Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy (SAA) is technically challenging, not only because of the difficulty in reaching the target site but also in performing subsequent therapeutic procedures. To overcome these challenges, balloon enteroscopy-assisted ERCP has been introduced into clinical practice and has been reported to be both effective and safe. Recently, short-type balloon enteroscopes, with a working length of approximately 150 cm and a 3.2-mm working channel, have been widely adopted, making procedures more efficient. These short-type scopes facilitate the use of larger accessories in various procedures, such as stone extraction or self-expandable metallic stent placement. In addition, several new technologies and devices have recently been introduced to help manage difficult cases. Despite these advancements, multiple technical hurdles remain before procedures can be successfully completed. It is important to identify the key factors that contribute to procedural difficulty in order to improve success rates. At the same time, endoscopists must remain aware of the potential for adverse events, such as perforation, which can occur due to adhesions specific to SAA. In this review, we provide technical tips for short-type single-balloon enteroscopy-assisted ERCP in patients with SAA, aimed at improving procedural success rates and reducing adverse events, while also highlighting recent advancements in technology and devices.

본원은 신장이식 환자의 평가를 위해 수술 14일 후 신장동맥 MRA 검사를 시행하고 있다. 기존 검사방법은 정확한 동맥기를 포착하는 데 어려움이 있었고 수술 직후의 환자에게 호흡 중지 기법을 적용해야 하는 제한점이 있었다. 이에 본 연구는 Ultrafast CS VIBE를 적용한 새로운 검사방법을 고안하여 기존 방법과 비교를 통해 유용성을 평가 하고자 하였다. MRI 장비를 이용하여 2024년 6월부터 2025년 3월 11일까지 신장이식을 받은 환자를 대상으로 연 구를 진행하였다. 기존 검사방법과 새로운 검사방법을 각각 43명의 증례에 적용하였으며 획득한 영상에서 CNR, 동맥기의 정확성, 운동 인공물 발생 여부를 비교 평가하였다. 평가 결과 새로운 검사방법의 CNR은 기존 방법의 약 60.3% 수준으로 나타났다. 그러나 동맥기의 정확성 평가에서는 새로운 방법을 적용한 모든 증례가 정확한 것으로 나타났고 기존 방법은 37.2%가 부정확한 것으로 평가되었다. 운동 인공물은 두 방법 모두 9.3%의 발생률을 보였다. 결론적으로, Ultrafast CS VIBE를 이용한 신장동맥 MRA 검사는 기존 기법 대비 CNR은 낮았으나, 3초 간격의 연속적인 다중 시기 영상(multi-phase imaging)을 제공함으로써 별도의 볼루스 추적(bolus tracking)이나 호흡 정지(breath-holding) 없이도 모든 증례에서 정확한 동맥기를 안정적으로 확보하여 기존 기법의 기술적 한계를 성 공적으로 극복하였다. 비록 자유 호흡에 따른 인공물 발생에 대한 지속적인 개선 노력은 필요하나 종합적으로 고려할 때 본 검사방법은 호흡 조절이 어려운 신장이식 직후 환자에게 매우 실용적인 대안이 될 것이라 사료된다.

Background: Lumbar radiculopathy caused by disc herniation is frequently accompanied by pain, functional disability, and impairments in sensorimotor control, including reduced proprioception and altered motor control. Interventions that integrate neural and mechanical components may enhance rehabilitation outcomes beyond exercise alone. Objectives: To investigate the effects of manual therapy combined with neurodynamic exercise and motor control exercise (MTN) with motor control exercise alone (MCE) on lumbar proprioception, motor control, and functional disability in patients with lumbar radiculopathy. Design: Randomized, single-blind clinical trial. Methods: Thirty patients with lumbar radiculopathy due to L4–S1 disc herniation were randomly assigned to either the MTN group or the MCE group. Both groups participated in supervised interventions three times per week for six weeks. The MTN group received lumbar joint mobilization and slider-based neurodynamic mobilization integrated with motor control exercise, whereas the MCE group performed motor control exercise only. Lumbar proprioception was assessed using joint position error during trunk flexion and extension. Motor control was evaluated using pressure biofeedback–based abdominal drawing- in performance. Functional disability was assessed using the Korean version of the Oswestry Disability Index. Outcomes were measured at baseline and during follow-up. Results: Significant group-by-time effects were observed for lumbar joint position error, motor control outcomes, and functional disability. The MTN group demonstrated earlier and greater improvements across all outcome measures compared with the MCE group, whereas improvements in the MCE group were more gradual. Conclusion: Compared with motor control exercise alone, the addition of manual therapy and neurodynamic exercise resulted in superior improvements in lumbar proprioception, motor control, and functional disability. An integrated MTN approach may be an effective rehabilitation strategy for patients with lumbar radiculopathy.

