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Physical Therapy Research

Kohji Iwai, Yasuhiko Hatanaka
PURPOSE: The purpose of this study was to investigate urine protein excretion and the effect of muscle strengthening in patients with renal disease. SUBJECTS: Twenty-eight patients (18 to 87 years old) with acute onset renal disease were treated with steroids at the Hospital of Shiga University of Medical Science. Maximum quadriceps force was measured, and 20-minutes sessions in resistance training were started. After 5 weeks, maximum quadriceps force was measured again...
2018: Physical Therapy Research
Kazunari Ninomiya, Kazuo Hirakawa, Takashi Ikeda, Nariaki Nakura, Koji Suzuki
Background Long-term results in muscle strength, physical activity (PA), and functional improvement after total hip arthroplasty (THA) have not been studied. The purpose of this study was to evaluate the deficits in functional performance, PA, and high fall rate in patient 10 years after THA compared to healthy adults. Methods The subjects were 58 patients who underwent primary THA for unilateral hip osteoarthritis 10 years, and 46 healthy adults. Hip abductor strength, balance function (single-leg stance time), Maximal Walking Speed (MWS), fall rate, and PA (IPAQ short ver...
2018: Physical Therapy Research
Satoshi Shibata, Masahiro Takemura, Shumpei Miyakawa
Background Neurocognitive function may be a risk factor for anterior cruciate ligament (ACL) injury by changing neuromuscular control such as muscle activities. However, the effect of differences in neurocognitive function on biomechanics and neuromuscular control related to ACL injury risk is not clear. The purpose of this study was to examine the effect of differences in neurocognitive function on biomechanics and neuromuscular control during an unanticipated side-step cutting motion. Method The subjects were 15 collegiate female athletes who were divided into two groups using the Symbol Digit Modalities Test (SDMT)...
2018: Physical Therapy Research
Takaya Ishii, Tsuyoshi Hara, Syusuke Kusano, Kouki Miura, Akira Kubo, Jun Kosaka
OBJECTIVE: To evaluate the association between the cross-sectional area of selected shoulder and scapular muscles and the range of shoulder abduction, early after neck dissection surgery. PATIENTS AND METHODS: Twenty-seven patients (contributing 34 upper limbs), who had undergone neck dissection surgery for head and neck malignancy, were enrolled into the study. Loss of strength of the trapezius muscle at 1-month post-surgery was quantified by the change in active range of shoulder abduction (%A-ROM), measured by hand-held goniometry in a standing position, from baseline, before surgery...
2018: Physical Therapy Research
Takuo Nomura, Toshihiro Kawae, Hiroaki Kataoka, Yukio Ikeda
Patients with type 2 diabetes may have motor dysfunctions such as loss of muscle strength. Compared with non-diabetic subjects, patients with diabetes show decreased lower extremity muscle strength. The aim of this review was to describe the influence of factors associated with loss of muscle strength in patients with type 2 diabetes. Aging promotes an accelerated loss of muscle strength in patients with diabetes. Physical inactivity may cause a decline in muscle strength in patients with diabetes. Gradual loss of muscle strength is related to the presence and severity of diabetic neuropathy...
2018: Physical Therapy Research
Hideaki Onishi
In brain injury rehabilitation, passive movement exercises are frequently used to maintain or improve mobility and range of motion. They can also induce beneficial and sustained neuroplastic changes. Neuroimaging studies have revealed that passive movements without motor commands activate not only the primary somatosensory cortex but also the primary motor cortex, supplementary motor area, and posterior parietal cortex as well as the secondary somatosensory cortex (S2) in healthy subjects. Repetitive passive movement has also been reported to induce increases or decreases in cortical excitability...
2018: Physical Therapy Research
Ferran Cuenca-Martínez, Sara Cortés-Amador, Gemma Victoria Espí-López
INTRODUCTION: Chronic low back pain is a pathological process that compromises the functionality and quality of life worldwide. The objective of the study was to evaluate the effectiveness of classical physiotherapy in the management of non-specific chronic low back pain. METHODS: A literature search in English electronic databases was performed from November to December of 2015. Only those studies addressing chronic non-specific low back pain by manual therapy and different types of exercises methods were included, and those, which combined acute or subacute pain with systematic reviews and clinical practice guidelines, were excluded...
