Cho, Jin A Yoon, Jung Seop Eom, Byeong Ju Lee, Myung Hun Jang, Myung-Jun Shin, Yong Beom Shin
    Journal of Korean Medical Science.2025;[Epub]     CrossRef
  • Factors associated with sedentary behavior among community-dwelling breast cancer survivors aged 50 years or older
    Jae Hyeon Park, Jung Soo Lee, Hyung Seok Nam, Yeo Hyung Kim
    Scientific Reports.2024;[Epub]     CrossRef
  • 11,606 View
  • 143 Download
  • 2 Web of Science
  • 2 Crossref

Original Articles

Cardiopulmonary rehabilitation

Accuracy and Validity of Commercial Smart Bands for Heart Rate Measurements During Cardiopulmonary Exercise Test
Chul Kim, Seung Hyoun Kim, Mi Rim Suh
Ann Rehabil Med 2022;46(4):209-218.   Published online August 31, 2022
DOI: https://doi.org/10.5535/arm.22050
Objective
To assess the accuracies and validities of popular smart bands for heart rate (HR) measurement in cardiovascular disease (CVD) patients during a graded exercise test (GXT).
Methods
Seventy-eight patients were randomly assigned to wear two different smart bands out of three possible choices: Samsung Galaxy Fit 2, Xiaomi Mi Band 5, or Partron PWB-250 on each wrist. A 12-lead exercise electrocardiogram (ECG) and patch-type single-lead ECG were used to assess the comparative HR accuracy of the smart bands. The HR was recorded during the GXT using the modified Bruce protocol.
Results
The concordance correlation coefficients (rc) were calculated to provide a measure of agreement between each device and the ECG. In all conditions, the Mi Band 5 and Galaxy Fit 2’ correlations were rc>0.90, while the PWB-250 correlation was rc=0.58 at rest. When evaluating the accuracy according to the magnitude of HR, all smart bands performed well (rc>0.90) when the HR was below 100 but accuracy tended to decrease with higher HR values.
Conclusion
This study showed that the three smart bands had a high level of accuracy for HR measurements during low-intensity exercise. However, during moderate-intensity and high-intensity exercise, all the three smart bands performed less accurately. Further studies are needed to find a more optimal smart band for HR measurement that can be used for precise HR monitoring during formal cardiac rehabilitation exercise training, including at high and maximal intensity (Clinical Trial Registration No. cris.nih.go.kr/KCT0007036).

Citations

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  • Is my smartwatch a valid witness? A systematic review and meta-analysis
    Marcello Sicbaldi, Laura Bartoli, Jose Albites-Sanabria, Ilaria D’Ascanio, Alessandro Silvani, Lorenzo Chiari, Alberto Camon, Luca Palmerini
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  • Psychological and physiological moderators of perceived exertion in aerobics: a repeated-measures study
    Xiaoxue Gao, Jincheng Zhao, Tongkai Zhao, Yong-Gwan Song, Yuyao Zhi, Xinyi He
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    Rosa María Ortiz-Gutiérrez, José Javier López-Marcos, José Luis Maté-Muñoz, Paloma Moreta-de-Esteban, Patricia Martín-Casas
    Sensors.2025; 25(8): 2621.     CrossRef
  • Validity of Heart Rate Measurement Using Wearable Devices During Cardiopulmonary Exercise Testing in Patients With Cardiovascular Disease: Prospective Pilot Validation Study
    Kazufumi Kitagaki, Yuji Hongo, Rie Futai, Takeshi Hasegawa, Hiroshi Morikawa, Hisashi Shimoyama
    JMIR Cardio.2025; 9: e77911.     CrossRef
  • İŞE BAĞLI DİNLENME SÜRELERİNİN MAKİNE ÖĞRENMESİ İLE TAHMİN EDİLMESİ
    Melis Türksever, Emin Kahya, N. Fırat Özkan
    Endüstri Mühendisliği.2025; 36(3): 367.     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
  • An Evaluation of the Effect of App-Based Exercise Prescription Using Reinforcement Learning on Satisfaction and Exercise Intensity: Randomized Crossover Trial
    Cailbhe Doherty, Rory Lambe, Ben O’Grady, Diarmuid O’Reilly-Morgan, Barry Smyth, Aonghus Lawlor, Neil Hurley, Elias Tragos
    JMIR mHealth and uHealth.2024; 12: e49443.     CrossRef
  • Women’s Involvement in Steady Exercise (WISE): Study Protocol for a Randomized Controlled Trial
    Irene Ferrando-Terradez, Lirios Dueñas, Ivana Parčina, Nemanja Ćopić, Svetlana Petronijević, Gianfranco Beltrami, Fabio Pezzoni, Constanza San Martín-Valenzuela, Maarten Gijssel, Stefano Moliterni, Panagiotis Papageorgiou, Yelko Rodríguez-Carrasco
    Healthcare.2023; 11(9): 1279.     CrossRef
  • 12,452 View
  • 167 Download
  • 10 Web of Science
  • 8 Crossref

