首页 > 最新文献

Rehabilitacja Medyczna最新文献

英文 中文
Intramuscular Stress Transmission Between the Muscles of the Ball of the Thumb, and the Latissimus Dorsi Muscle After Tensegrity Massage Application a Pilot study 张力按摩后拇指球肌和背阔肌肌内应力传递的初步研究
Q4 Medicine Pub Date : 2023-04-07 DOI: 10.5604/01.3001.0016.3772
Marcin Piwecki, K. Kassolik
Introduction: The phenomenon of tensegrity in the muscular system still remains theoretical. Research has been mostly performed in vitro. Unfortunately, analyses of this type are focused on this part of the phenomenon. They do not consider, e.g. the presence of body fluids.Study objective: The aim of the study was in vivo verification regarding the occurrence of tensegrity in a model consisting of the latissimus dorsi muscle (LAT), the medial intermuscular septum, muscles of the anterior forearm and muscles of thenar eminence.Material and methods: The study group was divided into an experimental (n =10) and control group (n=10). The experimental group took part in 1 massage session of the thenar eminence muscles for 5 minutes. The control group spent 5 minutes on a couch in the same position as in the experimental group, receiving no intervention. In both groups, at the beginning and end of the session, LAT was tested with a tensiomyograph and algometer.Results: Statistically significant differences between the groups occurred in pressure pain threshold (p=0.02), contraction time (p=0.01), relaxation time (p=0.01) and LAT sustaining duration (p=0.046). The level of statistical significance was p<0.05.Conclusions: In the tested model, the change in the tension of the distal end of the model influenced the displacement of the muscle at the proximal end of the model in accordance with the tensegrity model.
引言:肌肉系统中的张紧整体现象仍然停留在理论上。研究大多是在体外进行的。不幸的是,这种类型的分析都集中在现象的这一部分。他们不考虑,例如体液的存在。研究目的:本研究的目的是在由背阔肌(LAT)、内侧肌间隔、前臂前肌和鱼际隆起肌组成的模型中对张力整体性的发生进行体内验证。材料和方法:研究组分为实验组(n=10)和对照组(n=10)。实验组大鱼际隆起肌按摩1次,每次5分钟。对照组以与实验组相同的姿势在沙发上呆了5分钟,没有接受干预。在两组中,在疗程开始和结束时,用张力肌图和算法测试LAT。结果:两组在压痛阈值(p=0.02)、收缩时间(p=0.01)、舒张时间(p=0.001)和LAT维持时间(p=0.046)方面存在统计学显著性差异,根据张拉整体模型,模型远端张力的变化影响了模型近端肌肉的位移。
{"title":"Intramuscular Stress Transmission Between the Muscles of the Ball of the Thumb, and the Latissimus Dorsi Muscle After Tensegrity Massage Application a Pilot study","authors":"Marcin Piwecki, K. Kassolik","doi":"10.5604/01.3001.0016.3772","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3772","url":null,"abstract":"Introduction: The phenomenon of tensegrity in the muscular system still remains theoretical. Research has been mostly performed in vitro. Unfortunately, analyses of this type are focused on this part of the phenomenon. They do not consider, e.g. the presence of body fluids.Study objective: The aim of the study was in vivo verification regarding the occurrence of tensegrity in a model consisting of the latissimus dorsi muscle (LAT), the medial intermuscular septum, muscles of the anterior forearm and muscles of thenar eminence.Material and methods: The study group was divided into an experimental (n =10) and control group (n=10). The experimental group took part in 1 massage session of the thenar eminence muscles for 5 minutes. The control group spent 5 minutes on a couch in the same position as in the experimental group, receiving no intervention. In both groups, at the beginning and end of the session, LAT was tested with a tensiomyograph and algometer.Results: Statistically significant differences between the groups occurred in pressure pain threshold (p=0.02), contraction time (p=0.01), relaxation time (p=0.01) and LAT sustaining duration (p=0.046). The level of statistical significance was p<0.05.Conclusions: In the tested model, the change in the tension of the distal end of the model influenced the displacement of the muscle at the proximal end of the model in accordance with the tensegrity model.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45036848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fear of Happiness Scale and Fragility of Happiness Scale: Evidence of Their Psychometric Adequacy in Polish 幸福恐惧量表和幸福脆弱量表:波兰语心理测量充分性的证据
Q4 Medicine Pub Date : 2023-04-05 DOI: 10.5604/01.3001.0016.3425
Edyta Janus
Introduction: This is the first study in which psychometric properties regarding the Polish version of the Fear of Happiness Scale (FHS) and The Fragility of Happiness Scale (FOHS) are investigated.Aim: The aim of the study was to translate as well as assess the reliability and validity of the FHS and FOHS.Material and methods: The study participants comprised 351 adults who consented to participation. Non-random sampling was applied. The inclusion criteria were age and employment status. The respondents filled in the FHS and FOHS questionnaires and provided basic sociodemographic data.Results: Using Cronbachs , FHS and FOHS demonstrated high internal consistency, = .85 and = 0.80, respectively. Due to all items having good discriminatory power, there were no grounds for removing any of the items.Conclusions: The proposed Polish versions of the FHS and FOHS can be used to assess fear of happiness and beliefs concerning its fragility, and they are viable in studies related to various scientific disciplines. These scales can also be useful for the science of physical culture, especially within the context of examining beliefs that may affect the quality of human life and health. The cognitive aspect is very important for the success of rehabilitation. Beliefs have consequences in human actions.
