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The Influence of Speech and Language Disorders on the Effectiveness of Rehabilitation of Individuals who Suffered Stroke 语言障碍对脑卒中患者康复效果的影响
Q4 Medicine Pub Date : 2019-03-06 DOI: 10.33607/rmske.v2i13.695
L. Varzaityte, R. Savickas, Liepa Šiupinienė, Vilija Varanienė
Background. The speech and language disorders for stroke patients are associate with bigger morbidity, mortality, hypofunction, but the literature fndings are controversial. The aim of the study is to analyse the influence of speech and language disorders on the effectiveness of rehabilitation of individuals who suffered stroke. Subjects and methods. The study involved 64 individuals with stroke who were treated at LUHSH KK Neurorehabilitation subdivision during the years 2008 and 2010. In this analysis a retrospective data from hospital medical records forms was used. The effectiveness of rehabilitation was assessed by a change of results of functional independence measurement (FIM) and mini-mental state examination (MMSE) tests during rehabilitation. The factors that may influence the effectiveness of rehabilitation (age, gender, type of speech and language disorder) were analysed. Results. The analysis revealed that rehabilitation was effective and effcient for individuals who suffered stroke both in the right and the left side, and the difference was not statistically signifcant. The FIM results of individuals with speech disorders before rehabilitation were worse, comparing to those who had speech and language disorder. The difference was statistically significant (p = 0.004). But after rehabilitation, although the FIM results of subjects with speech impairments remained lower, the difference was not statistically signifcant (p = 0.367). The difference between FIM results after rehabilitation among separate aphasia groups was not statistically signifcant. But there was a statistically signifcant difference, comparing MMSE results before and after rehabilitation (p = 0.02). Conclusions. The inpatient rehabilitation was effective for stroke patients. The age and gender did not have statistically signifcant influence. The speech and language disorders did not have statistically signifcant influence to recovery of cognitive dysfunction for stroke patients in the early period of rehabilitation.Keywords: stroke, speech and language disorder, rehabilitation. 
背景。脑卒中患者的言语障碍与较高的发病率、死亡率和功能减退有关,但文献研究结果存在争议。本研究的目的是分析言语和语言障碍对中风患者康复效果的影响。研究对象和方法。这项研究涉及64名中风患者,他们在2008年和2010年期间在LUHSH KK神经康复分部接受治疗。在这个分析中,回顾性的数据从医院的医疗记录表格被使用。通过康复期间功能独立性测量(FIM)和迷你精神状态检查(MMSE)测试结果的变化来评估康复效果。分析了可能影响康复效果的因素(年龄、性别、言语和语言障碍类型)。结果。分析显示,康复对中风患者的右半脑和左半脑均有效,差异无统计学意义。康复前言语障碍患者的FIM结果比言语障碍患者更差。差异有统计学意义(p = 0.004)。而在康复后,虽然言语障碍受试者的FIM成绩仍然较低,但差异无统计学意义(p = 0.367)。失语症组康复后FIM结果差异无统计学意义。但康复前后MMSE结果比较,差异有统计学意义(p = 0.02)。结论。住院康复治疗对脑卒中患者有较好的疗效。年龄和性别对其影响无统计学意义。言语语言障碍对脑卒中患者康复早期认知功能障碍的恢复无统计学意义。关键词:脑卒中,语言障碍,康复。
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引用次数: 0
Environmental Influence on the Aggressiveness in Children with Schizophrenia 环境对精神分裂症儿童攻击性的影响
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/RMSKE.V1I14.701
J. Sučylaitė, Jurgita Platakytė
Background. This article analyzes aggressive behaviour of schizophrenic child and its characteristics. It examines what factors provoke aggressive behaviour, what activities are useful to strengthen their social adaptation. There are scientific articles with discussions about schizophrenic patients’ feelings, neurobiological activities, but it is a lack of concrete case analyses, helpful to understand psychological and social causes of schizophrenic patient aggressive behaviour, and to create methodical techniques how to work with these children having goal to reduce aggressive behaviour. The aim of this article is to explore psychosocial environmental impact on aggressiveness of children, suffering from schizophrenia. Methods. Qualitative research was selected, phenomenological observation and a short interview with children’s mothers and nurses were used for data collection, and the examination of the documents (drawings) was used, too. Data were summarized using qualitative content analysis, as well as grounded theory strategy. The study involved four school-age patients with schizophrenia. Recorded materials of observations and interviews were analyzed as the text. Results. Schizophrenic child has learned aggressive behaviour in the family; social rejection or sudden loss of warm emotional contact strengthened aggressiveness; aggressive actions occurred spontaneously and were directed to the imme diate surroundings; these actions were incomprehensible to people; emergence of noise provoked aggressive actions. Aggressive behaviour is associated with insecurity, low self-esteem, failure to understand the cause of aggressive behavior attacks reinforces alienation and hostility to the social world. Unconscious aggressiveness intensifes during its performance, so the behaviour is completely out of control; its consequences are related to the personality’s social devaluation. All these things are experienced as an access to the catastrophe from which the man cannot be saved, so the children focus on the crumbling world and inadequate attempts to escape, provoking conflicts. Quiet environment and drawing strengthens the self-esteem of individuals and calms. Conclusion. Personalized, targeted organization of leisure, responding to the interests of children with schizophrenia, creates the psychosocial environment, where the child’s safety increases, and aggressive behaviour trend reduces.Keywords: children with schizophrenia, aggressive behaviour, psychosocial environment, drawing.
