AIM: To explore the effect of rehabilitation in perioperative period on outcome of total knee arthroplasty. METHODS: China Journal Full-text Database (CJFD) was undertaken to identify relevant articles on perioperative rehabilitation after total knee arthroplasty published from January 1996 to December 2006. Training approaches of the joint and its influence on the outcome of total knee arthroplasty were analyzed. RESULTS: The most important contents of rehabilitation therapies are the education before surgery, range of joint motion, training of muscle strength, joint position sense and gait. After rehabilitation training, range of joint motion, muscle strength of the lower limb, joint position sense and gait recovered to normal. CONCLUSION: Perioperative rehabilitation of total knee arthroplasty is important to improve the clinical outcome and is a crucial measure to achieve expected outcome of surgery.

BACKGROUND:It can be confirmed by the clinical trial that chronic plantar fasciitis can be treated by extracorporeal shock wave.There are some different explains for the mechanism of action.OBJECTIVE:To introduce the mechanism of action and clinical application of extracorporeal shock wave in the treatment of chronic plantar fasciitis.RETRIEVAL STRATEGY:A computer-based search was conducted in PUBMED,HighWire and Springer databases for articles published before August 2007 with the key words of "chronic plantar fasciitis,extracorporeal shock wave application" in English by the first and second authors.Inclusive criteria:articles were selected firstly based on the mechanism of action and clinical application of extracorporeal shock wave for chronic plantar fasciitis.Exclusive criteria:articles out-of-date and repeated were removed.LITERATURE EVALUATION:Sixty-five relevant articles were collected,and twenty-five met the inclusive criteria.Of them,4 articles were review,and others were about the mechanism of action and clinical application of extracorporeal shock wave for chronic plantar fasciitis.DATA SYNTHESIS:①Someone believed that high energy shock wave selectively damaged unmyelinated sensory nerve fibers.Low energy shock wave could inhibit the conduction of sensory nerve ending by releasing calcitonin-gene-related peptide and producing neurogenic inflammation.It also could play a long-term analgesic effect by making the changes in regional flow of the brain,regulating pain memory and reducing local stimulatory response.②There are many reports on short-term and long-term outcomes,different energy levels,local anesthetic drug,the depth of plantar fasciitis and therapeutic place.CONCLUSION:It is effective to treat chronic plantar fasciitis by extracorporeal shock wave.Different approaches can bring us different therapeutic outcomes.

Millimeter waves therapy (MWT) can improve blood perfusion, function of leukocyte, subside of inflammation, restrain bacterium growth, increase organization's function, encourage the endorphine released, inhibit tumor growth, which can be demonstrating the effects in different parts of the nociceptive system. MWT was reported to be effective on headache, arthritic, neuropathic, acute postoperative pain and cancer pain.

The paper discusses the application of the informatization teaching mode in the surgical nursing teaching and the impact on the information literacy of five-year higher vocational nursing students by taking 213 five-year higher vocational nursing students of the Wuxi Higher Health Vocational Technology School as research objects.The result shows that the application of the informatization teaching mode in the surgical nursing teaching can help improve the comprehensive quality of nursing students.