Please wait a minute...
For Selected: Toggle Thumbnails
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (3): 249-264.   DOI: 10.3969/j.issn.1006-9771.2022.03.001
Abstract1064)   HTML154)    PDF(pc) (1988KB)(983)       Save
Table and Figures | Reference | Related Articles | Metrics
Systematic implementation of World Health Organization rehabilitation competency framework in rehabilitation: conceptual framework, approaches and application
QIU Zhuoying, KWOK Joseph Kin Fun, SUN Hongwei, WU Shicai, LÜ Jun, YAO Meilin, WANG Guoxiang, QIU Fubing, LU Yan, XU Guangxu, JI Linhong, JING Qi, CHEN Di, HAO Chuanping, LI Anqiao, WANG Shaopu, XIAO Xiaofei
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (3): 265-274.   DOI: 10.3969/j.issn.1006-9771.2022.03.002
Abstract1295)   HTML91)    PDF(pc) (1364KB)(432)       Save
Objective To systematically analyze the World Health Organization Rehabilitation Competency Framework (RCF) theoretical framework, methodology and its application in the field of rehabilitation.Methods We systematically analyzed RCF conceptual framework and key characteristics, and discussed how to apply the RCF in the fields of human resource planning, education program and curriculum system, and vocational competency standards and certification criteria for rehabilitation human resources.Results The RCF encompasses five domains, naming practice, professionalism, learning and development, management and leadership, and research. Rehabilitation professionals' performance is the result of the interaction of their core values and beliefs, competencies, activities, knowledge, and skills. The RCF can be used to plan rehabilitation human resources, establish competency-based rehabilitation education programs and curriculum systems, and develop competency certification standards and licensure accreditation standards.Conclusion This study analyzed background, content and implementation framework of RCF, and systematically discussed the theories and methods related to how to use the RCF to construct national rehabilitation human resources development plans, develop rehabilitation education programs and curriculum systems based on the RCF, and establish certification and assessment standards for rehabilitation human resources.
Table and Figures | Reference | Related Articles | Metrics
Conceptual framework and its application of World Health Organization rehabilitation competency framework in rehabilitation human resource management
WU Fang, JING Qi, QIU Zhuoying, SUN Hongwei, LI Anqiao, DUAN Mingxue, GAO Qianqian, CAI Weiqin, ZHENG Wengui
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (3): 275-284.   DOI: 10.3969/j.issn.1006-9771.2022.03.003
Abstract768)   HTML54)    PDF(pc) (1154KB)(389)       Save
Objective To explore the application and method of World Health Organization Rehabilitation Competency Framework (RCF) in rehabilitation human resource management, and provide theoretical and practical reference for rehabilitation human resource management.Methods Based on the International Standard Classification of Occupations issued by the International Labour Organization, the application scope of RCF was systematically analyzed. The theoretical framework of rehabilitation human resource management based on RCF was constructed in combination with competency-based human resource management framework. On this basis, taking rehabilitation nurses as an example, the corresponding management methods and paths are proposed from four aspects of human resource management, including career management, recruitment and selection, training and development, and performance appraisal and salary management.Results Based on RCF, the theoretical framework of human resource management for rehabilitation nursing positions was constructed, and the main contents and processes of human resource management based on RCF were clarified from four aspects: recruitment and selection, training and development, performance appraisal and salary management, and career management. Occupational competency of rehabilitation professionals in International Standard Classification of Occupations was analyzed by RCF.Conclusion The rehabilitation competency framework constructed by WHO can be used to supplement the responsibilities of rehabilitation-related professionals in the International Standard Classification of Occupations issued by the International Labour Organization. RCF serves as a tool for practice managers and rehabilitation professionals in identifying selection criteria, learning objectives, and professional title assessment criteria. It can also be used in recruitment and selection, training and development, performance appraisal, salary management and career management in the field of rehabilitation human resource management.
Table and Figures | Reference | Related Articles | Metrics
Performance evaluation of rehabilitation workers using World Health Organization rehabilitation competency framework
DUAN Mingxue, JING Qi, QIU Zhuoying, SUN Hongwei, LI Anqiao, WU Fang, CAI Weiqin, GAO Qianqian, ZHENG Wengui