背景。本文分析了精神分裂症儿童的攻击行为及其特点。它研究了什么因素引发了攻击行为,什么活动有助于加强他们的社会适应。有科学文章讨论了精神分裂症患者的感受,神经生物学活动,但缺乏具体的案例分析,有助于理解精神分裂症患者攻击行为的心理和社会原因,并创造有条理的技术如何与这些儿童一起工作,以减少攻击行为。本文的目的是探讨心理社会环境对精神分裂症患儿攻击性的影响。方法。采用定性研究、现象学观察和对儿童母亲和护士的简短访谈等方法收集数据,并采用文献(图纸)检查等方法。采用定性内容分析和扎根理论策略对数据进行总结。这项研究涉及四名学龄精神分裂症患者。观察和访谈的记录材料作为文本进行分析。结果。患有精神分裂症的孩子在家庭中学会了攻击性行为;社会排斥或突然失去温暖的情感接触增强了攻击性;攻击行为是自发发生的,并直接针对周围环境;这些行为是人们无法理解的;噪音的出现引起了攻击行为。攻击性行为与不安全感、低自尊、不了解攻击性行为攻击的原因有关,这加剧了对社会世界的疏远和敌意。无意识的攻击性在其表现过程中增强,因此行为完全失控;其后果与人格的社会贬值有关。所有这些都是作为一种人类无法拯救的灾难的途径而经历的,所以孩子们关注的是摇摇欲坠的世界和不充分的逃跑尝试,引发了冲突。安静的环境和绘画增强了个人的自尊和平静。结论。个性化的、有针对性的休闲组织,回应了精神分裂症儿童的兴趣,创造了社会心理环境,在这种环境中,儿童的安全性增加,攻击行为趋势减少。关键词:精神分裂症儿童;攻击行为;社会心理环境;
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引用次数: 0
Effect of Early Physiotherapy after Lateral Ankle Ligament Injury on Pain and Function. Systematic Review 踝关节外侧韧带损伤后早期物理治疗对疼痛和功能的影响。系统综述
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/RMSKE.V1I16.741
Ieva Masiulytė, Vygintė Gasiulytė, Giedrė Jurgelaitienė
Background. Lateral ankle ligament injuries are most common in sports, which affects athletes in all ages. It has been found that lateral ankle ligaments are injured in 1 of 10000 physically active people. Higher sports level professional players and amateurs need to return to sport early with no physical, psychological and economic consequences. Studies search for the most effective treatment after lateral ankle ligament injuries. Research aim – to perform a systematic review and determine the effect of early physiotherapy on pain and function after lateral ankle ligament injury. Methods. We conducted literature search using the Pubmed, Ebsco, Pedro, Google scholar databases, and chose controlled trials where early physiotherapy orientated to pain and function was used. Results. In control groups where traditional immobilization with RICE method was used, pain decreased to 1.96 ± 1.33 points, in the intervention groups who had early physiotherapy and RICE method, pain decreased to 1.53 ± 1.23 points. Effect size in control groups was r = 0.55 points, in the intervention groups it was r = 0.54 points. In control groups who had traditional immobilization with RICE method, function increased to 68.67 ± 16.79 point, in the intervention groups who had early physiotherapy and RICE method, function increased to 75.61 ± 13.27 points. Effect size in control groups was r = 0.82 points, in the intervention groups r = 0.88 point. Conclusions. Early physiotherapy orientated to pain and functions after lateral ankle ligaments injury helps to reduce pain faster and increases function, and helps return back to work and sports activities.Keywords: lateral ankle ligament, injuries, early physiotherapy.
