1.Effect of Conductive Education Applied in Water Exercise on Cerebral Palsy
Jige DONG ; Li ZHANG ; Shurong JI
Chinese Journal of Rehabilitation Theory and Practice 2013;19(11):1061-1063
Objective To investigate the effect of conductive education applied in water exercise on cerebral palsy. Methods 58 children with cerebral palsy who could accept conductive education were divided into observation group (n=29) and control group (n=29) randomly. All the children accepted routine rehabilitation, and the observation group accepted water exercise in the model of conductive education. They were assessed with muscular strength, muscular tension (modified Ashworth Scale) and the Gross Motor Function Measure (GMFM) before and after training. Results The score of GMFM improved more in the observation group than in the control group (P<0.05), as well as the incidence of improvement of muscle tension (released 1 grade or more, 75.9% vs. 44.8%, P<0.05) and muscle strength (increased 1 grade or more, 82.8% vs. 58.6%, P<0.05). Conclusion Water exercise with the conductive education model can improve the gross motor function and muscle strength, release the spasticity in children with cerebral palsy.
2.Effect of power electrical stimulation in combination with task-oriented training on lower extremity motor function in stroke patients with foot drop
Li SUN ; Jige DONG ; Lianfang ZHANG ; Weiqun SONG
Chinese Journal of Cerebrovascular Diseases 2015;(1):7-11
Objective Toinvestigatetheeffectofpowerelectricalstimulation(PES)incombination withtask-specifictrainingonlowerextremitymotorfunctioninstrokepatientswithfootdrop.Methods Fifty patients with poststroke foot drop were enrolled retrospectively. They were divided into either an experimental group or a control group (n=25 in each group). The control group received routine rehabilitation treatment. On this basis,the experimental group was given PES in combination with task-oriented training. Both groups of patients were trained 2 times a day,once for 40 minutes,5 days a week for 6 weeks. The ankle active range of motion,plantar flexor muscle tension,and tibialis anterior muscle strength were determined before and after treatment. The balance and lower extremity motor function of the patients were assessed by using Berg balance scale score,Fugl-Meyer lower extremity score,modified Barthel index,and Holden walk grading. At thesametime,thewalkingspeedandsteplengthbeforeandaftertreatmentwerecompared.Results Six weeks after treatment,the ankle activity,plantar flexors tension,and tibialis anterior muscle strength scores in patients of the experimental group were improved compared with before treatment,and each indicator was significant better than the control group (t=6. 261,-6. 163,and 2. 968,respectively;all P<0. 05). Berg balance scale,walking speed and step length scores were also improved as compared with before treatment, and each indicator was better than the control group (t=10. 733,9. 074,and 9. 013,respectively;all P<0.01). The lower limb motion scores,modified Barthel indexes,and Holden walk grading scores were improved compared with before treatment,and each indicator was significantly better than the control group (t=3.261,7.573,and4.010,respectively;allP<0.05).Conclusion Usingpowerelectricalstimulation in combination with task-oriented training may effectively improve the lower extremity motor function in stroke patients with foot drop.
3.Advance in Factors Influencing Hand Grip Measurement (review)
Na XIAO ; Naxin XU ; Kuaifang SUN ; Jige DONG ; Yuanbin YANG ; Ning LI
Chinese Journal of Rehabilitation Theory and Practice 2013;19(9):839-842
This paper summarized researches about the factors that influenced the measurement of hand grip, including equipments, ethnics,genders, ages, morphological parameters, handedness, occupation, grip width, body posture and psychological factors. All these are to be considered in studies of grip strength.
