Objective To explore the effect of wrist extensor energy on humeral epicondylitis. Methods 48 humeral epicondylitis patients were divided into muscular energy group and block therapy group with 24 cases in each group. The muscular energy group was treated with muscle energy technique, and the other group received block therapy. They were assessed with Visual Analogue Scale (VAS) and muscle strength. They were followed up 3 months, 6 months and 1 year after discharge. Results The score of VAS was lower in the block therapy group than in the muscular energy group (P<0.01), and the muscle strength was weaker (P<0.01). 3 months after discharge, there was no significant difference in the effects between the muscular energy group (83.3%) and the block therapy group (91.7%) (P>0.05); 6 months after discharge, the muscular energy group (75.0%) was better than the block therapy group (46.1%) (P<0.01); 1 year after discharge,the muscular energy group (54.2%) was better than the block therapy group (16.7%) (P<0.01). Conclusion The block therapy is better in short-term effect on humeral epicondylitis, and the muscle energy technique was better in long-term effect.

Objective To study the effect of proprioceptive neuromuscular facilitation (PNF) on knee hyperextension in patients withstroke. Methods 60 patients with stroke were divided into treatment and control groups (30 cases each group). Both groups accepted medicineand routine rehabilitation, while the treatment group accepted PNF of knee additionally. Results The incidence of knee hyperextensionwas 7 (23.3%) in treatment group and 18 (60.0%) in control group (P<0.01) 3 months after treatment. The timed "up & go" improved morein the treatment group than in the control (P<0.01). Conclusion PNF of the knee at early stage of stroke can prevent knee hyperextensionand improve the walking.

This paper aimed to analyse and review the literature of diagnosis and treatment of Chinese aphasia at home in recent years. The advanced brain imaging technology and events related potentials, besides the traditional neuropsychological check method, had been much more applicated and studied in the diagnostic research of Chinese aphasia at present, and in the future the check methods of Chinese aphasia showed diversification, systematic and standardized development. A large number of clinical reshearches tended to comprehensive treatment as the main approach for Chinese aphasia in a conclusion.

Objective To explore the effect of music therapy on post-stroke depression (PSD) with left basal ganglia aphasia. Methods From April, 2013 to July, 2016, 60 patients with PSD and left basal ganglia aphasia were selected as control group (n=30) and research group (n=30). Both groups accepted routine medicine and rehabilitation, and the research group accepted music therapy in addition, for three months. They were assessed with modified Stroke Aphasic Depression Questionnaire Hospital Version (SADQ-H) and China Rehabilitation Research Center Aphasia Examination (CRRCAE) before and after treatment. Results The incidence of serious depression was less in the re-search group than in the control group after treatment, according to the score of SADQ-H (χ2=8.926, P<0.05). The research group improved more in listening comprehension, repetition and name scores than those of the control group (t>5.707, P<0.001). Conclusion Music therapy helps to relief depression and improve speech in patients with PSD and basal ganglia aphasia.

Objective To investigate the feature of event-related potential N400 for Chinese aphasia patients. Methods 23 Chinese aphasia patients and 20 controls were evaluated with Western Aphasia Battery (WAB), and N400 was also measured. Results N400 latency was longer and N400 amplitude was higher in the aphasia group than in the control group. In aphasia group, the latency (r=-0.553, P=0.000) and amplitude of N400 (r=-0.628, P=0.000) correlated to the score of Aphasia Quotient (AQ), and the amplitude of N400 correlated to the score of anomia in WAB (r=-0.372, P=0.001). Conclusion Event-related potential N400 could reflect the level of language function impairment and it is a valuable index for evaluating language function, especially anomia level in Chinese aphasia patients

Objective To observe the effects of ultrashort wave diathermy on the expression of tumor necrosis factor-α (TNF-α) andBcl-2 in hippocampus, striatum and motor cortex of rats with cerebral ischemia/reperfusion. Methods The model of focal ischemia/reperfusionin Sprague-Dawley rats was induced with intraluminal middle cerebral artery occlusion (MCAO) with nylon monofilament suture. Therats were divided into 3 groups: sham group (n=6), model group (n=6) and ultrashort wave diathermy group (n=6). Brain tissue slices wereimmunohistochemically stained (SABC) to observe the expression of TNF-α and Bcl-2. Results The expression of TNF-α and Bcl-2 in lefthippocampus, striatum and motor cortex was higher in the model group than in the sham group (P<0.01). The expression of TNF-α was lowerbut Bcl-2 was higher in the ultrashort wave diathermy group than in the model group (P<0.05). Conclusion Ultrashort wave diathermycan affect the expression of TNF-α and Bcl-2, which may associate to the neuroprotection from focal cerebral ischemia/reperfusion injury.

