Journal of Yeungnam Medical Science

Original article

Pulmonary and Respiratory Medicine
Feasibility of app-based pulmonary telerehabilitation program for textile dyeing workers with respiratory symptoms: a quasi-experimental study: Myeong Geun Jeong, Gun Seo Jung, Kyoung Tae Kim; J Yeungnam Med Sci. 2026;43:20. Published online March 2, 2026; DOI: https://doi.org/10.12701/jyms.2026.43.20

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Abstract PDF Supplementary Material: Background
Textile dyeing workers are at an increased risk of developing occupational respiratory diseases owing to frequent exposure to harmful chemicals, irritants, and high humidity in the workplace. Pulmonary rehabilitation is essential but associated with access and adherence challenges. This study aimed to evaluate the feasibility, effectiveness, accessibility, and safety of an app-based pulmonary telerehabilitation program for this population.
Methods
Forty-five textile dyeing workers with respiratory symptoms underwent a 4-week pulmonary telerehabilitation program consisting of daily gamified respiratory muscle training using a Bluetooth-enabled device and video-guided flexibility exercises. The program was delivered through a mobile application and adherence was monitored using an online platform. Pulmonary function tests, 6-minute walk test, hand grip strength, and St. George’s Respiratory Questionnaire (SGRQ) scores were assessed at baseline (T0) and post-intervention (T1). The adherence, adverse events, and system usability were evaluated.
Results
Improvements were observed in forced expiratory volume in 1 second (FEV1), FEV1/forced vital capacity, maximal inspiratory pressure, and maximal expiratory pressure at T1 compared to T0. The SGRQ activity scores improved after the intervention. The mean adherence rate was 95.69%; three participants had adherence rates <80% for ≥1 week each. The mean System Usability Scale score was high.
Conclusion
The program resulted in significant improvements in pulmonary function and quality of life with high adherence rates and good usability. This may be a promising approach for managing occupational respiratory diseases among textile dyeing workers. Further studies with larger sample sizes and longer follow-up periods are warranted to validate these results and assess the long-term outcomes.

Case report

Physical therapy, Sports Therapy, and Rehabilitation
Crowned dens syndrome as a rare cause of anterior neck pain after transurethral resection of the prostate: a case report: Myeong Geun Jeong, Bum Soon Park, Eun-Seok Son, Jang Hyuk Cho; J Yeungnam Med Sci. 2023;40(3):289-292. Published online August 5, 2022; DOI: https://doi.org/10.12701/jyms.2022.00388

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2 Crossref

We describe the case of a 79-year-old man who presented with progressive aggravation of severe axial neck pain and fever 3 days after transurethral resection of the prostate (TURP), despite maintaining neutral neck posture during surgery. Laboratory examination revealed markedly elevated C-reactive protein levels and erythrocyte sedimentation rates. Computed tomography revealed crown-like calcifications surrounding the odontoid process. We diagnosed crowned dens syndrome (CDS) as the cause of acute-onset neck pain after TURP. The patient was treated with nonsteroidal anti-inflammatory drugs for 5 days, and his symptoms resolved completely. CDS is a rare disease characterized by calcific deposits around the odontoid process with acute onset of severe neck pain and restricted motion. Evidence of inflammation on serological testing and fever are typical of CDS. However, the prevalence and pathophysiology of CDS remain unclear. We hypothesized that systemic inflammation after prostate surgery may have induced a local inflammatory response involving calcification around the odontoid process.

Citations

Citations to this article as recorded by

CRYSTAL ARTHRITIS IN THE DIFFERENTIAL DIAGNOSIS OF NECK PAIN: A CASE OF CROWNED DENS SYNDROME
Halise Hande Gezer, Hamza Özer, Özlem Pehlivan, Mehmet Tuncay Duruöz
Anti-Aging Eastern Europe.2025; 4(2): 128. CrossRef
Spontaneous Cervical Epidural Hematoma Mimicking Crowned Dens Syndrome: A Case Report
Katsuyuki Shiose, Koki Tsuchiya, Ichiro Okano, Yoshifumi Kudo
Cureus.2025;[Epub] CrossRef

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