• Most Read
Published in last 1 year |  In last 2 years |  In last 3 years |  All
Please wait a minute...
For Selected: Toggle Thumbnails
2021 National Report on Rehabilitation Medicine Services, Quality and Safety in Medical Care System
ZHANG Yuanmingfei,YANG Yanyan,ZHANG Na,LIU Jingyu,LIU Xiaoxie,ZHANG Zhiliang,ZHOU Mouwang
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (12): 1365-1379.   DOI: 10.3969/j.issn.1006-9771.2022.12.001
Abstract876)   HTML97)    PDF(pc) (13066KB)(741)       Save

Objective To describe the medical services, quality and safety of rehabilitation medicine departments in general hospitals and rehabilitation hospitals in 2020 from the aspects of structure, link and outcome quality.

Methods Through the National Clinical Improvement System of the National Health Commission, all secondary and above general hospitals and rehabilitation hospitals were investigated in 2021, the relevant data from 9 138 hospitals, including traditional Chinese Medicine hospitals and integrated traditional Chinese and Western medicine hospitals in 2020. A total of 2 676 sampling hospitals were equipped with rehabilitation medicine wards. After cleaning, a total of 2 268 samples of hospitals were included for analysis. Then, the setting of wards of rehabilitation medicine departments in 6 336 hospitals that participated in the questionnaire of rehabilitation medicine departments from 2017 to 2020 was analyzed.

Results Among the 9 138 general hospitals surveyed this year, only 2 676 had rehabilitation wards, and three general hospitals administrated to National Health Commision had not yet set up wards. In general hospitals, the average number of physicians per bed in 57.92% hospitals, the average number of rehabilitation therapists per bed in 80.44% hospitals, and the average number of nurses per bed in 53.92% hospitals did not meet the national requirements, and the average number of rehabilitation medical personnel per bed in rehabilitation medicine departments in different regions was significantly different. The rates of early rehabilitation intervention were 13.20%, 18.90% and 29.25% respectively in the department of orthopedics, department of neurology and department of intensive care in general hospitals. The average activity of daily living improvement rate of discharged patients from rehabilitation department of general hospital was 76.35%, and that of discharged patients from rehabilitation specialized hospital was 64.30%.

Conclusion Professional medical services and quality safety of rehabilitation medicine in China improve steadily, and the degree of homogenization is further strengthened. However, from the perspective of the current prominent problems, in 2020, most general hospitals in China have not configured the wards of rehabilitation medicine, and there are problems such as the total number of rehabilitation medical personnel in the country does not meet the requirements, uneven distribution, insufficient early intervention in rehabilitation, and room for improvement of rehabilitation treatment effect, which need continuous improvement.

Table and Figures | Reference | Related Articles | Metrics
Effect of Mirabegron combined with Silodosin on detrusor hyperactivity with impaired contractile
CONG Huiling, LIAO Limin, FU Guang, ZHA Lihua, YANG Yuqi, WANG Yizheng, LI Xing, WU Juan, GAO Yi, JING Huafang
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (4): 473-478.   DOI: 10.3969/j.issn.1006-9771.2022.04.015
Abstract835)   HTML34)    PDF(pc) (1192KB)(592)       Save

Objective To observe the clinical effect of Mirabegron combined with Silodosin on detrusor hyperactivity with impaired contractile (DHIC).Methods From September, 2019 to December, 2021, 40 patients with DHIC in the Department of Urology of Beijing Bo'ai Hospital were selected and randomly divided into control group and experimental group, with 20 cases in each group. The control group took Silodosin only, and the experimental group took Mirabegron in addition, for four weeks. The urinary diary, residual urine volume, Overactive Bladder Symptom Score (OABSS) and quality of life (QOL) score were compared before and after treatment.Results A total of 18 patients in the control group and 19 in the experimental group finished the trial. After treatment, the number of night urination per day, the residual urine volume and QOL score improved in the control group (P<0.01); the number of urination per 24 hours, the number of night urination per day, the volume per urination, the residual urine volume, the daily urgency score, the OABSS score and QOL score improved in the experimental group (P<0.01). The number decrease of urination per 24 hours, the volume decrease of per urination, the daily urgency score decrease, the OABSS score decrease and QOL score decrease were more in the experimental group than in the control group (P<0.01). The adverse reactions included palpitations, increased heart rate, dyspareunia, increased blood pressure, gastric discomfort, postural hypotension, and retrograde ejaculation, and there was no significant difference between two groups (P > 0.05).Conclusion The efficacy of Mirabellone combined with Silodosin on DHIC is better than Silodosin only, and there was no significant increase in drug-related adverse effects.