4.Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury
Lihua LUO ; Yusheng WANG ; Jianfeng LI ; Jige DONG
Chinese Journal of Rehabilitation Theory and Practice 2024;30(1):105-110
ObjectiveTo observe the therapeutic effect of early postoperative comprehensive rehabilitation on elbow joint dysfunction and ulnar nerve injury in children and adolecents with supracondylar fracture of humerus complicated with ulnar nerve injury. MethodsA total of 49 children with supracondylar fracture of humerus complicated with ulnar nerve injury after operation were selected from January, 2016 to December, 2021 in Wangjing Hospital, which were randomly divided into control group (n = 24) and treatment group (n = 25). The control group accepted wax therapy and acupuncture, and the treatment group accepted medicine fumigation, joint mobilization and electromyographic biofeedback, for twelve weeks. They were assessed with The Hospital for Special Surgery Elbow score (HSS) and Medical Research Neurotrauma Society Report (MCRR) before and after treatment. ResultsAfter treatent, the HSS scores increased in both groups (|t| > 8.345, P < 0.001). The HSS score was significantly higher in the treatment group than in the control group (t = 4.536, P < 0.001). The d-value of HSS scores before and after treatment was significantly higher in the treatment group than in the control group (t = 3.717, P < 0.05). The rate of excellent recovery of ulnar nerve function was significantly higher in the treatment group than in the control group (χ2 = 5.975, P < 0.05). ConclusionEarly postoperative comprehensive rehabilitation could romote the recovery of elbow function and ulnar nerve injury in children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury.
5.Effect of suspension combined with acupuncture on chronic non-specific neck pain
Erhao MA ; Yan SHEN ; Shangquan WANG ; Jige DONG
Chinese Journal of Rehabilitation Theory and Practice 2024;30(2):232-237
ObjectiveTo explore the effect of suspension combined with acupuncture on chronic non-specific neck pain (CNNP). MethodsA total of 81 patients with unilateral CNNP from the rehabilitation outpatient clinic of Wangjing Hospital from March, 2022 to March, 2023 were divided into suspension group (n = 27), acupuncture group ((n = 27) and combined group (n = 27) randomely. The suspension group underwent conventional suspension, the acupuncture group received conventional acupuncture treatment, and the combined group underwent suspension and acupuncture, for six weeks. The Visual Analogue Scale (VAS), Neck Disability Index (NDI), and cross-sectional area (CSA) of longus colli and multifidus in the neck using ultrasound imaging were compared before and after treatment. ResultsAfter treatment, the VAS and NDI score, and CSA of longus colli and multifidus improved in three groups (|t| > 4.473, P < 0.001), and the combined group was better than the other two groups (P < 0.05). ConclusionSuspension and acupuncture can relief the pain, improve function, and increase CSA of longus colli and multifidus in patients with unilateral CNNP, while the combination of the two methods is better.
6.Analysis of plantar pressure for functional ankle instability
Jianguo WANG ; Jia TANG ; Jige DONG ; Yaping CHEN
Chinese Journal of Rehabilitation Theory and Practice 2022;28(10):1217-1223
ObjectiveTo observe the distribution characteristics of plantar pressure of patients with functional ankle instability (FAI). MethodsFrom January to July, 2021, the Freestep plantar pressure analysis system was used to measure plantar pressure of 20 patients with FAI in Department of Rehabilitation, Beijing Tongren Hospital. The data beteen the healthy side and the affected side were compared. ResultsWhen standing with both feet and eyes open, the weight ratio of the forefoot load was less (t = 2.251, P = 0.036), and the weight ratio of the hindfoot load was more (t = 2.251, P = 0.036) in the affected side than in the healthy side. When standing with the affected foot and eyes open, the average longitudinal distance (Y) was more in the affected side than in the healthy side (t = 3.271, P < 0.01); when standing with the affected foot and eyes closed, the length of the ball, the area of the ellipse, the average speed, and the average Y were more in the affected side than in the healthy side (t > 3.140, P < 0.01). When walking, the force area and load of the medial heel were more (t > 2.260, P < 0.05), the maximum pressure and average pressure were significantly less (t > 5.005, P < 0.001), and the line increment of the pressure center and the ratio of foot gait line length/footprint length were significantly more (t > 20.567, P < 0.001) in the affected side than in the healthy side. The contribution of loads of both forefoot and hindfoot was significantly different from the health side (t = 2.153, P < 0.001). ConclusionFor patients with FAI, when standing with both feet, the center of gravity of the affected side is more unevenly distributed; when standing with the affected foot, the posture control stability is obviously weaker, especially when the eyes are closed; when walking, the dynamic stability of the affected side is worse.