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (3): 285-294.   DOI: 10.3969/j.issn.1006-9771.2022.03.004
Abstract351)   HTML20)    PDF(pc) (1072KB)(209)       Save
Objective To explore the theory and method of performance evaluation for rehabilitation workers based on the World Health Organization Rehabilitation Competency Framework (RCF).Methods Using the theoretical framework and methods of the RCF, we analyzed rehabilitation workers' related competencies from the five dimensions, namely practice, professionalism, learning and development, management and leadership, and research, integrating core values and beliefs, competencies and behaviors, activities and tasks, and knowledge and skills, to construct a comprehensive evaluation method and pathway for rehabilitation workers' performance.Results Based on the RCF, which confirms the job competency requirements for rehabilitation workers, a multi-dimensional, multi-level and standardized performance evaluation index framework was formed. For example, performance evaluation system of physical therapists was consisted of five primary indicators and 26 secondary indicators from the combination of RCF and job standards.Conclusion The rehabilitation worker performance evaluation based on the RCF can evaluate the performance of rehabilitation workers in a scientific, standardized and comprehensive way. It analyzes the performance of rehabilitation workers in a multi-dimensional and systematic manner with the competence of rehabilitation workers as the center, and evaluates the quality and effectiveness of the performance of rehabilitation workers at different levels of proficiency, which makes the performance evaluation of rehabilitation workers more scientific and comprehensive, and enables rehabilitation workers to understand proficiency and clarify the gap, to promote rehabilitation workers to continuously improve their own level and enhance the quality of rehabilitation services.
Table and Figures | Reference | Related Articles | Metrics
Development of programmes and curriculum of physical therapy at undergraduate level using ICF and rehabilitation competency framework
XIAO Xiaofei, QIU Zhuoying, SUN Hongwei, LI Anqiao
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (3): 295-305.   DOI: 10.3969/j.issn.1006-9771.2022.03.005
Abstract467)   HTML33)    PDF(pc) (1275KB)(290)       Save
Objective To develop programmes and curriculum of physical therapy competency for undergraduate education for the training of competent physical therapy.Methods Using World Health Organization Rehabilitation Competency Framework (RCF) and International Classification of Functioning, Disability and Health (ICF) as framework, a discipline of physical therapy, and programmes and curriculum for undergraduate education were developed.Results The basic concepts of rehabilitation and disability, laws, regulations and ethics and physical therapy of functioning and disability were explored within RCF. The contents, core values and beliefs of physical therapy competencies were developed using RCF. Results -oriented and backward strategy was used to develop programmes and curriculum of undergraduate education in physical therapy based on competency. Conclusion The theory of ICF and RCF is important for developing programmes and curriculum of physical therapy competency. Based on RCF, the physical therapy competency domain, principles, strategies and educational framework for undergraduate education in physical therapy are constructed, helping for developing competency-based undergraduate education standards for physical therapy and professional competency standards in China.
Table and Figures | Reference | Related Articles | Metrics
Specialty setting of undergraduate special education using World Health Organization rehabilitation competency framework
HAO Chuanping, QIU Zhuoying, LI Anqiao, HAN Xiao, WANG Shaopu, XIAO Xiaofei
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (3): 306-317.   DOI: 10.3969/j.issn.1006-9771.2022.03.006
Abstract389)   HTML22)    PDF(pc) (1427KB)(234)       Save
Objective To build a competency-based special education program at the undergraduate level based on the World Health Organization Rehabilitation Competency Framework (RCF) and tailored to educational and rehabilitation needs of students with disabilities, to improve the level of special education program, and to meet the requirements of competency-based education development.Methods Using the theory and method of RCF, we analyzed the competency requirements of special education teachers in school education contexts with reference to the Professional Standards for Special Education Teachers (Trial), the Accreditation Standards for Special Education Majors, and the Professional Competency Standards for Teacher Trainees in Special Education.Results A competency framework for special education teachers based on RCF was constructed, principles for setting special education majors