背景。踝关节外侧韧带损伤是运动中最常见的损伤,影响各个年龄段的运动员。研究发现,每10000个积极运动的人中就有1个踝关节外侧韧带受伤。高水平的职业运动员和业余运动员需要在不造成身体、心理和经济后果的情况下尽早重返赛场。研究寻找踝关节外侧韧带损伤后最有效的治疗方法。研究目的:系统回顾并确定早期物理治疗对踝关节外侧韧带损伤后疼痛和功能的影响。方法。我们使用Pubmed、Ebsco、Pedro、谷歌学者数据库进行了文献检索,并选择了针对疼痛和功能的早期物理治疗的对照试验。结果。对照组采用传统RICE法固定,疼痛减轻至1.96±1.33分;干预组采用早期物理治疗和RICE法固定,疼痛减轻至1.53±1.23分。对照组效应量r = 0.55分,干预组效应量r = 0.54分。对照组采用传统RICE方法固定,功能提高到68.67±16.79分;干预组采用早期物理治疗和RICE方法,功能提高到75.61±13.27分。对照组效应量r = 0.82点,干预组r = 0.88点。结论。踝关节外侧韧带损伤后,早期针对疼痛和功能的物理治疗有助于更快地减轻疼痛和提高功能,并有助于恢复工作和体育活动。关键词:踝关节外侧韧带,损伤,早期理疗。
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引用次数: 0
Correlation between Functional Disorders of Temporomadibular Joint and Upper Crossed Syndrome 颞下颌关节功能障碍与上交叉综合征的相关性研究
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/RMSKE.V1I14.698
V. Juodžbalienė, Dovilė Krasauskytė, Dovilė Valatkienė
Research background. The imbalance between the jaw and neck muscle activity occurs as a compensatory mechanism in order to stabilize the jaw and neck structural parts in temporomandibular joint (TMJ) disorders (Ries et al., 2008). Changes occur in posture control system if any biomechanical unit varies (Ritzel et al., 2007). One system compensates the unusually active other body system in upper cross syndrome (UCS) (Tharcher et al., 2011). This syndrome is characterized by shortened upper trapezius, pectoralis major and romboids and week middle and lower trapezius, serratus anterior and deep neck flexors (Moore, 2004; Tharcher et al., 2011). Thus, it is believed that there may be a direct link between the upper cross syndrome and temporomandibular joint dysfunction. Purpose. Explore relationship between temporomandibular joint dysfunction and upper crossed syndrome in women. Methods. Thirty female volunteers participated in the study, and they were divided into groups according to trigger points in the shoulder and neck muscles: group 1 – painful shoulder and neck muscles (32.65 ± 12.34 years), group 2 – painless shoulder and neck muscles (34.5 ± 10.95 years). Survey was carried out assessing TMJ function during observation, palpation, evaluation of the sagittal craniovertebral angle, the neck and shoulder muscle length, strength, pain and deep neck muscle endurance was examined. Results. It was found that TMJ function was strongly associated with the UCS: trapezius pain as well as upper trapezius and scalenus length. TMJ disorders were associated with headache in both groups. Weak connection between deep neck muscle endurance and TMJ dysfunction was identifed. Conclusions. TMJ mobility is partly related to UCS, and TMJ functional disorders related to headache and sagittal craniovertebral angle. UCS specifc changes, such as pectoralis muscle length changes and impaired deep neck muscle endurance are not related to TMJ dysfunction.Keywords: temporomandibular joint, the upper crossed syndrome, muscle length, headache.