引言:这是第一项研究波兰版的幸福恐惧量表(FHS)和幸福脆弱性量表(FOHS)的心理测量特性。目的:本研究的目的是翻译并评估FHS和FOHS的可靠性和有效性。材料和方法:研究参与者包括351名同意参与的成年人。采用非随机抽样。纳入标准是年龄和就业状况。受访者填写了FHS和FOHS问卷,并提供了基本的社会人口统计数据。结果:使用Cronbachs,FHS和FOHS显示出较高的内部一致性,分别为=0.85和=0.80。由于所有物品都具有良好的歧视性,因此没有理由删除任何物品。结论:提出的波兰语版FHS和FOHS可用于评估对幸福的恐惧和对幸福脆弱性的信念,它们在与各种科学学科相关的研究中是可行的。这些量表也可以用于体育科学,特别是在检查可能影响人类生活和健康质量的信仰的背景下。认知方面对康复的成功非常重要。信仰对人类行为有影响。
{"title":"Fear of Happiness Scale and Fragility of Happiness Scale: Evidence of Their Psychometric Adequacy in Polish","authors":"Edyta Janus","doi":"10.5604/01.3001.0016.3425","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3425","url":null,"abstract":"Introduction: This is the first study in which psychometric properties regarding the Polish version of the Fear of Happiness Scale (FHS) and The Fragility of Happiness Scale (FOHS) are investigated.Aim: The aim of the study was to translate as well as assess the reliability and validity of the FHS and FOHS.Material and methods: The study participants comprised 351 adults who consented to participation. Non-random sampling was applied. The inclusion criteria were age and employment status. The respondents filled in the FHS and FOHS questionnaires and provided basic sociodemographic data.Results: Using Cronbachs , FHS and FOHS demonstrated high internal consistency, = .85 and = 0.80, respectively. Due to all items having good discriminatory power, there were no grounds for removing any of the items.Conclusions: The proposed Polish versions of the FHS and FOHS can be used to assess fear of happiness and beliefs concerning its fragility, and they are viable in studies related to various scientific disciplines. These scales can also be useful for the science of physical culture, especially within the context of examining beliefs that may affect the quality of human life and health. The cognitive aspect is very important for the success of rehabilitation. Beliefs have consequences in human actions.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44252350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Musculoskeletal Injuries Associated with Yoga Practice - a Literature Review 与瑜伽练习相关的肌肉骨骼损伤——文献综述
Q4 Medicine Pub Date : 2023-04-05 DOI: 10.5604/01.3001.0016.3420
Magda Niemaszyk, A. Truszczyńska-Baszak
Introduction: Yoga is a popular form of physical activity used by healthy people and patients with various ailments. There is evidence of both positive and negative effects of practicing yoga on both physical and psychological aspects. There is a lack of extensive knowledge about the factors that increase the risk of injury in yoga practitioners.Objectives: The aim of the study was to determine the occurrence and characteristics of motor organ overload associated with practicing yoga among people undertaking this form of physical activity on the basis of a literature review, including answering the following questions: 1. What are the health benefits of practicing yoga?; 2. What are the risk factors for an injury in the yoga training?Material and methods: The current professional literature was analysed based on a review of Internet databases from last 10 years, including Pubmed. The yoga, injury, adverse events, musculoskeletal system, physiotherapy keywords were used.Results: From the abovementioned Internet databases, 32 items of the current professional literature on the analysed variables were identified, 8 articles were included in the analysis of the beneficial effects of yoga and 7 articles were comprised on the detailed list of musculoskeletal overloads.Conclusions: The benefits of practicing yoga include pain reduction, increasing range of motion in the joints, improving the performance of daily activities and the quality of life in physical and mental spheres. The risk factors of experiencing the injury mentioned in the literature concerned old age, yoga practice, and the presence of chronic diseases.
简介:瑜伽是健康人和各种疾病患者使用的一种流行的体育活动形式。有证据表明,练习瑜伽对身体和心理都有积极和消极的影响。关于增加瑜伽练习者受伤风险的因素,缺乏广泛的知识。目的:本研究的目的是在文献综述的基础上,确定从事这种形式体育活动的人中与练习瑜伽相关的运动器官超负荷的发生率和特征,包括回答以下问题:1。练习瑜伽对健康有什么好处?;2.在瑜伽训练中受伤的风险因素是什么?材料和方法:根据对过去10年互联网数据库(包括Pubmed)的回顾,分析了当前的专业文献。使用了瑜伽、损伤、不良事件、肌肉骨骼系统、理疗等关键词。结果:从上述互联网数据库中,确定了32项关于所分析变量的当前专业文献,8篇文章被纳入瑜伽的有益效果分析,7篇文章被列入肌肉骨骼过载的详细列表。结论:练习瑜伽的好处包括减轻疼痛,增加关节的活动范围,改善日常活动的表现和身心生活质量。文献中提到的受伤风险因素涉及老年、瑜伽练习和慢性病的存在。
{"title":"Musculoskeletal Injuries Associated with Yoga Practice - a Literature Review","authors":"Magda Niemaszyk, A. Truszczyńska-Baszak","doi":"10.5604/01.3001.0016.3420","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3420","url":null,"abstract":"Introduction: Yoga is a popular form of physical activity used by healthy people and patients with various ailments. There is evidence of both positive and negative effects of practicing yoga on both physical and psychological aspects. There is a lack of extensive knowledge about the factors that increase the risk of injury in yoga practitioners.Objectives: The aim of the study was to determine the occurrence and characteristics of motor organ overload associated with practicing yoga among people undertaking this form of physical activity on the basis of a literature review, including answering the following questions: 1. What are the health benefits of practicing yoga?; 2. What are the risk factors for an injury in the yoga training?Material and methods: The current professional literature was analysed based on a review of Internet databases from last 10 years, including Pubmed. The yoga, injury, adverse events, musculoskeletal system, physiotherapy keywords were used.Results: From the abovementioned Internet databases, 32 items of the current professional literature on the analysed variables were identified, 8 articles were included in the analysis of the beneficial effects of yoga and 7 articles were comprised on the detailed list of musculoskeletal overloads.Conclusions: The benefits of practicing yoga include pain reduction, increasing range of motion in the joints, improving the performance of daily activities and the quality of life in physical and mental spheres. The risk factors of experiencing the injury mentioned in the literature concerned old age, yoga practice, and the presence of chronic diseases.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46627592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is There a Standard Rehabilitation Procedure in Cervical Dystonia? 颈肌张力障碍有标准的康复程序吗?
