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Effect of McKenzie Technique on Discogenic Low Back Pain

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):374-377. doi:10.3969/j.issn.1006-9771.2014.04.018

Objective To observe the clinical effect of manipulation combined with McKenzie technique on discogenic low back pain. Methods 80 patients were randomly divided into control group (n=39, 1 case was lost) and observation group (n=40). The patients in obser-vation group received manipulation and McKenzie technique, while the control group received manipulation only. All the patients were eval-uated with Oswestry Disability Index (ODI), Visual Analogous Scale (VAS) and Self-rating Depression Scale (SDS) before and 3 weeks af-ter treatment. Results The scores of ODI, VAS and SDS decreased after treatment in both groups (P<0.01). The score of ODI and VAS were lower in the observation group than in the control group (P<0.05), while there was no significant difference in the score of SDS between two groups after treatment (P>0.05). Conclusion Manipulation combined with McKenzie technique is more effective on discogenic low back pain.

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Characteristics of Surface Electromyogram of Forearm Muscles of Parkinson's Disease Patients with or without Load

Qifang CAI ; Yanquan TAN ; Jiemei LIU

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):356-358. doi:10.3969/j.issn.1006-9771.2014.04.013

Objective To explore the characteristics of surface electromyogram (sEMG) of the forearm muscles of Parkinson's disease patients with or without load. Methods 26 Parkinson's disease patients and 28 healthy individuals participated in this study. All the subjects performed isometric contraction for elbow flexion without load or with a load of 1.5 kg. The sEMG signals were collected by surface elec-trodes and processed by linear time and frequency domain method. Results The values of median frequency (MF) and mean power frequen-cy (MPF) were higher in the patients than in the healthy controls without load (P<0.05). The value of average EMG (AEMG) was lower in the patients than in the healthy controls with a load of 1.5 kg (P<0.001). For the patients, the values of MF and MPF were higher without load than with a load of 1.5 kg (P<0.001), and the value of AEMG was lower without load than with a load of 1.5 kg (P<0.001). For the healthy controls, only the value of AEMG was lower without load than with a load of 1.5 kg (P<0.001). Conclusion The values of MF and MPF are higher in Parkinson's disease patients than in the healthy controls without load while the value of AEMG is lower in Parkinson's dis-ease patients than in the healthy controls with load.

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Test-retest Reliability of Distal Upper Extremity Muscle Strength by Muscle Evaluation and Treatment System on Healthy Adults

Ying CHEN ; Fang LI ; Xiulin XU

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):371-373. doi:10.3969/j.issn.1006-9771.2014.04.017

Objective To investigate the test-retest reliability of Muscle Evaluation and Treatment System on healthy adults. Methods 30 healthy adults participated in this study and were tested by Muscle Evaluation and Treatment System, designed by University of Shang-hai for Science and Thechnology and Rehabilitation Department of Huashan Hospital, on muscle strength of both sides' flexor carpi mus-cles, musculus flexor digitorum sublimis, flexor digitorum profundus, extensor digitorum muscle, extensor carpi muscles. Peak torque, peak torque per weight, largest single work, largest single work per weight, average torque, average power were the main parameters. Each partici-pant was tested 2 times, and the interval was 7 days. Results Almost perfect test-retest reliability of peak torque was performed on flexor car-pi muscles, musculus flexor digitorum sublimis, flexor digitorum profundus, and extensor carpi muscles. Moderate to excellent test-retest re-liability of average power were performed on extensor digitorum muscle. Conclusion Good test-retest reliability of Muscle Evaluation and Treatment System is proved in the study.

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Advance in Relationship between Migraine and Cardiac Right-to-left Shunts (review)

Jing ZHAO ; Huailian GUO

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):344-346. doi:10.3969/j.issn.1006-9771.2014.04.010

The pathogenesis of migraine is not fully understood as yet. Recently, with the development of ultrasonography, some stud-ies indicated that the prevalence of right-to-left shunt (RLS) seemed to be higher in migraine, especially in migraine with aura. The progress in the relationship between migraine and RLS was reviewed.