研究背景。在颞下颌关节(TMJ)疾病中,下颌和颈部肌肉活动的不平衡是一种代偿机制,目的是稳定下颌和颈部结构部位(Ries et al., 2008)。如果任何生物力学单元发生变化,姿势控制系统也会发生变化(Ritzel et al., 2007)。在上交叉综合征(UCS)中,一个系统补偿异常活跃的另一个身体系统(Tharcher et al., 2011)。该综合征的特征是上斜方肌、胸大肌和菱形肌缩短,中、下斜方肌、前锯肌和深颈屈肌缩短(Moore, 2004;Tharcher et al., 2011)。因此,我们认为上交叉综合征与颞下颌关节功能障碍之间可能存在直接联系。目的。探讨女性颞下颌关节功能障碍与上交叉综合征的关系。方法。30名女性志愿者参与研究,根据肩颈肌肉的触发点分为两组:1组肩颈肌肉疼痛(32.65±12.34岁),2组肩颈肌肉无痛(34.5±10.95岁)。观察、触诊时进行TMJ功能评估调查,评估颅椎矢状角,检查颈肩肌长度、力量、疼痛和深颈肌耐力。结果。我们发现TMJ功能与UCS、斜方肌疼痛以及上斜方肌和斜角肌长度密切相关。两组患者均与头痛相关。深颈肌耐力与颞下颌关节功能障碍之间存在微弱联系。结论。颞下颌关节活动与UCS部分相关,颞下颌关节功能障碍与头痛和矢状颅椎角相关。UCS特异性改变,如胸肌长度改变和深颈肌耐力受损与TMJ功能障碍无关。关键词:颞下颌关节,上交叉综合征,肌长,头痛。
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引用次数: 0
The Effect of Kinesiotaping on Hand Function in Patients with Rheumatoid Arthritis 运动贴敷对类风湿关节炎患者手部功能的影响
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/RMSKE.V1I14.702
Vilija Žebrauskaitė, Inesa Rimdeikienė, Gintarė Ušeckienė
Research background. Physical therapy is one of the main methods of rehabilitation in order to maintain and improve hand function for patients with rheumatoid arthritis. It is supposed that kinesiotaping method can be successfully used in patients with RA during the physical therapy to improve hand function. The aim of the research was to evaluate the effect of kinesiotaping on hand function in patients with Rheumatoid Arthritis. Methods. The study involved 22 subjects (100% women) who had Rheumatoid Arthritis. Subjects were randomly divided into two groups: the research group consisted of 10 individuals, they received kinesiotaping and exercise program, and the control group consisted of 12 individuals, only exercise was applied to them. The study lasted for 2 months, the procedures were performed three times a week. Range of motion of the wrist was measured using the goniometry method, the handgrip strength was assessed using a dynamometer. Modifed Keitel Function test and Modifed Arthritis Impact Measurement Scale (AIMS II) were used to evaluate hand function. Results. Range of motion of the wrist after physical therapy increased in both groups, but in the research group the right and the left wrist flexion and the left wrist extension were signifcantly higher than in the control group (p < 0.05). The hand grip strength after physical therapy signifcantly increased in the control and in the research groups (p < 0.05), but in the research group, it was significantly higher than in the control group (p < 0.05 ). Hand functional status assessed by using a modifed Keitel index improved in both groups (p < 0.05) was significantly better in the research group (p < 0.05). The hand function assessed by the Arthritis Impact Measure Scale signifcantly improved in both groups (p < 0.05), but no signifcant difference between the groups was observed (p > 0.05). Conclusion. Kinesiotaping in conjunction with physical therapy is more effective method than just physical therapy in order to increase the range of motion of the wrist, the hand grip strength and hand functional status of patients with RA.Keywords: rheumatoid arthritis, physical therapy, kinesiotaping.
研究背景。物理治疗是维持和改善类风湿性关节炎患者手功能的主要康复方法之一。认为在RA患者物理治疗过程中,运动带法可以成功地用于改善手功能。本研究的目的是评估运动胶带对类风湿关节炎患者手部功能的影响。方法。该研究涉及22名患有类风湿关节炎的受试者(100%为女性)。研究对象随机分为两组:研究组10人,接受运动磁带和运动计划;对照组12人,只进行运动。研究持续2个月,每周进行3次手术。腕关节活动度采用测角法测量,握力采用测力仪评估。采用改良的Keitel功能测试和改良的关节炎冲击测量量表(AIMS II)评估手功能。结果。两组患者物理治疗后腕关节活动度均有所增加,但研究组左右腕关节屈曲和左腕关节伸直均显著高于对照组(p < 0.05)。物理治疗后的握力在对照组和研究组均显著增高(p < 0.05),但研究组明显高于对照组(p < 0.05)。采用改良的Keitel指数评估手功能状态,两组均有改善(p < 0.05),其中研究组明显优于对照组(p < 0.05)。两组患者关节炎影响量表评定手功能均有显著改善(p < 0.05),但两组间差异无统计学意义(p < 0.05)。结论。在增加RA患者手腕活动度、手部握力和手部功能状态方面,运动胶带结合物理治疗是比单纯物理治疗更有效的方法。关键词:类风湿关节炎,物理治疗,运动贴敷。
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引用次数: 0
Music Therapy Effect on the Pain of Woman after Breast Cancer Surgery 音乐治疗对女性乳腺癌术后疼痛的影响
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/rmske.v1i14.697
M. Bruner, A. Kirkutis, J. Sučylaitė
Background. Pain after breast cancer surgery leads to long term disability. Music therapy is non-invasive, inexpensive supplementary therapy way, which helps to improve emotional and psychological condition, to reduce stress, anxiety and pain. Nevertheless, there is a lot of knowledge about the benefts of music therapy, and it is a lack of scientifc research, which could advocate for music therapy beneft after breast cancer surgery. Research aim. To evaluate music therapy effect on women pain after breast cancer surgery. Research tasks. To assess the pain of women using a visual analogue scale (VAS) before and after the application of music therapy in the study and control groups. Methods. An analysis of scientifc / medical literature was made. Quantitative research method was selected. Criteria for involvement into scientifc research were