Background: Palpation tenderness is a clinically relevant indicator of musculoskeletal pain, yet differences in immediate analgesic response among commonly used physiotherapeutic modalities remain unclear in real-world clinical settings. Objectives: To compare the immediate changes in pressure pain threshold (PPT) among patients who received extracorporeal shockwave therapy (ESWT), interferential current therapy (ICT), or magnetotherapy (MT) as part of routine physical therapy care. Design: Retrospective clinical data analysis using a pre–post intervention comparison. Methods: A total of 105 patient records were retrospectively reviewed. Cases were categorized into ESWT, ICT, or MT based on the device modality documented in the electronic medical records (EMR). PPT was assessed immediately before and after treatment. Within-category changes were analyzed using paired t-tests. Because changes in PPT scores violated normality assumptions, between-category comparisons were performed using the Kruskal–Wallis test with Dunn–Bonferroni post-hoc procedures. Results: ESWT produced the greatest immediate improvement in pressure pain (d<1.2, P<.001), demonstrating significantly larger reductions compared with ICT (d<.8, P<.01) and MT(d<.2, P>.05). Changes in PPT after ICT and MT did not differ significantly (P>.05). Conclusion: ESWT produced the greatest immediate reduction in palpation tenderness, outperforming both ICT and MT. ICT demonstrated moderate improvement, whereas MT showed minimal change. These findings suggest that ESWT may be the most effective modality for rapid short-term pain modulation in musculoskeletal clinical practice.

Background: Despite various treatment methods, many functional ankle instability (FAI) patients continue to experience functional deficits. Objectives: To investigate the effect of additional auditory feedback on balance and ankle function in task-oriented balance training for FAI patients. Design: Randomized controlled trial design. Methods: Forty FAI patients were randomly assigned to the auditory feedback task-oriented balance training (ATBT) group (n=20) and the task-oriented balance training (TBT) group (n=20). The training program was implemented for 4 weeks, 3 days a week. Results: After training, the COG movement area, speed, and distance significantly decreased in both the ATBT and TBT groups (P<.05). Additionally, the COG movement speed and distance in the ATBT group were significantly decreased compared to the TBT group (P<.05). The 6-meter crossover hop test time decreased in both the ATBT and TBT groups (P<.05). The ATBT group exhibited a significantly decreased 6-meter crossover hop test time compared to the TBT group (P<.05). Conclusion: Both ATBT and TBT enhanced balance and ankle function in FAI patients. ATBT was more effective in improving balance and ankle function than TBT.

목적: 본 연구는 2021년도 국민건강영양조사(KNHANES) 데이터를 활용하여 성인 당뇨병 환자의 안저검사 수검 및 당뇨망막병증 관련 요인을 파악하고자 하였다. 방법 : 본 연구는 2021년도 국민건강영양조사 원시자료를 이용한 단면 연구이다. 당뇨병을 진단받은 만 19세 이상 65세 미만 성인 257명의 자료를 포함하였다. 주요 변수는 성별, 연령, 교육수준, 소득수준, 당뇨병 치료, 공 복혈당, 당화혈색소(HbA1c), 최근 1년간 안저검사 수검 여부 및 당뇨망막병증 유병 여부였다. 자료 분석은 SPSS WIN 31.0을 이용하여 빈도분석, 카이제곱검정, 다변량 로지스틱 회귀분석을 수행하였다. 결과 : 안저검사 수검에 영향을 미친 요인은 성별로 확인되었으며, 여성은 남성보다 안저검사를 받을 가능성이 높았다(OR=1.99, 95% CI=1.10–3.59, p=0.023). 연령, 교육수준, 소득수준, 당화혈색소(HbA1c)는 안저검사 수 검 여부와 유의한 관련이 없었다. 반면, 당뇨망막병증 유병 여부는 교육수준과 당화혈색소(HbA1c)가 유의한 관련 요인이었다. 교육수준이 낮은 집단은 높은 집단에 비해 당뇨망막병증 발생 가능성이 유의하게 높았으며(OR=5.20, 95% CI=1.70–15.93, p=0.004), 당화혈색소(HbA1c)가 1% 증가할 때 당뇨망막병증 위험은 약 1.86배 증가하였 다(OR=1.86, 95% CI=1.32–2.61, p＜0.001). 성별, 연령, 소득수준은 유의한 요인이 아니었다. 결론 : 본 연구는 성인 당뇨병 환자에서 교육수준과 혈당조절 상태가 당뇨망막병증 발생의 중요한 요인임을 확 인하였다. 효과적인 합병증 예방을 위해서는 교육 취약계층을 중심으로 한 맞춤형 당뇨교육과 정기적 안저검사 참 여를 강화할 필요가 있다. 본 연구는 국가 단위 대표자료를 기반으로 당뇨 관련 시각 합병증 예방을 위한 공중보건 전략 마련에 기초자료를 제공한다.