Table and Figures | Reference | Related Articles | Metrics
Effect of neuromuscular training on femoroacetabular impingement
YANG Yun,ZHANG Hongyue,ZHANG Yaohua,LIU Xiaolei,XIE Huanxin,LI Qiang,LI Jia,YANG Huaqing
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (7): 759-763.   DOI: 10.3969/j.issn.1006-9771.2022.07.003
Abstract585)   HTML36)    PDF(pc) (1162KB)(156)       Save

Objective To observe the effect of neuromuscular training on femoroacetabular impingement.

Methods From January, 2017 to November, 2021, 27 patients with femoroacetabular impingement in Beijing Rehabilitation Hospital were randomly divided into control group (n = 13) and observation group (n = 14). The control group accepted routine rehabilitation training, and the observation group accpeted neuromuscular training in addition. They were assessed with Visual Analogue Scale (VAS) for pain, peak torque (PT) of hip flexion and extension, Y-balance test (YBT) and simplified International Hip Outcome Tool (iHOT-12) before and after treatment.

Results The VAS score, PT, YBT score and iHOT-12 score improved in the observation group after treatment (|t| > 3.628, P < 0.01), while the VAS score and PT improved in the control group (|t| > 3.409, P < 0.01). After treatment, the VAS score, PT, YBT score and iHOT-12 score were better in the observation group than in the control group (|t| > 2.067, P < 0.05).

Conclusion Neuromuscular training can relieve the pain of patients with femoroacetabular impingement, and improve the muscle strength and function of hip joint.

Table and Figures | Reference | Related Articles | Metrics
Effect of warming needle moxibustion on rotator cuff injury
ZENG Xiaoxia,LIN Rong,YANG Fangjie,XIAO Hongwei,SU Yan,HUANG Chengwu,HE Jian
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (5): 609-615.   DOI: 10.3969/j.issn.1006-9771.2022.05.017
Abstract569)   HTML21)    PDF(pc) (1131KB)(96)       Save

Objective To observe the effect of warming needle moxibustion based on rehabilitation on rotator cuff injury. Methods From January, 2019 to January, 2020, 70 patients with rotator cuff injury from Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine were randomly divided into control group (n = 35) and experimental group (n = 35). Both groups received Mulligan mobilization and rotator cuff muscle group muscle energy technique (MET) training, while the experimental group received warming needle moxibustion at Jianyu (LI15), Jügu (LI16), Jianqian and Jianzhen (SI9) in addition, for two weeks. They were assessed with Shoulder Pain and Disability Index (SPADI), Visual Analogue Scale for pain (VAS), range of motion of shoulder (ROM), and shoulder isokinetic muscle strength before and after treatment, and the complications and recurrence were observed. Results There were five cases in the control group and four cases in the experimental group dropped. The SPADI score, VAS score decreased (|t| > 5.039, P < 0.001), and the ROM and R value of isokinetic muscle strength testing increased (|t| > 2.751, P < 0.01) in both groups after treatment, while the SPADI score, VAS score were less (|t| > 3.616, P < 0.001); the ROM, and R values of isokinetic muscle strength testing of flexion, extension, adduction and abduction were more (|t| > 2.214, P < 0.05) in the experimental group than in the control group. Conclusion Warming needle moxibustion can further relieve shoulder pain in patients with rotator cuff injury, and improve shoulder ROM, muscle strength and functioning.

Table and Figures | Reference | Related Articles | Metrics
《Chinese Journal of Rehabilitation Theory and Practice》    2023, 29 (2): 125-139.   DOI: 10.3969/j.issn.1006-9771.2023.02.001
Abstract553)   HTML76)    PDF(pc) (1200KB)(564)       Save
Table and Figures | Reference | Related Articles | Metrics
Effects of intelligent aerobic bicycle training on ischemic stroke patients at different disease courses
HAN Kaiyue,LIU Guangliang,SU Wenlong,TANG Zhiqing,ZHANG Hao
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (7): 822-827.   DOI: 10.3969/j.issn.1006-9771.2022.07.013
Abstract545)   HTML27)    PDF(pc) (1191KB)(59)       Save

Objective To investigate the effects of an intelligent aerobic bicycle training on lower limb motor function, cardiopulmonary function and activities of daily living (ADL) in patients with ischemic stroke at different courses.

