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中国康复医学杂志最新文献

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The changes of EMG characteristic and VAS index for the patients'upper trapezius with neck-shoulder complaints after stretching and isometric-contraction training 颈肩主诉的上斜方肌在拉伸及等距收缩训练后肌电特征及VAS指数的变化
Q4 Medicine Pub Date : 2016-01-01 DOI: 10.3969/j.issn.1001-1242.2016.04.007
Y. Niu, L. Huang, L. Cao, J. Xing, Q. Tian, C. G. Liu, Shi Zhou
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引用次数: 0
The Current Status of Physical Therapy in China 中国物理治疗的现状
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.3969/J.ISSN.1001-1242.2013.06.003
Alice Y. M. Jones, M. Skinner
The current health system in China has evolved by embracing both traditional Chinese medicine and Western medicine. China is the only country in the world where the number of doctors is larger than the number of nurses but education programmes for other health professions like physical therapy have been slow to develop. In the case of physical therapy it was not until China won the bid for the Olympic Games that permission to establish the first physical therapy programme was granted. Since then China has undergone a period of rapid economic growth enabling many people to have a higher standard of living and improved health, but at the same time the country is faced with massive urbanization, industrialization, increasing environmental health threats, increased health disparities and an aging population. With the support of the Chinese Association of Rehabilitation Medicine, an increased investment by the Government in public health and rehabilitation and engagement of international education experts, entry-level education programmes for physical therapy have started to develop and there are now nine which are modeled, at least to some extent, on the World Confederation for Physical Therapy's international guidelines. The paper explores the development of physical therapy education in China and discusses possible options for the way forward so that as the demand for physical therapy to service 1.4 billion people grows, the profession is prepared and the standards expected of the entry-level physical therapist will not be compromised. 中图分类号:R493 文献标识码:A 文章编号:1001-1242(2013)-06-0493-11
中国目前的卫生系统是在中西医结合的基础上发展起来的。中国是世界上唯一一个医生数量超过护士数量的国家,但理疗等其他卫生专业的教育项目发展缓慢。就物理治疗而言,直到中国赢得奥运会主办权,才获准建立第一个物理治疗项目。从那时起,中国经历了一个经济快速增长的时期,使许多人的生活水平和健康状况得到了提高,但与此同时,中国面临着大规模的城市化、工业化、日益严重的环境健康威胁、日益扩大的健康差距和人口老龄化。在中国康复医学协会的支持下,在政府增加对公共卫生和康复的投资以及国际教育专家的参与下,已开始制定物理治疗入门级教育方案,目前有9个方案至少在一定程度上参照了世界物理治疗联合会的国际准则。本文探讨了中国物理治疗教育的发展,并讨论了未来可能的选择,以便随着14亿人对物理治疗服务需求的增长,该职业做好准备,对入门级物理治疗师的期望标准不会妥协。中图分类号:R493文献标识码:一个文章编号:1001 - 1242 (2013)06-0493-11
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引用次数: 11
Bilateral effects of unilateral electromyostimulation training on strength and surface myoelectric signal 单侧肌电刺激训练对力量和表面肌电信号的影响
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.3969/j.issn.1001-1242.2012.03.004
Junhai Yu, Shi Zhou, Liping Huang
Objective: To investigate the bilateral effects of unilateral electromyostimulation(EMS)training on muscle strength and surface myoelectric signal by surface electro myogram(sEMG)technique. Method: Thirty healthy male volunteers, aged 18—30 years, were randomly assigned into three groups (n=10 each): EMS group, voluntary isometric contraction (VIM) group, and control (CON) group. The patients of EMS and VIM groups were trained the right legs, 3 sessions per week for 6 weeks. All groups were tested for muscle strength and sEMG pre-and post-training period. Result: Repeated measures ANOVA with Bonferroni adjustment revealed significant increase (P0.05) in dorsiflexion maximal voluntary contraction(MVC) of both legs in both EMS group(33.6% on the right leg, 27.8% on the left) and VIM group(37.4%, 28.5%), while CON group showed no significant increase (1.3%, 0.8%, respectively). The average amplitude of electromyogram(AEMG) improved significantly in both limbs of EMS group (P0.05; right 68.1%, left 57.7%) and in VIM group(100.4%, 59.4%), CON group(5.04%, -4.07%) (P0.05), respectively.There was non-linear relationship between muscle strength and amplitude of surface myoelectric signal during iso-metric contraction, y=43.762(9.584) t . Conclusion:The results indicated that unilateral EMS and voluntary isometric training could significantly improve muscular strength not only in the exercised legs,but also in the contralateral limbs. The results also indicated that the increased AEMG was responsible for much of the improved strength.A non-linear relationship between muscle strength and sEMG amplitude, could probably use to assess subjects' exertion test for clinical rehabilitation.
