2.Rehabilitation for Patients Recovering from Threatened Abortion and Premature Labor : During Pregnancy and the Postpartum Period
Hiroshi MANO ; Haruhi INOKUCHI ; Naoko SHODA ; Yasuo NAKAHARA ; Naoshi OGATA ; Nobuhiko HAGA
The Japanese Journal of Rehabilitation Medicine 2014;51(7):445-451
Bed rest for pregnant women recovering from threatened abortion and premature labor to prevent abortion can cause deconditioning syndrome, but it is not clear what kind of physical exercise should be provided for these patients. To better provide appropriate rehabilitation for threatened abortion and premature labor patients, we investigated patient clinical records retrospectively. In 11 patients who were provided rehabilitation within the past three years, eight delivered during hospitalization and three became independent in ADLs and were discharged while still pregnant. All patients who delivered during their hospitalization became independent in ADLs immediately after delivery, and as a result, the maternal prognosis was good. Choosing an appropriate rehabilitation approach for patients with threatened premature labor may help alleviate their deconditioning during pregnancy without any adverse impact.
3.Clinical Trials Registry in the Field of Rehabilitation Medicine
Ryo MOMOSAKI ; Masafumi OKADA ; Tsuyoshi OKUHARA ; Takahiro KIUCHI ; Naoshi OGATA ; Masahiro ABO
The Japanese Journal of Rehabilitation Medicine 2018;55(7):606-613
Objective:To investigate the characteristics of studies registered in the field of rehabilitation medicine.Methods:The university hospital medical information network clinical trials registry database was searched for domestic clinical trials associated with rehabilitation medicine that were registered after June 2005. We extracted information about studies and analyzed their registration trends and overall characteristics.Results:Among the 21,410 registered trials, we found 529 trials associated with rehabilitation. The purpose of this study was to investigate efficacy in 65% of the studies. Among these studies, 54% were parallel-group comparison studies, 50% were registered retrospectively, and 85% did not publish any results. In comparison studies, 86% were randomized controlled studies, and 47% were open-label trials.Conclusion:An increasing trend of registration was observed. However, we found several problems in registration. Prospective registration is important to decrease publication and outcome reporting biases. Education for the relevant study protocol and registration might improve the quality of clinical study in domestic rehabilitation medicine.