Objective:To investigate the effects of cerebellar intermittent theta burst stimulation(iTBS)combined with ex-ercise therapy on balance and walking function in stroke patients.Method:Sixty stroke patients with balance and gait disturbances were randomly assigned to an experimental group(n=30)and a control group(n=30).Both groups received exercise therapy.Before exercise therapy,the experimental group received iTBS treatment on the cerebellar hemisphere contralateral to the lesion,while the control group received sham stimulation at the same site.iTBS treatment was administered once daily,6 times a week,for 2 consecutive weeks.The balance and gait functions were evaluated before and after treatment us-ing the Berg balance scale(BBS),Pro-kin balance master static balance test,Timed Up and Go Test(TUGT),10-meter walking test(10MWT),and Tinetti performance oriented mobility assessment-gait(Tinetti POMA-G).Result:After treatment,both groups of patients showed improvements in BBS scores,Pro-kin balance master static balance test parameters,TUGT time,10MWT walking speed,and POMA-G scores compared to before treatment(P＜0.001).The experimental group showed better BBS scores,Pro-kin balance master static balance test parameters in eyes closed condition,TUGT time,10MWT walking speed,and Tinetti POMA-G scores compared to the control group after treatment(P＜0.05).Conclusion:The combination of cerebellar iTBS and exercise therapy effectively improve balance and walking function in stroke patients.

Objective:To evaluate the effectiveness of virtual case teaching integrating standardized patients (SP) and objective structured clinical examination (OSCE) in enhancing students' clinical thinking and practical skills in experimental exercise therapy course.Methods:In April 2023, 52 students from the 2021 cohort and 54 students from the 2022 cohort of the Rehabilitation Therapy undergraduate program at Xinjiang Medical University were selected and divided into the experimental group and control group according to their classes. In the shoulder joint mobilization experimental class of the exercise therapy course, virtual SP teaching was performed in the experimental group of both cohorts. For the control group, student-led SP teaching was performed in the 2021 cohort, while the traditional "lecture + demonstration" method was used in the 2022 cohort. Upon completion of teaching, theoretical exams, case analysis, practical exams, and a teaching satisfaction survey were conducted on the students. Data were analyzed using the t-test and chi-square test in SPSS 25.0. Results:In both cohorts, the experimental group had similar theoretical exam scores ( P=0.207 and P=0.097, respectively) to the control group, but had higher practical exam scores ( P=0.013 and P=0.002, respectively) than the control group. In the case analysis exam, the experimental group scored higher than the control group in the 2022 cohort ( t=2.84, P=0.006) but similarly to the control group in the 2021 cohort ( t=1.53, P=0.132). All students believed that virtual SP teaching was most engaging. In terms of understanding complex concepts, increasing active participation, and fostering clinical thinking, the 2022 cohort was more satisfied with virtual SP teaching, whereas the 2021 cohort experienced no significant difference between virtual SP teaching and student-led SP teaching. In addition, the 2021 cohort found that student-led SP teaching was more helpful for improving doctor-patient communication skills. Conclusions:The application of virtual SP teaching in the experimental exercise therapy course effectively enhances students' practical skills and case analysis capabilities, contributing greatly to their overall clinical management thinking.

Objective:To investigate the effects of cerebellar intermittent theta burst stimulation(iTBS)combined with ex-ercise therapy on balance and walking function in stroke patients.Method:Sixty stroke patients with balance and gait disturbances were randomly assigned to an experimental group(n=30)and a control group(n=30).Both groups received exercise therapy.Before exercise therapy,the experimental group received iTBS treatment on the cerebellar hemisphere contralateral to the lesion,while the control group received sham stimulation at the same site.iTBS treatment was administered once daily,6 times a week,for 2 consecutive weeks.The balance and gait functions were evaluated before and after treatment us-ing the Berg balance scale(BBS),Pro-kin balance master static balance test,Timed Up and Go Test(TUGT),10-meter walking test(10MWT),and Tinetti performance oriented mobility assessment-gait(Tinetti POMA-G).Result:After treatment,both groups of patients showed improvements in BBS scores,Pro-kin balance master static balance test parameters,TUGT time,10MWT walking speed,and POMA-G scores compared to before treatment(P＜0.001).The experimental group showed better BBS scores,Pro-kin balance master static balance test parameters in eyes closed condition,TUGT time,10MWT walking speed,and Tinetti POMA-G scores compared to the control group after treatment(P＜0.05).Conclusion:The combination of cerebellar iTBS and exercise therapy effectively improve balance and walking function in stroke patients.

