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The Effect of Shortwave Diathermy Treatment on Muscle Power in Patients with Chronic Low Back Pain 短波热疗对慢性腰痛患者肌力的影响
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.554
S. Karasel, Sema Öncel, B. Akpinar, G. Soylev, E. Şahin, M. Baydar, C. Kızmazoğlu, B. Dilek
Objective: The goal of this study was to investigate the effects of shortwave diathermy therapy combined with exercise on lumbar muscle strength. Patients and methods: Our study was an interventional study involving 90 patients with chronic low back pain who were admitted to our clinic between 2007-2008. Patients were randomized into 3 groups (each group had 30 patients). The same exercise programs were given to all groups. Patients in the first group were applied placebo shortwave diathermy treatment, the second group was applied continuous shortwave diathermy and the third group received pulsed shortwave diathermy. Isokinetic muscle strength measurements of the patients were performed before and three months after the treatment. Results: In our study, the only significant difference observed between the groups was in isometric flexion strength and interestingly the first group had higher improvement compared to the other groups. In regard to within group comparisons, Group 1 was found to have significant improvements in strengths for:isometric flexion, isokinetic flexion (60°/sec and 120°/sec), isokinetic extension (60°/sec and 120°/sec). Group 2 had significant improvements in isokinetic flexion and extension (60°/sec) and also isokinetic extension (120°/sec). In Group 3, none of the improvements were found to be significant. Conclusion: Our findings indicate that there are no significant differences between exercise therapy alone and exercise therapy in combination with diathermy (either continuous or pulsed) in terms of their effects on lumbar muscle strength, even though marginal differences in some of the measurements were observed.
目的:探讨短波热疗法联合运动对腰肌力量的影响。患者和方法:我们的研究是一项介入性研究,涉及2007-2008年间入院的90例慢性腰痛患者。患者随机分为3组(每组30例)。所有小组都进行了同样的锻炼。第一组采用安慰剂短波热疗,第二组采用连续短波热疗,第三组采用脉冲短波热疗。在治疗前和治疗后三个月对患者进行等速肌力测量。结果:在我们的研究中,两组之间唯一的显著差异是在等距屈曲强度上,有趣的是,第一组比其他组有更高的改善。在组内比较中,发现组1在等距屈曲、等距屈曲(60°/秒和120°/秒)、等距伸展(60°/秒和120°/秒)方面的强度有显著提高。2组的等速屈伸(60°/秒)和等速屈伸(120°/秒)均有显著改善。在第三组,没有发现明显的改善。结论:我们的研究结果表明,在对腰肌力量的影响方面,单独运动疗法和运动疗法联合透热疗法(无论是连续的还是脉冲的)之间没有显著差异,尽管在一些测量中观察到微小的差异。
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引用次数: 0
Axonal Motor Neuropathy in Rheumatoid Vasculitis: A Case Report 类风湿血管炎的轴突运动神经病变1例报告
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.562
Naglaa A. Hussein, Victor Nkwopara
Necrotizing vasculitis in rheumatoid arthritis (RA) can lead to different patterns of neuropathy, including entrapment neuropathies, mononeuritis multiplex and distal symmetric sensory or sensorimotor neuropathy.
类风湿性关节炎(RA)的坏死性血管炎可导致不同类型的神经病变,包括卡压性神经病、多发性单神经炎和远端对称感觉或感觉运动神经病变。
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引用次数: 0
Horticultural Therapy: An Effective Yet Underutilized Rehabilitation Therapy 园艺疗法:一种有效但未充分利用的康复疗法
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.542
M. DeSanto, M. Saleh, R. Bitonte
The purpose of this paper is to analyze utilization rates and barriers of horticultural therapy while highlighting several of its efficacious applications. Horticultural therapy provides therapeutic opportunities to patients of varying diagnoses such as dementia, schizophrenia, depression, and other mental illnesses, yet is seemingly underutilized. Using telephone surveys, we analyzed the utilization of horticultural therapy in large medical institutions of the Northeast Ohio region, the remainder of Ohio, and portions of Western Pennsylvania. Nineteen out of twenty-four responding relevant medical institutions do not offer horticultural based therapeutic programs. These same institutions proclaim they are unable to provide the therapy due to inadequate financial remuneration and resources, inclement weather, and unfamiliarity towards horticultural therapy. Continued and more aggressive advocacy is imperative to achieve proper resourcing and remuneration of horticultural therapy as an essential health benefit through the Affordable Care Act (ACA).