目的:应用肌表电图技术探讨单侧肌电刺激(EMS)训练对大鼠肌肉力量和表面肌电信号的影响。方法:将30名年龄在18-30岁的健康男性志愿者随机分为EMS组、自愿等距收缩组(VIM)和对照组(CON),每组10人。EMS组和VIM组患者进行右腿训练,每周3次,连续6周。各组均在训练前后进行肌力和肌电图检测。结果:经Bonferroni调整的重复测量方差分析显示,EMS组(右腿33.6%,左腿27.8%)和VIM组(37.4%,28.5%)两腿背屈最大自主收缩(MVC)均显著升高(P0.05), CON组无显著升高(分别为1.3%,0.8%)。EMS组四肢肌电图平均振幅(AEMG)明显改善(P0.05;右侧68.1%,左侧57.7%),VIM组(100.4%,59.4%),CON组(5.04%,-4.07%),差异有统计学意义(p < 0.05)。等距收缩时肌力与表面肌电信号振幅呈非线性关系,y=43.762(9.584) t。结论:单侧EMS和自主等长肌力训练不仅能显著提高运动腿的肌力,还能显著提高对侧肢体的肌力。结果还表明,AEMG的增加是强度提高的主要原因。肌肉力量与肌电信号振幅呈非线性关系,可用于临床康复的用力测试评估。
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引用次数: 0
The effects of underswater exercise on lower limb muscle strength and walking ability of stroke patients during recovering stage 水下运动对恢复期脑卒中患者下肢肌力及行走能力的影响
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.3969/J.ISSN.1001-1242.2013.10.010
Y. Wang, L. Huang, L. Zhang, Y. Zhang, W. Xu, J. Fan, H. Wang, Shi Zhou
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引用次数: 0
Effects of electroacupuncture on unaffected limbs at very early stage of cerebral local focus ischemia in rats 电针对大鼠脑局灶性缺血早期未受影响肢体的影响
Q4 Medicine Pub Date : 2012-01-01 DOI: 10.3969/J.ISSN.1001-1242.2012.09.005
Liping Huang, H. Xiang, N. Xiao, Shi Zhou, L. Caso, Wenlong Wang, Jianqi Zhang, Q. Tian
Objective:To determine the effects of electroa cupuncture(EA) treatment on unaffected limbs at very early stage of experiment local focus ischemic brain damage in rats.Method:Thirty SD rats with middle cerebral artery occlusion (MCAO) were randomly divided into EA on unaffected limbs group(HT) or affected limbs group(DT), and control group (MC) 10 rats in each group. Another10rats was set as sham operation control group (OC). EA groups received EA on the accupoints of Quchi (LI 11)and Neiguan (PC6) on forelimb, and Zusanli (ST36) and Xiajuxu (ST39) on hindlimb. EA was given with opposing needle(ju ci) method, cross stimulation at left and right side, at 3mA, in cycles of (loose/dense)10Hz:50Hz/5s:10s, 15min per session, once a day, 7 sessions per week. Infarction volume of the brain was calculated by TTCdying and photoshop IPP analyses. Neurological scores were evaluated by modified neurological severity score(mNSS) method at day 3, 7, 14 and 21 post-MCAO.Result:The mNSS scores in HT group was lower than that of MC group at day 3 (P0.05); At day 7 and 14,the scores in both EA groups were lower than that of MC group (P0.01) and also significant differences werefound between both EA groups(P0.01). The mNSS scores in both EA groups were almost returned to the level ofOC group at day 21 and much lower than that of MC group(P0.01). The infarction volume in HT group wasless than that in DT group, while that in both EA groups was lower than that in MC group(P0.05).Conclusion:EA on unaffected limbs at very early stage after stroke had greater beneficial effect in facilitating neurological function recovery and allviating the infarction volume of brain, compared to that on affected limbs.