women after breast cancer surgery. In research group music therapy was applied. It consisted of 25 patients with an average age of 52.23 ± 9, 04 years. A control group consisted of 25 patients with an average age of 56.17 ± 7.84 years. Music therapy was not applied in control group. The research instrument was the VAS. The data were collected before the application of music therapy and after. Music therapy sessions were used after breast cancer surgery the whole period of rehabilitation. Sessions were held in a recreation room 6 times a week, session duration of 30 – minute. The Baroque and the New Age music were used in music therapy sessions. Listening to music, women were asked to close their eyes, relax and breathe deeply. To ensure the most accurate results of the study participants were asked to avoid listening additional music. Results. Before using music therapy the difference of pain intensity data (measured by VAS) was not statistically signifcant in the research and control groups. After music therapy the study group showed a statistically signifcant decrease in pain intensity: before music therapy pain intensity score of 6.54 ± 1.45, after music therapy – 3 ± 0.98 points (p < 0.001); control group pain intensity also decreased: before music therapy 5.58 ± 1.56 points, after music therapy 2.88 ± 1.91 points. Conclusion. After breast cancer surgery, and after the completed rehabilitation, pain decreased in the research group, where music therapy was applied (p < 0.001); in the control group, where music therapy was not applied, pain also decreased. (p < 0.05). Difference between the change of pain in study group and in control group was not statistically signifcant. Pain change in the study group was not signifcantly higher than the control group.Keywords: music therapy, pain, breast cancer.
背景。乳腺癌手术后的疼痛会导致长期残疾。音乐疗法是一种无创、廉价的辅助治疗方式,有助于改善情绪和心理状况,减轻压力、焦虑和疼痛。然而,关于音乐治疗的好处有很多知识,缺乏科学研究,可以倡导乳腺癌手术后音乐治疗的好处。研究的目标。探讨音乐治疗对乳腺癌术后疼痛的影响。研究任务。采用视觉模拟评分法(VAS)评价研究组和对照组女性在音乐治疗前后的疼痛程度。方法。对科学/医学文献进行了分析。选择定量研究方法。参与科学研究的标准是乳腺癌手术后的女性。研究小组采用音乐疗法。25例患者,平均年龄52.23±9.04岁。对照组25例,平均年龄56.17±7.84岁。对照组不进行音乐治疗。研究工具为VAS。收集音乐治疗前后的数据。音乐疗法在乳腺癌手术后的整个康复期进行。每周在娱乐室进行6次,每次30分钟。巴洛克和新时代音乐被用于音乐治疗。在听音乐时,女性被要求闭上眼睛,放松,深呼吸。为了确保研究结果最准确,参与者被要求避免听额外的音乐。结果。音乐治疗前,研究组与对照组疼痛强度数据(VAS测量)差异无统计学意义。经音乐治疗后,研究组疼痛强度降低有统计学意义:音乐治疗前疼痛强度评分为6.54±1.45分,音乐治疗后疼痛强度评分为- 3±0.98分(p < 0.001);对照组疼痛强度也有所降低:音乐治疗前为5.58±1.56分,音乐治疗后为2.88±1.91分。结论。在乳腺癌手术后和康复完成后,音乐治疗组的疼痛减轻(p < 0.001);在没有进行音乐治疗的对照组中,疼痛也有所减轻。(p < 0.05)。研究组与对照组疼痛变化差异无统计学意义。研究组疼痛变化不明显高于对照组。关键词:音乐疗法,疼痛,乳腺癌。
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引用次数: 0
Perspectives in the Application of Immunocorrector – transfer factor ™ in Immunoprophylaxis Programmes and Immunorehabilitation 免疫校正-转移因子™在免疫预防和免疫康复中的应用前景
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/RMSKE.V2I15.703
A. Chizhov, A. Kirkutis, J. Andruskiene
Background. Human health is largely determined by the body’s resistance to various damaging factors and, in particular, the functional state of its immune system. The use of unique, new generation immunomodulators in prevention of diseases is promising. Goal of the research was to defne the perspectives in the application of immunocorrector Transfer factorTM in immunoprophylaxis programmes and immunorehabilitation analysing and summarizing scientifc articles. Methods. Systemic literature overview was performed, including 77 scientifc articles and conference proceedings in English, published in the period from 1949 to 2016. The main inclusion criterion was clinical trial or literature review, analysing the effect of immunocorrector on human health in cases of different disorders.  Results. Transfer factors are molecules that communicate antigenic immunological information intracellularly from a donor to a recipient. Mammalian Transfer factors, including those of humans are small molecules between 3,500 and 10,000 Daltons. Transfer factor’s functions of cell-mediated immunity and non-specifc immunological activity differ from the functions of antibodies. Transfer factors are divided into three fractions: the inductors that provide rapid immune response and general readiness of the immune system; suppressors, which regulate the intensity of the immune response, preventing allergic and autoimmune reactions; antigen specifc Transfer factors with a set of certain antigens, allowing quick adjusting of the immune system to recognize many bacterial and viruses. Conclusions. Transfer factors have no side effects and are considered as highly effective in treatment of infectious, parasitic, oncological, dermatological, venereal and somatic diseases, so are highly recommended for preventive purposes and decreasing of aging.]Keywords: transfer factor, immunoprophylaxis, immunorehabilitation.
