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.

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.

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.

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 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.

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.

BACKGROUND: Hemiplegia caused by stroke or brain injury may lead to secondary osteoporosis. Under the circumstance, bone mineral density (BMD) and Bone Mineral Content (BMC) are two effective factors for predicting the risk of osteoporosis-related fracture OBJECTIVE: To investigate the characteristics of secondary osteoporosis in stroke patients with hemiplegia by measuring and analyzing BMD and BMC.DESIGN: A case study.PARTICIPANTS: From March 1999 to May 2002, 156 hemiplegia patients at the Neurorehabilitation Department of Peking Boai Hospital were selected, 87 males and 69 females, with an age ranging from 17 to 65 years old, in average of (47.0±5.3) years old and having a course of diseases ranging (5.0±3.5) months. The types of their illness: 89 had cerebral infarction, 67 had cerebral hemorrhage. Hemiplegia sides: 79 patients had hemiplegia in the left and 77 in the right.METHODS: Using LUNAR Dual Energy X-Ray densitometers, all the patients underwent a fro-top-to-toe scan to assess the BMD and BMC status.MAIN OUTCOME MEASURES: ① The occurrence rate of osteoporosis in patients with various course of hemiplegia. ② The BMC in patients with hemiplegia in various part.RESULTS: All the 156 patients entered the statistical analysis procedure.① The occurrence rate of osteoporosis was highest in patients with 3 to 6 months of hemiplegia (44%, 16/36) and was lowest in those with 9 to 12 months of disease (21%,7/33). The total occurrence rate of osteoporosis was 31% (48/156). ② For those with a less-than-3-month course of hemiplegia: Of all the 47 patients, 9 had dystonic hemiplegia, all suffering from osteoporosis and 2 of whom having fracture. For those with a 3-to-6-month course of hemiplegia: Of all the 36 patients, 3 had dystonic hemiplegia and osteporosis as well. ③ BMC in the affect side of upper limb was signifi cantly lower than that in healthy side [(154.76±43.91) g, (172.59±43.78) g,t=3.591, P＜ 0.001]. BMC in the affect side of lower extremity was close to that in healthy side [(463.41±30928) g, (464.11±86.45) g, t=0.027, P＞ 0.05].CONCLUSION: In patients with hemiplegia, changes in bone mass fluctuate with the length of hemiplegia. BMC in the affect side of upper limb is low while that in the healthy side is nearly normal. It may be explained that upper extremities start the functional exercises at an early time. This indicated that bone mass has a close relationship with excercises.

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.