Neuromuscular Disorders: Diagnostical Approaches and Treatments

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Neurology".

Deadline for manuscript submissions: 30 April 2024 | Viewed by 1436

Special Issue Editor


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Guest Editor
Department of Physical Therapy, Kyungdong University, 815, Gyeonhwon-ro, Munmak-eup, Wonju-si 26495, Gang-won-do, Republic of Korea
Interests: neuroscience; neurorehabilitation; central nervous system damage

Special Issue Information

Dear Colleagues,

Neuromuscular disorders (NMDs) encompass a range of conditions that impair the function of muscles or the nerves that control them. Over the years, the diagnostic tools used to understand and treat NMDs have evolved from mere early observations of muscle weakness and wasting through rudimentary physical examinations to the advanced molecular techniques such as sophisticated imaging and genetic testing. These advancements have helped clinicians and researchers to better understand the pathophysiology behind these disorders.

The primary aim of this Special Issue ‘Neuromuscular Disorders: Diagnostical Approaches and Treatments’ is to provide a platform for presenting the latest research, innovations, and findings in the diagnosis, understanding, and treatment of NMDs, along with addressing the socio-economic impacts, patient care and rehabilitation strategies. We will accept submissions of papers covering a broad spectrum of conditions, ranging from common ones such as myasthenia gravis to rarer disorders.

Prof. Dr. Jung-Ho Lee
Guest Editor

Manuscript Submission Information

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Keywords

  • diagnosis
  • approach
  • treatment
  • neuromuscular disorders
  • neuroscience
  • neurorehabilitation
  • neuroplasticity

Published Papers (2 papers)

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Research

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14 pages, 309 KiB  
Article
Optimizing Rehabilitation Outcomes for Stroke Survivors: The Impact of Speed and Slope Adjustments in Anti-Gravity Treadmill Training
by Jung-Ho Lee and Eun-Ja Kim
Medicina 2024, 60(4), 542; https://doi.org/10.3390/medicina60040542 - 27 Mar 2024
Viewed by 626
Abstract
Background and Objectives: This study explored the efficacy of customized anti-gravity treadmill (AGT) training, with adjustments in speed and incline, on rehabilitation outcomes for stroke patients, focusing on knee extensor muscle strength, joint angle, balance ability, and activities of daily living (ADLs). Materials [...] Read more.
Background and Objectives: This study explored the efficacy of customized anti-gravity treadmill (AGT) training, with adjustments in speed and incline, on rehabilitation outcomes for stroke patients, focusing on knee extensor muscle strength, joint angle, balance ability, and activities of daily living (ADLs). Materials and Methods: In this study, 30 individuals diagnosed with a stroke were divided into three groups. Experimental group 1 (EG1) underwent training without changes to speed and incline, experimental group 2 (EG2) received training with an increased incline, and experimental group 3 (EG3) underwent training with increased speed. Initially, all participants received AGT training under uniform conditions for two weeks. Subsequently, from the third to the sixth week, each group underwent their specified training intervention. Evaluations were conducted before the intervention and six weeks post-intervention using a manual muscle strength tester for knee strength, TETRAX for balance ability, Dartfish software for analyzing knee angle, and the Korean version of the Modified Barthel Index (K-MBI) for assessing activities of daily living. Results: Within-group comparisons revealed that AGT training led to enhancements in muscle strength, balance ability, joint angle, and ADLs across all participant groups. Between-group analyses indicated that EG2, which underwent increased incline training, demonstrated significant improvements in muscle strength and balance ability over EG1. EG3 not only showed significant enhancements in muscle strength, joint angle, and ADLs when compared to EG1 but also surpassed EG2 in terms of knee strength improvement. Conclusions: In conclusion, the application of customized AGT training positively impacts the rehabilitation of stroke patients, underscoring the importance of selecting a treatment method tailored to the specific needs of each patient. Full article
(This article belongs to the Special Issue Neuromuscular Disorders: Diagnostical Approaches and Treatments)

Review

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19 pages, 877 KiB  
Review
A Comprehensive Review: Robot-Assisted Treatments for Gait Rehabilitation in Stroke Patients
by Yong-Hwa Park, Dae-Hwan Lee and Jung-Ho Lee
Medicina 2024, 60(4), 620; https://doi.org/10.3390/medicina60040620 - 10 Apr 2024
Viewed by 552
Abstract
Robot-assisted gait training (RAGT) is at the cutting edge of stroke rehabilitation, offering a groundbreaking method to improve motor recovery and enhance the quality of life for stroke survivors. This review investigates the effectiveness and application of various RAGT systems, including both end-effector [...] Read more.
Robot-assisted gait training (RAGT) is at the cutting edge of stroke rehabilitation, offering a groundbreaking method to improve motor recovery and enhance the quality of life for stroke survivors. This review investigates the effectiveness and application of various RAGT systems, including both end-effector and exoskeleton robots, in facilitating gait enhancements. The selection process for this comprehensive analysis involved a meticulous review of the literature from databases such as PubMed, the Cochrane Library, and EMBASE, focusing on studies published between 2018 and 2023. Ultimately, 27 studies met the criteria and were included in the final analysis. The focus of these studies was on the various RAGT systems and their role in promoting gait and balance improvements. The results of these studies conclusively show that patients experience significant positive effects from RAGT, and when combined with other physiotherapy methods, the outcomes are notably superior in enhancing functional ambulation and motor skills. This review emphasizes RAGT’s capability to deliver a more customized and effective rehabilitation experience, highlighting the importance of tailoring interventions to meet the specific needs of each patient. Full article
(This article belongs to the Special Issue Neuromuscular Disorders: Diagnostical Approaches and Treatments)
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