based on RCF and principles for building special education majors based on RCF were proposed, and a competency model applicable to special education majors at the undergraduate level was established according to the characteristics of the school education context.Conclusion As a global rehabilitation competency framework serving the health of all people, the theory and method of RCF are important for constructing a competency-based education for special education majors. The principles, methods, educational objectives, and methodological system of special education majors at the undergraduate level are constructed based on RCF to promote the implementation of the national Professional Standards for Special Education Teachers (Trial), the Standards for Accreditation of Special Education Majors, and the Professional Competency Standards for Teachers of Special Education Majors.
Table and Figures | Reference | Related Articles | Metrics
Specialty system of special physical education at master's level based on World Health Organization rehabilitation competency framework
HUANG Kai, LU Yan, QIU Zhuoying, JIANG Xiaoqing, HAO Chuanping, LIU Zhe
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (3): 318-326.   DOI: 10.3969/j.issn.1006-9771.2022.00.001
Abstract352)   HTML18)    PDF(pc) (1113KB)(104)       Save
Objective To explore the specialty system of special physical education at master's level.Methods Professional competency for special physical education was developed using the World Health Organization Rehabilitation Competency Framework (RCF), and was applied to the exploration of theoretical structure and methodological system for the construction of special physical education program at master's level.Results Based on the RCF, a competency framework for special physical education teachers was constructed, involving in five areas: practice, professionalism, learning and development, management and leadership, and research. The proficiency of competencies and activities should attain the corresponding level. The construction of special physical education program should be built to highlight the characteristics of RCF and focus on the training of competency in four areas: education objectives, instructional methods, the curriculum of the program and instructional assessment.Conclusion A competency-based program at the master's level in special physical education has been constructed using the RCF. The program uses the RCF to specify professional competency standards for special physical education teachers, and this can be transformed into the content of the competency-based program for special physical education at the master's level. The RCF is used to construct a competency-based special physical education system, which can be used to specify the educational objectives, instructional modalities, specialized core curriculum, and content and methods of instructional assessment in the design of a special physical education program at the master's level.
Table and Figures | Reference | Related Articles | Metrics
Research on competency of professionals in rehabilitation psychology using World Health Organization rehabilitation competency framework
ZOU Min, SUN Hongwei, QIU Zhuoying, LI Anqiao
《Chinese Journal of Rehabilitation Theory and Practice》    2022, 28 (3): 327-334.   DOI: 10.3969/j.issn.1006-9771.2022.03.008
Abstract380)   HTML19)    PDF(pc) (1085KB)(225)       Save
Objective To explore competency of professionals in rehabilitation psychology using Rehabilitation Competency Framework (RCF) and develop the curriculum system of rehabilitation psychology at graduate level.Methods Using RCF and Rehabilitation Competency Framework to a specific context, we constructed competency of professionals in rehabilitation psychology and education programme with the functioning framework of International Classification of Functioning, Disability and Health in accordance with disciplinary development and vocational need.Results A competency framework for professionals in rehabilitation psychology based on RCF was constructed; the educational goals based on competency-based education (CBE) in accordance with vocational competency and job responsibilities had been formulated; the curriculum system of rehabilitation psychology was developed in rehabilitation psychology at graduate level based on RCF and CBE, to develop professionals of rehabilitation psychology work in a team.Conclusion Disciplinary development and vocational requirement are integrated in competency of professionals in rehabilitation psychology based on RCF, which provide theories and methods to develop graduate programme and curriculum in rehabilitation psychology.
Table and Figures | Reference | Related Articles | Metrics
Research on Ethical Connotation and Its Practice of Rehabilitation Medicine
Shi-cai WU
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 125-130.   DOI: 10.3969/j.issn.1006-9771.2021.02.001
Abstract1243)   HTML91)    PDF(pc) (982KB)(515)       Save
Objective

