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Transcutaneous electrical stimulation of the normal rabbit joint. 正常兔关节的经皮电刺激。
Pub Date : 2020-06-04 DOI: 10.2340/1650197787196770
A. Weinberger, M. Dalith, A. Toren, P. Volovsky-Toren, M. Ben-bassat, S. Giler, J. Pinkhas
To determine the effect of transcutaneous electrical stimulation on the rabbit joint, we studied skin and intraarticular temperatures and pressure both before and following the stimulation in nine rabbits. An elevation in skin temperature by a mean of 0.6 degrees C (p less than 0.05) and increase in intraarticular temperature by a mean of 0.8 degrees C (p less than 0.01) was noted following the electrical stimulation. Intraarticular pressure in the stimulated joints has only a trend to increase, but not significantly. In four other rabbits, synovial tissue of the stimulated joint showed blood vessels congestion and interstitial edema. These results suggest that the analgetic effect produced by electrical stimulation on joints may partially involve intraarticular temperature and pressure alterations.
为了确定经皮电刺激对兔关节的影响,我们研究了9只兔子在刺激前后的皮肤和关节内温度和压力。电刺激后,皮肤温度平均升高0.6摄氏度(p小于0.05),关节内温度平均升高0.8摄氏度(p小于0.01)。受刺激关节的关节内压力只有增加的趋势,但没有显著增加。在其他四只兔子中,受刺激关节的滑膜组织显示血管充血和间质水肿。这些结果表明,电刺激关节产生的镇痛作用可能部分涉及关节内温度和压力的变化。
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引用次数: 1
Leisure time physical activities and the results of surgery of lumbar disc herniation. 闲暇时间体育活动与腰椎间盘突出症手术效果的关系。
Pub Date : 2020-06-04 DOI: 10.2340/165019778719105108
H. Alaranta, M. Hurme, S. Karppi
The aim of this study was to elucidate the consequences of leisure time physical activities on the one-year results of surgery of lumbar intervertebral disc herniation. Pre- and postoperative leisure time physical activities and severity of occupation handicap were analyzed from 212 patients. Only to a certain degree the findings support the claim that a high preoperative level of physical activities during leisure time is linked with good postoperative results.
本研究的目的是阐明休闲时间体育活动对腰椎间盘突出症一年手术结果的影响。分析212例患者术前和术后闲暇时间的体育活动和职业障碍的严重程度。只有在一定程度上,研究结果支持了这样一种说法,即术前在空闲时间进行高水平的体育活动与良好的术后效果有关。
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引用次数: 3
Severely mobility-disabled people assess the quality of their lives. 行动不便的残疾人评估他们的生活质量。
Pub Date : 2020-06-04 DOI: 10.2340/1650197785178799
R. Stensman
Thirty-six severely mobility-disabled subjects aged 24-52 years using a wheelchair and in need of daily assistance and 36 non-handicapped, matched control-subjects were interviewed. They were asked to rank 30 different abilities involving physical and mental functions, interpersonal and social relationships, and to rate their overall quality of life (QOL) on a 0-10 point scale. Among the severely mobility-disabled subjects the mean value of self-reported QOL was 8.0, which differs only slightly from 8.3 among the controls. The mean QOL among the disabled showed no significant difference regarding congenital/acquired and progressive/permanent disability. The 'abilities' ranked 1-9 were not directly related to mobility and corresponded among the disabled and non-handicapped. The functions lacked by the severely mobility-disabled persons were rated as less important by the disabled. The undiminished QOL is probably a result of personal adjustment, compensation by medical rehabilitation and society, as well as positive features of the disability.
