Jung‐Hyun Park

Purpose: The purpose of this study is to investigate how respiratory muscle strength correlates to cough capacity in patients with respiratory muscle weakness. Materials and Methods: Forty-five patients with amyotrophic lateral sclerosis (ALS), 43 with cervical spinal cord injury (SCI), and 42 with Duchenne muscular dystrophy (DMD) were recruited. Pulmonary function tests including forced vital capacity (FVC) and respiratory muscle strength (maximal expiratory pressure, MEP;maximal inspiratory p

Purpose: Mobile applications are widely used in the healthcare market. This study aimed to determine whether exercise using a machine learning-based motion-detecting mobile exercise coaching application (MDMECA) is superior to video streamingbased exercise for improving quality of life and decreasing lower back pain. Materials and Methods: The same 14-day daily workout program consisting of five exercises was performed by 104 participants using the MDMECA and another 72 participants using video

To assess the performance of diffusion tensor imaging (DTI) for the diagnosis of cervical spondylotic myelopathy (CSM) in patients with deformed spinal cord but otherwise unremarkable conventional magnetic resonance imaging (MRI) findings. A total of 33 patients who underwent MRI of the cervical spine including DTI using two-dimensional single-shot interleaved multi-section inner volume diffusion-weighted echo-planar imaging and whose spinal cords were deformed but showed no signal changes on co

Objective: The usage of mechanical ventilator has been an issue in advanced stage of most neuromuscular diseases. The patients experience hypoventilation symptoms and usually die from pulmonary complications at last. Besides traditional invasive mechanical ventilation, non-invasive intermittent positive pressure ventilation (NIPPV) has provided an alternative treatment option. We evaluated the effects of NIPPV. Method: We applied NIPPV method to the patients with advanced neuromuscular disease

Objective: To evaluate the difference in vital capacity (VC) between sitting and supine position in patients with amyotrophic lateral sclerosis (ALS) and Duchenne muscular dystrophy (DMD). Method: VC was measured in the sitting and supine position for 30 patients with DMD and for 30 patients with ALS. The highest value in three or more attempts in each position was chosen. Results: VCs measured in ALS patients in the sitting and supine position were 1591.7±634.6 ml and 1290.0±580.3 ml respectiv

Purpose: Maintaining or increasing user adherence to digital healthcare services is of great concern to service providers. This study aims to verify whether the donation model is an effective strategy to increase adherence to physical exercise using a mobile application. Materials and Methods: A total of 5618 users of a motion-detecting mobile exercise coaching application participated in a dona tion or self-reward exercise challenge with the same exercise protocol. The workout consisted of 50 s

Objective: To estimate the quality of lives in neuromuscular disease patients using mechanical ventilators by comparing their ‘Index of Well-being' reported their own and caregivers. Method: The Semantic Differential Scale of General Affect and Life Domain Satisfaction Measures were instruments to measure perceived well-being. They were used to survey 33 ventilator-assisted patients and their caregivers. A third instrument was devised to study the satisfaction of rehabilitative management includ

The known causes of dysphagia following cervical spine surgery include pre-vertebral soft tissue swelling, decreased posterior pharyngeal movement, and impaired upper esophageal sphincter opening. Some studies have suggested that dysphagia is associated with movement of the cervical vertebrae during swallowing. In the present case, a 59-year-old man with a limited cervical range of motion due to ankylosing spondylitis slipped and fell, resulting in a C7 vertebral body fracture. He underwent ante

The isolated idiopathic finger flexor tenosynovitis is a rare condition, related to diversed etiologies. The traditional treatment of flexor tenosynovitis includes medications and injection of steroids. If the conservative treatment is not effective, surgical management is usually recommended. And alcohol installations have been rarely performed. We are reporting an extremely rare case of a 56-year-old man who had chronic idiopathic isolated finger flexor tenosynovitis which was treated through

The patients who have high cervical cord injury with paralysis of diaphragm are not able to live without mechanical ventilatory support. In conventional concept, tracheostomy is necessary for long-term use of mechanical ventilation. We reported a 33-year-old man diagnosed with complete tetraplegia due to C1 spinal cord injury. He had used intermittent mechanical ventilation via tracheostomy tube. He had no movement of diaphragm and showed hypercapnia and hypoxemia without ventilatory support for

Since 2001, financial support has been provided for all patients with neuromuscular disease (NMD) who require ventilatory support due to the paralysis of respiratory muscles in Korea. The purpose of this study was to identify ventilator usage status and appropriateness in these patients. We included 992 subjects with rare and incurable NMD registered for ventilator rental fee support. From 21 February 2011 to 17 January 2013, ventilator usage information, regular follow-up observation, and sympt

Manual therapy has been widely practiced in almost all countries worldwide. With its potential complications, there are contraindications for thrust technique. A 56-year-old woman diagnosed with athetoid cerebral palsy visited a local clinic due to a tingling sensation in right hand that lasted for a year and aggravated to both upper extremities. The patient underwent three sessions of cervical manual therapy including thrust technique. No evaluation was performed. The patient immediately felt w

This study examined the impact of over-ground Robot-Assisted Gait Training (RAGT) using an untethered exoskeletal wearable robot on two older patients who had gait disturbances after spinal surgery. Case 1 involved an 88-year-old male patient who had undergone posterior spinal fusion surgery at the L2-4 level, while Case 2 involved a 69-year-old female patient who had undergone a minimally invasive transforaminal lumbar interbody fusion procedure at the L4-5 level. Both patients received 6 sessi

Digital therapeutics (DTx) are a promising intervention for musculoskeletal diseases. However, real-world adherence remains low despite their established clinical efficacy and safety. This study analyzed the factors influencing patient adherence to DTx from four perspectives—DTx-related characteristics, patient-related factors, medical professional-related factors, and health system-related factors—and proposed an actionable strategic framework for each stakeholder group. A comprehensive literat

Objective: To consider the utility of non-invasive positive pressure ventilation (NIPPV) support during percutaneous gastrostomy procedure in amyotrophic lateral sclerosis (ALS) patients with severe respiratory insufficiency and weight loss.Method: Percutaneous gastrostomy was performed in 25 ALS patients with forced vital capacity (FVC) below 50% of predicted normal value. NIPPV was applied to all these patients during the procedure. To estimate the utility of NIPPV application during gasrtosto