背景。人体健康在很大程度上取决于人体对各种有害因素的抵抗力,特别是免疫系统的功能状态。使用独特的,新一代的免疫调节剂预防疾病是有希望的。本研究的目的是明确免疫校正剂转移因子tm在免疫预防方案和免疫康复中的应用前景,分析和总结科学文献。方法。系统文献综述,包括1949年至2016年期间发表的77篇英文科学论文和会议论文集。主要入选标准为临床试验或文献回顾,分析免疫矫正剂对不同疾病患者健康的影响。结果。转移因子是在细胞内将抗原免疫信息从供体传递给受体的分子。哺乳动物的转移因子,包括人类的转移因子都是3500到10000道尔顿之间的小分子。传递因子的细胞免疫功能和非特异性免疫活性不同于抗体的功能。转移因子分为三部分:提供快速免疫反应和免疫系统一般准备的诱导剂;抑制因子,调节免疫反应的强度,防止过敏和自身免疫反应;抗原特异性转移因子与一组特定的抗原,允许快速调整免疫系统识别许多细菌和病毒。结论。转移因子无副作用,被认为对感染性、寄生虫性、肿瘤性、皮肤病、性病和躯体疾病的治疗非常有效,因此强烈推荐用于预防目的和延缓衰老。[关键词]转移因子,免疫预防,免疫康复。
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引用次数: 1
The Influence of Long-Term Use Of High-Heeled Shoes for Women`s Posture and Lower Extremity Muscle Strength 长期穿高跟鞋对女性姿势及下肢肌肉力量的影响
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/rmske.v2i15.704
Birutė Lašaitė, V. Dudonienė
Background. Wearing high-heeled shoes can cause posture distortions: the head position is tilted forward, increased lordosis of the lumbar spine anterior pelvic tilt, knees flexed with some knee ‘varus’, hyper-supination of the foot (Pannell, 2012). These changes cause muscle imbalance: abdominal core muscles, upper back erectors spinae get elongated and weakened, gluteal muscles are weakened. Hamstrings get slightly elongated but are not necessarily weakened. Hip flexors and lower back muscles get shortened and strengthened. Soleus and gastrocnemius muscles get shortened and strengthened. Aim of the study was to determine the long-term effect of wearing high-heeled shoes on women’s leg muscles and posture. Methods. Twenty nine women took part in the study. They were divided into two groups: those who met the research criteria and wore high heeled shoes and those, who did not. We used a questionnaire to assign participants to one of the research groups, and measured muscle strength using a hand-held dynamometer, we measured pressure distribution in a specifc foot area using a “Matscan” mat and evaluated posture according W. K. Hoeger’s method. Results. Strength of only three muscle groups differed between women wearing and not wearing high heels, muscle strength of thigh flexors, shin erector and feet plantar flexors in women regularly wearing high heels were greater compared to women that did not wear high heels. Measurements of static feet load distribution showed that in women wearing high-heeled shoes, 71.01% of weight went on heels and only 28.98% ‒ on toes and forefoot, while in women not wearing high heels weight was distributed equally ‒ 49.28% goes on heels and 50.72% on toes and forefeet. Study results showed that 41.3% of women regularly wearing high-heeled shoes had excellent posture, while 45.7% of women not wearing high-heeled shoes had excellent posture. Conclusions. Muscle strength of thigh flexors, shin erector and feet plantar flexors in women regularly wearing high heels was greater compared to women that did not wear high heels. Feet static support centre in women, who regularly wore high heeled shoes was distributed towards the heel while feet static support centre in women not wearing high heels was distributed equally along the foot. There were no signifcant differences evaluating posture in women wearing and not wearing high heels. The most common posture problems in women regularly wearing high-heeled shoes were: knees in varus position, head and abdomen in protraction, and increased lumbar lordosis.Keywords: high-heeled shoes, posture, muscle strength.
