Apraxia is one of the common clinical symptoms and easy to be overlooked in senior brain dysfunction. Apraxia may affectpatients' activities of daily living and returning to society. However, the clinical medical staff and relevant rehabilitation personnel are lackof knowledge on apraxia and did not pay enough attention to it at present. Patients will gain much benefits over the recovery if apraxia canbe found and evaluated in time. This article introduced the concept, classification, clinical feature, evaluation and rehabilitation treatment ofapraxia.

Adopting prediction formula of Bother Index in RES-4(Recovery Evaluation System-4),predicted valne of 118 cases of in-pationts with seoks after one course of rehabilithtier treatment are caculated.When they are compared with actual values,it shows basically correspondent between prediction and actual measurement are indicares that RES-4 is teasible and fitoor usine as a outine oneaurement oo promosis or in-patients with stroke.

Cultivating talents of rehabilitation medicine is the most urgent affairs of developing rehabilitation medicine in China. The undergraduate education of the rehabilitation medicine is an important link of improving the school-level and the academic position of rehabilitation medical education and cultivating talents of rehabilitation medicine. This article focuses on the present situation about the undergraduate education of rehabilitation medicine, the sources of undergraduate, the location of training targets, the professional fields as well as the problems needing attention and solutions in undergraduate education.

Objective To assess the effect of swallowing function training on dysphagia.Methods66 patientswith dysphagia were randomly divided into training group and control group. The swallowing function of the two groupswere evaluated before and after training.ResultsThe effective rate of training group is 78.1% which is higherthan control group (P< 0.01).ConclusionSwallowing function training can significantly improve swallowing function and activity of daily living of the patients with dysphagia.

ObjectiveTo study the effect of rehabilitation treatment on diffuse axonal injury(DAI).Methods24 inpatients with DAI were performed a 3 month rehabilitation program.Before and after rehabilitation treatment,evaluation of locomotion function, walking ability,activities of daily living(ADL) and cognitive ability were performed and compared with each other.ResultsThe hand function showed no distinct change(P>0.05), while the locomotion function of upper limb was improved significantly(P<0.05), and that of lower limb was improved more significantly (P<0.01) as while as the walking ability.ADL and cognitive ability were improved very more significantly (P<0.001).ConclusionsIntegrative rehabilitation treatment cannot significantly improve the hand function of patients with DAI, but can significantly improve the locomotion function of upper and lower limb,ADL and cognitive ability.

Objective To investigate the clinical manifestation, diseased region, and possible mechanism of serious unilateral spatial neglect (USN),and analyze the effect of rehabilitation management.MethodsFive stroke patients with USN and without hemianopsia were selected and the data of clinical examination before and after rehabilitation management was analyzed.ResultsAll of five patients complicated obvious left spatial neglect and were right handedness. The results of examination for USN before and after rehabilitation management were significantly different ( P<0.05).ConclusionMany examinations for USN can detect remaining vision spatial attention, of which Albent test is most effective; the rehabilitation management has certain effect.

Objective To explore the features and rehabilitation for organophosphate-induced delayed polyneuropathy. Methods 2 patients with serious organophosphorus-induced delayed neuropathy due to drinking tamaron and dichlorvos were reported. Results and Conclusion The patient partially recovered after physiotherapy. Long leg orthosis is beneficial to the functional recovery of lower limb.

Objective To investigate the incidence of unilateral spatial neglect(USN)after brain injury in different area with varied test,and to survey their sensitivity.Methods 196 patients after brain injury were assessed with varied test to identify USN.Results The total incidence of USN was 41.33%,which was the highest in the patients with parietal lobe lesion and less in the boundary of tempo-parietal-occipital lobe,the temporal lobe and basal ganglion injury in turn.The sensitivity of the Albert test was the highest,which was less of Shenckenberg test,letter-figure-cancellation test,copying drawing test,clock-drawing test and character test in turn.However,the sensitivity of Albert test was the highest in the patients with frontal lobe lesion,and that of Shenckenberg test was the highest when the temporal,parietal lobe or the boundary of tempo-parietal-occipital lobe injured.Conclusion The incidence of USN was high after brain injury.It is important to choose the test tool according to the area of the focus.

Objective To characterize the secondary osteoporosis in hemiplegic patients. Methods By use of dual energy X ray absorptometry, the bone density and bone mineral quantity of 156 hemiplegic inpatients were tested and analyzed. Results The incidence of osteoporosis was 44.4% during 3～6 months after stroke and 21.1% found during 9～12 months after stroke. The average incidence was 30.8%. The osteoporosis was more common in patients with flaccid hemiplegia than in those with spastic hemiplegia. The bone mineral quantity in the affected upper limbs was significantly lower than that in nonaffected side ( P 0.05). Conclusion The bone mineral quantity of hemiplegic patients varies with the duration of disease. The reduction of bone mineral quantity is regular and reversible.

Objective To observe the effect of ankle foot orthoses (AFO) on improving the abnormal gait pattern in hemiparetic patients Methods 106 hemiparetic patients were randomly divided into two groups. AFO was used in one group (52 cases) and not in the control group (54 cases). Both of them accepted conventional physical therapy. Motor function of affected ankle joint and lower extremities, spastic state of ankle joint, standing balance and walking ability were evaluated on each case before and after rehabilitation Results At the end of the trial, spastic state of ankle joint in both groups were decreased. 40 cases reached to degree of ⅠorⅠ + of spastic state and 12 cases to Ⅱ, Ⅲ or Ⅳ in the AFO used group,while the number of cases in the control group were respectively 27 and 27. The effects in AFO used group showed more significant than in the control group ( P 0.05) Conclusion Physical therapy combined with ankle foot orthoses was beneficial to improving the abnormal gait pattern and decreasing the spastic state of ankle joint in hemiparetic patients. However, it might not affect the motor function of ankle joint and lower extremities.