Methods From November, 2019 to November, 2021, 138 ischemic stroke patients were stratified-randomly divided into control group (n = 69) and experimental group (n = 69). All the patients received medication and routine rehabilitation training, and the experimental group additionally received intelligent aerobic bicycle training, for eight weeks. They were assessed with Fugl-Meyer Assessment-Lower Extremities (FMA-LE), peak oxygen uptake (VO2peak), Six-minute Walk Test (6MWT) and modified Barthel Index (MBI) before, and four weeks and eight weeks after treatment.

Results The performances of FMA-LE, VO2peak, 6MWT and MBI improved in both groups after treatment (|t| > 6.763, P <0.001), and improved more in the experimental group than in the control group (|t| > 2.439, P <0.05). For the patients beginning training less than one month after stroke, the performances of FMA-LE, VO2peak and 6MWT improved more in the experimental group than in the control group (|t| > 2.036, P <0.05); for those during one to three months, the performances of 6MWT and MBI improved more (|t| > 2.005, P <0.05); for those during three to six months, the performances of all the tests were not significantly different (|t| < 1.303, P >0.05).

Conclusion Intelligent aerobic bicycle training may improve the lower limb motor function, cardiopulmonary function and ADL for patients with ischemic stroke, especially intervening earlier.

Table and Figures | Reference | Related Articles | Metrics
Rehabilitation of chronic respiratory diseases domestic and overseas in recent ten years: a visualization analysis
HUANG Qiuyu,LIU Hua,RONG Xiangjiang,JIA Mingyue
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (8): 939-959.   DOI: 10.3969/j.issn.1006-9771.2022.08.010
Abstract533)   HTML55)    PDF(pc) (8737KB)(225)       Save

Objective To visually analyze the research hotspots and future development trends in the field of rehabilitation of chronic respiratory diseases domestic and overseas in the last decade.

Methods Literatures about rehabilitation of chronic respiratory disease from 2011 to 2021 were retrieved. The Physiotherapy Evidence Database (PEDro) was used to access the quality of the literatures, and CiteSpace 5.8.R3 was used to analyze the number of publications and keywords.

Results A total of 2 477 English articles and 3 308 Chinese articles were included. The overall volume of literature published in the field of rehabilitation of chronic respiratory diseases domestic and overseas showed a fluctuating increase. A total of 63 English articles met the requirement of medium-high quality with a score of four to nine on the PEDro scale, and the overall average score was 5.44. A total of 78 domestic articles scored five to eight, and the overall average score was 5.21. Domestic research in this field mainly focused on the pulmonary rehabilitation methods for patients with chronic obstructive pulmonary disease (COPD) and their effects on patients' quality of life and lung function, the process of development of heart-related diseases complicated by COPD, and the effects of nursing interventions, community rehabilitation and health education for chronic respiratory diseases, and exploration of precise pulmonary rehabilitation assessment, etc. In contrast, foreign countries mainly studied the physical activity and exercise capacity of patients with chronic respiratory diseases, emphasizing the self-management of patients, and focused on the cross-sectional research of other diseases such as combined aortic stenosis, and made "physical activity" and "exercise" as the frontier of research.

Conclusion Overseas pulmonary rehabilitation programmes involve a wide range of chronic respiratory diseases, requiring multidisciplinary teamwork, strengthening patient self-management at home and focusing on changes in physical activity, motor function and quality of life after exercise, while the focus is on pulmonary rehabilitation in hospitalized COPD patients, also including the role of traditional Chinese exercise in China.

