Takahashi J. Relationship between the ability to stand and physical function in stroke survivors with hemiplegia: a pilot study. Jpn J Compr Rehabil Sci 2021; 12: 4-8.
Objective: This study aimed to identify the physical functions necessary to enable stroke survivors with hemiplegia to stand from a chair.
Methods: Fifteen patients who had suffered a hemiplegic stroke were divided into two groups, the pull and unable groups, based on their ability to stand by pulling a handrail. Their motor palsy, Stroke Impairment Assessment Set, and unaffected muscle strength were assessed.
Results: Patients in the pull group had less motor palsy, higher muscle strength of the upper extremity on the unaffected side, and greater angle of ankle dorsiflexion on the affected side, compared to the patients in the unable group.
Conclusion: The function of the affected lower limb and the unaffected upper limb's muscle strength determines the ability of patients who have suffered a hemiplegic stroke to lift their body upwards while standing from a chair.
Ikejiri M, Yamamoto N, Ihara N, Mitsuyasu M, Shirataki A, Irie N. The impact of different surgical treatments for intracerebral hemorrhage on functional outcomes during the convalescent stage. Jpn J Compr Rehabil Sci 2021; 12: 9-14.
Objective: We examined whether different surgical methods for intracerebral hemorrhage have an impact on functional outcomes at discharge from the Kaifukuki Rehabilitation Ward (KRW).
Methods: The participants included 100 patients with first-onset hypertensive ICH. Craniotomy was performed in 52 patients, endoscopic hematoma evacuation in 31 patients, and functional independence measure (FIM), length of hospitalization, and rate of discharge to the home of the two groups were examined retrospectively.
Results: The time between surgery and admission to the KRW was significantly shorter in the endoscopic hematoma evacuation group than in the craniotomy group. Although there was no significant difference in the functional prognosis at discharge, endoscopic hematoma evacuation may contribute to higher FIM gain, shorter length of hospitalization, and a higher rate of discharge to home because of the ability to transfer to KRW earlier than in the case of craniotomy, owing to less surgical invasion.
Conclusion: Endoscopic hematoma evacuation had a shorter time to admission to KRW than craniotomy; however, differences in surgical methods did not result in a difference in functional outcomes.
Arai N, Yoshimura M, Yamamoto S, Abe H, Hanayama K. Effectiveness of simple body image evaluation and manipulation for chronic pain: A case report. Jpn J Compr Rehabil Sci 2021; 12: 15-18.
Introduction: We report a case in which chronic pain was successfully relieved using a new simple body image evaluation and body image manipulation based on the evaluation results.
Case: The patient, a man in his 60s, accidentally sustained a left ulnar trunk fracture and left hand degloving injury at work. Occupational therapy for approximately 2 years could not completely relieve pain in the ring finger (allodynia), causing difficulty in changing clothes and driving a car. Images of the left and right ring fingers were compared and manipulated using bandages to make the two images similar. Allodynia was reduced (visual analog scale 10 cm → 3.6 cm), and the ability to change clothes and drive a car improved.
Discussion: The bandage presumably changed the tactile and visual information inputs of size, weight, length, thickness, and thickness and reconstructed the perceptual-motor loop.
Tomida K, Tanino G, Sonoda S, Hirano S, Itoh N, Saitoh E, Kagaya H, Suzuki A, Kawakami K, Miyajima T, Takai M. Development of Gait Ability Assessment for hemiplegics (GAA) and verification of inter-rater reliability and validity. Jpn J Compr Rehabil Sci 2021; 12: 19-26.
Objective: To develop the Gait Ability Assessment for hemiplegics (GAA), and to verify its validity and inter-rater reliability.
Methods: We developed the GAA, a new method for the assessment of gait ability. Next, we examined the inter-rater reliability of GAA by assessing gait ability of post-stroke patients by two physical therapists. Then, we verified the validity of GAA by comparing with the existing assessments methods comprising Functional Ambulation Categories (FAC), Functional Independence Measure (FIM)-walk, maximum walking speed, motor subscore of the FIM (FIM-M), and total score of affected-side motor function of the Stroke Impairment Assessment Set (SIAS-L/E).
Results: Regarding the inter-rater reliability of GAA, κ coefficient was 0.76 and weighted κ coefficient was 0.96. The correlation coefficients between GAA scores and existing assessment methods were: 0.95 for FAC scores, 0.95 for FIM-walk scores, 0.82 for maximum walking speed, 0.89 for FIM-M, and 0.61 for SIASL/E, all of which showed a significant correlation (p<0.01).
Conclusion: GAA has high inter-rater reliability as well as high validity as a gait ability assessment method, suggesting that it can be applied to research and clinical settings.