中华物理医学与康复杂志最新文献

{"title":"Effects of transcranial direct current stimulation on dysphagia arising from bulbar or pseudobulbar palsy after stroke","authors":"Chen Yang, Jun Zhang, F. Sun, Qianhua Du, Shufeng Tian","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.003","url":null,"abstract":"Objective \u0000To explore the clinical effect of applying transcranial direct current stimulation (tDCS) to stroke survivors with dysphagia caused by bulbar or pseudobulbar palsy. \u0000 \u0000 \u0000Methods \u0000Sixty stroke survivors with dysphagia caused by bulbar or pseudobulbar palsy were randomly divided into an experimental group and a control group, each of 30. All were given basic rehabilitation training, including cold stimulation of the pharynx and empty swallowing training twice a day, practicing the pronunciation of the sounds A, YI and WU five times a day, 30 to 60 repetitions of tongue aspirator training daily and three 15-minute massages with an electric toothbrush. Each subject also received 20 minutes of treatment with a Vocastim swallowing therapy apparatus every day, six times a week for two weeks. Those in the experimental group also received 20 minutes of tDCS every day, six times a week during the two weeks. Before and after the treatment, all were evaluated using the Kubota drinking water test, a functional oral intake scale (FOIS) and standardized swallowing assessment (SSA). \u0000 \u0000 \u0000Results \u0000After the treatment, a significant improvement was observed in the average Kubata test scores, with the improvement of the experimental group significantly greater than that of the control group. The average FOIS score of those with pseudobulbar palsy in both groups also improved significantly, with the experimental group′s average significantly better than that of the control group. The average FOIS scores of those with bulbar palsy had also improved significantly, but there was no significant inter-group difference. The average SSA scores of those with pseudobulbar palsy in both groups improved significantly, with significantly greater improvement in the experimental group. The average scores of those with bulbar palsy decreased significantly, but without significant inter-group differences. \u0000 \u0000 \u0000Conclusions \u0000Transcranial direct current stimulation can usefully supplement basic swallowing training, especially for those with pseudobulbar palsy. \u0000 \u0000 \u0000Key words: \u0000Stroke rehabilitation; Transcranial direct current stimulation; Dysphagia; Bulbar palsy; Pseudobulbar palsy","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"199-204"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48905747","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}

{"title":"Transcranial direct current stimulation combined with bilateral training can improve upper limb motor function after a stroke","authors":"Wudong Sun, Qian Cai, L. Xu, Xi Yang, L. Luo, Ming Ma","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.004","url":null,"abstract":"Objective \u0000To explore the effect of combining transcranial direct current stimulation (tDCS) with bilateral isokinematic training (BIT) to improve upper limb motor function after stroke. \u0000 \u0000 \u0000Methods \u0000Sixty stroke survivors were randomly divided into a tDCS group, a BIT group and a tDCS + BIT group, each of 20. In addition to conventional medical treatment and rehabilitation training, the three groups were given the additional treatment their group names indicate for four weeks. Before and after the intervention, everyone′s motor evoked potential cortical latency (CL) and central motor conduction time (CMCT) were measured. Upper limb motor function was assessed using the Fugl-Meyer upper extremity assessment (FMA-UE) and the Hongkong edition of a functional test for the hemiplegic upper extremity (FTHUE-HK). \u0000 \u0000 \u0000Results \u0000After 4 weeks of treatment the average CL and CMCT had decreased significantly in all three groups, with those of the combined group significantly shorter than the other two groups′ averages. The average FMA-UE and FTHUE-HK scores had increased significantly in all three groups compared to those before treatment, but those of the combined group were significantly superior to the other groups′ averages. \u0000 \u0000 \u0000Conclusions \u0000tDCS combined with BIT can further improve the excitability of the cerebral cortex and promote the recovery of upper limb motor function. \u0000 \u0000 \u0000Key words: \u0000Transcranial direct current stimulation; Bilateral isokinematic training; Stroke; Upper limbs","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"205-208"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47174233","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}