To construct an ethical system to guide the practice of rehabilitation in China based on the ethical principles of health services, in conjunction with the environment and ethical concepts of rehabilitation services in Chinese community.

Methods

To review the ethical historiography of rehabilitation medicine, analyze the ethical setting of rehabilitation medicine, and summarize the practice of ethical conducts of rehabilitation medicine in national rehabilitation institutions.

Results

The development of ethics in rehabilitation medicine was systematically analyzed, the principles and methods of ethical setting in rehabilitation institutions were elaborated, and the methods of ethical setting and practice in national-level rehabilitation institutions were explored.

Conclusion

The connotation and methods of ethical setting in rehabilitation and the path and methods of practicing ethical guidelines in national-level rehabilitation institutions were systematically discussed.

Reference | Related Articles | Metrics
Effects of Body Weight-supported Treadmill Training on Neuropathic Pain and Expression of Glutamate Decarboxylase (GAD)-65/67 in Spinal Dorsal Horn of Rats with Spinal Cord Injury
Xiang-zhe LI,Jie DING,Qing-hua WANG,Chuan-ming DONG,Tong WANG,Qin-feng WU
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 131-136.   DOI: 10.3969/j.issn.1006-9771.2021.02.002
Abstract1027)   HTML75)    PDF(pc) (2863KB)(358)       Save
Objective

To investigate the effect of body weight-supported treadmill training on neuropathic pain and expression of glutamate decarboxylase-65/67 (GAD-65/67) in spinal dorsal horn of rats with spinal cord injury (SCI).

Methods

A total of 24 Sprague-Dawley rats were randomly divided into sham group, SCI-sedentary (SCI-Sed) group and SCI-Exercise (SCI-Ex) group, with eight rats in each group. Allen's method was used to make T10 incomplete SCI model. Seven days after SCI, SCI-Ex group was given body weight-supported treadmill training. Before SCI, and seven days, 14 days, 21 days, 28 days and 35 days after SCI, the von Frey filaments and thermal stimulation pain tester were used to evaluate the mechanical and thermal pain thresholds. Then, Western blotting and immunohistochemical analysis were performed on the spinal cord of all rats to detect the expression of GAD-65 and GAD-67.

Results

The mechanical and thermal pain thresholds were higher in SCI-Ex group than in SCI-Sed group 21 days, 28 days and 35 days after SCI (P < 0.01). Compared with the sham group, the expression of GAD-65 and GAD-67 decreased in SCI and SCI-Ex groups (P < 0.05), and increased in SCI-Ex group compared with that of SCI-Sed group (P < 0.05).

Conclusion

Body weight-supported treadmill training could increase the synthesis of GAD-65/67 in the distal spinal cord dorsal horn of incomplete SCI rats, and improve the pain thresholds of hind limbs in rats with SCI.

Table and Figures | Reference | Related Articles | Metrics
Effect of Electroacupuncture on Content of Cyclic Adenosine Monophosphate and Protein Kinase A, and Phosphorylation of Myosin Light Chain Kinase in Detrusor of Rats with Detrusor Hyperreflex after Suprasacral Spinal Cord Injury
Kun AI,Ming XU,Qiong LIU,Shi-feng DENG,Ji-sheng LIU,Fang QI,Xi-qin YI,Qi-rui QU,Hong ZHANG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 137-144.   DOI: 10.3969/j.issn.1006-9771.2021.02.003
Abstract745)   HTML40)    PDF(pc) (2210KB)(268)       Save
Objective

To explore the possible mechanism of electroacupuncture to improve detrusor hyperreflex after suprasacral spinal cord injury.

Methods

A total of 60 female Sprague-Dawley rats were included. According to the random number table, twelve were selected as the blank group, twelve as the sham operation group, and the remaining 36 were made neurogenic bladder models using modified T10 spinal cord transection. After that, twelve of them were randomly selected as the model group and twelve were as the electroacupuncture group from the model rats that met the requirements. On the 19th day after modelling, Ciliao (BL32), Zhongji (RN3) and Sanyinjiao (SP6) were taken for electroacupuncture. After seven days of continuous treatment, urodynamic testing was performed, content of cyclic adenosine monophosphate (cAMP) and protein kinase A (PKA) in detrusor was determined by ELISA, and the level of phosphorylation of myosin light chain kinase (p-MLCK) of detrusor was determined by Western blotting.