Q4 Medicine Pub Date : 2023-04-05 DOI: 10.5604/01.3001.0016.3419
J. Opara
Introduction: Idiopathic cervical dystonia, also known as spasmodic torticollis, is the most common form of focal dystonia in adults. Cervical dystonia usually appears between the ages of 30 and 50, twice as often in women, and is characterised by uncontrollable painful contractions of the sternocleidomastoid muscle, which results in misalignment of the head and shoulder. Over time, the disease becomes very burdensome for the patient and reduces his/her independence and quality of life; falls happen.Aim: The aim of the article is to present the current state of knowledge on comprehensive rehabilitation in cervical dystonia. Data on the prevalence, symptoms, diagnosis, clinical assessment, pharmacological treatment (including the most commonly used botulinum toxin), neurosurgical treatment and comprehensive rehabilitation are presented.Methods: The applied methods was a narrative critical review of scientific reports.Results: Out of several hundred publications, works worthy of particular attention were selected. In them, are described of conducting exercises, the main goal of which is to stretch and relax the dystonic muscles while strengthening the antagonistic muscles and correcting the position of the head. The selected authors used manual therapy, exercises at the patient's home, EMG biofeedback, magnetic stimulation of the cerebellum, vibration of the neck muscles, functional electrostimulation (FES) of antagonistic muscles, mobilisation of the cervical spine, postural exercises, isometric exercises, muscle relaxation, the PNF method, relaxation training, balance exercises, coordination, corrective exercises, massage, relaxation exercises, stretching and kinesiotaping.Conclusions: The variety of disease forms (10 head positioning patterns are described) and different severity of symptoms make it impossible to draw up a scheme of rehabilitation. In each case, rehabilitation must be tailored individually, and the physiotherapist taking care of the patient should have extensive experience. Physiotherapy can alleviate the disability caused by dystonia, however, due to the many non-motor symptoms, a holistic approach to the patient should also be kept in mind.
简介:特发性颈肌张力障碍,也称为痉挛性斜颈,是成人局灶性肌张力障碍最常见的形式。颈肌张力障碍通常出现在30至50岁之间,女性的发病率是女性的两倍,其特征是胸锁乳突肌无法控制的疼痛收缩,导致头部和肩部错位。随着时间的推移,这种疾病对患者来说变得非常沉重,降低了他/她的独立性和生活质量;跌倒发生。目的:本文旨在介绍颈肌张力障碍综合康复的知识现状。介绍了患病率、症状、诊断、临床评估、药物治疗(包括最常用的肉毒杆菌毒素)、神经外科治疗和综合康复的数据。方法:应用的方法是对科学报告的叙述性批判性回顾。结果:从几百篇出版物中筛选出了值得特别关注的作品。其中,描述了进行练习,其主要目标是伸展和放松张力障碍肌肉,同时加强对抗肌肉和纠正头部的位置。选定的作者使用了手工疗法、患者家中练习、肌电生物反馈、小脑磁刺激、颈部肌肉振动、对抗性肌肉的功能性电刺激(FES)、颈椎活动、体位练习、等长练习、肌肉放松、PNF方法、放松训练、平衡练习、协调、纠正练习、按摩、放松练习、拉伸和运动带。结论:疾病形式的多样性(描述了10种头部定位模式)和症状的不同严重程度使得无法制定康复方案。在每一种情况下,康复都必须因地制宜,照顾病人的物理治疗师应该有丰富的经验。物理治疗可以减轻肌张力障碍引起的残疾,然而,由于许多非运动症状,对患者的整体治疗方法也应牢记在心。
{"title":"Is There a Standard Rehabilitation Procedure in Cervical Dystonia?","authors":"J. Opara","doi":"10.5604/01.3001.0016.3419","DOIUrl":"https://doi.org/10.5604/01.3001.0016.3419","url":null,"abstract":"Introduction: Idiopathic cervical dystonia, also known as spasmodic torticollis, is the most common form of focal dystonia in adults. Cervical dystonia usually appears between the ages of 30 and 50, twice as often in women, and is characterised by uncontrollable painful contractions of the sternocleidomastoid muscle, which results in misalignment of the head and shoulder. Over time, the disease becomes very burdensome for the patient and reduces his/her independence and quality of life; falls happen.Aim: The aim of the article is to present the current state of knowledge on comprehensive rehabilitation in cervical dystonia. Data on the prevalence, symptoms, diagnosis, clinical assessment, pharmacological treatment (including the most commonly used botulinum toxin), neurosurgical treatment and comprehensive rehabilitation are presented.Methods: The applied methods was a narrative critical review of scientific reports.Results: Out of several hundred publications, works worthy of particular attention were selected. In them, are described of conducting exercises, the main goal of which is to stretch and relax the dystonic muscles while strengthening the antagonistic muscles and correcting the position of the head. The selected authors used manual therapy, exercises at the patient's home, EMG biofeedback, magnetic stimulation of the cerebellum, vibration of the neck muscles, functional electrostimulation (FES) of antagonistic muscles, mobilisation of the cervical spine, postural exercises, isometric exercises, muscle relaxation, the PNF method, relaxation training, balance exercises, coordination, corrective exercises, massage, relaxation exercises, stretching and kinesiotaping.Conclusions: The variety of disease forms (10 head positioning patterns are described) and different severity of symptoms make it impossible to draw up a scheme of rehabilitation. In each case, rehabilitation must be tailored individually, and the physiotherapist taking care of the patient should have extensive experience. Physiotherapy can alleviate the disability caused by dystonia, however, due to the many non-motor symptoms, a holistic approach to the patient should also be kept in mind.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71287600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Stress Levels and Factors Inducing It Between Polish Medical and Dental Students in the Pre-Clinical Years of Their Training 波兰医学与牙科学生临床前应激水平及诱发因素的比较