{"title":"The effects of aerobic exercise on inflammatory factors, insulin resistance and endothelial function in overweight or obese children","authors":"K. Zheng","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.001","url":null,"abstract":"Objective \u0000To investigate the effects of 24 weeks of aerobic exercise on inflammatory factors, insulin resistance and endothelial function among overweight or obese children. \u0000 \u0000 \u0000Methods \u0000Eighty overweight or obese children were randomly divided into a control group and an exercise group, each of 40. Both groups took part in physical activity organized by a school (twice/week, 45 min/time), while the exercise group performed an additional 24-week aerobic exercise program. Blood pressure, heart rate, body weight, body mass index (BMI), body composition, flow-mediated dilation (FMD) of the brachial artery, serum C-reactive protein (CRP), lipids, glucose and insulin were monitored. Insulin resistance indices (IRIs) were estimated from a homeostatic model assessment. \u0000 \u0000 \u0000Results \u0000A baseline positive correlation was found between serum CRP and IRI which remained significant after adjusting the baseline variables. After the intervention, the average FMD of the exercise group had increased significantly while no significant improvement was found in the control group. However, after the intervention, no significant differences were found between the two groups in terms of the other measurements. \u0000 \u0000 \u0000Conclusions \u0000The serum CRP of overweight/obese children is independently associated with IRI. Twenty-four weeks of aerobic exercise can improve vascular endothelial function. \u0000 \u0000 \u0000Key words: \u0000Aerobic exercise; Overweight; Obesity; Children; Inflammatory factors; Insulin resistance; Endothelium function","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"193-197"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44167053","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}

{"title":"Neurotransmitters after brain injury and their relationship with loss of consciousness","authors":"Renhong He, Jianzhong Fan, L. Qiu","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.008","url":null,"abstract":"Objective \u0000To explore the difference in neurotransmitter levels between persons who had been comatose after a brain injury and healthy counterparts, and to explore the relationship between neurotransmitters and different states of consciousness. \u0000 \u0000 \u0000Methods \u0000A total of 52 persons with brain injury were analyzed retrospectively and divided into a coma group of 30 with Glasgow coma scale scores ≤9 and a sober group of 22 with scores >9. γ-GABA, 5-hydroxytryptamine, noradrenaline and dopamine levels were measured using encephalofluctuography and compared between the two groups. \u0000 \u0000 \u0000Results \u0000The levels of all of the neurotransmitters tested were significantly lower in the coma group than in the sober group. There were, however, no significant differences between the two groups in terms of relative levels of the neurorsmters. Logistic regression showed that dopamine deficiency is an important risk factor for coma after a brain injury. \u0000 \u0000 \u0000Conclusions \u0000Most neurotransmitters decrease significantly among those comatose after a brain injury. Dopamine deficiency seems to be a risk factor for the incidence of coma. Therefore, drugs or rehabilitation therapies which can improve dopamine levels can be considered to help coma patients regain consciousness. \u0000 \u0000 \u0000Key words: \u0000Brain injury; Coma; Encephalofluctuography; Neurotransmitters; Dopamine","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"223-227"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43141272","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}

{"title":"The clinical effect and molecular mechanism of transcranial direct current stimulation treatment for incomplete cervical spinal cord injury","authors":"Y. Liu, Yu-chang Gui, Xiaoxiao Huang, Jincui Hu, Jianwen Xu","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.005","url":null,"abstract":"Objective \u0000To investigate the clinical effect of transcranial direct current stimulation (tDCS) in treating incomplete cervical spinal cord injury, and to explore the possibility of a relationship between the expression of long chain non-coding RNA (LncRNA) and neurological recovery after such injury. \u0000 \u0000 \u0000Methods \u0000Forty-six patients suffering from incomplete cervical spinal cord injury were randomly divided into a tDCS group and a control group, each of 23. The American Spinal Cord Injury Association (ASIA) standard, a functional independence scale (FIM) and the modified Barthel index (MBI) were used to evaluate functional changes before and after 8 weeks of treatment. The neurophysiological evaluations of the spinal cord injury were in terms of somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs). The expression of the LncRNA-MALAT1, MIAT, GPNMB, LILRB4 and SCD1 genes was quantified before and after the intervention. The relationship between the expression of LncRNA and MBI was then further explored. \u0000 \u0000 \u0000Results \u0000The average central motor conduction time (CMCT) of the MEPs and the average central conduction time (CTT) of SEPs in the tDCS group were significantly lower than those before treatment and significantly faster than those of the control group after the treatment. The relative expression levels of LncRNA-MALAT1 and MIAT in the tDCS group were significantly higher than those before treatment and among the control group after the intervention. However, no significant differences were observed in the average expression of the LncRNA-GPNMB, LILRB4 or SCD1 genes. After tDCS the relative expression levels of LncRNA-MALAT1 and MIAT were positively and significantly correlated with MBI scores. \u0000 \u0000 \u0000Conclusions \u0000tDCS can promote the recovery of motor and sensory functions after incomplete cervical spinal cord injury. The underlying mechanism may lie in the up-regulation of LncRNA-MALAT1 and MIAT expression. \u0000 \u0000 \u0000Key words: \u0000Transcranial direct current stimulation; Spinal cord injury; Long chain non-coding RNA","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"209-214"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41994394","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}