Results

Compared with the blank group and the sham operation group, the maximum bladder capacity and bladder compliance significantly reduced (P < 0.01), and the base pressure and leakage point pressure of bladder significantly increased (P < 0.01); the content of cAMP and PKA in detrusor reduced (P < 0.01), p-MLCK in detrusor reduced (P < 0.05) in the model group. Compared with the model group, the maximum bladder capacity and bladder compliance increased (P < 0.01), the base pressure of the bladder and the pressure at the leak point decreased (P < 0.05); the contents of cAMP and PKA protein in detrusor increased (P < 0.05), the p-MLCK in detrusor increased (P < 0.05) in the electroacupuncture group.

Conclusion

Electroacupuncture at Ciliao, Zhongji and Sanyinjiao points could improve the bladder function of rats with detrusor hyperreflex after complete spinal cord injury, and its mechanism may be related to up-regulating the expression of cAMP and PKA, phosphorylating and inactivating p-MLCK, which promote relaxation of detrusor.

Table and Figures | Reference | Related Articles | Metrics
Advance in Evaluation Formula of Glomerular Filtration Rate in Patients with Spinal Cord Injury (review)
Yang XIE,Zhen-bo CHEN,Ji-gang YANG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 145-149.   DOI: 10.3969/j.issn.1006-9771.2021.02.004
Abstract630)   HTML30)    PDF(pc) (874KB)(223)       Save

Patients with spinal cord injury are in high risk of chronic kidney disease (CKD). Glomerular filtration rate (GFR) is an important indicator commonly used to detect CKD. This paper reviewed the pros and cons of existing endogenous and exogenous GFR measurement, and focused on the problems and challenges for the application of the estimating glomerular filtration rate (eGFR) in patients with spinal cord injury. These research results indicated that the applicability of traditional eGFR to patients with spinal cord injury is still insufficient. It is necessary to modify eGFR in clinical research and application in spinal cord injury.

Reference | Related Articles | Metrics
Factors Related to Autonomic Dysreflexia during Intermittent Catheterization in Patients with Spinal Cord Injury
Bo WEI,Gen- lin LIU,Wei SUN,Lin-yi WANG,Ying ZHENG,Chun-xia HAO,Ying ZHANG,Yi-ji WANG,Hai-qiong KANG,Xiao-lei LU,Yuan YUAN,Qian-ru MENG,Hong-jun ZHOU
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 150-155.   DOI: 10.3969/j.issn.1006-9771.2021.02.005
Abstract615)   HTML21)    PDF(pc) (1049KB)(365)       Save
Objective

To investigate the occurrence and related factors of autonomic dysreflexia (AD) during intermittent catheterization in patients with spinal cord injury (SCI).

Methods

Case control study was used in this study. Intermittent catheterization was performed on 44 SCI patients hospitalized from April, 2019 to April, 2020, The data of age, gender, time after injury, segment of injury, degree of injury, resting blood pressure, immediate blood pressure after catheterization, catheterization numbers, catheterization volume and duration of catheterization were collected. Descriptive analysis and binary Logistic regression analysis were used to analyze the occurrence and related factors of AD.

Results

Totally, AD happened in 26 (59.1%) patients. Urethral catheterization was done 1738 times, out of which AD accounted for 187 times (10.8%). The risk of AD increased with the time after injury and age (P < 0.05). The probability of AD was lower in T7 SCI and below than in T6 SCI and above (P = 0.002). Catheterization numbers, gender, degree of injury, catheterization volume and duration of catheterization were not influencing factors of AD (P > 0.05).

Conclusion

It is necessary to have a full understanding for the occurrence of AD in patients with SCI during intermittent catheterization. For patients with SCI in T6 and above, long time after injury and elderly patients, routine monitoring of blood pressure during intermittent catheterization is recommended to detect and deal with AD in time.