本文的目的是分析园艺疗法的利用率和障碍,并重点介绍其几种有效的应用。园艺疗法为患有痴呆、精神分裂症、抑郁症和其他精神疾病的患者提供了治疗机会,但似乎没有得到充分利用。通过电话调查,我们分析了园艺疗法在俄亥俄州东北部地区、俄亥俄州其余地区和宾夕法尼亚州西部部分地区的大型医疗机构中的使用情况。24家相关医疗机构中有19家不提供以园艺为基础的治疗项目。这些机构宣称,由于财政报酬和资源不足、天气恶劣以及对园艺疗法不熟悉,他们无法提供这种疗法。持续和更积极的宣传是必要的,以实现适当的资源和报酬园艺疗法作为一个基本的健康福利,通过平价医疗法案(ACA)。
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引用次数: 1
Nurses Beliefs, Attitudes, and Perception Related to Work in Inpatient Stroke Rehabilitation Unit, a qualitative Study 脑卒中康复病房住院护士对工作的信念、态度和感知的质性研究
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.563
Ahmad Mohammad Abedalla Hajaj
Objective: This Study aims to explore Nurses beliefs, attitudes and perception related to work in inpatient stroke rehabilitation Unit. Background: Role of the nurses in the rehabilitation process has increased dramatically for last two decades. Many attempts have been done to identify the role of the nurses in the Inpatient stroke rehabilitation units, they concluded that nurses are involved as an essential part of the rehabilitation process, however, their contribution to improving patient's outcomes is poorly understood and refined. Design: hermeneutic phenomenology, qualitative approach. Methods: The data were collected by using a semi-structured interview, using open-ended questions then the major themes Transcribed for thematic analysis. Results: Two Main categories were identified; the experience of nurses in Stroke rehabilitation units and the challenges in nursing contribution in stroke units, and the recommended strategies to enhance the role of the nurses in stroke rehab units. Conclusion/Relevance to clinical practice: The study provided an evidence that nurses believe in themselves as an effective team member in stroke rehabilitation, and they are enjoying while helping patients to recover to allow them to reintegrate and adapt to their new life situations. However, this study showed a lot of obstacles that minimize the contribution of nursing in stroke rehabilitation units. The future nursing rehab role should also be developed to meet the post-discharge needs and the emerging rehabilitation services and technologies, moreover, nurses have to clear and specify their specific bedside care and interventions. Nurses have to adopt new knowledge and competencies in collaboration with other disciplines such as occupational therapies, physical therapy, and speech therapy, to upgrade their assessment and intervention skills that enable the nurses to provide systematic and therapeutic feedback about the patient progress and the proper interventions that needed to reflects that on the functional abilities on discharge.
目的:探讨脑卒中康复科住院护士对工作的信念、态度和感知。背景:在过去的二十年中,护士在康复过程中的作用急剧增加。许多人试图确定住院中风康复病房护士的角色,他们得出的结论是,护士是康复过程中必不可少的一部分,然而,他们对改善患者预后的贡献却知之甚少。设计:解释学现象学,定性方法。方法:采用半结构化访谈法收集资料,采用开放式问题对主要主题进行转录,进行主题分析。结果:主要分为两类;脑卒中康复科室护士的工作经验、护理贡献面临的挑战,以及提高护士在脑卒中康复科室作用的建议策略。结论/临床实践意义:本研究证明护士相信自己是脑卒中康复的有效团队成员,并在帮助患者康复的同时享受帮助患者重新融入和适应新的生活环境。然而,这项研究显示了许多障碍,使护理在中风康复单位的贡献最小化。未来的护理康复角色也应该发展,以满足出院后的需求和新兴的康复服务和技术,护士必须明确和明确他们的具体床边护理和干预措施。护士必须采用新的知识和能力,与其他学科合作,如职业治疗、物理治疗和语言治疗,以提高他们的评估和干预技能,使护士能够提供系统的和治疗反馈,关于病人的进展和适当的干预措施,需要在出院时反映功能能力。
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引用次数: 0
Non-Invasive Screening for Pulmonary Hypertension Using Ventilatory Gas Analysis 应用通气气体分析无创筛查肺动脉高压
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.547
M. Akizuki, M. Kohzuki
Chronic thromboembolic PH (CTEPH) and pulmonary arterial hypertension (PAH) are two subtypes of PH. CTEPH is characterized by organic thrombotic obstructions of pulmonary arteries, which reduce pulmonary vascular reserve. As new therapies are developed for CTEPH and PAH, prompt screening for the presence of PH, diagnosis and distinction between CTEPH and PAH have become increasingly important. Although their pathophysiology differs, the clinical presentation at rest is highly similar between CTEPH and PAH, as both disorders have only non-specific symptoms. Therefore, differentiating between CTEPH and PAH using non-invasive techniques remains challenging. This mini-review focuses on the role of ventilatory gas analysis in the management of PH patients, presents recent studies dealing with ventilatory gas analysis, and discusses the latest use of ventilatory gas analysis for diagnosing, assessing (in terms of severity), and distinguishing between CTEPH and PAH.