Q4 Medicine Pub Date : 2023-03-04 DOI: 10.5604/01.3001.0016.2918
Wojciech Marchewka, Urszula Marchewka, J. Król, Lech Popiołek, J. Marchewka, A. Marchewka
Introduction: Stress has become an integral part of modern life. In the short-term, stress can be beneficial, but however, experiencing it long-term is increasingly common and can lead to multiple disorders, such as cardiovascular disease, diabetes and memory disabilities. Medical and dental undergraduates experience both stress related to their medical training and such associated with existence in general.Aims: The primary aim of this study was to determine stress level among medical and dental students in the pre-clinical years of their training and find out which factors induce stress the most. The second objective was to discover which pre-clinical students are most susceptible to stress: medical or dental.Materials and methods: A total of 599 pre-clinical students from both dental and medical undergraduate studies at Jagiellonian University Medical College were enrolled in the study, of which 491 were medical and 108 were dental students. To assess stress levels and the factors that induce it, we used 2 validated surveys: the Perceived Stress Scale (PSS-10) and the Perceived Medical School Stress (PMSS) instrument.Results: We observed that dental pre-clinical students obtained significantly higher scores on the PSS 10 (23.49 6.18) and PMSS (37.34 8.08) than their medical colleagues: PSS-10 (21.58 6.89) and PMSS (35.33 8.15). However, both medical and dental students demonstrated high stress levels.Conclusions: Both pre-clinical Polish medical and dental students experience high levels of stress. The later achieved significantly higher scores regarding level of stress than their medical peers. Both medical and dental students most strongly agree with statements indicating that training takes over their life and leaves too little time for other activities. These findings allow to suggest that support services should be made widely-available to all preclinical medical and dental students. Such services should be targeted to the specific needs of both groups. It also seems necessary to conduct similar research in other groups of medical students whose programme also comprises clinical classes (with patients) - including students of physical therapy, nursing, occupational therapy as well as emergency services. Students of these faculties often spend more time directly beside the patient's bed, dealing with his/her care or rehabilitation.
引言:压力已经成为现代生活不可或缺的一部分。在短期内,压力可能是有益的,但长期经历压力越来越常见,并可能导致多种疾病,如心血管疾病、糖尿病和记忆障碍。医学和牙科本科生既经历了与他们的医学训练有关的压力,也经历了与一般生活有关的压力。目的:本研究的主要目的是确定医学和牙科学生在临床前几年的训练中的压力水平,并找出哪些因素最容易引起压力。第二个目标是发现哪些临床前学生最容易受到压力:医学或牙科。材料和方法:共有599名来自贾吉隆大学医学院牙科和医学本科生的临床前学生参加了这项研究,其中491名是医学生,108名是牙科学生。为了评估压力水平和诱发压力的因素,我们使用了两项经过验证的调查:感知压力量表(PSS-10)和感知医学院压力(PMSS)工具。结果:我们观察到,牙科临床前学生在PSS10(23.49 6.18)和PMSS(37.34 8.08)上的得分明显高于他们的医学同事:PSS-10(21.58 6.89)和PMS(35.33 8.15)。然而,医学和牙科学生都表现出高压力水平。结论:临床前的波兰医学和牙科学生都经历了高度的压力。后者在压力水平方面的得分明显高于医学同行。医学生和牙科学生都非常同意这样的说法,即培训占据了他们的生活,留给其他活动的时间太少。这些发现表明,应该向所有临床前医学和牙科学生广泛提供支持服务。此类服务应针对这两个群体的具体需要。似乎也有必要对其他医学生群体进行类似的研究,这些医学生的课程也包括临床课程(与患者一起),包括物理治疗、护理、职业治疗以及急救服务的学生。这些学院的学生通常会花更多的时间直接在病人的床边,处理病人的护理或康复事宜。
{"title":"Comparison of Stress Levels and Factors Inducing It Between Polish Medical and Dental Students in the Pre-Clinical Years of Their Training","authors":"Wojciech Marchewka, Urszula Marchewka, J. Król, Lech Popiołek, J. Marchewka, A. Marchewka","doi":"10.5604/01.3001.0016.2918","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2918","url":null,"abstract":"Introduction: Stress has become an integral part of modern life. In the short-term, stress can be beneficial, but however, experiencing it long-term is increasingly common and can lead to multiple disorders, such as cardiovascular disease, diabetes and memory disabilities. Medical and dental undergraduates experience both stress related to their medical training and such associated with existence in general.Aims: The primary aim of this study was to determine stress level among medical and dental students in the pre-clinical years of their training and find out which factors induce stress the most. The second objective was to discover which pre-clinical students are most susceptible to stress: medical or dental.Materials and methods: A total of 599 pre-clinical students from both dental and medical undergraduate studies at Jagiellonian University Medical College were enrolled in the study, of which 491 were medical and 108 were dental students. To assess stress levels and the factors that induce it, we used 2 validated surveys: the Perceived Stress Scale (PSS-10) and the Perceived Medical School Stress (PMSS) instrument.Results: We observed that dental pre-clinical students obtained significantly higher scores on the PSS 10 (23.49 6.18) and PMSS (37.34 8.08) than their medical colleagues: PSS-10 (21.58 6.89) and PMSS (35.33 8.15). However, both medical and dental students demonstrated high stress levels.Conclusions: Both pre-clinical Polish medical and dental students experience high levels of stress. The later achieved significantly higher scores regarding level of stress than their medical peers. Both medical and dental students most strongly agree with statements indicating that training takes over their life and leaves too little time for other activities. These findings allow to suggest that support services should be made widely-available to all preclinical medical and dental students. Such services should be targeted to the specific needs of both groups. It also seems necessary to conduct similar research in other groups of medical students whose programme also comprises clinical classes (with patients) - including students of physical therapy, nursing, occupational therapy as well as emergency services. Students of these faculties often spend more time directly beside the patient's bed, dealing with his/her care or rehabilitation.