Table and Figures | Reference | Related Articles | Metrics
Bone Metabolism Biochemical Markers for Spinal Cord Injury: A Retrospective Study of 135 Patients
Hai-qiong KANG,Hong-jun ZHOU,Bo WEI,Yi-ji WANG,Gen-lin LIU,Zhi-zhong LIU,Ying ZHENG,Chun-xia HAO,Ying ZHANG,Xiao-lei LU,Yuan YUAN,Qian-ru MENG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 156-163.   DOI: 10.3969/j.issn.1006-9771.2021.02.006
Abstract545)   HTML14)    PDF(pc) (1246KB)(250)       Save
Objective

To observe the relationship between bone metabolism biochemical markers and clinic features in patients with spinal cord injury.

Methods

From July, 2018 to December, 2019, totally 135 patients with spinal cord injury were enrolled. They were assessed with American Spinal Injury Association Impairment Scale (AIS). β-collagen type I C-terminal telopeptide (β-CTX), total N-terminal propeptide of type I precollagen (TP1NP), 25-hydroxyvitamin D [25(OH)D] and parathyroid hormone (PTH), serum calcium and serum phosphorus were measured. The level of TP1NP, β-CTX, 25(OH)D and PTH among clinical characteristics (gender, age, disease course, AIS grade and so on) were analyzed.

Results

The levels of β-CTX and 25(OH)D were lower in women than in men (|t| > 2.044, P < 0.01). There was difference in the level of 25(OH)D among different ages (F = 3.156, P < 0.05). The levels of β-CTX and TP1NP increased in the first four months after spinal cord injury, and decreased then; while the level of PTH decreased in the first four months, and increased then (P < 0.001). The level of β-CTX was lower in patients of AIS D than in patients of AIS A and C (t >2.679, P < 0.05). The level of TP1NP was higher in paraplegics than in quadriplegics (Z = -2.035, P < 0.05). The level of β-CTX was higher in patients with fractures or surgeries involving bone than in patients without fractures or surgeries involving bone (t = 2.169, P < 0.05). There was no difference in all the bone metabolism markers between patients with and without lower extremity motor function (t < 0.839, Z < 1.822, P > 0.05). The ratio of 25(OH)D deficience was 85.19%.

Conclusion

Bone conversion was active in the first four months after spinal cord injury, and decreased gradually then, which may be related to fractures of spine or surgeries involving spine after injury. The effect of spinal cord injury on bone metabolism markers is not clear. Most of patients with spinal cord injury were lack of vitamin D.

Table and Figures | Reference | Related Articles | Metrics
Dermatological Condition after Spinal Cord Injury: A Retrospective Study
Zhi-li XU,Yuan YUAN,Jun-ying ZHAO
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 164-170.   DOI: 10.3969/j.issn.1006-9771.2021.02.007
Abstract782)   HTML22)    PDF(pc) (908KB)(277)       Save
Objective

To investigate the characteristics of skin diseases in patients with spinal cord injury (SCI).

Methods

From January, 2012 to December, 2016, all the inpatients with SCI were collected through hospital information system, in which, the patients with skin problems referred to the dermatologists were screened. Their general demographic characteristics, the time of skin onset since SCI, segment of SCI, level of SCI, the distribution of skin lesion, and the dermatological diagnosis were all recorded. The number of skin diseases in each SCI patient was counted.

Results

A total of 3152 inpatients with SCI were included, out of whom, 554 patients were referred to the dermatologists, and 785 person-times dermatological conditions were diagnosed. Among the 554 patients, the consultation rate of male patients was significantly higher than females (χ2 = 13.284, P < 0.001); the consultation rate of aged 18~35 years and aged 36~50 years groups was higher than aged less than 18 years and aged more than 35 years groups (χ2 = 15.994, P < 0.01); the appearence of the skin lesions within six months post-SCI was significantly higher than more than six months post-SCI (χ2= 123.725, P < 0.001); the consultation rate of patients with cervical SCI was higher than those with thoracic and lumbosacral SCI (χ2= 10.482, P < 0.01), and the consultation rate of tetraplegic patients was higher than paraplegia patients (χ2 = 9.172, P < 0.01). A total of 385 patients suffered one dermatological condition, while 169 patients suffered two or more dermatological conditions. Among them, men (χ2 = 6.108, P < 0.05), patients with cervical SCI (χ2 = 8.592, P < 0.05) and tetraplegic patients (χ2 = 8.592, P < 0.05) were more likely to suffer two or more dermatological conditions. Allergic (252 cases), infectious (186 cases) and sebaceous gland related (169 cases) skin diseases were the most common skin problems.