Table and Figures | Reference | Related Articles | Metrics
Relationship of proprioception, cutaneous sensitivity and strength to postural stability among older adults
WANG Qi,MAO Min,SUN Wei,SONG Qipeng
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (4): 373-378.   DOI: 10.3969/j.issn.1006-9771.2022.04.001
Abstract529)   HTML52)    PDF(pc) (1201KB)(207)       Save

Objective To explore the impacts of proprioception, cutaneous sensitivity and strength on dynamic and static postural stability.Methods From June to November, 2020, a total of 164 elderly participated in this study. Independent parameters included proprioception of knee flexion/extension and ankle dorsi/plantar flexion with proprioception measurement; the cutaneous sensitivity of great toe, first and fifth metatarsals, arch, and heel with monofilament; and strength of ankle dorsi/plantar flexion and hip abduction with isokinetic test. The Berg Balance Scale (BBS) and center of pressure (COP)-based postural stability tests were conducted to represent dynamic and static postural stability. Exploratory factor and multivariable linear regression analyses were used to explore the relationship of each generated factor to postural stability outcomes.Results Proprioception was significantly correlated to the score of BBS (r=-0.449, P<0.001) and the root mean square (RMS) of COP in mediolateral direction (r=0.254, P=0.004). Cutaneous sensitivity was significantly correlated to the RMS of COP in the anteroposterior direction (r=0.281, P=0.002). Strength was significantly correlated to the score of BBS (r=0.493, P<0.001).Conclusion Proprioception and strength are related to dynamic postural stability, while proprioception and cutaneous sensitivity are associated with static postural stability.

Table and Figures | Reference | Related Articles | Metrics
Advance in rehabilitation therapy with diastasis recti abdominis in postpartum women (review)
FENG Panpan,SUN Wudong,QU Yi,SONG Pengfei,MA Ming
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (9): 1065-1073.   DOI: 10.3969/j.issn.1006-9771.2022.09.009
Abstract524)   HTML78)    PDF(pc) (1085KB)(239)       Save

Diastasis recti abdominis (DRA) is common in postpartum women. DRA seriously affects the physiological and psychological health of patients. Rehabilitation is the main intervention for DRA. It is necessary to clarify the effectiveness of different rehabilitation intervention. Neuromuscular electrical stimulation and exercise therapy can effectively optimize DRA in postpartum period, but the best intervention is not clear. Multi-center researches with large sample should be conducted to compare the treatment parameters in the future.

Table and Figures | Reference | Related Articles | Metrics
Wrist joint range of motion measurement based on Azure Kinect bone tracking
ZHANG Wenbo,QU Chang,ZHOU Jianping,ZHANG Xiaoping,ZHANG Xiaotian
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (8): 981-988.   DOI: 10.3969/j.issn.1006-9771.2022.08.014
Abstract518)   HTML12)    PDF(pc) (2899KB)(138)       Save

Objective To automatically measure the wrist range of motion using the somatosensory capture device Azure Kinect.

Methods Azure Kinect was used to recognize the spatial coordinates of human elbow, wrist, palm, fingertip and other joint points, and the best measurement posture was determined by orthogonal experiment. Holt's double-parameter exponential smoothing method and bone length constraint method were used to smooth the joint point data to eliminate the jitter. The average angle of multiple frames was calculated through the spatial vector relationship to realize the automatic measurement of wrist joint range of motion. From May to October, 2021, 5 times × 10 groups of measurement were performed on each subject of wrist joint of five healthy subjects using the above method.

Results The R1 of each subject of wrist joint was between 83 and 127, and the value was in the middle. This method contrasted well with measurements made on augmented reality ruler, 2D images (r > 0.990), and the maximum error was within 1.61°.

Conclusion The wrist joint angle measurement modality using Azure Kinect is consistent to conventional measurement modality, and can meet the requirements of real-time measurement.

Table and Figures | Reference | Related Articles | Metrics
Application of ICF in occupational therapy: conceptual framework and approaches
YANG Xiaolong,YANG Yaru,QIU Fubing,GUO Fengyi,WONG Kam Man,CAO Lei,ZHANG Tiantian,SONG Weiqun
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (6): 621-629.   DOI: 10.3969/j.issn.1006-9771.2022.06.001
Abstract516)   HTML61)    PDF(pc) (1625KB)(261)       Save

