Journal Detail Information

1

Cite

Share

Status of the Specialty of Physical and Rehabilitation Medicine

Chinese Journal of Rehabilitation Medicine.2010;25(9):819-822. doi:10.3969/j.issn.1001-1242.2010.09.001

The objectives of this paper are to help specialists in Physical and Rehabilitation Medicine plan their careers, influence the future of the PRM specialty and advocate effectively for those with limitations of functioning. The experiences of the authors are the sources of its observations and suggestions. The senior author has had extensive national and international experience in the specialty as a clinician, teacher, researcher, manager, leader and advocate. The junior author adds the insights of one who only recently has become immersed in PRM. The following are suggestions and observations the authors believe could contribute to the future success of individual PRM specialists and the PRM specialty. ①Review and reinforce the significant accomplishments of PRM over the last 70 years. It has significantly expanded the focus of health care to include the importance of functioning. ②Identify the specialty's current strengths, weaknesses, threats and opportunities. As a clinical specialty, it has expanded nationally and internationally, yet its research contributions remain limited. The absence of an evidence base for much of its activity risks reduced support from payers, yet the population needing its services continues to expand. ③Develop strategies to increase the ability of PRM specialists and PRM to improve the lives of people with or likely to have limitations of functioning. These strategies could include sharing best practices, supporting effectiveness research and developing expert consensus guidelines. The need for physicians who are experts in the strategies of improving the lives of those with complex problems of functioning will continue to expand. This need will assure the continuation of the specialty of PRM as long as it improves the abilities of its members to help those with problems of functioning, and it advocates for those whom its members serve.

2

Cite

Share

Quantitative comparison study of static postural balance of children with different sexes and ages

Limin FU ; Jinghui CUI ; Jutao FENG

Chinese Journal of Rehabilitation Medicine.2010;25(3):251-254.

Objective:To explore the influences of different sexes and ages on children static balance at the basis of quantitative comparison study of static postural balance of children aged 6-8(-year-odl).Method:A total of 499 children aged 6-8-year-old were recruited,which include 254 boys and 245 girls.Static postural balance test of these subjects was performed by using KY-1112 system for stabilometric analysis with subjects opening and closing eyes situations.Result:①There was a significant gender difference in static balance.At gender comparison,there was a significant difference on 3 indicators at the situations with eyes opening(P<0.05),and 3 indicators at the situations with eyes closing(P<0,01).②A significant difference Was shown in age comparison on 5 indicators(P<0.05).The mean of 5 indicators decreased with age growing.As compared with the value among Eve Area(with eyes opening and closing)and Track location Variance (with eyes opening).there Was a significant difference between children aged 8-year-old and 6-7-year-old(P<0.01),and no significant difference between 6-year-old and 7-year-old.There was a very significant difference on the LNG indicators at the situations with eyes opening and closing(P<0.01).③The value R indicator Was less than 1.Conclusion:To the children aged 6-8-year-old,there was significant gender difference in static balance,the balance function of girls was better than that of boys;there was significant age difference in static balance,with age growing the static balance rose also;relatively speaking,the gravity center shaking area was larger at forward and backward than that at leftward and rishtward.

3

Cite

Share

The effects of U0126 of different doses On the ability of low frequency magnetic stimulation promoting astrocyte migration

Zhe LI ; Zhengyu FANG ; Xiaolin HUANG

Chinese Journal of Rehabilitation Medicine.2010;25(3):195-199.

Objective:To investigate the effects of U0126 of different doses on the ability of low frequency magnetic stimulation promoting astrocyte migration and to select suitable dose of U0126.Method:Twenty-four adult healthy SD rats were selected to receive Injection of 0.5ml of 1% ethidium bromide(EB) in PBS into the dorsal spinal cord funiculus on the left side at T10-11 level to make located spinal cord injury models and randomly divided into four groups.The four groups were exposed to magnetic stimulation(1Hz,1.52T.30pulses)at the following dose respectively:Omg/kg U0126(control group).0.1mg/kg U0126(low-dose group), 0.2mg/kg U0126(middle-dose group),0.4mg/kg U0126(high-dose group).On the day 14 after stimulation,the rats were sacrificed and the expressions of glial fibfillary acidic protein(GFAP),microtubule associated protein-2(MAP-2),extracellular signal-regulated kinase1/2(ERg1/2)and the volume of holes were detected with immunohistochemistry.Quantitative analysis 0f the expressions of GFAP,MAP-2 and ERK1/2 were performed with the image analysis system.Result:With the increase of U0126 dose,the volume of hole increased on day 14(p<0.05).In the lesion area,the expressions of GFAP and ERK1/2 could be found,while MAP-2 could not.Significant differences were revealed in the expressions of GFAP、ERK1/2 among the four groups,it Was significantly lower in U0126 groups than that in control greup(P<0.05).while the middle-dose group had similar effect with the high-dose group(P>0.05).Conclusion:U0126 of different doses all could resupinate astrocyte migrations which were coused by low frequency magnetic stimulation,and 0.2mg/kg was the suitable dose.