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Application of Positron Emission Computed Tomography in Treatment of Cerebral Infarction (review)

Hehe LI ; Rong XIE

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):340-343. doi:10.3969/j.issn.1006-9771.2014.04.009

Cerebral infarction is caused by cerebral blood supply disturbance, and then results in cerebral hypoxic ischemic lesions, with the manifestation of neurofunction deficit. This article summarized the application of positron emission computed tomography in treat-ment of cerebral infarction.

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Advance in Rehabilitation of Upper Limb Function in Hemiplegic Patients after Stroke (review)

Wen HE ; Kai WANG

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):334-339. doi:10.3969/j.issn.1006-9771.2014.04.008

The incidence of upper limb dysfunction of stroke patients was high, and the recovery was difficult, which seriously impact-ed their activities of daily living and quality of life. This article reviewed the new techniques and methods for hemiplegic patients after stroke. The main techniques and methods includeed bilateral isokine-matic training, mirror neuron system, gymnastics rods training, music therapy, motor imagery, upper limb rehabilitation robot, virtual reality, constraint induced movement therapy, functional electrostimulation, electromyographic biofeedback therapy, transcranial magnetic stimulation, neurophyisological therapy and so on.

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Application of Transcutaneous Electrical Nerve Stimulation in Stroke Patients with Upper Extremities Dysfunction (review)

Chaozheng TANG ; Jie JIA

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):306-310. doi:10.3969/j.issn.1006-9771.2014.04.002

Upper extremities dysfunction seriously impacted quality of life and independent self-care ability in patients after stroke. Transcutaneous electrical nerve stimulation has been proved to be an effective method for upper extremities dysfunction rehabilitation. Clini-cians focused to select the proper therapeutic method according to the patient's specific condition to accelerate the upper limb rehabilitation. This article summarized the clinical application researches of transcutaneous electrical nerve stimulation in stroke patients with upper ex-tremities dysfunction.

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Advance in Animal Experiment of Acupuncture for Cerebral Palsy (review)

Dongchen XU ; Jiang YANG ; Xinmin HAN

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):331-333. doi:10.3969/j.issn.1006-9771.2014.04.007

This article reviewed the effects of acupuncture on structure and function of central nervous system (CNS). Acupuncture is effective on motor function and ability of learning and memory. The mechanism is complex, including cerebral blood flow, pathomorphism, energy metabolism, free radicals metabolism, cell apoptosis, synaptic connections, and expression of neurotrophic factor, etc.

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Advance in Dysosmia and the Early Neurodegenerative Diseases (review)

Jiaojiao SHI ; Zhen LIANG ; Pingping ZUO

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):327-330. doi:10.3969/j.issn.1006-9771.2014.04.006

There are a large amount of neural stem cells in the olfactory system which have an active proliferation, ongoing and direc-tional differentiation and migration in order to adapt to the changing environment. The clinical findings showed that the early stages of some neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease all presented dysosmia. In recent years, the relationship be-tween air pollution and dysosmia attracts public concerns. This article introduced some research progresses in this field.

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Clinical Features of Cerebral Palsy after Pachygyria and Periventricular Leukomalacia

Junying YUAN ; Xianxu ZENG ; Xia WANG

Chinese Journal of Rehabilitation Theory and Practice.2014;(4):389-391. doi:10.3969/j.issn.1006-9771.2014.04.022

Objective To compare the features of cerebral palsy with pachygyria or periventricular leukomalacia (PVL). Methods 15 children with pachygyria and 35 children with PVL were included. Their diagnosed age, clinical subtype, complications, Gross Motor Func-tion Classification System (GMFCS) were compared. Results The diagnosed age was significantly younger (P<0.001), the GMFCS was lower (P<0.05), the incidence rate of epilepsy was higher (P<0.05), and the intelligence was significantly lower (P<0.001) in the pachygyria group than in the PVL group. Conclusion Cerebral palsy children with pachygyria develope worse than that with PVL, as well as their prog-nosis.

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