@@

Objective To study the effect of con tinuous passive motion (CPM) on joint function after arthroscopy in the knee jo int. Methods Arthroscopy examinations and operations were performed in 53 patients. They were divided into study and control groups based on the use or not of CPM immediately in the postoperative period. The cont rol group consisted of 25 patients treated without postoperative CPM and the stu dy group consisted of 28 patients treated with CPM postoperatively. Range of mot ion (ROM) and the comprehensive function score of the knee joint were evaluated preoperatively, at discharge and at three months after operation. Results There were statistically significant differences in the f unction score of the knee joint between the two groups at discharge. The mean f lexion and extension in the study group were 90.64??16.57? and -0.71??3.78 ?, respectively, compared to 69.40??15.17? and -4.32??4.71? in the contro l group. The mean of the comprehensive function score of the knee joint in the c ontrol group were 11.24.compared to 8.89 in the study group. Seventy-five perce nt (21 cases) of the patients in the CPM group and 24% (6 cases)of patients in t he control group had achieved 90? of flexion at the time of hospital discharge. Conclusion CPM had enhanced the therapeutic effects of arthroscopy in the knee joint and shortened the length of stay of the patie nts in the hospital. Further investigation is needed for evaluating the long-te rm effect of CPM.

This paper is on effect of mobilization on immobilized ligament.Eighteen rabbits were divided into three groups.Group Ⅰ,eight weeks of active movement;group Ⅱ,eight weeks of passive+active movement;group Ⅲ,age matched normal control.The biomechanical testing,histological and ultrastructural evaluation were used.Results:with mobilization,the structural properties of ligament bone complexs of MCL obviously improved but did not return to normal.The material properties of MCL was similar to those of contralateral and normal control.Arrangement of collagen fibers was similar to that of normal.Resorption of bone in ligament bone insertion sites was not significantly changed.Through mobilization following immobilization,failure location of MCL changed.Conclusion:The recovery of material properties of ligament substance was more quick than that of structural properties of ligament bone complexs.The effect of active movement and passive +active movement on recovery of structure of immobilized ligament was similar.

Diabetic peripheral neuropathy (DPN) is the most common complaint of diabetic patients, affecting the quality of life of patients seriously. The effect of DPN treated with traditional medicine therapy is poor. The rehabilitation of DPN develops fast recently. The authors overview the current trend of the rehabilitation treatments of DPN in the article including medicine therapy, physical therapy, exercise therapy, traditional Chinese medicine, hyperbaric oxygen therapy, orthopaedic devices and so on.

Objective To study the effect of continuous passive motion (CPM) on the healing of man made full thickness defects of articular cartilage in the knee of rabbit. Methods A diameter of 3.2mm full thickness defect of articular cartilage in the facies patellaris of femur were made in 60 knees of rabbits. Then the rabbits were randomly divided into groups A,B and C. The animals in groups A and B were treated with CPM for 8 hours and 2 hours daily, respectively, for 4 weeks, while those in group C kept in cage for free activity only. Half of the animals of every group were sacrificed at the end of the 4th and 12th weeks. The H.E. staining, safranin O staining and immunohistochemical analysis of collagens I and II were conducted, the gross appearance and histological change were observed and scored. Results There was significant difference with regard to the score of gross appearance and histological change among groups A, B and C. Conclusion The healing of full thickness defects of articular cartilage in rabbits treated by CPM is better than that in rabbits without CPM treatment. CPM can promote tissue repair and stimulate synthesis of collagenⅡand the glycosaminoglycan.

Objective To investigate the development of rehabilitation medicine, the knowledge, ability and quality requirements of stu-dents in different professional positions, and the demand for rehabilitation industry personnel in Hunan, China, and to discuss the strategies for improving the quality of vocational education. Methods 87 directors of personnel management or rehabilitation department in all levels of hospitals and 100 rehabilitation therapists were included from May to Semptember 2014. The rehabilitation medical service, education background of employees, professional positions, and the demand for rehabilitation knowledge, ability, and industry personnel were sur-veyed. Results and Conclusion Rehabilitation medical service was not sufficiently carried out for insufficient number of employees, unbal-ance structure and other deficiencies. Rehabilitation personnel training schools and enterprises need to strengthen the depth of integration, and improve the professional quality and clinical ability.