4

Cite

Share

Clinical study of nerve block therapy guided by electric stimulation in low back pain

Huaping PAN ; Hui FENG ; Jian WANG

Chinese Journal of Rehabilitation Medicine.2010;25(3):236-239.

Objective:To observe the therapeutic effect of nerve block therapy guided by electric stimulation on the relief of pain and the improvement of function in patients with low back pain(LBP).Method:A total of 78 LBP patients were divided into nerve block treatment group(n=40)and traditional treatment group(n=38)randomly.The nerve block treatment group was injected with Betamethasone compound 2mg and Lidocaine 2ml guided by electric stimulation.The physical modalities and exercises therapy were applied in the traditional treatment group.The pain was evaluated with visual analogue scale(VAS)before treatment and 1 d,1 and 2 weeks after treatment.The function of lumbar was assessed before and after the treatment with performance assessment scale for the treatment of lumbar vertebral diseases.Result:The effective rate in treatment group was 100.0%,in traditional group was 86.8%:the improvement rate in treatment group was 96.6%.in traditional group was 64.3%:there were significant differences between two groups (P<0.01).Conclusion:Nerve block therapy guided by electric stimulation display significant effect on relief the low back pain and improve the function of lumbar vertebrae.

5

Cite

Share

The Clinical efficacy of combined therapy of adenosylcobalamin and transcutaneous eletrical nerve stimulation in the treatment of postherpetic neuralgia

Simeng NIU ; Lang HE ; Ying ZHAO

Chinese Journal of Rehabilitation Medicine.2010;25(3):232-235.

Objective:To study the Clinical efficacy of combined therapy of adenosylcobalamin and transcutaneous eletrical nerve stimulation(TENS)in the treatment of postherpetic neuralgia(PHN).Method:Sixty patients with PHN were randomly divided into 3 groups:group A treated with TENS.group B treated with adenosylcobalamin,group C treated with adenosylcobalamin and TENS based on the management of groups A and B.The three groups had all been treated for 10d.Result:In observation,visual analogue scale(VAS)and 5 grade pain scores of group C were lower than those of groups A and B;VAS and 5 grade pain scores differences of group C were higher than those of groups A and B:The effective rate of group C(100%)was higher than that of groups A and B respectively.The differences were significant(P<0.05).Conclusion:Combined therapy of adenosylcobalamin and TENS is effective for the treatment of PHN and can alleviate pain and improve sleep.

6

Cite

Share

The long-term effects of physical exercises on recurrent convulsion-induced cognitive deficits in developing rats and it's mechanism

Chao LI ; Hong NI ; Zhedong WANG

Chinese Journal of Rehabilitation Medicine.2010;25(3):205-210.