Cardiopulmonary rehabilitation

Is Age-Predicted Maximal Heart Rate Applicable in Patients With Heart or Lung Disease?
Sang Hun Han, Min Soo Choi, Young Mo Kim, Dong Min Kim, Ho Eun Park, Ji Won Hong, Sang Hun Kim, Yong Beom Shin, Byeong Ju Lee
Ann Rehabil Med 2022;46(3):133-141.   Published online June 30, 2022
DOI: https://doi.org/10.5535/arm.21181
Objective
To compare the predicted and actual maximal heart rate (HRmax) values in the cardiopulmonary exercise test (CPET).
Methods
We retrospectively investigated 1,060 patients who underwent a CPET between January 2016 and April 2020 at our institution’s cardiopulmonary rehabilitation center. The following patients were included: those aged >20 years, those tested with a treadmill, and those who underwent symptom-limited maximum exercise testing— reaching ≥85% of the predicted HRmax (62% if taking beta-blockers) and highest respiratory exchange ratio ≥1.1. Ultimately, 827 patients were included in this study. Data on diagnosis, history of taking beta-blockers, age, body mass index (BMI), and CPET parameters were collected. Subgroup analysis was performed according to age, betablockers, BMI (low <18.5 kg/m2, normal, and high ≥25 kg/m2), and risk classification.
Results
There was a significant difference between the actual HRmax and the predicted value (p<0.001). Betablocker administration resulted in a significant difference in the actual HRmax (p<0.001). There were significant differences in the moderate-to-high-risk and low-risk groups and the normal BMI and high BMI groups (p<0.001). There was no significant difference between the elderly and younger groups. We suggest new formulae for HRmax of cardiopulmonary patients: estimated HRmax=183-0.76×age (the beta-blocker group) and etimated HRmax=210-0.91×age (the non-beta-blocker group).
Conclusion
Age-predicted HRmax was significantly different from the actual HRmax of patients with cardiopulmonary disease, especially in the beta-blocker group. For participants with high BMI and moderate-tosevere risk, the actual HRmax was significantly lower than the predicted HRmax.

Citations

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  • MITO-VATION: Feasibility of a technology-supported structured home exercise program in Mitochondrial Disease
    Jeremey Thomas Horne, Natalie E. Allen, Serene S. Paul, Judith Walker, Carolyn Sue, Hisham Al-Obaidi
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  • Diagnosing chronotropic incompetence: a scoping review of current approaches and their application in a cardiac rehabilitation cohort
    Margot Vermeiren, Nore Primus, Kato Heyns, Véronique Cornelissen, Rik Willems, Tim Van Puyvelde, Joris Ector, Kaatje Goetschalckx, Peter Sinnaeve
    European Journal of Preventive Cardiology.2026;[Epub]     CrossRef
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    Chul Kim, Hee-Eun Choi, Chin Kook Rhee, Jae Ha Lee, Ju Hyun Oh, Jun Hyeong Song
    Healthcare.2025; 13(3): 308.     CrossRef
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    Joona Neuvonen, Timo Aittokoski, Timo Rantalainen, Jukka Lipponen, Lotta Palmberg, Soren Brage, Tomas I. Gonzales, Erja Portegijs, Taina Rantanen, Laura Karavirta
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    祥昊 付
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    Manuel Weber, Anja Maria Raab, Kai-Uwe Schmitt, Gilbert Büsching, Thimo Marcin, Marc Spielmanns, Milo Alan Puhan, Anja Frei
    BMJ Open.2024; 14(3): e081397.     CrossRef
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    Alessandra Amato, Patrizia Proia, Anna Alioto, Carlo Rossi, Andrea Pagliaro, Paolo Ragonese, Giuseppe Schirò, Giuseppe Salemi, Rosalia Caldarella, Sonya Vasto, Robert Nowak, Dorota Kostrzewa-Nowak, Giuseppe Musumeci, Sara Baldassano
    Scientific Reports.2024;[Epub]     CrossRef
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    Yadolah Fakhri, Ibrahim Ziad Abdullah, Ayham Issam Qasem Al-issa, Elham Rahmanzadeh, Somayeh Hoseinvandtabar, Somayyeh Dehghani, Mahdi Ghorbanian, Amin Ghanbarnejad
    Environmental Health Engineering and Management.2024; 11(4): 419.     CrossRef
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    Helen Müller, Jochen Baumeister, Ellen Marie Bardal, Beatrix Vereijken, Nina Skjæret-Maroni
    Frontiers in Aging Neuroscience.2023;[Epub]     CrossRef
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Sports Medicine