背景。穿高跟鞋会导致姿势扭曲:头向前倾斜,腰椎前凸增加,骨盆前倾,膝盖弯曲,膝盖“内翻”,脚过度旋后(Pannell, 2012)。这些变化导致肌肉不平衡:腹部核心肌群、上背竖肌脊柱被拉长和削弱,臀肌被削弱。腿筋会稍微拉长,但不一定会变弱。髋屈肌和下背部肌肉被缩短和加强。比目鱼肌和腓肠肌变短变强。这项研究的目的是确定穿高跟鞋对女性腿部肌肉和姿势的长期影响。方法。29名女性参加了这项研究。他们被分为两组:一组符合研究标准并穿高跟鞋,另一组不穿高跟鞋。我们使用问卷将参与者分配到一个研究小组,并使用手持式测力计测量肌肉力量,我们使用“Matscan”垫测量特定足部区域的压力分布,并根据W. K. Hoeger的方法评估姿势。结果。穿高跟鞋和不穿高跟鞋的女性只有三个肌肉群的力量不同,经常穿高跟鞋的女性大腿屈肌、胫骨竖肌和足底屈肌的肌肉力量比不穿高跟鞋的女性要大。对足部静态负荷分布的测量表明,穿高跟鞋的女性,71.01%的体重集中在高跟鞋上,只有28.98%的体重集中在脚趾和前足上,而不穿高跟鞋的女性,体重分布均匀,49.28%的体重集中在高跟鞋上,50.72%的体重集中在脚趾和前足上。研究结果显示,41.3%经常穿高跟鞋的女性体态优美,而45.7%不穿高跟鞋的女性体态优美。结论。与不穿高跟鞋的女性相比,经常穿高跟鞋的女性大腿屈肌、胫骨竖肌和足底屈肌的肌肉力量更大。经常穿高跟鞋的女性的足部静态支撑中心向脚跟方向分布,而不穿高跟鞋的女性的足部静态支撑中心则均匀地沿足部分布。穿高跟鞋和不穿高跟鞋的女性在评估姿势方面没有显著差异。经常穿高跟鞋的女性最常见的姿势问题是:膝盖内翻,头部和腹部前伸,腰椎前凸加重。关键词:高跟鞋,姿势,肌肉力量。
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引用次数: 0
Changes in Functional Independence of Patients with Acute Stroke during Treatment 急性脑卒中患者治疗期间功能独立性的变化
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/rmske.v1i14.700
Lina Samuolienė, Vida Mockienė
Background. Ischemic stroke (IS) is one of the most topical medical and social problems because of high morbidity and severe residual disability. The goal of the research was to analyze influencing changes in the independence of patients with acute stroke during treatment. Methods included the retrospective research, carried out in September 2015– November, 2015, using Barthel Index test (BI), National Institute of Health Stroke Scale (NIHSS) and modifed Rankin scale (mRS). The research sample was 104 respondents, 48 of which underwent treatment with intravenous thrombolysis (IVT), and 56 of them – not. Research fndings were processed using statistical “SPSS 17 for Windows” package. The research was carried out complying with the ethical principles. Results. Treatment by intravenous thrombolysis was applied to approximately half of IS patients. The majority of IS patients were of average severity state by neurological damage. There neurological state after the thrombolysis improved the state of 50% of patients on average in seven days. Half of IS patients were completely dependent before treatment and after the treatment the number of absolutely dependent patients decreased by 21.3%. The independence of patients treated by intravenous thrombolysis and non-treated did not vary signifcantly at the beginning and the end of the treatment, however, its change was insignifcantly higher for the patients to whom this treatment was applied than for the patients to whom this treatment was not applied. The independence before the treatment was higher of men than of women, and of the patients under 65 years old than of older patients. The change of independence was higher for patients under 65 years old than for the older ones, and there was no signifcant difference between men and women. Conclusions. The treatment by intravenous thrombolysis was applied to approximately half of the patients. The neurological damage was more severe for those who were 65 years old. After the treatment the state recovered for 9.6% and those were only men, the number of absolutely dependent persons decreased by 21.3%. Keywords: ischemic stroke, during treatment patients, independence.