Background: Early recovery of cognitive function and lower-limb strength is critical for regaining mobility and independence after stroke. However, patients with cognitive impairment often have limited participation in conventional rehabilitation (CR). Objects: This study compared the effects of robotic tilt-table training (RT) group and CR group on cognitive function, lower-limb strength, balance, gait, and activities of daily living in patients with subacute stroke. Methods: In this retrospective study, 122 patients with subacute stroke were divided into two groups: the RT group and the CR group. The interventions were administered 5 times per week for a period of 4 weeks. Cognitive function was assessed using the Korean version of the Mini-Mental State Examination, muscle strength using Manual Muscle Test, spasticity using the Modified Ashworth Scale, balance using the Berg Balance Scale, gait using the Functional Ambulation Category, and activities of daily living using the Korean version of the Modified Barthel Index, both before and after the intervention. Data were analyzed using Wilcoxon signed-rank tests and Mann–Whitney U-tests. Between-group comparisons were performed on change scores (Δ = post − pre), and baseline differences were adjusted using ANCOVA or rank ANCOVA as appropriate (two-sided α = 0.05). Results: After 4 weeks of intervention, both groups showed within-group improvements in balance, gait, and activities of daily living (p < 0.05); however, the RT group demonstrated greater improvements in cognitive function and lower-limb muscle strength compared to the CR group. The two groups differed significantly in cognitive function and lower extremity muscle strength (p < 0.05) but not in spasticity, balance, gait, or activities of daily living (p > 0.05). Conclusion: RT may be effective in improving cognitive function and lower-limb strength in patients with subacute stroke, potentially serving as an adjunct rehabilitation strategy to promote early mobility and functional recovery. However, its effects on balance, gait, and spasticity were not significant, indicating the need for complementary task-specific training and further controlled studies.

With a growing number of working-age individuals receiving knee arthroplasty, optimizing return to work (RTW) has become a crucial goal for both public health and society. This paper highlights three evidence-based actions demonstrating how physical therapists (PTs) play a pivotal role in facilitating timely RTW after knee arthroplasty. This review presents a narrative synthesis of recent studies on RTW after knee arthroplasty highlighting the important role of PT’s. The studies focus on the Work, Osteoarthritis and joint-Replacement Questionnaire (WORQ), Goal Attainment Scaling (GAS), and the Back At work After Surgery (BAAS) work-integrated care pathway. The WORQ effectively identifies patients at risk for delayed RTW based on their ability to perform knee-demanding work activities. Patients with WORQ scores < 51 at 3 months post-surgery showed significantly delayed RTW compared with those scoring > 70. Incorporating GAS into rehabilitation significantly increased satisfaction with work-related activities by 11 points (95% confidence interval: 2.0–19.4) vs. usual care. The BAAS pathway— which integrates hospital, outpatient, and occupational care—resulted in full RTW 27 days earlier than usual care. One year post-surgery, 98% of BAAS patients had fully resumed work vs. 84%–87% in controls. BAAS yielded cost reductions of €4,493 (7,442,452 KRW, employer perspective) with a return on investment of 532%. This corresponds to a total cost reduction of about €69.5 million (115,123 million KRW) annually in The Netherlands. In conclusion, PTs are key drivers of successful work reintegration after knee arthroplasty. By using the WORQ for early detection of patients at risk for delayed RTW, implementing GAS to align rehabilitation with individual work goals, and participating in perioperative interdisciplinary care such as BAAS, PTs can substantially enhance RTW and reduce socioeconomic burden.