Early Return to Play After Anterior Cruciate Ligament Reconstruction: Is It Worth the Risk?
László Török, Péter Jávor, Katalin Török, Ferenc Rárosi, Petra Hartmann
Ann Rehabil Med 2022;46(2):97-107.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.22010
Objective
To compare the outcomes of a 6-month-long accelerated rehabilitation with a 12-month-long rehabilitation. There is no consensus on the optimal duration of rehabilitation after anterior cruciate ligament reconstruction (ACLR). Trends in the past decades have shifted towards accelerated programs, often resulting in a return to play (RTP) at 4–6 months, postoperatively. However, longer rehabilitation cycles have recently experienced renaissance due to a greater understanding of graft remodeling.
Methods
Adult athletes who underwent ACLR between 2015 and 2018 by the same surgeon were included and followed-up prospectively for 24 months. Participants were allocated into two groups based on their RTP (6 months vs. 12 months) and compared with graft elongation, reoperation rate, and sports career (quit or continue) outcomes.
Results
Fifty-four patients underwent accelerated rehabilitation and 92 completed conventional rehabilitation. The accelerated rehabilitation was significantly associated with graft elongation—the accelerated rehabilitation group (n=9) and the conventional rehabilitation group (n=0), p<0.001—and need for reoperation—the accelerated rehabilitation group (n=5) and the conventional rehabilitation group (n=1), p=0.026. Although the relationship between rehabilitation time and quitting competitive sports did not reach significance at 0.05 level (p=0.063), it was significant when p<0.1, thereby showing a clear trend.
Conclusion
Accelerated rehabilitation increased graft elongation risk. Knee laxity ≥3 mm measured at 6 months after ACLR should be accompanied by RTP time frame re-evaluation. Arthrometry checkups or routine magnetic resonance imaging shortly after RTP may be considered in cases of accelerated rehabilitation.

Citations

Citations to this article as recorded by  
  • Movement Assessments as Predictors for Initial Anterior Cruciate Ligament Injury: A Critically Appraised Topic
    Destinee Johnson, Rebecca Maldonado, Erin Lally
    Journal of Sport Rehabilitation.2025; 34(7): 767.     CrossRef
  • Global Variations in Surgical Techniques for Primary Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up: A Systematic Review of Randomized Clinical Trials
    Sina Tartibi, Derrick M. Knapik, S. Ryan Pierson, Christopher K. Bozorgmehr, Daniel C. Touhey, Matthew J. Matava, Matthew V. Smith, Robert H. Brophy
    Orthopaedic Journal of Sports Medicine.2025;[Epub]     CrossRef
  • Return to Sport and Risk of Second Anterior Cruciate Ligament (ACL) Injury in Elite Male Footballers: 10-Year Experience From a Single Center
    Alberto Grassi, Tommaso Bonanzinga, Federico Maria Adravanti, Gian Andrea Lucidi, Emanuele Altovino, Stefano Zaffagnini, Maurilio Marcacci
    Orthopaedic Journal of Sports Medicine.2025;[Epub]     CrossRef
  • Anterior cruciate ligament reconstruction in the elderly: 5-Year follow-up study
    Takayuki Kurokawa, Károly Csete, Péter Jávor, Lilla Sándor, Bálint Baráth, Helga Holovic, László Török, Petra Hartmann
    Injury.2024; 55: 111529.     CrossRef
  • Blood Flow Restriction Training and Its Use in Rehabilitation After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis
    Jamaal Butt, Zubair Ahmed
    Journal of Clinical Medicine.2024; 13(20): 6265.     CrossRef
  • Reasons for the Variability of Rehabilitation Programs and the Perspective of the Standardized Guidelines Development for Patients after Anterior Cruciate Ligament Reconstruction
    V.V. Kotiuk, O.O. Kostrub, I.A. Zasadniuk, D.O. Smirnov, V.A. Podik, R.I. Blonskyi
    TERRA ORTHOPAEDICA.2023; (3(118)): 64.     CrossRef
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  • 6 Crossref

