康复医学(英文)最新文献_第6页

Effect of Exercise with Rhythmic Auditory Stimulation on Muscle Coordination and Gait Stability in Patients with Diabetic Peripheral Neuropathy: A Randomized Controlled Trial 节奏性听觉刺激运动对糖尿病周围神经病变患者肌肉协调和步态稳定性的影响：一项随机对照试验

康复医学(英文) Pub Date : 2019-06-04 DOI: 10.4236/OJTR.2019.73005

Keisuke Suzuki, M. Niitsu, T. Kamo, S. Otake, Y. Nishida

{"title":"Effect of Exercise with Rhythmic Auditory Stimulation on Muscle Coordination and Gait Stability in Patients with Diabetic Peripheral Neuropathy: A Randomized Controlled Trial","authors":"Keisuke Suzuki, M. Niitsu, T. Kamo, S. Otake, Y. Nishida","doi":"10.4236/OJTR.2019.73005","DOIUrl":"https://doi.org/10.4236/OJTR.2019.73005","url":null,"abstract":"Background: Diabetic peripheral neuropathy (DPN) changes leg muscle coordination during walking and reduces stability. The aim of this study was to determine whether rhythmic auditory stimulation (RAS) affected the gait performance of patients with DPN. Methods: Forty DPN patients (mean age, 59.1 ± 9.4 y) were randomly allocated to RAS and control groups in equal numbers. The participants in each group underwent 2 weeks of supervised rehabilitative treatment (40 min/day) as inpatients. This included walking twice a day, during which the RAS group participants walked in time with a metronome set at a self-chosen, comfortable rate. We compared gait function, lower limb muscle co-contraction, and gait stability before and after the intervention for both groups, calculated the change in score for each parameter, and assessed differences between the groups with unpaired t-tests and ANCOVA. Results: RAS was associated with significant improvement in all parameters. In the control group, there was no improvement in cadence, co-contraction, or gait stability (vertical). Compared with the control group, the RAS group showed improvement in co-contraction and gait stability. Conclusion: RAS may be helpful for improving the lower limb muscle coordination and gait function of DPN patients.","PeriodicalId":58987,"journal":{"name":"康复医学(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47137152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Research Progress of Lower Limb Rehabilitation Robots in Mainland China 中国大陆下肢康复机器人的研究进展

康复医学(英文) Pub Date : 2019-06-04 DOI: 10.4236/OJTR.2019.73006

Zheng Liu, Dunmin Lu

引用次数: 2

The Psychosocial Impact and Value of Participating in a Storytelling Intervention for Patients Diagnosed with Cancer: An Integrative Review 参与癌症患者讲故事干预的心理社会影响和价值：综合综述

康复医学(英文) Pub Date : 2019-05-14 DOI: 10.4236/OJTR.2019.72004

A. Soundy, Kate Reid

{"title":"The Psychosocial Impact and Value of Participating in a Storytelling Intervention for Patients Diagnosed with Cancer: An Integrative Review","authors":"A. Soundy, Kate Reid","doi":"10.4236/OJTR.2019.72004","DOIUrl":"https://doi.org/10.4236/OJTR.2019.72004","url":null,"abstract":"Background: Interventions have recently been developed to test the therapeutic value of storytelling for people with cancer. This evidence includes different designs, as a result an integrative review is needed that can determine the impact and value of storytelling interventions for people with cancer. Aims: To undertake an integrative review of evidence identifying the impact and outcomes from storytelling interventions for people with cancer. Methods: An integrative review of group based storytelling interventions using a qualitative led-synthesis. Results: Eleven studies were identified with a total of 493 (49 female, 16 male, 428 not disclosed) people included. Two major themes were identified: 1) content of interaction and 2) outcomes from the interventions. Six sub-themes were identified. The results provided a unique insight into the psycho-emotional impact of storytelling interventions. Conclusions: It is essential that health care professionals understand the core benefits of storytelling for people with cancer. Further interventions are needed to identify an approach which could be applied within clinical settings.","PeriodicalId":58987,"journal":{"name":"康复医学(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48286802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Wheelchair Seating: Peak Pressure Distribution in Young versus Elderly Healthy Controls 轮椅座位:年轻人与老年人健康对照的峰值压力分布