This retrospective study evaluated the efficacy of bone regeneration following decortication and sequestrectomy combined with the application of recombinant human bone morphogenetic protein-2/absorbable collagen sponge (rhBMP-2/ACS) in 45 patients with medication-related osteonecrosis of the jaw (MRONJ). Each patient received 0.25 g of rhBMP-2/ACS at the surgical site. Facial computed tomography scans were obtained immediately postoperatively and at a six-month follow-up to assess volumetric changes in the alveolar bone. The results indicated that rhBMP-2 significantly enhanced bone regeneration. Notably, the number of residual bone walls was the only significant factor influencing the regenerative outcome (B = 19.47, standard error = 3.05, t = 6.39, p < 0.001). Four-wall defects exhibited the highest regeneration rate (85.2%), and the mandibular posterior region was the most frequently involved site (60.5%). Complications such as surgical site disruption did not significantly impact the regenerative outcomes. These findings suggest that the concomitant use of rhBMP-2 with decortication and sequestrectomy promotes bone healing, reduces recovery time, and improves treatment predictability for patients with MRONJ.

This pilot study aimed to develop a novel type of functional dietary management food for individuals with diabetes, utilizing a soup and bread format, and to evaluate its postprandial glycemic response and consumer acceptability. Two types of soup and bread meals—tomato vegetable soup and curry chicken soup—were formulated using chickpeas and low-fat meat and were compared with a commercially available diabetic management meal. In a randomized crossover design, 15 participants consumed one of three meals (experimental or commercial diabetic meal) on separate days. Blood glucose levels were measured at 0, 30, 60, and 120 minutes post-meal. Experimental meals showed stable glycemic responses evidenced by decreased Area Under the Curve (AUC) (Tomato 12839.0±1432.8, Curry 12683.0±1408.4) compared to commercial meals (15485.0±1870.5, p<0.05). Sensory evaluation revealed moderate acceptability, and subjective hunger, satiety, and food cravings were also assessed, but showed no significant differences among three types of meal. Although limited by the small sample size and short intervention duration, these findings provide preliminary evidence supporting the feasibility of tailored meal solutions for metabolic conditions. Further large-scale, long-term studies are warranted to validate these outcomes and optimize product development for diverse populations.

목적: 본 연구는 산재보험패널조사 2⋅3차 데이터를 활용하여 산재 수부 손상 환자의 요양 종결 연도에 따른 동향을 분석하기 위해 실시되었다. 연구방법: 본 연구는 산재보험패널 데이터를 활용한 후향적 코호트 연구로, 산업재해로 인한 수부 손상 환자 1,967명을 대상으로 하였다. 연구 대상자의 기초 특성을 파악하기 위해 인구통계학적, 산업재해 관련, 직업재활 및 직업 특성에 대한 빈도분석을 실시하였다. 또한 산재요양 종결 연도에 따른 특성 변화를 분석하기 위해 2017년(982명)과 2022년(985명) 두 시점으로 구분하여 카이제곱 검정을 수행하였다. 결과: 2022년 산재요양 종결자는 인구통계학적 특성에서 60세 이상, 미혼 및 대졸 이상의 비율이 증가하였다. 산업재해 특성에서 업무상 질병의 비율이 높아졌고, 요양 기간은 길어졌다. 직업재활 특성에서는 유의한 차이가 없었고 직업 특성에서는 첫 번째 직장에서의 수부 손상 비율은 감소하였지만 근무기간 2개월 미만에서 손상 비율은 증가하였다. 결론: 산재 수부 손상 환자의 특성 변화를 확인하여 사업장 내 수부 손상 예방을 위한 교육 강화와 함께 효과적인 수부 치료 향상 및 직업복귀 촉진을 위한 산재 의료 전달 체계 개선의 필요성을 제시하였다.