Brain disorders

Development of the Korea Dysarthria Test Following Stroke
Hyo Jong Kim, Kyoung Moo Lee
Ann Rehabil Med 2022;46(2):71-86.   Published online April 30, 2022
DOI: https://doi.org/10.5535/arm.21153
Objective
To develop an objective and quantitative clinical evaluation tool that can be used for diagnosis and severity assessment of dysarthria in patients with stroke.
Methods
A prototype test comprising 23 items was developed to test the function of each speech organ. The scoring of the prototype test was based on the analysis of the result values obtained from 50 healthy individuals. The test was performed for 50 patients with stroke who were suspected to have dysarthria. For evaluating the correlation between each prototype test item and the Urimal Test of Articulation and Phonation (U-TAP), the odds ratio was obtained for each result, based on which the final test items for composing the Korea Dysarthria Test (KDT) were selected. The validity of the test was evaluated using the receiver operator characteristic (ROC) curve and the area under the curve. We used the intraclass correlation coefficients to quantify inter- and intra-rater reliability. The Spearman correlation coefficient was used for examining the correlation between the KDT and the Speech Mechanism Screening Test and U-TAP.
Results
Among the 23 prototype test items, 16 exhibiting significant results were finally selected as the KDT. The higher score of the KDT is reflected the better speaking function. The sensitivity and specificity of the KDT were shown to be high at the cutoff value of 76.50 point.
Conclusion
KDT is a useful evaluation tool for dysarthria, showing a significant correlation with SMST and U-TAP.

Citations

Citations to this article as recorded by  
  • Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients
    Back Min Oh, Hyun Seok, Sang-Hyun Kim, Seung Yeol Lee, Su Jung Park, Beom Jin Kim, Hyun Jung Kim
    Annals of Rehabilitation Medicine.2023; 47(3): 192.     CrossRef
  • Destruction of Vowel Space Area in Patients with Dysphagia after Stroke
    Min Kyu Choi, Seung Don Yoo, Eo Jin Park
    International Journal of Environmental Research and Public Health.2022; 19(20): 13301.     CrossRef
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  • 144 Download
  • 2 Web of Science
  • 2 Crossref

Review Article

Brain disorders

Stroke Rehabilitation Fact Sheet in Korea
Se Hee Jung
Ann Rehabil Med 2022;46(1):1-8.   Published online February 28, 2022
DOI: https://doi.org/10.5535/arm.22001
Correction in: Ann Rehabil Med 2022;46(2):108
With rapid aging, the number of stroke survivors with disabilities in Korea is increasing even if mortality is declining. Despite coordinated efforts for quality improvement of stroke rehabilitation in Korea, the statistics of stroke rehabilitation were not well reported. This review aimed to provide contemporary and comprehensive statistics and recent changes in stroke rehabilitation in Korea. The Clinical Practice Guideline for Stroke Rehabilitation in Korea was developed in 2009 and updated in 2012 and 2016. Additionally, the representative databases for stroke rehabilitation include the Korean Brain Rehabilitation Database and the Korean Stroke Cohort for functioning and rehabilitation. These nationwide databases provided current information on stroke rehabilitation. Among Korean stroke survivors, one in three had motor impairment, one in four had cognitive impairment, one in three had speech impairment, one in four was dependent in ambulation, one in six had swallowing difficulty, and one in four was dependent in activities in daily living at 5 years after stroke. Comprehensive inpatient rehabilitation following transfer to the department of rehabilitation medicine significantly decreased stroke-related mortality and long-term disability. This review provides an improved understanding of stroke rehabilitation and guidance to implement timely, coordinated, evidence-based stroke rehabilitation services to relieve the socioeconomic burden of stroke.