Objective:To explore the long-term effects of physical exercises on penicillin induced recurrent convulsion with learning and memory deficits in developing rata and its mechanism.Method:Fifty-six male SD rats(postnatal days [PD]21)were randomly divided into four groups:control group (CONT1),control plus exercises group(CONT2),convulsion group(EXP1)and convulsion plus exercises group(EXP2) ,rwenty rats were assigned for two control groups,each n=10;the surplus 36 rats were kindled by penicilln onceper d,consecutive 6d for creating convulsion models.Control rats were injected equal amount of normal sodium(NS) into abdominal cavity at the same time.The 20 qualified models of convulsion rats were randomly divided into two EXP groups.On PD39-PD43 and PD61-PD64,subjects of the four groups were tested with Morris water maze,and from PD49 to PD54.the rats of CONT2 and EXP2 were given exercises of running wheels,twice a d for consecutive 6d.The expression of glutamicacid receptor 2(GluR2)in hippocampus was detected. Result:①In the first Morris water maze test,there were significant differences of latency among four groups(F=5.56,P<0.01),and the latency of two EXP groups were significantly longer than two CONT groups(P<0.05);In the probe trial,the frequency of two EXP groups passing through target area were significantly less than that of two CONT groups.②In the second water maze test.there were significant effects of exercises on the latency of EXF2 group comparing to EXP1 group (P<0.05);the frequency of two EXP groups passing through target area were still significantly less than that of two CONT groups after exercises training(P<0.05),and there Was no significant difference between EXP1 and EXP2 groups.③In the immanohistochemical staining of GluR2,the gray values in hipocampus of two convulsion groups were significantly lower than that of two control groups(P<0.05). Conclusion:Penicillin induced recurrent convulsion could cause long-term effects on learning and memory in rats,which may be associated with down-regulated GluR2 expression in hippocampus.Physical exercises could improve learning capacity,of convulsion rats but not memory capacity.

7

Cite

Share

"The modulating effect of 5-HT1B and D1DR receptors in neurons within ""SNr/GPi-VL-SMA"" pathway on exercise induced fatigue"

Yanru HU ; Xiaoli LIU ; Decai QIAO

Chinese Journal of Rehabilitation Medicine.2017;32(5):501-508. doi:10.3969/j.issn.1001-1242.2017.05.002

Objective:To observe the changes of 5-HT1B and D1DR expression in nucleus of SNr/GPi-VL-SMA pathway in pre and post-exhaustive exercise,and investigate the central mechanism of SNr/GPi-VL-SMA pathway modulating the occurrence and development of exercise-induced fatigue.Method:Twenty-four male Wistar rats were randomly divided into control group (CG),immediately after exhaustion group (EG),and 90min after recovery group (RG),each consists of 8 rats.The expression level of 5-HT1B and D1DR receptors in each group were observed with the immunohistochemistry technique.Result:Compared with CG,the positive cell area/scanning area value (R value) and the average optical density value (AOD value) of 5-HT1B receptor in SNr and GPi of the EG and RG rats both decreased significantly (P ＜ 0.05),while the R value and AOD value of D1DR both increased significantly(P＜ 0.05).The R value and AOD value of 5-HT1B receptor in VL of EG and RG rats increased significantly(P＜0.05,P＜0.01).In SMA,the R value and AOD value of 5-HT1B receptor of EG and RG rats increased significantly (P＜ 0.05),while,the R value and AOD value of D1DR receptor decreased significantly (P ＜ 0.05).Conclusion:Changes of 5-HT1B receptor and D1DR receptor expression in the nuclei of ‘SNr/GPi-VL-SMA'pathway caused the changes of the neurotransmitters release,thus affecting the excitability of the electrical activity of neurons,this might be one of the important ways for ‘SNr/GPi-VL-SMA'pathway modulating the exercise-induced fatigue and exercise performance.

8

Cite

Share

A curative efficacy study of functional training focusing on muscle group around shoulder for subacromial impingement syndrome

Ping LUO ; Hongsheng LIN

Chinese Journal of Rehabilitation Medicine.2017;32(5):543-547. doi:10.3969/j.issn.1001-1242.2017.05.010

Objective:To study the curative efficacy of functional training focusing on muscle group around shoulder for subacromial impingement syndrome.Method:Forty five patients with subacromial impingement syndrome (SIS) were randomly grouped into three groups (fifteen patients for each group).Patients in Group Ⅰ were trained only on muscles around scapula.Patients in Group Ⅱ were treated on rotator cuff muscles.While patients in Group Ⅲ were treated on both.The training goes every 2 days and last for 4 weeks.The indexes for evaluating curative efficacy included:the Neer-test,the Hawkins-test and the Peen Shoulder Score.These indexes were measured immediately and three months after the four week treatment.Result:After treatment of the functional training focusing on muscle group around shoulder,Neer-tests and Hawkins-tests of all of patients were changed from positive to negative,the degree of pain compared with pain before the treatment declined apparently(P＜0.01),at the same time,the degree of satisfaction and the function went up remarkablely(P＜0.01).Compared with group Ⅰ and group Ⅱ,it dropped the most notably on the degree of pain in the group Ⅲ(P＜0.01),however,the degree of satisfaction and the function rose most apparently (P＜0.01) Conclusion:The curative efficacy of functional training focusing on muscle group around shoulder for sub-acromial impingement syndrome was effective apparently.But the efficacy of treated focusing on both muscles around scapula and rotator cuff was the most remarkably.