Purpose: The objective of this study was to gain insight into the experiences of nurses who provided care for patients with COVID-19 in residential treatment centers (RTCs) during the pandemic. Methods: This study adopted qualitative methodology and conducted in-depth interviews with seven nurses from three residential treatment centers between July 11 and August 27, 2022. Inductive content analysis was employed, which consisted of data understanding, open coding, grouping, categorization, and abstraction. Results: Three themes and eleven subthemes were extracted from the data. The themes identified were "A struggle from beginning to end," "Unexpected challenges," and "Insecure system like a house built on sand." Nurses encountered difficulties in all aspects of the center's operations. Frequently, they were required to perform tasks outside of their responsibilities. During this process, nurses encountered difficulties due to unexpected challenges. Conclusion: Nurses encountered significant challenges in providing care to patients in an under-resourced and disorganized environment. They were compelled to assume diverse responsibilities for managing the center owing to the lack of clear protocols and guidelines and frequent changes. Unlike nurses in hospitals, nurses in RTCs spend a greater proportion of their time on non-medical issues, which can lead to emotional exhaustion. Based on these findings, it is imperative to establish clear guidelines and protocols to effectively run residential treatment centers in the future.

본 연구는 간호대학생이 임상실습 이전에 치료적 의사소통을 안전한 환경에서 반복 학습할 수 있도록 ChatGPT 기반 가상 내담자와 온라인 협업 학습도구를 결합한 교육 프로그램을 개발하고 그 타당 성을 검증하고자 하였다. 프로그램은 문헌고찰, 설계, 개발, 실행의 네 단계로 구성되었으며, 설계 단계에서 는 공감지도와 퍼소나와 같은 서비스디자인 기법을 적용하여 대상자 이해를 구조화하였다. 개발 단계에서 는 영화 뷰티풀 마인드에 기반한 조현병 사례를 ChatGPT 가상 내담자로 구현하였고, Padlet을 활용하여 공감지도를 공유하였으며 Mentimeter를 통해 성찰 활동을 지원하였다. 실행 단계에서는 총 6명의 전문가 가 11문항으로 구성된 내용타당도 지표(CVI)를 사용하여 프로그램을 평가하였다. 그 결과, 목표·내용·전략 관련 대부분의 문항은 I-CVI 1.00을 기록하였고, 전체 S-CVI/Ave는 0.98로 기준치인 0.90을 충족하였다. 다만 일부 Mentimeter 성찰 문항은 I-CVI 0.83으로 상대적으로 낮게 평가되어 개선의 필요성이 제기되었 다. 본 프로그램은 기존 모의실습의 한계를 보완하여 치료적 의사소통을 안전하게 반복 학습할 수 있는 환 경을 제공하며, AI 기반 가상 내담자와 디지털 협업 도구의 결합이 학습자의 참여와 성찰을 촉진할 수 있 음을 보여준다. 향후 연구에서는 다양한 정신건강 사례로의 확장, 학습자 효과 검증, 비언어적 의사소통 훈 련과 도구 활용성 개선이 요구된다.

만성췌장염은 췌장 외분비 기능부전을 유발하며, 이로 인해 지용성 비타민 흡수 장애를 포함한 다양한 영양 결핍이 흔하게 발생한다. 특히 비타민 D 결핍은 칼슘 항상성과 골대사에 중요한 영향을 미치며, 골밀도 감소와 함께 골감소증 및 골다공증의 위험을 높인다. 실제로 만성췌장염 환자의 다수 에서 비타민 D 결핍, 그리고 골밀도 감소가 보고되었으며, 이는 삶의 질 저하 및 골절 위험 증가와 직결된다. 따라서 본 종설에서는 만성췌장염 환자에서 지용성 비타민, 특히 비타민 D의 결핍이 골대사에 미치는 영향을 중심으로 병태생리, 진단적 접근, 치료 및 모니터링 전략을 고찰하였으며, ESPEN, AGA, JSGE 등 최신 국제 가이드라인의 권고사항을 비교함 으로써 임상 현장에서 실천 가능한 통합적 관리 방향을 제시 하고자 한다.

Background: Limb amputation causes complex physical, psychological, and social problems, yet evidence on International Classification of Functioning, Disability, and Health (ICF)-based multidisciplinary rehabilitation remains limited. Objectives: To report functional and emotional outcomes of an ICF Rehab- Cycle® program in a woman with bilateral transfemoral and transradial amputations. Design: Single-case report (quasi-experimental). Methods: A physiatrist, nurse, physical therapist, occupational therapist, and social worker used the ICF Assessment Sheet, ICF Categorical Profile, ICF Intervention Table, and ICF Evaluation Display over four weeks to set and review goals. Results: Nine of eleven ICF Rehab-Cycle® program targets were achieved. Marked gains were observed in gait and activities of daily living, accompanied by improved emotional well-being through structured psychosocial support. Conclusion: An ICF-guided multidisciplinary approach significantly enhanced physical function, emotional health, and independence after complex limb amputation, underscoring the value of the framework for patient-centered collaborative rehabilitation.