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43878736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team? M.U.P.S(医学上无法解释的身体症状):康复团队需要准确的诊断吗?
Q4 Medicine Pub Date : 2023-03-02 DOI: 10.5604/01.3001.0016.2871
A. Ohry, A. Tsur
Background: Physiatrists often treat patients with medically unexplained symptoms (MUPS), which suggest various psychiatric, psychosomatic or physical diagnoses. Some patients are finally diagnosed with somatoform, dissociative or factitious disorders, while some experience psychological factors affecting physical conditions. It happens that patients are admitted to rehabilitative medical facilities without a clear diagnosis. Apparently, there are overlapping symptoms between chronic fatigue syndrome, PTSD (post-traumatic stress disorder), "Gulf War syndrome", fibromyalgia, CRPS, and others.Aims: To assess recognition of medically unexplained physical symptoms (MUPS) by physicians, mostly specialists in physical and rehabilitative medicine are engaged.Methods: All information was collected from scientific database site, and derived from the authors' nearly 50 years of clinical experience.Results: Cognitive-affective disturbance, chronic muscle and joint pain, panic disorder, chronic fatigue syndrome, malingering, and others can be described in the medical literature as unexplained physical symptoms.Conclusions: Treatment should comprise a multidisciplinary-integrative approach, by practitioners from medicine, psychology, allied health professionals and social work. MUPS is not a "non-disease" entity, but rather, an unexplained clinical phenomenon. Patients are entitled to benefit from the rehabilitative medicine model of treatment even if their clinical diagnosis is not accurate or clear.
背景:精神病医生经常治疗有医学上无法解释的症状(MUPS)的患者,这些症状暗示着各种精神、心身或身体诊断。一些患者最终被诊断为身体形态、解离或人为障碍,而一些患者则经历了影响身体状况的心理因素。碰巧的是,患者在没有明确诊断的情况下被送入康复医疗机构。显然,慢性疲劳综合征、创伤后应激障碍(PTSD)、“海湾战争综合征”、纤维肌痛、CRPS和其他疾病之间存在重叠症状。目的:为了评估医生对医学上无法解释的身体症状(MUPS)的认识,大多数身体和康复医学专家都参与其中。方法:所有信息均来自科学数据库网站,来源于作者近50年的临床经验。结果:认知情感障碍、慢性肌肉和关节疼痛、惊恐障碍、慢性疲劳综合征、装病等在医学文献中可以描述为无法解释的身体症状。结论:治疗应包括一种多学科的综合方法,由医学、心理学、联合卫生专业人员和社会工作人员组成。MUPS不是一个“非疾病”实体,而是一种无法解释的临床现象。患者有权受益于康复医学治疗模式,即使他们的临床诊断不准确或不明确。
{"title":"M.U.P.S (Medically Unexplained Physical Symptoms): Is the Accurate Diagnosis Necessary for the Rehab-Team?","authors":"A. Ohry, A. Tsur","doi":"10.5604/01.3001.0016.2871","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2871","url":null,"abstract":"Background: Physiatrists often treat patients with medically unexplained symptoms (MUPS), which suggest various psychiatric, psychosomatic or physical diagnoses. Some patients are finally diagnosed with somatoform, dissociative or factitious disorders, while some experience psychological factors affecting physical conditions. It happens that patients are admitted to rehabilitative medical facilities without a clear diagnosis. Apparently, there are overlapping symptoms between chronic fatigue syndrome, PTSD (post-traumatic stress disorder), \"Gulf War syndrome\", fibromyalgia, CRPS, and others.Aims: To assess recognition of medically unexplained physical symptoms (MUPS) by physicians, mostly specialists in physical and rehabilitative medicine are engaged.Methods: All information was collected from scientific database site, and derived from the authors' nearly 50 years of clinical experience.Results: Cognitive-affective disturbance, chronic muscle and joint pain, panic disorder, chronic fatigue syndrome, malingering, and others can be described in the medical literature as unexplained physical symptoms.Conclusions: Treatment should comprise a multidisciplinary-integrative approach, by practitioners from medicine, psychology, allied health professionals and social work. MUPS is not a \"non-disease\" entity, but rather, an unexplained clinical phenomenon. Patients are entitled to benefit from the rehabilitative medicine model of treatment even if their clinical diagnosis is not accurate or clear.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44896012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the Usefulness of Testing Standing Flexion in the Posterior Superior Iliac Spines for Functional Diagnostics of the Sacroiliac Joints 评估髂后上棘站立屈曲测试对骶髂关节功能诊断的有效性
Q4 Medicine Pub Date : 2023-03-01 DOI: 10.5604/01.3001.0016.2857
S. Szajkowski, J. Pasek, M. Dwornik, Tomasz Marcinkiewicz, G. Cieślar
Introduction: Sacroiliac joint dysfunctions are common among patients visiting physiotherapy offices. The main symptom of these dysfunctions is pain in the lumbosacral region of the spine. Taking the frequency of its occurrence into account, it is important to conduct an appropriate diagnosis that enables the implementation of proper treatment.