Objective:To evaluate the effectiveness of virtual case teaching integrating standardized patients (SP) and objective structured clinical examination (OSCE) in enhancing students' clinical thinking and practical skills in experimental exercise therapy course.Methods:In April 2023, 52 students from the 2021 cohort and 54 students from the 2022 cohort of the Rehabilitation Therapy undergraduate program at Xinjiang Medical University were selected and divided into the experimental group and control group according to their classes. In the shoulder joint mobilization experimental class of the exercise therapy course, virtual SP teaching was performed in the experimental group of both cohorts. For the control group, student-led SP teaching was performed in the 2021 cohort, while the traditional "lecture + demonstration" method was used in the 2022 cohort. Upon completion of teaching, theoretical exams, case analysis, practical exams, and a teaching satisfaction survey were conducted on the students. Data were analyzed using the t-test and chi-square test in SPSS 25.0. Results:In both cohorts, the experimental group had similar theoretical exam scores ( P=0.207 and P=0.097, respectively) to the control group, but had higher practical exam scores ( P=0.013 and P=0.002, respectively) than the control group. In the case analysis exam, the experimental group scored higher than the control group in the 2022 cohort ( t=2.84, P=0.006) but similarly to the control group in the 2021 cohort ( t=1.53, P=0.132). All students believed that virtual SP teaching was most engaging. In terms of understanding complex concepts, increasing active participation, and fostering clinical thinking, the 2022 cohort was more satisfied with virtual SP teaching, whereas the 2021 cohort experienced no significant difference between virtual SP teaching and student-led SP teaching. In addition, the 2021 cohort found that student-led SP teaching was more helpful for improving doctor-patient communication skills. Conclusions:The application of virtual SP teaching in the experimental exercise therapy course effectively enhances students' practical skills and case analysis capabilities, contributing greatly to their overall clinical management thinking.

Objective:To observe any effect of combining high-intensity intermittent inspiratory muscle training (HII-IMT) with an external diaphragm pacer (EDP) on the respiration and exercise capacity of mechanically-ventilated (MV) patients during an acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Methods:A total of 120 AECOPD patients were randomly divided into a control group, and 3 observation groups, each of 30. The control group was given conventional rehabilitation. The observation groups also received an EDP. In addition, the observation group 1 underwent HII-IMT twice a day, 6 days a week for 2 weeks, and the observation group 2 did low-to-moderate intensity sustained inspiratory muscle training (L-MIS-IMT) on the same schedule. Before and after the treatment, the functioning of the diaphragm and peripheral skeletal muscles was evaluated. Their motor functioning was measured using Medical Research Council (MRC) scoring and mobility was measured using the de Morton mobility index (DEMMI). Arterial blood gases and the durations of MV and ICU stay were recorded. Inspiratory muscle and peripheral muscle functioning were correlated with motor functioning and mobility using Spearman correlation analysis and quantile regression analysis.Results:Significant improvements were observed in the average diaphragm excursion (DE), diaphragm thickening fraction (DTF), maximum inspiratory pressure (MIP), arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2), biceps thickness (BRT), quadriceps thickness (QMT), MRC scores and DEMMI values in all 4 groups. Those of observation group 1 were significantly better than the observation group 2 and 3 results, on average. The MV time of observation group 1 averaged (9.2±0.4) days and with an average ICU stay of 12 days (a range of 10.2-13.7). Both were significantly shorter than the other 3 groups′ averages. BRT, QMT, MRC score and DEMMI values were positively correlated with the increases in DE, DTF and MIP.Conclusions:HII-IMT combined with EDP can significantly improve the breathing and mobility of AECOPD patients on mechanical ventilation. The improvements in MIP, DE and DTF can better their BRT, QMT, MRC score and DEMMI values to varying degrees.

Objective To observe brain areas activated during verb generation in Uyghur and Chinese,and thus to explore the neural mechanism of speech formation and understanding and the language barriers after brain injury and during recovery.Methods The blood oxygen level dependent contrast functional magnetic resonance imaging (BOLD-fMRI) was used to scan activated brain areas of 31 cases of Uyghur and 28 cases of Chinese speakers as they completed a verb generation task.Results The mainareas activated in the brains of the Chinese group were the left caudate nucleus,the left inferior occipital gyrus,the left fusiformgyrus,bilateral supplementary motor areas (BA8/6),the left BA32 area,the left precuneus,the left superior parietal lobe (BA7),the left inferior parietal lobe,the left angular gyrus,the right precentral area (BA9),the pars triangularis of the left inferior frontal gyrus,the pars opercularis of the right inferior frontal gyrus and the bilateral cerebellum.The main activated areas of the Uyghur group were the left precentral area (BA9),the pars opercularis of the left inferior frontal gyrus,the pars triangularis of the left inferior frontal gyrus and the left cerebellum.Moreover,the Chinese group showed significantlygreater activation in left caudate body,the left orbital part of the middle frontal gyrus,the right caudate head and the bilateral anterior cingulate gyrus (BA32) compared to the Uyghur group.The Uyghur group,on the other hand,did not show activation significantly greater than that of the Chinese group in any area.Conclusions The brain areas activated when generating verbs in Uyghur and Chinese are not exactly the same-the processing of Uyghur mainly occursin the left hemisphere,while that of Chinese may need the participation of more brain areas in the right hemisphere.