{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:09:19Z","timestamp":1753870159175,"version":"3.41.2"},"reference-count":11,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We share our experiences of instructing three patients with severe upper limb dysfunction on how to self\u2010adjust CPAP\/NPPV masks. In Case 1, we simplified the procedure by suturing a part of the headband as the left forearm was amputated. In Case 2, the patient had congenitally short limbs with short stature; thus, we provided an additional belt to the headband to maintain the headband's configuration while wearing the mask. In Case 3, the patient had left hemiplegia due to stroke and, repetitive coaching was conducted during the recovery phase rehabilitation program. Difficulties with self\u2010adjusting NPPV\/CPAP masks can occur whenever there is limited hand mobility above the head, including upper limb dysfunction. Simplifying procedures and providing sufficient time for instruction could help achieve independence. There have been no previous reports describing similar training details. We believe that sharing this knowledge will be helpful to both patients and healthcare professionals.<\/jats:p>","DOI":"10.1002\/rcr2.1232","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T09:18:16Z","timestamp":1697102296000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Educating patients with upper limb dysfunction on self\u2010adjustment of the <scp>CPAP<\/scp>\/<scp>NPPV<\/scp> mask: A case series"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1087-1174","authenticated-orcid":false,"given":"Tomoko","family":"Kuroda","sequence":"first","affiliation":[{"name":"Nursing Department Tokyo Metropolitan Police Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazushige","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Rehabilitation Department Tokyo Metropolitan Police Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Hinata","sequence":"additional","affiliation":[{"name":"Respirology Division, Department of Internal Medicine Tokyo Metropolitan Police Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaoru","family":"Chiba","sequence":"additional","affiliation":[{"name":"Respirology Division, Department of Internal Medicine Tokyo Metropolitan Police Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Okabayashi","sequence":"additional","affiliation":[{"name":"Respirology Division, Department of Internal Medicine Tokyo Metropolitan Police Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4097-4632","authenticated-orcid":false,"given":"Yuko","family":"Asato","sequence":"additional","affiliation":[{"name":"Respirology Division, Department of Internal Medicine Tokyo Metropolitan Police Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4230-9570","authenticated-orcid":false,"given":"Hiromi","family":"Aono","sequence":"additional","affiliation":[{"name":"Respirology Division, Department of Internal Medicine Tokyo Metropolitan Police Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyoshi","family":"Marumo","sequence":"additional","affiliation":[{"name":"Respirology Division, Department of Internal Medicine Tokyo Metropolitan Police Hospital  Tokyo Japan"},{"name":"Hoken Kaikan Clinic Tokyo Health Service Association  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-018-00193-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/31.3.419"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-018-1381-9"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-020-1257-y"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2018.0095"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-021-05541-0"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2019.01.012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000742"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.3.128"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.024795"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.086686"}],"container-title":["Respirology 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Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.1232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T06:37:09Z","timestamp":1698388629000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.1232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,12]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/rcr2.1232"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.1232","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"type":"print","value":"2051-3380"},{"type":"electronic","value":"2051-3380"}],"subject":[],"published":{"date-parts":[[2023,10,12]]},"assertion":[{"value":"2023-07-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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