介绍:骶髂关节功能障碍是常见的患者访问物理治疗办公室。这些功能障碍的主要症状是脊柱腰骶区疼痛。考虑到其发生的频率,重要的是进行适当的诊断,以便实施适当的治疗。
{"title":"Assessing the Usefulness of Testing Standing Flexion in the Posterior Superior Iliac Spines for Functional Diagnostics of the Sacroiliac Joints","authors":"S. Szajkowski, J. Pasek, M. Dwornik, Tomasz Marcinkiewicz, G. Cieślar","doi":"10.5604/01.3001.0016.2857","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2857","url":null,"abstract":"Introduction: Sacroiliac joint dysfunctions are common among patients visiting physiotherapy offices. The main symptom of these dysfunctions is pain in the lumbosacral region of the spine. Taking the frequency of its occurrence into account, it is important to conduct an appropriate diagnosis that enables the implementation of proper treatment.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44202258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do Knee Joint Orthoses Affect the Functional Status of Stroke Patients? A Literature Review 膝关节矫形器会影响中风患者的功能状态吗?文献综述
Q4 Medicine Pub Date : 2023-02-28 DOI: 10.5604/01.3001.0016.2838
J. Opara, Bożena Kłysz, I. Sarzyńska-Długosz
Stroke is the leading cause of adult disability in developed countries. As a result of damage to the central nervous system, the patient's independence in performing everyday activities is reduced, which often leads to dependence on the environment. The symptoms of syndromes affect many functions, including: speech, the upper limb, gait, balance and coordination disorders. These disorders lead to a decrease in the patient's quality of life. Many patients require knee braces to learn to walk. In this review article, the most commonly used scales used to assess the functional status of patients after stroke are discussed, with particular attention being paid to gait assessment. We described simple (basic ADL) and instrumental (extended) scales of activities of daily living (instrumental, extended ADL), methods of clinical gait and balance assessment, International Classification of Functioning, Disability and Health, ICF), as well as recommendations of the European Stroke Organisation (ESO, Neurorehabilitation Committee). These guidelines regard methods of evaluating the results of post-stroke rehabilitation for clinical use - Outcome Measures for Clinical Use, in which, among others, the Berg scale and the timed Up & Go test are recommended for the lower limb, the Barthel scale and the Functional Independence Measure for ADL, and the Stroke Impact Scale for the participation column in all 3 ICF domains. In the article, the current state of knowledge is presented regarding the impact of knee braces on the functional status of people after stroke. Mechanical knee and ankle orthoses are called KAFO (Knee Ankle Foot Orthosis). Their main tasks include immobilisation of the knee joint and aid in learning to walk.
