Publications by authors named "Kyoung Hyo Choi"

Objective: The aim of this study is to assess the value of using videofluoroscopic swallowing study (VFSS) for assessing vocal fold paralysis.

Methods: This was a retrospective study of patients who underwent VFSS with a vocal fold testing maneuver from June 2020 to February 2022, and who had undergone laryngoscopy within 2 weeks before or after VFSS. The vocal fold testing maneuver consisted of making an 'e' sound for about 2-3 seconds during VFSS anterior-posterior (AP) view.

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Objective: Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one's physical health and quality of life as its severity increases.

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  • * A study tested the effects of the MGE 3038 strain on ovariectomized rats, comparing it to a control group to assess changes in bone density and structure.
  • * Results showed that the MGE 3038 group experienced notable improvements in bone health, including increased mineral density and trabecular bone volume, suggesting it could help in treating osteoporosis.
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Introduction: Dysphagia is a common complication after heart transplantation (HTPL), but few studies exist on dysphagia after HTPL, and the prevalence is unknown. The objective of our current study was to establish the prevalence and risk factors for dysphagia after HTPL and to classify its characteristics through Videofluoroscopic Swallowing Studies (VFSS).

Methods: The recipients of HTPL carried out at a single center from January 2011 to November 2019 were assessed retrospectively.

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  • - The study investigated how motor-innervated free flaps impact tongue mobility in patients who had hemi-tongue reconstructions, using cine-MRI images for evaluation.
  • - Researchers analyzed data from 47 patients who had undergone tongue reconstruction and 10 control subjects, comparing those with motor innervation to those without.
  • - Results showed that patients with motor innervation had better swallowing functionality and tongue mobility, especially during the pharyngeal phase after tongue base resection.
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In dysphagia, food or water cannot be delivered safely through the oral cavity to the stomach; both are treated using texture-modified food and thickened fluid. Before, each country had its own diet modifications and texture measurement standards. In 2012, the International Dysphagia Diet Standardisation Initiative (IDDSI) was developed by several countries.

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Objective: Osteoporosis result from age-related decline in the number of osteoblast progenitors in the bone marrow. Probiotics have beneficial effects on the host, when administered in appropriate amounts. This study investigated the effects of probiotics expressing specific genes, especially the effects of genetically modified bone morphogenetic protein (BMP)-2-expressing Lactobacillus plantarum CJNU 3003 (LP) on ovariectomized rats.

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The purpose of this study was to determine the efficacy of highly concentrated tricalcium phosphate (TCP) biocomposite screws on local bone formation in a rabbit model of osteoporosis induced by bilateral ovariohysterectomy (OHE). Fourteen 24-week-old female New Zealand rabbits (weight, 3-3.5 kg) were divided into two groups: (1) OHE and biodegradable poly(lactic-co-glycolic acid) (PLGA) without ß-TCP plate or screw insertion (OHE/Bio ScRew [BSR]) group and (2) OHE and biocomposite PLGA with highly concentrated ß-TCP plate and screw insertion (OHE/highly concentrated ß-triCalcium phosphate [HCCP]).

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Objective: The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach.

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Background: Previous systemic reviews have examined the efficacy of individual therapeutic agents, but which type of treatment is superior to another has not been pooled or analyzed. The objective of the current study was to compare the clinical effectiveness of epidural steroid injection (ESI) versus conservative treatment for patients with lumbosacral radicular pain.

Methods: A systematic search was conducted with MEDLINE, EMBASE, and CENTRAL databases with a double-extraction technique for relevant studies published between 2000 and January 10, 2019.

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Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular (CV) disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019.

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  • - The study focused on rehabilitation in surgical intensive care units (SICUs) for critically ill patients, especially examining characteristics in non-Western countries and elderly individuals.
  • - Researchers analyzed data from 157 patients and found that active rehabilitation significantly improved mobility, with more patients able to stand and walk by the time they were discharged.
  • - The rehabilitation was considered safe, with only a 3.0% occurrence of potential safety events, and showed no age-related differences in functional recovery, though the reason for SICU admission affected safety outcomes.
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  • - The study investigates how grip strength relates to sarcopenia, focusing on both simple grip strength and grip strength adjusted for body weight and body mass index (BMI) in older adults (60+).
  • - Data from over 2,700 participants analyzed the impact of grip strength on metabolic syndrome and quality of life, using established medical guidelines and questionnaires.
  • - The findings suggest that while simple grip strength doesn't show a connection to metabolic syndrome, adjusting for body weight provides a clearer link, indicating that normalized grip strength could better represent the metabolic side of sarcopenia.
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  • Cardiac rehabilitation (CR) programs are essential in Korea due to high cardiovascular disease rates but lack widespread acceptance, prompting the government to implement initiatives starting in 2008 and expand by 2019.
  • The study aimed to create evidence-based clinical practice guidelines (CPGs) for CR by analyzing international standards and involving a diverse group of specialists in cardiology, rehabilitation, and other fields.
  • Findings indicate that CR is more cost-effective and significantly reduces cardiovascular mortality and hospital readmissions, highlighting the importance of exercise in the rehabilitation process.
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Objective: Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019.