康复医学(英文) Pub Date : 2019-03-25 DOI: 10.4236/OJTR.2019.72003

M. Timm, K. Samuelsson

{"title":"Wheelchair Seating: Peak Pressure Distribution in Young versus Elderly Healthy Controls","authors":"M. Timm, K. Samuelsson","doi":"10.4236/OJTR.2019.72003","DOIUrl":"https://doi.org/10.4236/OJTR.2019.72003","url":null,"abstract":"Background: People may use a wheelchair when they need assistance with mobility. Some users have to remain seated in their wheelchair for most of their awake time and for a lot of activities. The need for a well fitted and supportive wheelchair is important and, for those who use the wheelchair for many hours, peak pressure distribution is of interest to prevent pressure ulcers and discomfort. Aim: To describe how high local peak pressures may be distributed over risk areas for pressure ulcers in different wheelchair settings. Methods: Two groups of healthy adults were recruited (40 elderly and 30 younger individuals). Two standard models of manual wheelchairs were used together with two types of wheelchair cushions. Results: The elderly group had a higher peak pressure over the ischial tuberosity and increased posterior pelvic rotation in the shaped seat cushion. Both groups had higher peak pressure over the trochanter in the shaped seat cushion. Peak pressure was also higher over the coccyx for the elderly in the shaped seat cushion compared with the plain cushion; this was lower for the younger group. Discussion: The results indicate that age might influence the important physical prerequisites when fitting a wheelchair to an individual.","PeriodicalId":58987,"journal":{"name":"康复医学(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43099198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Rehabilitation Outcomes with Acoustic Radiation Force (ARFI) Elastosonography in Hemiplegic Patients Treated with Neuromuscular Electrical Stimulation 声辐射力弹性超声对神经肌肉电刺激治疗偏瘫患者康复效果的比较

康复医学(英文) Pub Date : 2019-02-01 DOI: 10.4236/ojtr.2019.71001

M. Toprak, N. Toprak

{"title":"Comparison of Rehabilitation Outcomes with Acoustic Radiation Force (ARFI) Elastosonography in Hemiplegic Patients Treated with Neuromuscular Electrical Stimulation","authors":"M. Toprak, N. Toprak","doi":"10.4236/ojtr.2019.71001","DOIUrl":"https://doi.org/10.4236/ojtr.2019.71001","url":null,"abstract":"To evaluate the gastrocnemius/soleus and biceps brachii muscle stiffness by Acoustic Radiation Force Impulse (ARFI) elastography in the hemiplegia patients, sixty patients with hemiplegia after stroke were recruited. Baseline data were collected including age, gender, body mass index, education level, dominant side, affected side, time since stroke, stroke etiology. All patients were evaluated with before treatment and posttreatment with Broonstroom staging, Modified Ashworth spasticity scale, and Functional Independence Measures scale. The patient was divided into 3 groups: 1) Neuromuscular electrical stimulation group, 2) Rehabilitation group, 3) Neurumusculer electrical stimulation + Rehabilitation group. Affected and unaffected side biceps and gastrocnemius, ARFI elastography measurements were used to measure thickness and elastic values. In addition, before and after treatment, length and thickness were measured from all patients. Of the 60 subjects, 28 were female (46.7%) and 32 (53.3%) were males, with an average age of 58.42 ± 9.03 years. There was a significant difference between the upper and lower limbs after the treatment in terms of Brunstroom staging. In terms of Modified Ashworth scale, there was a significant difference in lower extremity only after treatment. When compared to the affected/unaffected side, before and after treatment, there was a significant difference in the measurements in both the medial gastrocnemius and the lateral gastrocnemius in all three groups. Further research with larger numbers of patients for longer periods is needed to clarify the relationship between the muscle hardness and degree of spasticity.","PeriodicalId":58987,"journal":{"name":"康复医学(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47333381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Mindfulness and Aerobic Exercise as an Intervention for Cognitive Dysfunction Following an Acquired Brain Injury: A Pilot Study 正念和有氧运动对后发性脑损伤后认知功能障碍的干预:一项初步研究

康复医学(英文) Pub Date : 2019-01-31 DOI: 10.4236/ojtr.2019.71002

Lovisa Hellgren, A. Lundqvist, B. Börsbo, R. Levi, K. Samuelsson

{"title":"Mindfulness and Aerobic Exercise as an Intervention for Cognitive Dysfunction Following an Acquired Brain Injury: A Pilot Study","authors":"Lovisa Hellgren, A. Lundqvist, B. Börsbo, R. Levi, K. Samuelsson","doi":"10.4236/ojtr.2019.71002","DOIUrl":"https://doi.org/10.4236/ojtr.2019.71002","url":null,"abstract":"Background: Cognitive impairments as sequelae of brain injury are common and can negatively affect activities of everyday life, participation and quality of life. Thus, finding ways to reduce cognitive impairments and ameliorate their negative impact on everyday life is an important focus of research. Aim: The aim of this pilot study was to analyse the effects of a combination of guided mindfulness and aerobic exercise on cognitive ability and mental fatigue in patients with acquired brain injury (ABI). Design: Pilot study, with a before-after design. Setting: Outpatient. Population: Twenty-one patients suffering from ABI, former patients of three rehabilitation medicine departments. Methods: The intervention comprised a structured combination of guided mindfulness program and outdoor walking, three times/week for 12 weeks. The outcome measures included assessment of information processing speed, working memory, oxygen uptake and self-reported mental fatigue. Results: The main results showed improvements in cognitive abilities related to information processing speed, perceived mental fatigue and physical capacity. Conclusions: A combination of mindfulness and physical activity can increase information processing speed and ameliorate mental fatigue. Further studies are needed to confirm our findings. Clinical Rehabilitation Impact: The combination of guided mindfulness and physical activity shows promise as a treatment modality in rehabilitation of impaired information processing speed and mental fatigue following ABI.","PeriodicalId":58987,"journal":{"name":"康复医学(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43793475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0