背景。缺血性脑卒中因其高发病率和严重的残障而成为最受关注的医学和社会问题之一。本研究的目的是分析急性脑卒中患者在治疗期间独立性的影响变化。方法采用Barthel指数(BI)、美国国立卫生研究院卒中量表(NIHSS)和改良Rankin量表(mRS)于2015年9月- 11月进行回顾性研究。研究样本为104名受访者,其中48人接受静脉溶栓治疗,56人未接受静脉溶栓治疗。研究结果采用SPSS 17 for Windows软件包进行统计处理。这项研究是按照伦理原则进行的。结果。静脉溶栓治疗应用于大约一半的IS患者。大多数IS患者的神经损伤程度为中等。溶栓后患者的神经状态在7天内平均改善50%。治疗前有一半IS患者完全依赖,治疗后绝对依赖患者减少21.3%。静脉溶栓治疗组和未治疗组患者的独立性在治疗开始和结束时无显著差异,但接受静脉溶栓治疗组患者的独立性变化不显著高于未接受静脉溶栓治疗组患者。治疗前的独立性男性高于女性,65岁以下患者高于老年患者。65岁以下患者的独立性变化高于65岁以上患者,男女差异无统计学意义。结论。静脉溶栓治疗适用于大约一半的患者。65岁以上老人的神经损伤更为严重。治疗后状态恢复的为9.6%,而且这些都是男性,绝对依赖的人数减少了21.3%。关键词:缺血性卒中,治疗期间患者,独立性。
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引用次数: 0
Different Myofascial Release Techniques Effects on Pain and Function with Chronic Shoulder Pain in the Late Rehabilitation Period 不同肌筋膜松解技术对慢性肩痛康复后期疼痛和功能的影响
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.33607/rmske.v2i17.769
D. Lipskis, Edgaras Lapinskas
Background. Joints or muscles dysfunctions more often occur not only in elderly but also middle aged people. The problem becomes chronic and causes longtermed pain, lack of functional mobility. One of the most affected areas of human musculoskeletal zones is shoulder area (Pan, 2016). Purpose. Evaluate myofascial release techniques for pain and function in patients with chronic shoulder pain. Methods. There were 12 patients chosen who were randomly divided into ischemic compression and friction groups. We evaluated pain, arm function, muscle strength and range of motion. Results. In ischemia group, pain after the treatment decreased (before 5.33 ± 0.81; after 3 ± 1.41, p = 0.01). Function of arm improved (before 42.83 ± 8.23; after 62.5 ± 6.89, p = 0.01). All humerus range of motions and strength of muscles improved (p < 0.05), comparing results before and after the treatment. In friction group pain after the treatment did not change (before 5.83 ± 0.98; after 4.16 ± 2.63, p = 0.252). Arm function improved (before 42.5 ± 4.84; after 56 ± 5.47, p = 0.006). Friction improved (p < 0.05) humerus flexion, abduction, external rotation range of motions and muscles strength of humerus abductors. Conclusions. Ischemic compression had signifcant effect on reducing shoulder pain, improving range of motion and muscle strength of humerus movers. Friction technique did not have effects on reducing pain, but had significant effects on humerus flexion, abduction, external rotation range of motions and increased muscle strength of humerus abductors. When comparing results after ischemia and friction between groups, no signifcant difference was found in treating shoulder pain, range of motion of humerus movements and muscle strength of humerus movers.Keywords: myofascial realease, friction, ischemia.
背景。关节或肌肉功能障碍不仅常见于老年人,而且也常见于中年人。这个问题变成慢性的,并导致长期的疼痛,缺乏功能活动。人体肌肉骨骼区域中受影响最大的区域之一是肩膀区域(Pan, 2016)。目的。评估肌筋膜释放技术对慢性肩痛患者疼痛和功能的影响。方法。选取12例患者,随机分为缺血压迫组和摩擦组。我们评估了疼痛、手臂功能、肌肉力量和活动范围。结果。缺血组治疗后疼痛减轻(治疗前5.33±0.81;3±1.41,p = 0.01)。手臂功能改善(术前42.83±8.23;术后62.5±6.89,p = 0.01)。治疗前后肱骨活动度及肌肉力量均有明显改善(p < 0.05)。摩擦组治疗后疼痛无明显变化(治疗前5.83±0.98;术后4.16±2.63,p = 0.252)。手臂功能改善(前42.5±4.84;术后56±5.47,p = 0.006)。摩擦改善肱骨屈曲、外展、外旋活动范围和肱骨外展肌力量(p < 0.05)。结论。缺血压迫对减轻肩关节疼痛、提高肱骨活动者的活动度和肌力有显著作用。摩擦手法对减轻疼痛没有效果,但对肱骨屈曲、外展、外旋活动范围和增加肱骨外展肌力量有显著作用。对比各组缺血和摩擦后的结果,在治疗肩关节疼痛、肱骨运动范围和肱骨运动者肌力方面均无显著差异。关键词:肌筋膜释放,摩擦,缺血。
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引用次数: 0
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Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija
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