慢性血栓栓塞性PH (CTEPH)和肺动脉高压(PAH)是PH的两种亚型。CTEPH的特征是肺动脉的有机血栓性阻塞,从而减少肺血管储备。随着CTEPH和PAH的新疗法的发展,及时筛查PH的存在、诊断和区分CTEPH和PAH变得越来越重要。尽管它们的病理生理不同,但静止时的临床表现在CTEPH和PAH之间非常相似,因为这两种疾病都只有非特异性症状。因此,使用非侵入性技术区分CTEPH和PAH仍然具有挑战性。这篇小型综述的重点是通气气体分析在PH患者管理中的作用,介绍了有关通气气体分析的最新研究,并讨论了通气气体分析在诊断、评估(根据严重程度)和区分CTEPH和PAH方面的最新应用。
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引用次数: 0
Classification of Finger Posture in Drop Finger Due to Cervical Foraminal Stenosis: A Mini-Review 颈椎椎间孔狭窄导致的下垂指的手指姿势分类:一个小型综述
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.548
M. Furukawa, M. Kamata
Few reports have been published examining cervical foraminal stenosis as the cause of drop finger. This mini-review, therefore, will provide a summary of the findings of articles published on this topic, written in both English and Japanese. Cervical foraminal stenosis is difficult to diagnose from imaging findings alone; thus, physical examination findings are often needed to make a firm diagnosis. Numbness of the fingers, the extent of interscapular pain, and finger posture can be used to differentiate drop finger due to cervical foraminal stenosis from other diseases. It is crucial to provide sufficient explanation to the patient before a decompression surgery is performed because the recovery of muscle strength is often incomplete and the improvement may be small.
很少有报告已发表检查颈椎椎间孔狭窄的原因下降指。因此,这篇小型综述将提供关于这一主题的文章的结论摘要,这些文章用英语和日语写成。颈椎椎间孔狭窄仅凭影像学表现难以诊断;因此,通常需要体检结果来做出明确的诊断。手指麻木程度、肩胛间疼痛程度、手指姿势可用于鉴别颈椎间孔狭窄引起的垂指与其他疾病。在进行减压手术之前向患者提供充分的解释是至关重要的,因为肌肉力量的恢复通常是不完整的,而且改善可能很小。
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引用次数: 0
Effect of the Modified 3-Dimensional Scoliosis Brace on Dynamic Force Application and its Cardio-Respiratory Functions in Adolescent IdiopathicScoliosis (AIS) 改良三维脊柱侧凸支具对青少年特发性脊柱侧凸动态受力及心肺功能的影响
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.540
Hasan Md. Arif Raihan, P. Ghosh
Background: Scoliosis bracing is the most commonly used non operative treatment plan for the AIS. This study is aimed developing an appropriate spinal orthosis with dynamic 3-D force application in comparison with Boston brace for correction and estimation of cardiorespiratory functions. Case description and method: 3-D brace was fitted on the case according to a sub classification of the SRS guidelines. Breathe cardio-respiratory data analysis and the metabolic data analysis done through the K4B2, COSMED-Srl-Italy. Results: The averages observed for without brace Boston and 3-D are different in this case, except for VT and O2- expenditure, where though Boston and 3-D shows significant difference with the normal Outcomes and conclusion: This case-report indicates that dynamic 3-D orthosis can be a healthier option for AIS as compared to Boston Brace with a positive range of cardio-respiratory functions.