{"title":"Lee Silverman voice therapy can improve the speech of Chinese-speakers with Parkinson′s disease","authors":"Yongxue Li, M. Tan, H. Fan, Jingting Li, Zhiqin Xu, Ruihao Bian, Xi Chen","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.013","url":null,"abstract":"Objective \u0000To investigate the effect of Lee Silverman voice therapy (LSVT) on the speech and life quality of Chinese persons with Parkinson′s disease (PD). \u0000 \u0000 \u0000Methods \u0000A total of 16 Chinese PD patients were enrolled and given standard LSVT for 4 weeks. Their acoustic data were analyzed using PRAAT software before and after the treatment. Their voice quality was evaluated using the Japanese GRBAS voice scale and their quality of life was quantified using the Voice Handicap Index (VHI) scale. \u0000 \u0000 \u0000Results \u0000After 4 weeks of LSVT the patients′ average voice and life quality had improved significantly. The average maximum duration of sustained vowel phonation had increased significantly, as had the vowels′ mean loudness, reading and monologue delivery. The GRBAS grading indicated that hoarseness had decreased significantly. The average total voice handicap index had also decreased significantly. \u0000 \u0000 \u0000Conclusion \u0000Lee Silverman therapy can significantly improve maximum phonation time and loudness of Chinese-speakers, which enhances sensory feedback. The quality of their speech and of their life also improve significantly. This technique is recommended for clinical application. \u0000 \u0000 \u0000Key words: \u0000Lee Silverman; Voice therapy; Parkinson′s disease; Speech disorders; Voice quality; Life quality","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"245-248"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45817227","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}

{"title":"The efficacy and safety of extracorporeal shock wave therapy in treating post-stroke spasticity: A systematic review","authors":"Wei-hong Liu, Tao Liu, Qiang Chen, Jie Zhang","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.016","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.016","url":null,"abstract":"Objective \u0000To evaluate the efficacy and safety of extracorporeal shock wave (ESW) treatment in cases of post-stroke spasticity. \u0000 \u0000 \u0000Methods \u0000Reports of randomized and controlled trials of extracorporeal shock wave therapy in treating post-stroke spasticity were searched for in the PubMed, Embase and China Knowledge Infrastructure databases. The subsequent meta-analysis was carried out using version 5.3 of the RevMan software. \u0000 \u0000 \u0000Results \u0000Twelve reports were found involving a total of 536 patients. The meta-analysis showed significant immediate and short-term effects of extracorporeal shock waves in treating spasticity in the finger flexors, wrist flexors, and biceps brachii after stroke. However, no significant improvement was observed in the treatment of wrist or lower limb spasticity. \u0000 \u0000 \u0000Conclusion \u0000Extracorporeal shock wave therapy can effectively relieve some post-stroke spasticity safely. It can be used as an auxiliary treatment with many patients. \u0000 \u0000 \u0000Key words: \u0000Extracorporeal shock waves; Spasticity; Randomized controlled trials; Systematic reviews","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"255-264"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69791453","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}

{"title":"The gait patterns of youths with chronic, nonspecific low back pain","authors":"Hong Liu, Meijin Hou, Wujie Huang, Fengjiao Yang, Zheng Jiang","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.010","url":null,"abstract":"Objective \u0000To quantify the kinematic changes in the gait cycle among youths with chronic, nonspecific low back pain (CNLBP). \u0000 \u0000 \u0000Methods \u0000A Qualisys 3D optical motion capture system was used to document the gait kinematics of 11 youths with CNLBP and 11 healthy counterparts. Gait profile scores and movement analysis profiles were then calculated. \u0000 \u0000 \u0000Results \u0000The young CNLBP subjects exhibited gait abnormalities, as reflected by the significant difference of the gait variable the range of motion of the dominant knee between the CNLBP and healthy groups [(5.66±1.83)° vs (3.64±1.13)°]. Gait profile scores and movement analysis profiles are applicable to evaluating them. \u0000 \u0000 \u0000Conclusions \u0000There manifested gait abnormalities in youth CNLBP patients. Gait profile scores and movement analysis profiles are applicable to evaluating them. \u0000 \u0000 \u0000Key words: \u0000Back pain; Gait profile scoring; Movement analysis; Gait variables","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"232-238"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43100609","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}