2018: Physical Therapy Research
Toru Kokubo, Akihiko Tajima, Akiyoshi Miyazawa, Yasuyuki Maruyama
PURPOSE: The aim of this study was to evaluate the oxygen uptake in patients with cardiovascular disease during the low-impact dance program and to compare the findings with the values at peak oxygen uptake (VO2) and aerobic threshold (AT). METHODS: The study included 19 patients with cardiovascular disease [age, 68.3±8.7 years; left-ventricular ejection fraction, 60.3%±8.7%; peak VO2, 6.6±1.1 metabolic equivalents (METs)] who were receiving optimal medical treatment...
2018: Physical Therapy Research
Misaki Ueyama, Daisuke Takamura, Rina Nakajima, Jumpei Harada, Kentaro Iwata, Toshio Maekawa, Koichi Iwaki, Tadashi Yasuda
PURPOSE: Cryotherapy has been employed to reduce postoperative inflammation for enhancement of the recovery of total knee arthroplasty (TKA). However, the clinical advantages in functional recovery after TKA remain controversial. This study was conducted to clarify the postoperative alterations in deep temperature around the knee and to evaluate the association between the temperature changes and functional recovery in the early phase after TKA. METHODS: Postoperative changes in deep temperature around the knee were evaluated with the probe that can measure subcutaneous tissue temperature at the depth of 1 cm in 28 patients with medial knee osteoarthritis undergoing unilateral TKA through medial parapatellar approach...
2018: Physical Therapy Research
Masaya Anan, Hiroka Hattori, Kenji Tanimoto, Yoshio Wakimoto, Takuya Ibara, Nobuhiro Kito, Koichi Shinkoda
OBJECTIVE: Sit-to-stand motion (STS) is a dynamic motion utilized in fundamental activities of daily living and requires extensive joint movement in the lower extremities and the trunk and coordination of multiple body segments. The present study aimed to investigate whether aging affects the motor coordination of joint movements required to stabilize the horizontal and vertical movement of center of mass using the uncontrolled manifold (UCM) analysis. METHOD: We recruited 39 older adults with no musculoskeletal and/or neuromuscular conditions that affected STS, along with 21 healthy younger adults...
2017: Physical Therapy Research
Kazufumi Miyagishima, Eiki Tsushima, Kazuhiro Ishida, Shigenobu Sato
OBJECTIVE: To identify preoperative factors that affect the medical outcome study 36-item short form health survey (SF-36) score 1 year after lumbar spinal fusion. METHODS: Participants were selected from among 624 patients who underwent lumbar spinal fusion between April 1, 2009 and March 31, 2011 who were followed up for 1 year or more. The SF-36 version 2 was used to evaluate HRQOL. The following preoperative parameters were investigated: sex, age, body mass index (BMI), employment status (other than home-making), living with other family members, smoking, orthopedic disorder in another part of the body (other than lumbar spinal disease), history of lumbar spinal surgery, bladder function, and leg muscle strength...
2017: Physical Therapy Research
Akihiro Matsuura, Tetsuya Karita, Nao Nakada, Suguru Fukushima, Futoshi Mori
OBJECTIVE: To investigate the correlation between changes of contralesional cortical excitability evaluated by transcranial magnetic stimulation (TMS) and functional recovery in patients with hemiparetic stroke. METHODS: Eight inpatients (mean age: 75.9±13.8 years) with mild to moderate hemiparesis were enrolled. TMS was delivered to the optimal scalp position over the contralesional (ipsilateral to the paresis) primary motor cortex (M1) to activate the unaffected flexor carpi radialis muscle (FCR) while the patient picked up a wooden block with the affected hand...
2017: Physical Therapy Research
Atsushi Sato, Takaaki Fujita, Yuichi Yamamoto
Purpose This study aimed to calculate cut-off values of activities of daily living independence level for stroke patient home discharge based on the number of family caregivers. Method The subjects comprised 1442 stroke patients (26 hospitals) who were registered of the Japanese Rehabilitation Database. Receiver operating characteristic curves were used to elucidate the BI and FIMⓇ instrument scores necessary for home discharge. Analysis was performed for each subject according to the number of family caregivers, i...