背景:脊柱侧凸支具是AIS最常用的非手术治疗方案。本研究的目的是开发一种合适的脊柱矫形器,动态三维力应用与波士顿支具比较,用于校正和估计心肺功能。病例描述和方法:根据SRS指南的一个小分类对病例进行三维支架安装。呼吸心肺数据分析和代谢数据分析通过K4B2, COSMED-Srl-Italy完成。结果:在本病例中,除了VT和O2-消耗外,未使用波士顿支架和3-D支架的平均观察结果不同,尽管波士顿支架和3-D支架与正常情况有显著差异,但结果和结论:本病例报告表明,与具有积极心肺功能范围的波士顿支架相比,动态3-D矫形器可能是AIS患者更健康的选择。
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引用次数: 0
Effect of Home-Based Versus Clinic-Based Rehabilitation Outcomes in Patients with Atrial Fibrillation and Stroke 房颤合并脑卒中患者家庭康复与临床康复效果比较
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.S1.001
Fern, O. Delgado
Stroke is a huge medical care issue and a significant reason for long haul inability [1]. Accepting recovery in a medical clinic post stroke beginning permits the patient fast admittance to prompt multidisciplinary care [2]. Notwithstanding, intense emergency clinic lengths of stay have been essentially diminished [3]. After early release from the emergency clinic, restoration treatment can in any case additionally improve the patient's capacity. In like manner, the quantity of stroke patients who need proceeded with recovery and the arrangement of homebased restoration is expanding. Locally situated recovery permits practice of practically installed exercises in the patient's genuine climate, which might be more gainful than training inside normalized settings. The projects can be custom fitted to coordinate the patient's requirements and afterward rehearsed in a common habitat, which makes customer focused treatment more practicable. However, investigations of locally established restoration for the recuperation of upper-appendage work have indicated promising yet conflicting outcomes. No decisive impacts of locally situated restoration can be drawn, chiefly on account of inadequate investigation plans and the shifted kinds of treatment conventions, for example, practice programs, home visits, telerehabilitation, limitation initiated treatment, and explicit upper-appendage preparing programs. Further exploration to all the more exhaustively examine the viability of locally situated restoration utilizing a controlled preliminary plan is still warranted. Approximately 70% to 80% of stroke patients have furthest point (UE) engine deficts. Mirror treatment has arisen as a novel UE restoration approach, and momentum proof shows that stroke patients profit by this therapy. A contextual investigation found that reflect treatment can be effectively managed at the patient's home environment. Another examination demonstrated the reciprocal development practice and engine symbolism in mirror treatment can be viewed as a sort of preparing method which can encourage ensuing engine learning. Task-explicit preparing, another suggested preparing for stroke rehabilitation, underlines adding dynamic, dreary act of utilitarian exercises to the treatment. Its treatment standards incorporate giving testing, useful, and goal directed exercises, input, fluctuation practically speaking conditions and advancing commitment, which add to fruitful outcomes. Research underpins that task-explicit preparing is basic for upgrading engine and useful recuperation and for creating neuroplastic changes post stroke. With an expanded spotlight on the advancement of plausible and successful stroke recovery in home settings, this examination proposed a novel locally situated intercession program utilizing mirror treatment as a preparing and development practice strategy, trailed by task-explicit preparing. We examined the treatment impacts of locally situated restoration versus cente
