目的：探讨综合康复治疗体系对54例地震致下肢骨折患者功能恢复的影响。方法：采用综合康复治疗方法治疗“5·12”汶川大地震所致54例下肢骨折患者，临床观察患者伤口的愈合情况和骨折的复位情况，有无骨折并发症，分析比较治疗前后患者下肢功能恢复情况及日常生活活动能力的改善。结果：康复治疗后关节活动度明显改善，由入院时的平均218.61°增加至出院时的237.5°（P＜0.001）。Barthel指数由入院时的平均55.4增加至出院时的70.8（P＜0.001），日常生活活动能力有较大幅度提高。结论：综合康复治疗体系对于地震伤致下肢骨折患者的功能恢复至关重要，一套完善的体系应包括：①康复治疗早期介入，功能锻炼长期坚持；②发挥大型综合性医院的优势，多学科交叉，多部门合作；③功能康复和心理康复并重；④专业人士与社会团体共同参与。
目的:探讨以5E为核心的康复治疗对改善血液透析患者抑郁的作用。方法:50例维持性血液透析大于3个月患者纳入本研究,使用汉密顿抑郁量表(HAMD)分别在研究开始、研究结束时评估患者的抑郁症状,对患者实施以5E为核心的康复干预,主要内容包括鼓励、教育、锻炼、工作及评估。随访6个月观察患者抑郁症状的变化。结果:50例患者完成随访研究,研究终末时具有具有抑郁症状患者由开始时的28例减少到11例。患者在研究开始与随访6月时患者抑郁症状的发生率与抑郁评分分别为(56%比22%,χ2=37,Plt;005)与［(67±51)比(50±47),t=273,Plt;005］。患者在随访终末时抑郁症状的发生率及抑郁评分较研究开始时均显著降低。结论:本研究表明以5E为核心的康复治疗能明显改善维持性血液透析患者的精神症状。
Temporomandibular joint disorder (TMD) is a general term for a group of diseases. Clinically, it often presents as pain in the temporomandibular joint and surrounding muscles and soft tissues, often involving the temporomandibular joint, chewing muscles, and anterior joint area. There are also abnormalities in jaw movement, function, joint sounds, crushing sounds, and murmurs. This article provides a review of the epidemiology, etiology, clinical characteristics, auxiliary examinations, rehabilitation assessment, and rehabilitation treatment of TMD, in order to improve understanding of TMD rehabilitation assessment and provide reference for clinical rehabilitation treatment of TMD.
A 7.0 Ms earthquake hit Lushan country at Ya’an city of Sichuan province at 8:02 am, on April 20th, 2013. Rehabilitation medicine department of the West China Hospital, a regional state-level hospital arrived at stricken area, and super early rehabilitation rescue was organized at the second day after Lushan earthquake. On the third day after Lushan earthquake, patients receiving super early rehabilitation intervention were moved forward to orthopedics, neurosurgery, thoracic surgery, pediatric surgery and ICU for super early rehabilitation intervention. Up to 6 pm, 14 days after the earthquake, 69 wounded in total were admitted in early rehabilitation. The experiences of Wenchuan earthquake has been applied, improved and sublimated more rapidly, more appropriately, more effectively in the Lushan earthquake rehabilitation rescue.
Subjects with brain diseases are the major conditions of neurorehabilitation. It has brought new hopes to those with neurologic problems with the development of researches in the brain and other neurology. Strategies in the neurorehabilitation are now changing. It has progressed from focusing the improvement of the limbs of patients such as neurodevelopment approaches, functional electrical stimulation, robotic training, and so on, to the brain-orientated such as non-invasive brain stimulation, virtue reality, etc. A new model of neurorehabilitation is now being developed which integrates the methods stimulating the brain with those stimulating the limbs together either simultaneously or combination to modulate the effectiveness of different modalities. The final goals are to further enhance the outcome of rehabilitation.
The comprehensive rehabilitative treatment was used in 58 cases(194 finger)for functional impairment after eplantation. After the treatment the overall increase of flexion-extension range of motion was 30 to 130 degrees respectively. From the assessment of 10 items of daily activities, the patients could accomplish three-fourth of them. the average time taken for the treatment was 3 months with an excellent-good rate about 87.4%. Through the early comprehensive rehabilititive treatment patients could achieve better results.
Objective To observe the effect of comprehensive rehabilitation in patients with peripheral nerve injuries after the Wenchuan earthquake. Methods A total of 24 cases of peripheral nerve injuries who were admitted to the Rehabilitation Center for Earthquake Victims of West China Hospital of Sichuan University were treated with comprehensive rehabilitation, including exercise therapy, acupuncture therapy, functional electrical stimulation, and occupational therapy (mainly sensory training and wearing orthosis). After 30 treatment sessions, patient motor and sensory function, upper limb functional activity, and electrodiagnostic parameters were evaluated. Meanwhile, concomitant injuries were also recorded. Results As for the recovery of motor and sensory functions, the effective rate was 41.66%. The difference in the scores of upper limb functional activities was statistically significant before and after treatment (Plt;0.01). As assessed by electromyogram and nerve conduction velocity, the response rate was 87.50%. Patients with more concomitant injuries were likely to have slower recovery. Conclusion Comprehensive rehabilitation is appropriate and effective for patients with peripheral nerve injuries after the Wenchuan earthquake.
With the acceleration of the aging in the world and our society, osteoarthritis has become a health concern for patients and health workers. At present, its treatment mainly relies on drug treatment, surgical treatment and rehabilitation. As a safe, non-invasive and simple treatment, pulsed electromagnetic field (PEMF) therapy has been used in clinical treatment of osteoporosis, promoting fracture healing and improving symptoms of osteoarthritis. However, the mechanism of PEMF in the treatment of knee osteoarthritis is still unclear. This paper reviews the effects of PEMF on apoptosis, cytokines, cartilage and subchondral bone in knee osteoarthritis in animal experiments, and the changes of chondrocyte morphology and extracellular matrix in cell experiments, aiming to enable medical workers to better understand the status and development of PEMF in the treatment of knee osteoarthritis in basic experimental researches.