目的:探讨针刺治疗对实验性局部局灶性缺血性脑损伤早期正常肢体的影响。方法:将30只大脑中动脉闭塞(MCAO) SD大鼠随机分为未患肢EA组(HT)和患肢EA组(DT),每组10只,对照组(MC)。另取10只大鼠作为假手术对照组(OC)。EA组分别在前肢曲池穴(LI 11)、内关穴(PC6)和后肢足三里穴(ST36)、下巨虚穴(ST39)进行EA治疗。采用对针(菊针)法,左右交叉刺激,电流3mA,(松/密)10Hz:50Hz/5s:10s周期,每次15min,每天1次,每周7次。采用TTCdying和photoshop IPP分析计算脑梗死体积。在mcao后第3、7、14、21天采用改良神经系统严重程度评分法(mNSS)评估神经系统评分。结果:第3天HT组mNSS评分低于MC组(P0.05);第7天和第14天,EA组和EA组的评分均低于MC组(P0.01), EA组和EA组之间差异有统计学意义(P0.01)。在第21天,EA组和EA组的mNSS评分基本恢复到oc组的水平,显著低于MC组(P0.01)。HT组梗死体积小于DT组,EA组梗死体积均小于MC组(P0.05)。结论:脑卒中后早期对未患肢进行电休克治疗,在促进神经功能恢复和减轻脑梗死体积方面比对患肢进行电休克治疗更有利。
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引用次数: 0
A Post-Discharge Service for Brain Injury Patients in Hong Kong 香港为脑损伤病人提供的出院后服务
Q4 Medicine Pub Date : 2011-01-01 DOI: 10.3969/J.ISSN.1001-1242.2011.12.002
H. Tam, Tmc Lee
Objective:To establish an affordable and easily accessible post-discharge telephone follow-up service for people with brain injuries and their caregivers,and thus to provide an evidence base for developing cost-effective continuous care,region-wide.Method:Thirty-five adult patients with brain injuries and 26 caregivers were recruited from Neurosurgical Unit at Queen Mary Hospital in this study.Participants were administered a structured telephone interview at the fourth week post-discharge,and again at the twelfth week post-discharge.Patients and caregivers at risk of poor adjustment were referred for further medical consultation or psychological intervention.Patients' physical and cognitive functioning were investigated while both patients and caregivers' emotional functioning and perceived social support were explored.Satisfaction of the current service provided was also examined.Result:Majority of patients reported significant improvement in physical condition.A sizable number of patients experienced cognitive difficulties and reported insufficient psychosocial support received following discharge from hospital.Majority of caregivers reported compromising health,emotional and social functioning in caregiving.Both patients and caregivers reported satisfaction with the service with caregivers reported higher satisfaction.Conclusion:Findings from current study showed that both patients of brain injuries and caregivers benefited from the post-discharge telephone follow-up service.Both of them agreed that such service helped to identify people at risk of poor adjustment,provide timely advice and emotional support.Our findings also indicated that caregiving significantly impairs caregivers' physical,emotional,and social functioning,suggesting a need to offer them advice on care skills,role or living adjustments,and stress management.
目的:为脑损伤患者及其照护者建立一种经济、便捷的出院后电话随访服务,为开发具有成本效益的区域性持续照护提供依据。方法:选取玛丽医院神经外科35例成年脑损伤患者和26名护理人员为研究对象。参与者在出院后第四周和出院后第十二周接受结构化电话访谈。有适应不良风险的患者和护理人员被转介进行进一步的医疗咨询或心理干预。研究了患者的身体和认知功能,并探讨了患者和护理者的情绪功能和感知社会支持。对目前提供的服务的满意度也进行了检查。结果:大多数患者的身体状况有明显改善。相当多的病人有认知困难,出院后得不到足够的社会心理支持。大多数照护者报告在照护过程中损害了健康、情感和社会功能。患者和护理人员都报告了对服务的满意度,其中护理人员的满意度更高。结论:本研究结果表明,脑损伤患者和护理人员均受益于出院后电话随访服务。他们都同意,这种服务有助于识别有不良适应风险的人,提供及时的建议和情感支持。我们的研究结果还表明,护理会显著损害照顾者的身体、情感和社会功能,这表明需要向他们提供护理技能、角色或生活调整以及压力管理方面的建议。
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引用次数: 2
Study on cross education of six-week unilateral isotonic resistance training for wrist flexion and extension 6周单侧腕屈伸等张阻力训练交叉训练的研究
Q4 Medicine Pub Date : 2010-01-01 DOI: 10.3969/j.issn.1001-1242.2010.05.009
Y. Qi, Dongliang Shi, Shi Zhou
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引用次数: 0
Transforming Role of Rehabilitation Psychologists: New Paradigm Challenges, and Directions 康复心理学家角色转换:新范式、挑战与方向
Q4 Medicine Pub Date : 2010-01-01 DOI: 10.3969/J.ISSN.1001-1242.2010.04.001
June, Ly, Tang, Tatia, Mc, Lee
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引用次数: 1
期刊
中国康复医学杂志
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