中风是一个巨大的医疗保健问题,也是长期残疾的重要原因[1]。在中风开始后接受医疗诊所的康复允许患者快速进入及时的多学科治疗[2]。尽管如此,紧急门诊的住院时间基本上减少了[3]。在早期从急诊诊所出院后,恢复治疗无论如何都可以额外提高患者的能力。同样,需要进行康复的中风患者数量和居家康复的安排也在不断增加。局部恢复允许在患者真实的气候中进行实际安装的练习,这可能比在正常环境中进行训练更有益。这些项目可以定制,以协调患者的需求,然后在一个共同的栖息地排练,这使得以客户为中心的治疗更加可行。然而,对当地建立的上附肢修复工作的调查显示了有希望但又相互矛盾的结果。局部修复没有决定性的影响,主要是由于不充分的调查计划和治疗惯例的转变,例如,实践计划、家访、远程康复、限制启动治疗和明确的上附件准备计划。利用可控的初步计划,进一步探索更详尽地检查当地恢复的可行性仍然是必要的。大约70%到80%的中风患者有最远点(UE)发动机缺陷。镜像治疗已经成为一种新的UE恢复方法,动量证据表明中风患者从这种治疗中获益。一项背景调查发现,反射治疗可以有效地管理在病人的家庭环境。另一项研究表明,镜像处理中的相互发展实践和发动机符号可以被视为一种准备方法,可以鼓励随后的发动机学习。任务显性准备,另一项建议是为中风康复做准备,强调在治疗中加入动态的、沉闷的实用练习。它的治疗标准包括给予测试、有用的和目标导向的练习、输入、实际说话条件的波动和推进承诺,这些都增加了富有成效的结果。研究表明,明确的任务准备是升级引擎和有用的恢复以及创造中风后神经可塑性变化的基础。随着越来越多的人关注在家庭环境中中风康复的可行性和成功性,本研究提出了一种新颖的本地代祷方案,利用镜像治疗作为准备和发展实践策略,并辅以任务明确准备。我们检查了局部恢复与中心综合恢复对中风患者健康相关结果的不同部分的治疗影响
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引用次数: 0
Significance of Neuroimaging for Movement Disorders: An Analytical Perspective 神经影像学对运动障碍的意义:分析视角
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.S2.002
E. Roth
One of the neurological diseases which are seen very common in humans is Movement Disorder (MD). Movement disorder is a cluster of pattern exemplified by a mutilation of the directive of deliberate activity of motor cortex with no functionality of cerebella. Disorders such as Parkinson's disease, tic disorders etc comes under this cluster pattern. In general terms, the medical symptoms of movement disorders are due to the damage of basal ganglia cells. Many previous studies depicted the loss of changes in some of functionality of neurons; however, the pathologic sources for several disorders like MD still undetermined. In order to visualize such pathologic occurrences in many movement disorders, an advanced technique name neuroimaging has been used. Various neuroimaging techniques such as MR (Magnetic Resonance) imaging etc. have been used to visualize pathological changes in these disorders. In this article, significance of neuroimaging techniques is depicted for resolving conflicts of movement disorders. Further, some limitations are also explained.
运动障碍(MD)是人类常见的神经系统疾病之一。运动障碍是一种以运动皮层故意活动指令的破坏为例的模式集群,小脑功能缺失。像帕金森氏症、抽动障碍等疾病都属于这种群集模式。一般来说,运动障碍的医学症状是由于基底神经节细胞的损伤。许多先前的研究描述了神经元某些功能变化的丧失;然而,一些疾病如MD的病理来源仍未确定。为了可视化这种病理发生在许多运动障碍,一种先进的技术称为神经影像学已被使用。各种神经成像技术,如磁共振成像等已被用于可视化这些疾病的病理变化。在这篇文章中,描述了神经成像技术对解决运动障碍冲突的意义。此外,还解释了一些局限性。
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引用次数: 0
Demographic Effects on Behavioral Problems among Learning Disabled Children in Coastal Districts of Andhra Pradesh 安得拉邦沿海地区学习障碍儿童行为问题的人口统计学影响
Pub Date : 2020-01-01 DOI: 10.35248/2329-9096.20.08.560
Subhashini Akurathi
The present study was undertaken in an attempt to identify the behavioral problems among learning disabled children. The sample consisted of 450 (age 6-8 years) learning disabled children from various centers. The Aberrant behavior checklist was administered to the parents of the children uniformly. Data were analyzed by using analysis of variance. Results revealed that place of residence and income have had a significant impact on the behavioral problems specifically lethargy and inappropriate speech. Results are discussed in the light of previous findings and implications for the learning-disabled children and their parents.
本研究旨在探讨学习障碍儿童的行为问题。样本包括来自不同中心的450名(6-8岁)学习障碍儿童。异常行为检查表统一发放给孩子的父母。采用方差分析对数据进行分析。结果发现,居住地和收入对儿童的行为问题有显著影响,尤其是嗜睡和言语不当。本文结合以往的研究结果,对学习障碍儿童及其家长的启示进行了讨论。
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引用次数: 0
期刊
International Journal of Physical Medicine and Rehabilitation
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