Objective To study the conceptual framework and methodological system of the International Classification of Functioning, Disability and Health (ICF) in occupational therapy and its systematic implementation in clinical practice. Methods Based on the ICF theory and the policy documents of the World Federation of Occupational Therapists, the conceptual framework of occupational therapy and the systematic implementation in clinical settings based on the ICF framework were analyzed. Results This study constructed a conceptual framework and approach for occupational therapy based on ICF, and clarified the goals, principles, and implementation methods of integrated occupational therapy interventions in rehabilitation services. The goal of occupational therapy interventions was to improve the individual activity and participation through multidisciplinary and cross-cutting implementation of integrated occupational therapy programs to optimize functioning. Occupational therapy was based on the bio-psycho-social model, adhered to the principles of person-centeredness and functioning orientation, and implemented individualized intervention programs in different context. In clinical practice, it was recommended to follow ICF-based standardized process and systematically use World Health Organization Family International Classifications: functioning and unmet needs analysis using ICHI; functional classification, assessment and coding using ICF; disease classification, diagnosis and coding using ICD; intervention of occupational therapies using ICHI to build a systematic occupational therapy service system. Conclusion An ICF-based occupational therapy concept and methodological system has been built, a comprehensive clinical occupational therapy implementation model has been established, the goal of activity and participation oriented occupational therapy interventions has been clarified, and the systematic, structured, standardized and refined level of occupational therapy has been enhanced.

Table and Figures | Reference | Related Articles | Metrics
Relationship among professional identity, learning motivation and learning engagement in rehabilitation technology students in higher vocational education
GUO Lei,JIA Xiufen,LIU Tao
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (9): 1110-1116.   DOI: 10.3969/j.issn.1006-9771.2022.09.016
Abstract493)   HTML22)    PDF(pc) (1154KB)(108)       Save

Objective To investigate the overall level of professional identity, learning motivation and learning engagement in students majoring rehabilitation technology in higher vocational education, and to explore the relationship among them.
Methods From March to April, 2022, a questionnaire survey was conducted among 334 students majoring in rehabilitation technology in three public full-time higher vocational schools in Beijing, Shandong and Anhui with the Professional Identity Scale, Learning Motivation Scale and Learning Engagement Scale.
Results A total of 334 valid questionnaires were collected. The average scores of professional identity, learning motivation and learning engagement were (3.64±0.66), (3.78±0.61) and (3.42±0.72), respectively. There was a significant positive correlation among them (r > 0.602, P < 0.01). The professional identity was different with schools and ages (P < 0.05), and the learning motivation was different with ages and grades (P < 0.01). There was no significant difference in learning engagement in different schools, genders, ages, or grades (P > 0.05). The learning motivation played a mediative role between professional recognition and learning engagement, accounting for about 55.3% of the total effect.
Conclusion The professional identity, learning motivation and learning engagement of the students majoring in rehabilitation technology in higher vocational colleges are at a moderate level, which needs to be improved. The professional identity is different among the schools of cities with different economic development, which suggests that there may be a decreasing effect of policy transmission behind it, which should be highly valued.

Table and Figures | Reference | Related Articles | Metrics
Effect of physical activity on neurocognitive function of overweight children: a systematic review
ZHONG Xiaoke,ZHANG Ji,WANG Zhipeng,JIANG Changhao
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (4): 421-428.   DOI: 10.3969/j.issn.1006-9771.2022.04.008
Abstract460)   HTML45)    PDF(pc) (1197KB)(233)       Save

Objective To explore the affect of physical activity on neurocognitive function of overweight children.Methods The literatures about the effect of physical activity on neurocognitive function of overweight children were retrieved with subjected retrieval method in CNKI, VIP, Wanfang database, PubMed, Web of Science, EBSCO databases from January, 2000 to January, 2022. The authors, countries, published years, ages of subjects, research methods, intervention time, measurement tools and measurement indicators were extracted.Results Twelve articles were selected finally. These articles came from United States, Italy, Belgium and China, were mainly published in journals of psychology, clinical medicine, neuroscience, physical education. The study design included randomized controlled trials and pre-post-trial. The mean PEDro score was 6.67. The types of physical activity included fitness, skills and sports activities. The overweight children participating in physical activities could benefit from cognition and brain plasticity. On the cognition, physical activity could improve attention, memory, inhibitory control, working memory and cognitive flexibility. In terms of brain plasticity, physical activity could improve the integrity of brain white matter, increase hippocampal volume, enhance brain activation and brain network connectivity.Conclusion Physical activity is a simple and effective form of exercise. It can improve not only attention, memory, executive function and other cognitive functions, but also brain structure and brain function in overweight children. The mechanism of cognition, the interaction between physical activity and other factors, and the dose-relationship between physical activity and cognitive benefits still need to be explored in the future.