{"title":"The morphology of deep lumbar multifidus in patients with chronic low back pain","authors":"Zhang Shanshan, Yanjun Wang, Jian-yang Lai, Wen Wu, Chu-huai Wang","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.009","url":null,"abstract":"Objective \u0000To observe the morphological changes of the deep lumbar multifidus (DM) during rest and movement among persons with chronic low back pain (cLBP) using ultrasound imaging. \u0000 \u0000 \u0000Methods \u0000Twenty-one cLBP patients and 30 pain-free healthy controls were studied. The resting thickness of the DM muscle was measured, and then its cross-sectional area and thickness during maximum voluntary isometric contraction (MVIC). The results were correlated with pain intensity and duration. \u0000 \u0000 \u0000Results \u0000The cLBP patients showed significant reductions in the DM′s resting thickness, and in its cross-sectional area and thickness during a MVIC compared with the healthy controls. The resting thickness of the DM was positively correlated with pain duration, but not with pain intensity. \u0000 \u0000 \u0000Conclusions \u0000These results suggest that cLBP patients have atrophy and less thickness change during an MVIC. This should be considered in planning clinical rehabilitation training. \u0000 \u0000 \u0000Key words: \u0000Back pain; Deep multifidus; Ultrasound imaging; Morphology","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"228-231"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44303839","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}

{"title":"The efficacy of median nerve electrical stimulation in rehabilitating post-stroke cognitive impairment and its mechanism","authors":"Jing Jing, Yanping Ma, Wanlin Liu, Congcong Huo, Zengyong Li, Shouwei Yue, Yonghui Wang","doi":"10.3760/CMA.J.ISSN.0254-1424.2020.03.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1424.2020.03.006","url":null,"abstract":"Objective \u0000To test the effectiveness of electrical stimulation of the median nerve (MNES) for relieving post-stroke cognitive impairment (PSCI) and explore the possible mechanism. \u0000 \u0000 \u0000Methods \u0000Thirty patients with PSCI were randomly divided into a routine treatment group (the control group) and an MNES group, each of 15. Both groups were given routine rehabilitation treatment, including cognitive rehabilitation training, medications and acupuncture. The MNES group additionally received 30 minutes of MNES on their right hands every day, five times a week for six weeks. One electrode was positioned over the median nerve 2cm up from the rasceta of the right wrist. The other was on the muscles of the thenar eminence. Forty seconds of stimulation were applied with intervals of 20 seconds, for 30 min daily. Before and after 3 and 6 weeks of treatment, both groups were evaluated using the mini-mental state examination (MMSE), the Montreal cognitive assessment (MoCA), the modified Barthel index (MBI) and the Fugl-Meyer assessment (FMA). In another 15 patients oxyhemoglobin levels in the brain before and during the MNES were observed using near-infrared spectroscopy. \u0000 \u0000 \u0000Results \u0000After 3 weeks of treatment, a significant improvement was observed in the average MMSE, FMA and MBI scores of both groups, and the average MoCA score of the observation group. Three weeks later, the average MMSE, FMA, MBI and MoCA scores of both groups had improved significantly compared with before the treatment, with the average MMSE and MoCA improvements in the MNES group significantly greater than the control group′s averages. After 6 weeks of treatment the significant improvements persisted in both groups. Both group′s average FMA scores had also improved significantly, as had the average MBI score of the control group. After 6 weeks of treatment, the observation group′s average time orientation, location orientation, language instant memory, attention, calculation and short-term memory in MMSE had all improved significantly along with visual space capacity, executive capacity, attention, language, orientation and memory in MoCA. The spectroscopic results showed significantly improved oxyhemoglobin concentration in the bilateral frontal lobes after the MNES. \u0000 \u0000 \u0000Conclusions \u0000Electrical stimulation of the median nerve can help to improve cognition after a stroke. It increases oxyhemoglobin concentration in the bilateral frontal lobes. \u0000 \u0000 \u0000Key words: \u0000Median nerves; Electrical stimulation; Stroke; Cognitive impairment; Rehabilitation","PeriodicalId":60323,"journal":{"name":"中华物理医学与康复杂志","volume":"42 1","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47416833","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}