ObjectiveTo explore the effect of early rehabilitation therapy in the treatment of patients with trihemiparalysis sign following acute stroke.Methods86 patients following acute stroke were divided into two groups, trihemiparalysis sign group(n=37) and non-trihemiparalysis sign group(with hemiplegia only, n=49). Standard rehabilitation therapy was used in both groups early. At admission and 3 months after treatment，both groups were assessed by using the National Institutes of Health Stroke Scale(NHISS), Fugl-Meyer Assessment of motor (FMA) and Balance (FMB), Modified Barthel Index(MBI), and World Health Organization quality of life questionnaire (WHOQOL-BREF).ResultsAfter 3 months, patients in both groups scored significantly better in NHISS, FMA, FMB, MBI and PHYS, PSYCH, ENVIR of WHOQOL-BREF compared with that at admission. But the trihemiparalysis sign group improved less significantly in NHISS, FMA, FMB, MBI and PHYS, PSYCH of WHOQOL-BREF compared with non-trihemiparalysis sign group after treatment.ConclusionEarly rehabilitation therapy improved functional status and quality of life of acute stroke patients with trihemiparalysis sign, but showed not better than the patients with non-trihemiparalysis sign.

ObjectiveTo explore the effect of bladder curer in the treatment of patients with neurogenic bladder after spinal cord injury.Methods60 spinal cord injury patients with neurogenic bladder were randomly divided into intervention group (n=30) and control group (n=30). Comprehensive rehabilitation therapy was used in the two groups, but bladder curer was used only in intervention group. Residual urine in the bladder, incidence of urinary tract infection and course of achieving bladder balance were observed in the two groups.ResultsAfter 8 weeks, residual urine in the bladder decreased significantly in intervention group compared with control group, and the course of achieving bladder balance shortened significantly in intervention group compared with control group, but incidence of urinary tract infection had no difference between intervention group and control group. ConclusionBladder curer could decrease residual urine in the bladder early, and shorten the course of achieving bladder balance in the treatment of patients with neurogenic bladder after spinal cord injury.

Objective To investigate the feature of event-related potential N400 before and after speech therapy in Chinese aphasia patients.Methods 20 Chinese aphasia patients received speech therapy for 12 weeks. Language function was evaluated with Western Aphasia Battery (WAB), and the latency and amplitude of N400 were monitored before and after treatment. Results Spontaneous speech, retelling,and nomination in WAB and aphasia quotient (AQ) of WAB significantly increased after treatment (P<0.05). N400 latency was shorter and N400 amplitude was lower after treatment (P<0.05). The latency and amplitude of N400 were negatively correlated to the score of AQ in the difference before and after treatment (P<0.001). Conclusion Event-related potential N400 could reflect the improvement of speech function before and after treatment, and it is a valuable index for evaluating the recovery of language function in Chinese aphasia patients.

Objective To explore the effects of comprehensive rehabilitation on nutriture and medical costs in the treatment of patients with dysphagia following stroke. Methods Eighty-seven patients with dysphagia were divided into an intervention group (IG) and a control group (CG). Comprehensive rehabilitation therapy including deglutition training, electric neuromuscular stimulation and acupuncture were used with the IG patients, but not with those in the CG. Nutriture parameters included a biochemistry index and a body measurement index. Medical costs were observed before and after one month of treatment for both groups. Results After one month of treatment, average deglutition scores and nutriture indices were significantly higher in the IG than in the CG. Medical costs for the IG had decreased significantly compared with the CG. Conclusions Comprehensive rehabilitation therapy improved deglutition function and slowed nutriture deterioration, while decreasing medical costs in the treatment of patients with dysphagia following stroke.