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    Mu Su Kim, Ji Hong Min, Yong-Il Shin, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Gyung-Jae Oh, Yang Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song, Junhee Han, Jeonghoon Ahn, Yun-Hee Kim, Sung-Hwa Ko, Won Hyuk Chang
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Original Articles

Pediatric rehabilitation

Effect of Pilates Exercises on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy
Hanaa Mohsen Abd-Elfattah, Dina Othman Shokri Morsi Galal, Mahmoud Ibrahim Elsayed Aly, Sobhy M. Aly, Tamer Emam Elnegamy
Ann Rehabil Med 2022;46(1):45-52.   Published online February 28, 2022
DOI: https://doi.org/10.5535/arm.21148
Correction in: Ann Rehabil Med 2022;46(2):110
Objective
To analyze how Pilates exercises affect standing, walking, and balance in children with diplegic cerebral palsy throughout a 10-week program.
Methods
We included 40 children aged 7–9 years with diplegic cerebral palsy, and randomly allocated them into two groups of the same size: conventional therapy group (group A) and conventional therapy+Pilates group (group B). We administered the same conventional physical therapy program to both groups for 45 minutes, with group B receiving additional Pilates exercises for 45 minutes. Both groups attended the intervention program three times/week for 10 weeks. We used the Growth Motor Function Measure Scale (GMFM-88) to evaluate standing and walking (Dimensions D and E), and the Pediatric Balance Scale to evaluate balance function before and after treatment.
Results
Comparison of the average values of all measured variables before and after therapy showed a statistically significant difference (p<0.05) between the two groups. All measured variables showed a significant difference between groups A and B, in favor of group B (p<0.05).
Conclusion
Pilates exercise in addition to conventional therapy is more effective in improving balance and gross motor function in children with diplegic cerebral palsy than the conventional therapy alone.

Citations

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  • Effects of Pilates Exercise Training on Static Balance and Lower Limbs Proprioception in Adult Females With and Without Flexible Flatfeet
    Maryam Ghorbani, Rasoul Yaali, Hassan Sadeghi, Urs Granacher
    Foot & Ankle Specialist.2026; 19(2): 196.     CrossRef
  • Lower Limb Training Threshold Dose and Motor Learning Strategy Reporting in Children With Cerebral Palsy
    Matthew Haddon, Isabella Pessóta Sudati, Jizelle Kenworthy-Groen, Dayna Pool, Lauren O’Connor, Robert Ware, Cristina Lee, Kate Dolling, Leanne Sakzewski
    Pediatric Physical Therapy.2026; 38(1): 2.     CrossRef
  • Effectiveness of physical activity counseling and PILATES exercises in women with prediabetes and type 2 diabetes: a randomized controlled trial
    Merve Şuay Uçgul, Ela Tarakcı, Gamze Kus, Nimet Bilge Shalaby
    Physiotherapy Theory and Practice.2026; : 1.     CrossRef
  • Effects of mind-body exercise in children with cerebral palsy—A systematic review and meta-analysis
    Ye Long, Xinping Jiang, Juan Li, Bingxue Liu
    Complementary Therapies in Clinical Practice.2025; 58: 101930.     CrossRef
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    Jae-Heon Lim
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Brain disorders

Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation
Tayeun Kim, In Yae Cheong
Ann Rehabil Med 2021;45(6):422-430.   Published online December 31, 2021
DOI: https://doi.org/10.5535/arm.21133
Objective
To investigate the clinical demographics and rehabilitative assessments of encephalitis survivors admitted to a rehabilitation center, and to confirm the effects of inpatient rehabilitation manifested by changes in muscle strength and function after hospitalization.
Methods
Data of encephalitis survivors who received rehabilitation at our institution from August 2009 to August 2019 were reviewed. Medical charts were retrospectively reviewed, and motor, functional, and cognitive assessments were collected. Manual muscle testing (MMT), Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Functional Ambulation Category (FAC), Korean version of Modified Barthel Index (K-MBI), grip strength, Box and Block Test (BBT), and Korean version of Mini-Mental State Examination (K-MMSE) were performed, and the results upon admission and discharge were compared and analyzed.
Results
Most of the patients with encephalitis admitted to our institution had viral or autoimmune etiologies. The assessment results of 18 encephalitis patients upon admission and discharge were compared. The total K-MBI score, FAC, grip strength, and BBT significantly improved, but not the MMT and FMA. Subgroup analysis was performed for viral and autoimmune encephalitis, which are the main causes of the disease, but there was no difference in items with significant changes before and after hospitalization.
Conclusion
Encephalitis survivors showed a significant improvement in functional assessment scale during their hospital stay through rehabilitation, without significant changes in motor strength. Hence, we can conclude that encephalitis survivors benefit from inpatient rehabilitation, targeting functional gains in activities of daily living training more than motor strength.

