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Healthcare
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Physical Rehabilitation in Psychiatry
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Physical Rehabilitation in Psychiatry

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Healthcare Quality and Patient Safety".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 1504

Special Issue Editors

Prof. Dr. Tetsuya Tanioka

E-Mail Website
Guest Editor
Department of Nursing Outcome Management, Institute of Biomedical Sciences, Tokushima University, Graduate School,18-15 Kuramoto-Cho 3, Tokushima City 770-8509, Japan
Interests: outcome management; physical rehabilitation; robotics; caring in nursing
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Rick Kwan

E-Mail Website
Guest Editor
School of Nursing, Tung Wah College, Ma Kam Chan Memorial Building, 31 Wylie Road, Homantin, Hong Kong
Interests: digital health; cognitive health; older people; cognitive frailty; mental wellbeing

Special Issue Information

Dear Colleagues,

We are delighted to invite you to submit manuscripts to a Special Issue of the journal Healthcare entitled “Physical Rehabilitation in Psychiatry”.

This Special Issue aims to enhance the understanding and implementation of physical rehabilitation in psychiatric settings. Unlike psychosocial rehabilitation, physical rehabilitation addresses the unique needs of patients within psychiatric hospitals and communities. The primary objective is to maintain and improve motor function in individuals with mental disorders who are at risk for muscle weakness, metabolic syndrome, and increased mortality due to sedentary behavior.

The key areas of focus include muscle weakness, limited range of motion, nutritional status, and physical frailty. An interdisciplinary approach is essential to managing these physical health risks effectively. By integrating physical rehabilitation into psychiatric treatment plans, we can leverage patients' strengths and resources to ultimately achieve optimal medical, psychological, social, and vocational recovery.

We welcome original research articles and comprehensive reviews that explore innovative interventions, effective strategies, and interdisciplinary collaborations in physical rehabilitation within psychiatric care.

We look forward to receiving your valuable contributions to this important and evolving field.

Yours sincerely,

Prof. Dr. Tetsuya Tanioka
Prof. Dr. Rick Kwan
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • physical rehabilitation
  • psychiatry
  • chronic mental illness
  • dementia
  • schizophrenia
  • malnutrition
  • sarcopenia
  • dynapenia
  • frailty
  • interdisciplinary intervention

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Research

18 pages, 581 KiB  
Article
Association Between Dynapenia/Sarcopenia, Extrapyramidal Symptoms, Negative Symptoms, Body Composition, and Nutritional Status in Patients with Chronic Schizophrenia
by Reiko Kamoi, Yoshihiro Mifune, Krishan Soriano, Ryuichi Tanioka, Risa Yamanaka, Hirokazu Ito, Kyoko Osaka, Hidehiro Umehara, Rie Shimomoto, Leah Anne Bollos, Rick Yiu Cho Kwan, Itsuro Endo, Sr. Sahlee Palijo, Katsuhiro Noguchi, Kazushi Mifune and Tetsuya Tanioka
Healthcare 2025, 13(1), 48; https://doi.org/10.3390/healthcare13010048 - 30 Dec 2024
Cited by 1 | Viewed by 988
Abstract
Background/Objectives: This study aimed to determine the association between chronic schizophrenia, extrapyramidal symptoms (EPSs), body composition, nutritional status, and dynapenia/sarcopenia. Methods: Data from 68 chronic patients with schizophrenia were analyzed using Spearman’s rho correlation coefficients, Kruskal–Wallis test, Mann–Whitney U test, and Cramér’s V [...] Read more.
Background/Objectives: This study aimed to determine the association between chronic schizophrenia, extrapyramidal symptoms (EPSs), body composition, nutritional status, and dynapenia/sarcopenia. Methods: Data from 68 chronic patients with schizophrenia were analyzed using Spearman’s rho correlation coefficients, Kruskal–Wallis test, Mann–Whitney U test, and Cramér’s V statistics. Results: Among the participants, 32.4% had no loss of muscle mass or function, 39.7% had dynapenia, and 27.9% had sarcopenia. This study identified five key findings: (1) Bilateral grip strength, skeletal muscle index, and walking speed are interrelated, with higher negative symptom scores linked to slower movement and rigidity, particularly in the sarcopenia group, indicating that negative symptoms may contribute to muscle weakness and progression to sarcopenia. (2) Increasing age is associated with a decrease in chlorpromazine equivalent dose and an increase in the severity of EPSs. (3) Blood urea nitrogen (BUN)/creatinine ratio and all sarcopenia risk indicators were significantly negatively correlated. (4) Dynapenia and sarcopenia groups exhibited significant differences in muscle mass and nutritional status compared to the non-penia group, including reduced muscle mass, lower basal metabolic rate, and lower visceral fat levels. (5) There was an association between the Barthel Index (BI) score for activities of daily living (ADL) and dynapenia/sarcopenia. Particularly with regard to ADL, it seems necessary to pay attention to muscle weakness in partially independent patients who score 60 points or more. Conclusions: BUN/creatinine ratio, BI, EPSs, body mass index, grip strength, total protein, and albumin were useful indicators for detecting the risk of dynapenia/sarcopenia in routine psychiatric care. Full article
(This article belongs to the Special Issue Physical Rehabilitation in Psychiatry)
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