Background: Stroke patients commonly suffer from balance impairments that limit functional activities, such as walking difficulties. Robot-assisted gait training is gaining attention as an effective rehabilitation strategy for balance and gait in stroke rehabilitation. Objects: The purpose of this study was to investigate the effects of progressive velocity robot-assisted gait training (PRG) on balance and gait abilities in stroke patients. Methods: All subjects were randomly divided into three groups: PRG (n = 12); comfortable speed robot-assisted gait training (CRG) (n = 12); and control group (n = 16). Subjects in PRG and CRG underwent robot-assisted gait training for 30 minutes, three times a week for six weeks. And the control group performed overground gait training using a treadmill at the same frequency and for the same amount of time as the experimental group. All Subjects were assessed for muscle strength, balance, gait and motor function pre- and post-intervention. Results: The study results showed that all subjects showed significant differences in all measurements post-intervention (p < 0.05). Additionally, PRG was found to significantly improve in Medical Research Council (MRC) and Fugl-Meyer Assessment (FMA) compared to CRG, and CRG showed significant differences compared to the control group in MRC, Berg Balance Scale (BBS) and Timed Up and Go test (TUG) (p < 0.05). PRG exhibited significant differences in all areas in the between-group comparison with the control group (p < 0.05). Conclusion: These results suggest that PRG may be effective strategy to improve balance and gait ability for with stroke.

Background: Knee osteoarthritis is a highly prevalent chronic condition that affects approximately 80% of individuals aged ≥ 65 years. Major problems include pain, dysfunction, reduced quality of life, balance ability, and muscle tone. Objects: This study examined the effects of multidirectional knee-strengthening exercises using elastic bands on knee pain, functional disability, quality of life, balance ability, and rectus femoris (RF) muscle tone in elderly patients aged ≥ 65 years with knee osteoarthritis. Methods: Forty-eight patients aged ≥ 65 years with knee osteoarthritis participated in the study. The participants were assigned randomly to either the experimental group (n = 24) or the control group (n = 24). Both groups performed knee-strengthening exercises, but the experimental group incorporated elastic bands into their exercises. All interventions were conducted 3 times a week for 30 minutes per session over 4 weeks. The effects were assessed before and after the intervention using the Numeric Rating Scale (NRS), Korean version of the Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Euro Quality of Life 5 Dimension (EQ-5D), Berg Balance Scale (BBS), and RF muscle tone. Between-group differences before and after the intervention were analyzed using the independent t-test, and withingroup differences were examined using the paired t-test for pre-post intervention comparisons of the dependent variables. Results: Both groups showed significant improvements in the NRS, K-WOMAC function, KWOMAC total score, EQ-5D, BBS, and RF muscle tone after the intervention (p < 0.05). In addition, the experimental group showed significant improvements in the NRS, K-WOMAC, BBS, and RF muscle tone compared with the control group (p < 0.05). Conclusion: Multidirectional knee-strengthening exercises using elastic bands can be an effective intervention to improve knee pain, functional disability, balance ability, and RF muscle tone in elderly patients aged ≥ 65 years with knee osteoarthritis.

Background: Decreased respiratory muscle strength in patients with stroke may cause breathing difficulties, and cardiopulmonary function and exercise capacity may decline, which may reduce balance and gait ability. Objects: This study aimed to determine the influence of improved respiratory muscle strength on the recovery of balance and gait ability at discharge in patients with stroke. Methods: This prospective observational study involved 21 patients clinically diagnosed with stroke. Multiple regression models with a forward selection procedure were used to investigate whether the improvement of respiratory muscle strength (maximal inspiratory pressure [MIP] and maximal expiratory pressure) can contribute to the recovery of balance (Trunk Impairment Scale, Berg Balance Scale, Brunel Balance Assessment, and five times sit-to-stand) and gait (10-meter walk test, timed up and go, and 6-minute walk test [6MWT]) ability. Results: In the forward selection regression analysis, MIP was an influencing factor, accounting for 36.2% of the variance in the 6MWT. Conclusion: This result suggests that an improvement in MIP influences the increase in distance in the 6MWT. Therefore, it is important to evaluate respiratory muscle strength. Inspiratory muscle strengthening can recommended improving endurance and functional walking ability in patients with stroke.