访谈了36名年龄在24-52岁、使用轮椅并需要日常帮助的重度行动障碍受试者和36名非残疾、匹配的对照受试者。他们被要求对30种不同的能力进行排名,包括身体和心理功能、人际关系和社会关系,并对他们的整体生活质量(QOL)进行0-10分的评分。在严重行动障碍受试者中,自我报告的生活质量平均值为8.0,与对照组的8.3仅略有不同。残疾人的平均生活质量在先天性/后天性和进行性/永久性残疾方面没有显著差异。排名1-9的“能力”与行动能力没有直接关系,在残疾人和非残疾人中相对应。行动不便的残疾人所缺乏的功能被残疾人认为不那么重要。生活质量的下降可能是个人适应、医疗康复和社会补偿以及残疾的积极特征的结果。
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引用次数: 145
Katz index of independence in ADL. Reliability and validity in short-term care. ADL中的Katz独立性指数。短期护理的可靠性和有效性。
Pub Date : 2020-06-04 DOI: 10.2340/165019778416125132
B. Brorsson, Asberg Kh
This article deals with the Katz Index of Independence in Activities of Daily Living and presents a study of its reliability and validity carried out at a Department of Internal Medicine in Sweden. Enrolled nurses assessed independently 100 aged patients. Scalability and interobserver variability were tested with Guttman scale-analysis. The results indicated that the activities are ranked according to a cumulative scale and that the index is reliable. Patients independent in ADL had shorter hospitalization and were discharged home more often than were the dependent patients. This indicates that the scale is valid. One year later most dependent patients were either dead or living in institutions: thus the index has a predictive potential. The systematic errors of scale were used to refine the index for use in short-term care. It is recommended as a basic measure of functional ability among aged abled or disabled patients also in short-term care.
本文涉及日常生活活动独立的卡茨指数,并提出了在瑞典内科进行的可靠性和有效性的研究。注册护士独立评估了100名老年患者。采用Guttman量表分析测试可扩展性和观察者间可变性。结果表明,该指标是根据累积尺度进行排序的,是可靠的。独立ADL患者住院时间短,出院次数多于依赖患者。这表明该量表是有效的。一年后,大多数依赖病人要么死了,要么住在机构里:因此,该指数具有预测潜力。使用量表的系统误差来改进该指数,以便在短期护理中使用。推荐作为短期护理的老年残疾患者功能能力的基本衡量标准。
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引用次数: 245
Intra-abdominal pressure and trunk muscle activity during lifting. IV. The causal factors of the intra-abdominal pressure rise. 提举过程中的腹部压力和躯干肌肉活动。IV、 腹腔内压力升高的原因。
Pub Date : 2020-06-04 DOI: 10.2340/1650197785172538
B. Hemborg, U. Moritz, H. Löwing
The intra-abdominal pressure (IAP) has been regarded as important for stabilization and relief of the lumbar spine when exposed to heavy loads, such as when lifting. Previous trials, however, have failed to increase the IAP by abdominal muscle training. Twenty healthy subjects, 20 low-back patients and 10 weight-lifters, were tested with various breathing techniques in order to elucidate the causal factors of the IAP rise during lifting and the effects respiration. Those with high IAP and low IAP as well as those with great variations in IAP underwent an extended program. The intra-abdominal and intrathoracic pressures and the EMG of the oblique abdominal, the erector spinae and--in some cases--the puborectalis muscles, were recorded. The transdiaphragmatic pressure was calculated both during lifting and during the Mueller manoeuvre. The IAP rise during lifting seems to be correlated to a good coordination between the muscles surrounding the abdominal cavity. Of these, the diaphragm seems to be the most important for the IAP level. Closure of the glottis seems to help the diaphragm to maintain the IAP rise, otherwise the respiration type seems to be less important for the IAP during lifting.