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Background Context: Lumbosacral disc herniation (LDH) is one of the most frequent musculoskeletal diseases causative of sick leave in the workplace and morbidity in daily activities. Nonsurgical managements are considered as first line treatment before surgical treatment.

Purpose: This clinical practice guideline (CPG) is intended to provide physicians who treat patients diagnosed with LDH with a guideline supported by scientific evidence to assist in decision-making for appropriate and reasonable treatments.

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  • * The study included 89 children with an average age of 1.57 years, measuring effective dose of radiation (0.29 mSv), dose area product (2.41 Gy cm), and screening time (2.24 min), finding correlations with factors like age, height, weight, and body surface area.
  • * Results suggest that while the effective radiation dose is below the pediatric limit of 1 mSv per year, conducting more than 4 VFSS annually could surpass this limit, informing practices to reduce radiation exposure in pediatric care.
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Objectives: We investigated the influence of different types of lifetime occupation on knee osteoarthritis (OA) and pain based on a nationwide survey in Korea.

Methods: We conducted a cross-sectional study using Korea National Health and Nutrition Examination Survey (KNHANES) from 2010 to 2012. Men ≥50 years old were divided into four occupational groups: white-collar (WC) workers, pink-collar (PC) workers, blue-collar (BC) workers, and agribusiness and low-level (AL) workers.

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This study investigated the impact of leukoaraiosis (LA) involving the contralateral corticobulbar tract (CBT) on dysphagia in patients with unilateral corona radiata (CR) infarction with CBT involvement. Patients admitted to the Department of Neurology (September 2011-August 2014) were evaluated; those with a first episode of acute unilateral CR infarction involving the CBT and with LA were included. The 'Case' group comprised patients with LA involving the contralateral CBT; the 'Control' group comprised patients with LA not involving the contralateral CBT.

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Background: In the previous prospective observational study, we found that cerebral atherosclerosis is an independent predictor of acute stroke after coronary artery bypass grafting (CABG). However, it is unknown whether intracranial cerebral atherosclerosis (ICAS) is important as much as extracranial cerebral atherosclerosis (ECAS) in estimating the risk of post-CABG adverse events. Extending the previous study, we aimed to investigate the immediate and long-term prognostic value of the location of cerebral atherosclerosis in CABG patients.

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Background: Although several studies have shown that obesity affects low back pain (LBP), the relationship between degenerative lumbar spine (LSD) and obesity has not been fully investigated. This study evaluated whether obesity is independently associated with LSD in the general population.

Methods: This cross-sectional study used public data from the Fifth Korean National Health and Nutrition Examination Survey (2010-2012).

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Objective: To investigate the association between sarcopenia, sarcopenic obesity (SO), metabolic syndrome (MetS), and occupational history.

Methods: Using data from the Korea National Health and Nutrition Examination Survey, men more than or equal to 65 years of age (n = 679) were grouped according to occupation.

Results: Mean skeletal muscle mass index was higher and mean body fat mass was lower in agribusiness and low-level (AL) workers than white-collar (WC), blue-collar (BC), and pink-collar (PC) workers.

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Objective: The aim of this study was to evaluate the effect for biodegradable screws containing bone morphogenetic protein-2 (BMP-2) in an osteoporotic rat model.

Methods: Twenty-four female Wistar rat (250-300 g, 12 weeks of age) were randomized into four groups. Three groups underwent bilateral ovariectomy (OVX).

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Objective: To determine whether the use of both videofluoroscopic swallowing study (VFSS) and radionuclide salivagram was beneficial for detecting aspiration-induced pneumonia in children with swallowing difficulty.

Methods: From 2001 to 2016, children who underwent both VFSS and salivagram consecutively for suspected aspiration or dysphagia were included in the study. Demographic data, findings of VFSS and salivagram, and medical records were reviewed.

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Article Synopsis
  • - The study aimed to evaluate the impact of a complex rehabilitation (CR) program and complex decongestive therapy (CDT) on lymphedema, physical function, and quality of life in 40 patients post-gynecologic cancer surgery.
  • - Participants were divided into two groups: one receiving only CDT and the other receiving a combination of CDT and CR, with assessments conducted before and after four weeks of treatment.
  • - Results showed that both groups experienced improvements in edema, fatigue, and pain, but the CRCDT group had better gains in physical function and muscle strength, indicating that CR benefits patients without worsening edema.
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