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  • Activated Microglia Mediate the Motor Neuron‐, Synaptic Denervation‐ and Muscle Wasting‐Changes in Burn Injured Mice
    Jingyuan Chen, Yoshinori Kitagawa, Fei Xie, Haobo Li, William R. Kem, Zerong You, Shingo Yasuhara, J. A. Jeevendra Martyn
    Journal of Cachexia, Sarcopenia and Muscle.2025;[Epub]     CrossRef
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    Yikang Wang, Di Wang, Yu Tian, Yilong Yao, Qi Yu
    Frontiers in Public Health.2025;[Epub]     CrossRef
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    Satoshi Kutsuna, Hiroyuki Ohbe, Yuya Kimura, Keito Shinmoto, Yuichiro Matsuo, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
    Journal of Epidemiology.2025;[Epub]     CrossRef
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    Journal of Clinical Neurology.2024; 20(1): 3.     CrossRef
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    Haiyan Zhang, Shuangying Huang, Biyun He, Lingming Shen, Xiaoqing Li, Chen Shen, Bo Chen
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Brain disorders

Activity, Participation, and Goal Awareness After Acquired Brain Injury: A Prospective Observational Study of Inpatient Rehabilitation
Zoe Adey-Wakeling, Laura Jolliffe, Elizabeth O’Shannessy, Peter Hunter, Jacqui Morarty, Ian D. Cameron, Enwu Liu, Natasha A. Lannin
Ann Rehabil Med 2021;45(6):413-421.   Published online December 31, 2021
DOI: https://doi.org/10.5535/arm.21034
Objective
To examine the frequency and timing of inpatient engagement in meaningful activities within rehabilitation (within and outside of structured therapy times) and determine the associations between activity type, goal awareness, and patient affect.
Methods
This prospective observational study performed behavioral mapping in a 42-bed inpatient brain injury rehabilitation unit by recording patient activity every 15 minutes (total 42 hours). The participants were randomly selected rehabilitation inpatients with acquired brain injury; all completed the study. The main outcome measures included patient demographics, observation of activity, participation, goal awareness, and affect.
Results
The inpatients spent 61% of the therapeutic day (8:30 to 16:30) in their single room and were alone 49% of the time. They were physically socially inactive for 76% and 74% of their awake time, respectively, with neutral affect observed for about half of this time. Goal-related activities were recorded for only 25% of the inpatients’ awake time. The odds of physical activity were 10.3-fold higher among in patients receiving support to address their goals within their rehabilitation program (odds ratio=10.3; 95% confidence interval, 5.02–21.16).
Conclusion
Inpatients in a mixed brain injury rehabilitation unit spent a large amount of their awake hours inactive and only participated in goal-related activities for a quarter of their awake time. Rehabilitation models that increase opportunities for physical, cognitive, and social activities outside of allied health sessions are recommended to increase overall activity levels during inpatient rehabilitation.

Citations

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    Laura Jolliffe, Taya A Collyer, Ka Hei Sun, Lisa Done, Siobhan Barber, Michele L Callisaya, David A Snowdon
    Age and Ageing.2025;[Epub]     CrossRef
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    Amanda J Thorpe, Connor Byrne
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    Healthcare.2025; 13(20): 2610.     CrossRef
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    Natasha A Lannin, Michael Pellegrini, Madeleine J Smith, Laura Jolliffe, Meg E Morris
    International Journal of Therapy and Rehabilitation.2024; 31(7): 1.     CrossRef
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    Salome Bozkurt, Natasha A. Lannin, Richelle Mychasiuk, Bridgette D. Semple
    Neuroscience & Biobehavioral Reviews.2023; 152: 105278.     CrossRef
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    Vibeke Wagner, Pi Gravesen, Emma Ghaziani, Markus Harboe Olsen, Christian Gunge Riberholt
    Heliyon.2023; 9(11): e21927.     CrossRef
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