腹内压(IAP)被认为是腰椎在负重时(如举重时)稳定和缓解的重要因素。然而,先前的试验未能通过腹肌训练来增加IAP。为探讨举重运动中IAP升高的原因及其对呼吸的影响,对20名健康受试者、20名腰背患者和10名举重运动员进行了不同呼吸技术的测试。那些具有高IAP和低IAP以及IAP变化很大的人则经历了一个扩展的程序。记录腹内和胸内压力以及腹斜肌、竖脊肌和某些情况下的耻骨直肠肌的肌电图。在举升和Mueller操作期间计算跨膈压力。举重时内压升高似乎与腹腔周围肌肉的良好协调有关。其中,隔膜似乎是IAP关卡中最重要的。声门的关闭似乎有助于膈肌维持内压的上升,否则在举重过程中呼吸类型对内压似乎不太重要。
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引用次数: 120
Effect of electro-motor stimulation on the power production of a maximally stretched muscle. 运动电刺激对最大拉伸肌肉功率产生的影响。
Pub Date : 2020-05-20 DOI: 10.2340/165019778921147150
K. Tachino, T. Susaki, T. Yamazaki
UNLABELLEDThe effect of electro-motor stimulation (EMS) upon the increase in power production of the tibialis anterior muscle (TA) of healthy individuals in both the maximally stretched (ST group) and shortened (SH group) positions was investigated. The effect of cross-education upon the contralateral muscle was also examined. EMS with a frequency of 50 hertz, a duration of 0.2 miliseconds, and a rectangular wave was applied for ten seconds with a ten-second interval and repeated ten times per day for six weeks. The ST group gained significantly 9.4%, 15.5%, and 16.4% after two, four, and six weeks of stimulation, respectively, while the SH group also showed a significant gain of 5.1%, 8.3%, and 3.0%. When comparing the two groups at the end of the six-week period the ST group's gain was significantly greater. The increase of power production of the unstimulated TA was 5.5%, 8.0%, and 4.3% in the ST group, which was significant at the end of the second and fourth week of stimulation. The SH group, however, registered a non-significant increase of -2.7%, 1.8%, and -1.5%. Comparison between the two groups showed a significant increase in the power production of the unstimulated TA in the ST group commencing the second week.CONCLUSIONEMS of the TA in the maximally stretched position is a more effective way to gain strength.
研究了电刺激(EMS)对健康人在最大拉伸(ST组)和缩短(SH组)体位下胫骨前肌(TA)发电量增加的影响。交叉教育对对侧肌肉的影响也进行了研究。EMS频率为50赫兹,持续时间为0.2毫秒,矩形波以10秒的间隔施加10秒,每天重复10次,持续6周。经过2周、4周和6周的刺激后,ST组分别获得了9.4%、15.5%和16.4%的显著收益,而SH组也显示了5.1%、8.3%和3.0%的显著收益。在六周结束时比较两组时,ST组的收益明显更大。在ST组中,未刺激的TA的发电量增加了5.5%,8.0%和4.3%,这在刺激的第二和第四周结束时是显著的。而SH组则分别为-2.7%、1.8%和-1.5%,增幅不大。两组之间的比较显示,从第二周开始,ST组未受刺激的TA产生的能量显著增加。结论TA最大拉伸位ems是一种更有效的增力方式。
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引用次数: 10
The cumulative structure of personal and instrumental ADL. A study of elderly people in a health service district. 个人与工具ADL的累积结构。某卫生服务区老年人调查研究。
Pub Date : 2020-05-20 DOI: 10.2340/165019778921171177
Asberg Kh, U. Sonn
Katz' Index of ADL has been supplemented by five well-defined instrumental activities, namely cooking, washing, transportation, cleaning, and shopping. Eighty-five persons, mainly elderly, who had consecutively consulted a district occupational therapist, were assessed in their homes in order to study the reliability, the scalability, and the validity of the expanded index. The inter-observer reliability was high. The coefficient of scalability was well above the acceptance level, indicating construct validity. No person was dependent in personal ADL and totally independent in instrumental ADL. Persons who were dependent in both personal and instrumental ADL were older and lived in sheltered accommodation more often than persons who were dependent only in instrumental ADL, indicating external validity. This study shows that there was a cumulative relationship between certain well-defined instrumental activities and between personal and instrumental activities. This supplemented index can be useful for assessing and differentiating the need for personal assistance and homecare among disabled elderly people.
Katz的ADL指数由五项定义明确的工具性活动补充,即烹饪、洗涤、运输、清洁和购物。为了研究扩展指数的可靠性、可扩展性和有效性,对85名连续咨询过地区职业治疗师的人(主要是老年人)在家中进行了评估。观察者之间的可靠性很高。可伸缩性系数远高于可接受水平,表明结构有效性。没有人在个人ADL方面具有依赖性,在工具ADL方面完全独立。与仅依赖工具性ADL的人相比,在个人和工具性ADL方面都有依赖性的人年龄更大,更经常住在庇护住所,这表明了外部有效性。这项研究表明,某些定义明确的工具活动之间以及个人和工具活动之间存在累积关系。这一补充指数可用于评估和区分残疾老年人对个人援助和家庭护理的需求。
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引用次数: 229
Recovery of function during inpatient rehabilitation for moderate traumatic brain injury. 中度创伤性脑损伤住院康复期间的功能恢复。
Pub Date : 2020-05-20 DOI: 10.2340/1650197789217179
V. Sahgal, A. Heinemann
This study evaluated the functional improvement of 189 patients with traumatic brain injury (TBI) who participated in a comprehensive rehabilitation program at a National Institute on Disability and Rehabilitation Research--designated Center for traumatic brain injury rehabilitation. Data were comprised of functional ratings reported by therapists in nine disciplines. Improvement in mobility, self-care, communicative, family, nursing, psychological, and recreation functions were observed. The relationship between functional level and length of stay, onset-admission interval, age, sex, education, and work history were examined. The benefits of rehabilitation are supported by this multidimensional study.