在发达国家,中风是导致成人残疾的主要原因。由于中枢神经系统受损,患者在日常活动中的独立性降低,这往往导致对环境的依赖。综合征的症状影响许多功能,包括:言语、上肢、步态、平衡和协调障碍。这些疾病会导致患者的生活质量下降。许多患者需要使用护膝来学习走路。在这篇综述文章中,讨论了用于评估中风后患者功能状态的最常用的量表,特别注意步态评估。我们描述了日常生活活动的简单(基本ADL)和工具(扩展)量表(工具、扩展ADL)、临床步态和平衡评估方法、国际功能、残疾和健康分类(ICF),以及欧洲卒中组织(ESO,神经康复委员会)的建议。这些指南涉及评估临床使用的卒中后康复结果的方法-临床使用的结果测量,其中,建议下肢使用Berg量表和定时Up&Go测试,ADL的Barthel量表和功能独立性测量,以及所有3个ICF领域参与栏的卒中影响量表。在这篇文章中,介绍了目前关于膝盖支架对中风后患者功能状态影响的知识现状。机械式膝踝矫形器被称为KAFO(膝踝足矫形器)。他们的主要任务包括固定膝关节和帮助学习走路。
{"title":"Do Knee Joint Orthoses Affect the Functional Status of Stroke Patients? A Literature Review","authors":"J. Opara, Bożena Kłysz, I. Sarzyńska-Długosz","doi":"10.5604/01.3001.0016.2838","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2838","url":null,"abstract":"Stroke is the leading cause of adult disability in developed countries. As a result of damage to the central nervous system, the patient's independence in performing everyday activities is reduced, which often leads to dependence on the environment. The symptoms of syndromes affect many functions, including: speech, the upper limb, gait, balance and coordination disorders. These disorders lead to a decrease in the patient's quality of life. Many patients require knee braces to learn to walk. In this review article, the most commonly used scales used to assess the functional status of patients after stroke are discussed, with particular attention being paid to gait assessment. We described simple (basic ADL) and instrumental (extended) scales of activities of daily living (instrumental, extended ADL), methods of clinical gait and balance assessment, International Classification of Functioning, Disability and Health, ICF), as well as recommendations of the European Stroke Organisation (ESO, Neurorehabilitation Committee). These guidelines regard methods of evaluating the results of post-stroke rehabilitation for clinical use - Outcome Measures for Clinical Use, in which, among others, the Berg scale and the timed Up & Go test are recommended for the lower limb, the Barthel scale and the Functional Independence Measure for ADL, and the Stroke Impact Scale for the participation column in all 3 ICF domains. In the article, the current state of knowledge is presented regarding the impact of knee braces on the functional status of people after stroke. Mechanical knee and ankle orthoses are called KAFO (Knee Ankle Foot Orthosis). Their main tasks include immobilisation of the knee joint and aid in learning to walk.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49581616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does the Integration of Primary Reflex Schemas According to Masgutovas Neurosensorimotor Reflex Integration Improve Functioning and Quality of Life Among Children with Spectrum of Foetal Alcohol Disorders? 根据Masgutovas神经感觉运动反射整合的初级反射图式是否能改善胎儿酒精障碍儿童的功能和生活质量?
Q4 Medicine Pub Date : 2023-02-28 DOI: 10.5604/01.3001.0016.2839
Katarzyna Nowak-Wróblewska
Introduction: Foetal Alcohol Disorder Spectrum (FASD) is an incurable, non-genetic disorder that can occur in children whose mothers consumed alcohol during pregnancy. Patients with FASD are characterised by extensive damage to the central nervous system, neurological disorders, delays in physical and mental development, as well as difficulties in emotional regulation and behavioural disturbances. Neurosensory Integration of Reflexes by S. Masgutova is a holistic rehabilitation and therapeutic programme focused on the diagnosis and integration of primary reflex mechanisms. Intrauterine exposure of the foetus to alcohol affects the lack of proper reflex mechanism integration, which constitutes the foundation of harmonious psychomotor, cognitive, emotional and social development.The aim: The aim of this study is to present the role of primary reflex integration disorders according to MNRI in children with the Spectrum of Foetal Alcohol Disorders (FASD), as well as to discuss the impact of integrating primary reflex disorders according to MNRI on the functioning of FASD in children.Methods: The therapy comprised 103 patients (44 girls and 59 boys) aged 1-13 years with FASD, diagnosed according to the criteria of ICD-10 (Q 86.0). The mean age of the patients was 7.13 years (SD 3.26). Each participant took active participation in 2 rehabilitation interventions according to MNRI, the average interval between the stays was 4 months and 1 week (17 weeks).Results: In patients with FASD, the biomechanics of reflex patterns, such as: Babkin's, ATOS, hand support, paralyzing fear, Galant, grasping hands and Babinski, improved after MNRI therapy.Conclusions: Our research allows to indicate that the rehabilitated FASD patients following MNRI therapy could hug their caregivers more easily, thumb-sucking activity decreased, coordination improved, sleep quality significantly improved while psychomotor hyperactivity decreased.
引言:胎儿酒精障碍谱系(FASD)是一种无法治愈的非遗传性疾病,可能发生在母亲在怀孕期间饮酒的儿童身上。FASD患者的特点是中枢神经系统广泛受损、神经系统紊乱、身心发育迟缓以及情绪调节和行为障碍困难。S.Masgutova的《反射的神经感觉整合》是一项整体康复和治疗计划,专注于初级反射机制的诊断和整合。胎儿宫内暴露于酒精会影响缺乏适当的反射机制整合,这是心理运动、认知、情感和社会发展和谐的基础。目的:本研究的目的是介绍根据MNRI的原发性反射整合障碍在胎儿酒精障碍谱系(FASD)儿童中的作用,并讨论根据MNRI整合的原发反射障碍对儿童FASD功能的影响。方法:103例1~13岁FASD患者(44名女孩和59名男孩),按ICD-10标准(Q 86.0)诊断,平均年龄7.13岁(SD 3.26),结果:FASD患者经MNRI治疗后,Babkin’s、ATOS、手部支撑、麻痹恐惧、Galant、抓手和Babinski等反射模式的生物力学性能均有改善。结论:我们的研究表明,接受MNRI治疗的FASD康复患者可以更容易地拥抱他们的照顾者,拇指吮吸活动减少,协调性提高,睡眠质量显著改善,而精神运动过度活跃减少。