9

Cite

Share

The application of surface electromygraphy in functional assessment of patients with post-stroke pharyngeal dysphagia

Lingling LIU ; Zhen FENG

Chinese Journal of Rehabilitation Medicine.2017;32(5):534-538. doi:10.3969/j.issn.1001-1242.2017.05.008

Objective:To investigate the difference of amplitude and duration in submental muscles and infrahyoid muscles activities during pharyngeal swallowing between normal adults and post-stroke dysphagia by using surface electromyography technique and analysis system.Method:The clinical data from 30 cases of PSD and 30 healthy controls were collected.ME6000-T8-type sEMG machine was used to collect sEMG of two groups in resting state,saliva swallow and wet swallow,and therefore calculate the average amplitude and duration.Result:①In resting state:there were no statistical difference in the average amplitude of submental and infrahyoid muscles between PSD group and control group(P＞0.05);In PSD group:statistical differences were not observed in the amplitude between submental muscles and infrahyoid muscles;In control group:there were no statistical difference in the average amplitude between submental muscles and infrahyoid muscles;②During dry swallowing:the results indicated that the average amplitude of submental and infrahyoid muscles in PSD group were significantly lower than that in control group;and the duration of submental and infrahyoid muscles was significantly lower with statistical difference(P＜0.05).③During wet swallowing(swallowing5ml water):the average amplitude of submental and infrahyoid muscles in control group were significantly higher than that in PSD group(P＜0.005);and the duration of submental and infrahyoid muscles were also significantly prolonger (P＜0.001);④Intra-group comparison:statistically differences were not observed in the amplitude and duration between submental muscles and infrahyoid muscles for both PSD group and control group(P＞0.05).Conclusion:sEMG could be used as a non-invasive、simple、rapid tool in detecting the sEMG activities of related muscles during pharyngeal swallowing.The average amplitude and duration of submental and infrahyoid muscles can not only preliminarily screen and evaluate swallowing function,but also reflect the complexity and the elevation persistence time of the hyoid bone and the larynx in elevation movement,which were used to evaluate the neuromuscular function and predict the risk of aspiration of patients.

10

Cite

Share

Postural influence on lower limb loading and stability during stand-to-sit movement in hemiplegic stroke patients

Jinfa LUO ; Chaomin NI ; Meng LIU

Chinese Journal of Rehabilitation Medicine.2017;32(8):885-889. doi:10.3969/j.issn.1001-1242.2017.08.006

Objective:To investigate the effect of four different limbs postures on leg loading and stability of stand-to-sit (StandTS) in hemiplegic stroke patients.Method:30 hemiplegic stroke patients and 30 healthy individuals participated in this study.The duration,mean lower limb loading,and sway of the center of gravity (COG) in mediolateral directions (COGX) were measured during StandTS at four postures.Result:There were no significant differences in duration,mean lower limb loading,and COGX between the two arm positions during StandTS in hemiplegic stroke patients (0.05＜P＜0.1).In hemiplegic stroke patients performing StandTS,there were significant differences in duration,lower limb loading,and COGX between the different foot positions (P＜0.05).When hemiplegic stroke patients placed the paretic foot posterior,the weightbearing asymmetry between lower limbs was greatly improved,compared with the asymmetry when the non-paretic foot was posterior (P＜0.05).Furthermore,when the non-paretic foot was posterior,the duration to complete the StandTS movement increased (P＜0.05),and the postural stability during StandTS improved(P＜0.05).There were no significant differences in duration,mean lower limb loading,and COGX among four different limbs positions during StandTS in healthy individuals (0.05＜P＜0.1).Conclusion:Changing the upper limb position did not affect lower limb loading and postural stability during StandTS in stroke patients.However,changing the foot position significantly influenced the lower limb loading and postural stability during StandTS in hemiplegic stroke patients.

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share