本研究评估了189名创伤性脑损伤(TBI)患者的功能改善情况,这些患者参加了国家残疾与康复研究所(指定的创伤性脑损伤康复中心)的综合康复计划。数据由九个学科的治疗师报告的功能评分组成。活动能力、自我照顾、沟通、家庭、护理、心理和娱乐功能均有改善。检查功能水平与住院时间、发病-入院间隔、年龄、性别、教育程度和工作经历的关系。这项多维度的研究支持了康复的益处。
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引用次数: 26
The Swedish back school in chronic low back pain. Part II. Factors predicting the outcome. 瑞典背部学校的慢性腰痛。第二部分。预测结果的因素。
Pub Date : 2020-05-20 DOI: 10.2340/1650197789214144
H. Hurri
The aim of the study was to analyse the factors predicting the outcome of the Swedish back school and spontaneous recovery in chronic low back pain. The predicting variables describing the treatment group (n = 95) and the control group (n = 93) at the initiation of study included sociodemographic factors, variables related to work, severity of low back pain, and a number of clinical measurements and evaluations. The Oswestry Low Back Pain Disability Questionnaire was used for judging recovery factors. It was found that the best predictor for the outcome of the treatment and for spontaneous recovery was work satisfaction.
该研究的目的是分析预测瑞典背部学校的结果和慢性腰痛的自发恢复的因素。在研究开始时,描述治疗组(n = 95)和对照组(n = 93)的预测变量包括社会人口学因素、与工作相关的变量、腰痛的严重程度以及一些临床测量和评估。采用Oswestry腰痛失能问卷对恢复因素进行判断。研究发现,工作满意度是治疗效果和自发性康复的最佳预测因子。
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引用次数: 64
Fluid translocation measurement. A method to study pneumatic compression treatment of postmastectomy lymphoedema. 液体移位测量。一种研究气压加压治疗骨切除术后淋巴水肿的方法。
Pub Date : 2020-05-20 DOI: 10.2340/1650197789216369
M. Mridha, S. Odman
Tissue fluid translocation under the action of deformation was measured to study the pneumatic compression treatment of postmastectomy lymphoedema of the arm. Analysis of the results provides statistically significant parameters for characterization of the oedema. Mobility of the fluid in pitting oedematous tissue was significantly greater than that of normal tissue and decreased after pneumatic compression treatment. Oedematous fluid at the distal sites of the arm showed a greater mobility than that of the proximal sites. Improvement in the oedema due to pneumatic compression treatment was found to be greater at the distal sites than at the proximal sites. In addition, oedema recurred between the treatments and repeated treatments produced the best results. Measurement of fluid translocation is useful in selecting and evaluating the effectiveness of lymphoedema treatment, as well as in determining the viscoelastic properties of the oedematous tissues.
通过测量变形作用下的组织液易位,探讨气动压缩治疗乳房切除术后上肢淋巴水肿的方法。分析结果为水肿的表征提供了具有统计学意义的参数。凹陷性水肿组织中液体的流动性明显大于正常组织,经气动压缩处理后流动性降低。手臂远端部位的水肿液比近端部位的水肿液流动性更大。由于气动压缩治疗,水肿的改善在远端比在近端更大。此外,治疗期间水肿复发,反复治疗效果最好。液体移位的测量在选择和评估淋巴水肿治疗的有效性以及确定水肿组织的粘弹性特性方面是有用的。
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引用次数: 17
期刊
Scandinavian journal of rehabilitation medicine
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