Table and Figures | Reference | Related Articles | Metrics
Application of three-dimensional dynamic capture system and surface electromyography in upper extremity motor evaluation for stroke patients with hemiplegia
LI Jingyue,ZHANG Tong,WANG Ya'nan,WANG Chen
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (11): 1241-1246.   DOI: 10.3969/j.issn.1006-9771.2022.11.001
Abstract454)   HTML32)    PDF(pc) (1179KB)(155)       Save

Objective To analyze the kinematic and physiological characteristics of upper limb reaching task for stroke patients and healthy subjects using three-dimensional (3D) dynamic capture system combined with surface electromyography (sEMG) system, to explore the value of evaluation for upper limb motor function in stroke patients.

Methods From January to August, 2019, Qualisys 3D dynamic capture system and sEMG were used to evaluate 40 healthy adults (control group), and 40 stroke patients with hemiplegia with upper limb and hand Brunnstrom stage of Ⅴ, modified Ashworth Scale score ≤ 1 (hemiplegia group) from Beijing Bo'ai Hospital, during target reaching test with hemiplegic or dominant upper limbs. 3D motion angle of shoulder, elbow, wrist and forearm, and root mean square (RMS) of sEMG of related muscles were recorded. The correlation between the results of the hemiplegia group and Fugl-Meyer Assessment-Upper Extremities (FMA-UE) score was analyzed with Pearson coefficient and multiple linear regression.

Results The shoulder pronation and flexion, elbow extension, wrist flexion and ulnar deviation of the hemiplegia group increased compared with thoses of the control group (|t| > 2.321, P< 0.05), while the shoulder adduction and forearm pronation decreased (|t| > 6.426, P< 0.001). There was no significant correlation between the range of motion of upper limb joints and FMA-UE scores in the hemiplegia group (P> 0.05). The RMS of upper trapezius, anterior deltoid, middle deltoid, biceps brachialis, pectoralis major, pronator teres, brachioradialis and extensor digitalis was less in the hemiplegia group than in the control group (|t| > 2.068, P< 0.05), while it was more of triceps (t = -2.652, P< 0.05). The RMS of the upper trapezius negatively correlated with the FMA-UE scores in the hemiplegia group (r = -0.585, P< 0.001), and the RMS of the pronator teres of positively correlation (r = 0.589, P< 0.001). The RMS of the upper trapezius and the pronator teres was the independent factors related with FMA-UE scores (P< 0.01).

Conclusion 3D dynamic capture system combined with sEMG can be an objective and quantitative method to evaluate upper limb motor function in stroke patients.

Table and Figures | Reference | Related Articles | Metrics
Epidemiological and clinical characteristics of pediatric lower extremity amputation and functional rehabilitation
GU Rui,TIAN Gang,HUANG Qiuchen,LIU Kemin,MIN Hongwei,FENG Jianpu,WANG Anqing
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (7): 753-758.   DOI: 10.3969/j.issn.1006-9771.2022.07.002
Abstract449)   HTML16)    PDF(pc) (9245KB)(130)       Save

Objective To analyze the epidemiological and clinical characteristics of children's lower extremity amputation and amputation rehabilitation, and to explain the causes of children's amputation and the complications after amputation.

Methods From January, 2016 to March, 2021, 51 amputation related children were retrospectively analyzed. The correlation between the cause of amputation and complications post amputation were analyzed.

Results Traumatic amputations accounted for 58.82%, and the main cause was traffic accidents (70%). Amputations caused by diseases accounted for 41.18%, and the main cause was congenital limb deformities (80.95%). Traumatic amputation was more likely to have stump complications than expected (P< 0.05). The possibility of stump complications after disease-specific amputation was lower than expected (P< 0.05).

Conclusion Traffic trauma is the main cause of amputation in children and is characterized clinically by a high incidence of unsatisfactory stumps, mainly due to soft tissue abnormalities, and most cases require stump revision to improve the poor residuals for prosthetic restoration of ambulation. Congenital pseudarthrosis of the tibia is the main cause of disease-specific amputation, and the outcome of amputation often cannot be definitely avoided even after long-term limb preservation treatment.