{"title":"Does the Integration of Primary Reflex Schemas According to Masgutovas Neurosensorimotor Reflex Integration Improve Functioning and Quality of Life Among Children with Spectrum of Foetal Alcohol Disorders?","authors":"Katarzyna Nowak-Wróblewska","doi":"10.5604/01.3001.0016.2839","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2839","url":null,"abstract":"Introduction: Foetal Alcohol Disorder Spectrum (FASD) is an incurable, non-genetic disorder that can occur in children whose mothers consumed alcohol during pregnancy. Patients with FASD are characterised by extensive damage to the central nervous system, neurological disorders, delays in physical and mental development, as well as difficulties in emotional regulation and behavioural disturbances. Neurosensory Integration of Reflexes by S. Masgutova is a holistic rehabilitation and therapeutic programme focused on the diagnosis and integration of primary reflex mechanisms. Intrauterine exposure of the foetus to alcohol affects the lack of proper reflex mechanism integration, which constitutes the foundation of harmonious psychomotor, cognitive, emotional and social development.The aim: The aim of this study is to present the role of primary reflex integration disorders according to MNRI in children with the Spectrum of Foetal Alcohol Disorders (FASD), as well as to discuss the impact of integrating primary reflex disorders according to MNRI on the functioning of FASD in children.Methods: The therapy comprised 103 patients (44 girls and 59 boys) aged 1-13 years with FASD, diagnosed according to the criteria of ICD-10 (Q 86.0). The mean age of the patients was 7.13 years (SD 3.26). Each participant took active participation in 2 rehabilitation interventions according to MNRI, the average interval between the stays was 4 months and 1 week (17 weeks).Results: In patients with FASD, the biomechanics of reflex patterns, such as: Babkin's, ATOS, hand support, paralyzing fear, Galant, grasping hands and Babinski, improved after MNRI therapy.Conclusions: Our research allows to indicate that the rehabilitated FASD patients following MNRI therapy could hug their caregivers more easily, thumb-sucking activity decreased, coordination improved, sleep quality significantly improved while psychomotor hyperactivity decreased.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49606531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physiotherapy in Chronic Haemodialysis Patients. Recommendations of the Expert Committee of the Rehabilitation Section at the Polish Society of Nephrology 慢性血液透析患者的物理治疗。波兰肾病学会康复科专家委员会的建议
Q4 Medicine Pub Date : 2023-02-28 DOI: 10.5604/01.3001.0016.2833
W. Dziubek, Katarzyna Chojak-Fijałka, T. Gołębiowski, Łukasz Rogowski, K. Bulińska, Urszula Chrabota, Weronika Pawlaczyk, K. Ciechanowski, M. Kusztal
Background: The introduction of renal replacement therapy and its dynamic development contributes to the constant increase in the number of haemodialysis patients. Extending the life of patients with chronic kidney disease (CKD) is no longer the only objective of the medical community. Recently, measures have been initiated to improve quality of life among patients, which is largely influenced by physical functioning, the ability to undertake physical activity and functional independence. Despite the initiatives carried out for many years in the implementation of various regular physical activity forms among people with CKD in Poland, rehabilitation is still not an element of standard care for nephrological patients. In practice, it is mainly based on periodically implemented research projects, as well as scientific meetings devoted to this subject in groups comprising nephrologists and physiotherapists. Despite numerous scientific reports on the safety and effectiveness of undertaking physical activity by end-stage renal disease (ESRD) patients, there are still beliefs in the medical community perceiving this disease as a contraindication to physical training.
背景:肾脏替代疗法的引入及其动态发展导致血液透析患者数量不断增加。延长慢性肾脏疾病(CKD)患者的生命不再是医学界的唯一目标。最近,已经开始采取措施来改善患者的生活质量,这在很大程度上受身体功能、进行身体活动的能力和功能独立性的影响。尽管在波兰CKD患者中开展了多年的各种常规体育活动,但康复仍然不是肾病患者标准护理的一个组成部分。在实践中,它主要基于定期实施的研究项目,以及由肾脏学家和物理治疗师组成的小组专门讨论这一主题的科学会议。尽管有许多关于终末期肾病(ESRD)患者进行体育锻炼的安全性和有效性的科学报告,但医学界仍然认为这种疾病是体育锻炼的禁忌症。
{"title":"Physiotherapy in Chronic Haemodialysis Patients. Recommendations of the Expert Committee of the Rehabilitation Section at the Polish Society of Nephrology","authors":"W. Dziubek, Katarzyna Chojak-Fijałka, T. Gołębiowski, Łukasz Rogowski, K. Bulińska, Urszula Chrabota, Weronika Pawlaczyk, K. Ciechanowski, M. Kusztal","doi":"10.5604/01.3001.0016.2833","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2833","url":null,"abstract":"Background: The introduction of renal replacement therapy and its dynamic development contributes to the constant increase in the number of haemodialysis patients. Extending the life of patients with chronic kidney disease (CKD) is no longer the only objective of the medical community. Recently, measures have been initiated to improve quality of life among patients, which is largely influenced by physical functioning, the ability to undertake physical activity and functional independence. Despite the initiatives carried out for many years in the implementation of various regular physical activity forms among people with CKD in Poland, rehabilitation is still not an element of standard care for nephrological patients. In practice, it is mainly based on periodically implemented research projects, as well as scientific meetings devoted to this subject in groups comprising nephrologists and physiotherapists. Despite numerous scientific reports on the safety and effectiveness of undertaking physical activity by end-stage renal disease (ESRD) patients, there are still beliefs in the medical community perceiving this disease as a contraindication to physical training.","PeriodicalId":35329,"journal":{"name":"Rehabilitacja Medyczna","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47980752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Rehabilitacja Medyczna
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1