2017: Physical Therapy Research
Noh Zulfikri, Maria Justine
The objective of the study was to determine the effects of Kinesio taping (KT) in inhibiting fatigue and preserving dynamic balance. Male recreational athletes were recruited to participate in this study. Participants were blinded from the group assignment and divided into four groups (Group A; KT and fatigue, Group B; no tape and fatigue, Group C; KT and no fatigue and Group D; no tape and no fatigue) using sequentially opaque, sealed envelopes. Pre and post measurements of Modified Star Excursion Balance Test (SEBT) composite score and normalized reach distance were used to measure dynamic balance...
2017: Physical Therapy Research
Misako Endo, Yuya Nakamura, Takuya Murakami, Hideki Tsukahara, Yoshinobu Watanabe, Yoshiyuki Matsuoka, Isao Ohsawa, Hiromichi Gotoh, Takae Inagaki, Emiko Oguchi
BACKGROUND: Activities of daily living (ADL) in aged hemodialysis patients decrease by many factors as hemodialysis therapy, various disease-related complications and underlying disease for rehabilitation. But the correlation between low ADL and mortality remains unclear. We assessed the levels of ADL and effects of rehabilitation in hemodialysis patients with low ADL. Moreover, the association between the baseline functional independence measure (FIM) or rehabilitation treatment effects and all-cause mortality were investigated...
2017: Physical Therapy Research
Chiharu Fujisawa, Akira Tamaki, Eiji Yamada, Hirofumi Matsuoka
PURPOSE: The purpose was to compare quadriceps muscle fatigue and change in surface electromyogram (sEMG) spectral power, muscle thickness, and peak torque (normalized by body weight) in men and women during isokinetic knee contractions. METHODS: Nineteen healthy volunteers (10 men, 9 women) participated. The volunteers performed 32 consecutive maximal isokinetic knee contractions for peak torque and muscle fatigue index (FI). The sEMG data were analyzed using wavelet analysis for median frequency (MF)...
2017: Physical Therapy Research
Hiroshi Takasaki, Mark R Elkins, Anne M Moseley
BACKGROUND: The Physiotherapy Evidence Database (PEDro) may help users to overcome some obstacles to evidence-based physiotherapy. Understanding the extent to which Japanese physiotherapists access research evidence via the PEDro website may suggest strategies to enhance evidence-based physiotherapy in Japan. OBJECTIVES: To quantify usage of PEDro in Japan, to compare this to usage in other countries, and to examine variations in PEDro usage within Japan. DESIGN: An observational study of PEDro usage with geographic analysis...
2016: Physical Therapy Research
Sho Takaki, Koji Kaneoka, Yu Okubo, Satoru Otsuka, Masaki Tatsumura, Itsuo Shiina, Shumpei Miyakawa
BACKGROUND: Pelvic tilting is performed to improve lumbopelvic flexibility or retrain the motor control of local muscles. However, few studies investigated the activity of local muscles during pelvic tilting. PURPOSE: The purpose of this study was to investigate muscle activity during anterior and posterior pelvic tilting. METHOD: Twelve healthy males (age, 22.6 ± 1.4 years) participated. Fine-wire electrodes were inserted into the bilateral lumbar multifidus (MF) and transversus abdominis (TrA)...
2016: Physical Therapy Research
Tatsuya Nakanowatari, Yoshimi Suzukamo, Shin-Ichi Izumi
OBJECTIVE: This study investigated the effectiveness of a specific exercise approach (SEA) or modifiable heel lift (MHL) to improve functional leg length discrepancy (LLD) after total hip arthroplasty (THA). METHODS: The study was a randomized controlled trial with a PROBE (prospective, randomized, open, blinded-endpoint) design trial. Patients (n=33) with both functional and perceived LLDs, 1 week after THA, were randomized to the SEA, MHL, or control groups. Patients in the SEA group performed 2 weeks of exercises to improve hip contracture and lumbar scoliosis...
2016: Physical Therapy Research
Atsushi Sato, Yutaka Okuda, Takaaki Fujita, Norihiko Kimura, Noriyuki Hoshina, Sayaka Kato, Shigenari Tanaka
PURPOSE: This study aimed to clarify which cognitive and physical factors are associated with the need for toileting assistance in stroke patients and to calculate cut-off values for discriminating between independent supervision and dependent toileting ability. METHOD: This cross-sectional study included 163 first-stroke patients in nine convalescent rehabilitation wards. Based on their FIM(Ⓡ) instrument score for toileting, the patients were divided into an independent-supervision group and a dependent group...
2016: Physical Therapy Research
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