Table and Figures | Reference | Related Articles | Metrics
Comparison of effects of proprioceptive neuromuscular facilitation and whole body vibration training on functional ankle instability
LIU Yuduo,WAN Xianglin
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (7): 776-782.   DOI: 10.3969/j.issn.1006-9771.2022.07.006
Abstract444)   HTML29)    PDF(pc) (1228KB)(148)       Save

Objective To compare the effects of proprioceptive neuromuscular facilitation (PNF) and whole body vibration training (WBVT) on functional ankle instability (FAI).

Methods From May to July, 2021, 17 male FAI undergraduates from Beijing Sport University received PNF (n = 8) and WBVT (n = 9), for six weeks. They were assessed with Y-balance test, Pro-Kin, Kistler and Motion Analysis Raptor before and after invention, to observe Y-balance score, average trajectory error, kinematics and dynamics after jump-landing of affected limb.

Results The main effect of training was not significant for all the Y-balance score, average trajectory error, kinematics and dynamics (F < 4.090, P > 0.05). However, the interactive effect of training and time was significant for the range of motion of ankle flexion (F = 6.232, P = 0.030), and the effect size was more for PNF; it was also significant for the time arriving peak ground reaction force (left-right) after landing (F = 10.674, P = 0.008), and the time was latter for WBVT (P < 0.05).

Conclusion PNF and WBVT are similarly effective on FAI.

Table and Figures | Reference | Related Articles | Metrics
Investigation on personality traits and related factors of job satisfaction for pediatric therapists
GONG Xiang,PAN Yingying,ZENG Lingli,YANG Qingyan,ZHOU Yuntao,SHEN Yingying,FAN Yabei,XIAO Jianqiu
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (10): 1224-1230.   DOI: 10.3969/j.issn.1006-9771.2022.10.014
Abstract436)   HTML22)    PDF(pc) (1163KB)(102)       Save

Objective To investigate the current situation of personality traits and job satisfaction of pediatric therapists in Jiangsu province, and to explore the correlation between them and the related factors of job satisfaction.

Methods From June, 2021 to February, 2022, random cluster sampling method was adopted after field investigating several pediatric hospitals and institutions in Jiangsu. Online questionnaires were sent out to pediatric therapists in different settings in eleven cities in Jiangsu. The questionnaires included Minnesota Satisfaction Questionnaire (MSQ), Eysenck Personality Questionnaire-Revised Short Scale for Chinese (EPQ-RSC) and self-made scale of demographic characteristics and working status.

Results All of the questionaires were taken back, in which 165 were valid (83.33%). Among the three dimensions of psychoticism, extraversion and neuroticism, the intermediate type accounted for 66.06%, 38.79% and 40.00%, respectively. The overall satisfaction of job was (3.80±0.55), the internal satisfaction was (3.88±0.53), and the external satisfaction was (3.59±0.69). There was significant difference in the satisfaction among different types of work institution, monthly incomes, levels of parental support and neuroticism (P < 0.05). Multiple linear regression showed that the internal satisfaction and overall satisfaction were related with neuroticism, monthly income and parental support (P < 0.05), while external satisfaction was related with the neuroticism and parental support (P < 0.05). The level of neuroticism was negatively correlated with the internal satisfaction, the external satisfaction and overall satisfaction (|r| > 0.337, P < 0.001), and the level of extraversion was postively correlated with the external satisfaction (r = 0.155, P < 0.05).

Conclusion The job satisfaction of pediatric therapists is fine in Jiangsu, and is ralated with the level of neuroticism, the monthly income and the level of parental support. The levels of neuroticism and extraversion correlate with the job satisfaction.

Table and Figures | Reference | Related Articles | Metrics
Research on postpartum physical activities based on the best evidence
GENG Xiaoting,LI Shuying,ZHANG Jinyan,GUO Yanwei
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (7): 809-815.   DOI: 10.3969/j.issn.1006-9771.2022.07.011
Abstract431)   HTML27)    PDF(pc) (1203KB)(125)       Save

Objective To summarize and evaluate the best evidence for postpartum physical activity and exercise regimens.

Methods Literatures of postpartum sports and exercise programs were searched from JBI, UpToDate, Cochrane Library, International Federation of Gynecology and Obstetrics (FIGO), The Agency for Healthcare Research and Quality(AHRQ), Royal College of Obstetricians and Gynaecologists (RCOG), American Collage of Obstetricians and Gynecologists (ACOG), Registered Nurses' Association of Ontario (RNAO), World Health Organization (WHO), Fitness Australia (FA), National Institute for Health and Care Excellence (NICE), Web of Science, PubMed, CINAHL, Medlive, CNKI, and Wanfang Data, from database inception to October, 2021. Two researchers independently evaluated the literature quality according to the tool of the Appraisal of Guidelines for Research & Evaluation Instrument (AGREE Ⅱ), A Measurement Tool to Assess Systematic Reviews (AMSTAR), and Joanna Briggs Institute Critical Appraisal Checklist.

Results A total of 15 articles were selected, including four randomized controlled trials, four systematic reviews, one cross-sectional study, one evidence summary, four guidelines, and one expert consensus. A total of 28 pieces of evidence were summarized, including the significance of postpartum physical activity and exercise, obstacle factors, assessment, exercise style, intensity and timing, and precautions.

Conclusion Knowledge of exercise after delivery is important to promote women's health and quality of life. It is recommended that the evidence be screened on a case-by-case basis and that an individualized programme of physical activity and exercise be developed.

Table and Figures | Reference | Related Articles | Metrics
Isokinetic muscle strength of knee for patients with chondromalacia patellae
ZHONG Jiaman,HUANG Jingjie,LIU Fuyifei,ZHAO Shiting,XU Wenxia,YANG Junxing
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (4): 379-383.   DOI: 10.3969/j.issn.1006-9771.2022.04.002
Abstract426)   HTML26)    PDF(pc) (1195KB)(290)       Save

Objective To analyze the characteristics of the muscle strength around the knee joint of chondromalacia patellae patients, and to explore the difference with normal people.Methods In March, 2021, 70 knee-onset chondromalacia patellae patients (experimental group) and 35 normal people (control group) were measured isokinetic muscle strength of flexion and extension of knee in angular velocities of 60°/s and 180°/s.Results At 60°/s and 180°/s, the peak torque, the peak torque-to-weight ratio and the total work of the flexor and extensor muscles on the affected side in the experimental group were lower than that of the control group (U > 1097.0, P<0.001). The peak torque, the peak torque-to-weight ratio and the total work of the flexor and extensor muscles at 60°/s and extensor muscles at 180°/s were lower on the affected side than on the healthy side in the experimental group (|Z| > 2.121, P<0.05). The peak torque ratios at 60°/s and 180°/s were more in the affected knees than in the healthy knees of experimental group and in the control group (U > 1810.0, |Z| >3.691, P<0.01).Conclusion The explosive force and endurance of the knee flexor and extensor has weakened in patients with chondromalacia patellae, and there is imbalance in knee joint muscle strength.

Table and Figures | Reference | Related Articles | Metrics
Bilingual training for cognition of older adults: a systematic review
XUAN Wenru,SHEN Yuqing,ZHOU Miao,FENG Shiwen
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (5): 578-584.   DOI: 10.3969/j.issn.1006-9771.2022.05.013
Abstract426)   HTML36)    PDF(pc) (1162KB)(136)       Save

Objective To systematically review the effects of bilingual training on cognition for older adults. Methods Researches about bilingual training for cognition for the older adults were retrieved from PubMed, Web of Science, ScienceDirect, SpringerLink, Wanfang Data, and CNKI from 2011 to May, 2021, supplemented by references backtracking and manual retrieval. The data was extracted for analysis. Results A total of 21 researches were included from twelve countries, which published mainly on journals of medicine, neurology, psychology, biology, etc., in 2017 and 2019. Most of the researches were prospective researches and retrospective researches, and the targeted groups including healthy people, people with dementia and people with Alzheimer's disease (AD). The objects mainly involved the effects of bilingualism on cognition, the pathways and the limitations. Conclusion Bilingual training may improve the cognition for older adults, through the brain connection related with memory, attention and execution, to delay the onset of AD or dementia; which may associate with the improvement of brain structure and function, including connectivity among regions, activation of cortical circuits, and structural integrity and plasticity. The effects are mainly on execution and perception, and delaying the cognitive decline, which appear in a short term. Bilingual training may finally promote language function, maintain the integrity of the brain structures, and compensate cognitive decline using more potential neural circuits. However, these researches need more uniform criteria for subjects, more reasonable control conditions, and more uniform paradigms.

Table and Figures | Reference | Related Articles | Metrics

Links