Conclusion

Male, cervical SCI and tetraplegic patients are more likely to suffer two or more skin diseases. It is necessary to strengthen the prevention of skin diseases common in SCI patients.

Table and Figures | Reference | Related Articles | Metrics
Advance in Physiotherapy of Robot-assisted Lower Limb Rehabilitation for Walking Function in Children with Spastic Cerebral Palsy (review)
Ting-ting MA,Hao ZHANG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 171-176.   DOI: 10.3969/j.issn.1006-9771.2021.02.008
Abstract889)   HTML38)    PDF(pc) (953KB)(481)       Save

Walking is the embodiment of the ultimate goal of the central nervous system at the level of biomechanics, which is of great significance to the formation of children's psychological and motor independence. It is necessary to improve walking mobile function to obtain independent mobile ability and the quality of daily life. The standard of routine walking training cannot be unified, and the evaluation index cannot be standardized and quantified. Robot-assisted lower limb rehabilitation is the research hotspot in the field of improving walking mobile function in neurological dysfunction in recent years, which is characterized by high-intensity and repetitive locomotion. This paper briefly introduced the development, classification and rehabilitation mechanism of robot-assisted lower limb rehabilitation, and summarized the application of robot-assisted gait training in the rehabilitation of walking mobile dysfunction of children with spastic cerebral palsy based on the framework of International Classification of Functioning, Disability and Health. Robot-assisted lower limb rehabilitation can significantly improve the range of motion, muscle strength and spatiotemporal parameters of spastic cerebral palsy, and significantly improve the short-term motor and balance function. However, the researches on reducing abnormal muscle tone, reducing energy expenditure and improving participation ability are still controversial, and the standard of long-term efficacy and intervention measures still needs to be further studied. In the future, it is necessary to carry out multi-center research with large samples, so that the robot-assisted lower limb rehabilitation can be used as a supplementary mean of routine physical therapy for children with spastic cerebral palsy.

Reference | Related Articles | Metrics
Advance in Home-based Rehabilitation after Spinal Cord Injury (review)
Song WEI,Feng GAO,Jun LIU,Jian-jun LI
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 177-181.   DOI: 10.3969/j.issn.1006-9771.2021.02.009
Abstract791)   HTML50)    PDF(pc) (896KB)(388)       Save

Home-based rehabilitation can effectively reduce the clinical complications of patients with spinal cord injury and accelerate the recovery of neurological function, as well as reduce the heavy economic burden on healthcare system. Home-based rehabilitation has shown effectiveness in multiple studies. Neurofeedback could relieve the neuropathic pain of 40% home patients with spinal cord injury. Wearable technology could monitor and promote the recovery of hand motor function. Household portable stimulators and surface electrodes could inhibit unnecessary bladder activity and improve urinary incontinence. Strengthening stretching training at home could reduce shoulder pain in patients with chronic spinal cord injury. Using functional electrical stimulation at home could improve the muscle function of patients with spinal cord injury due to loss of neurotrophic muscle atrophy. There are still some disadvantages of home-based rehabilitation, such as complicated operation, expensiveness and not convenient to carry for training equipment, which need to be further developed.

Reference | Related Articles | Metrics
Effect of Modified Rehabilitation Program for Postoperative Management after Arthroscopic Latarjet Procedure
Wei SUN,Hong LEI,Wei-yi JING,Zhen-dong ZHANG,Yan HUANG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 191-196.   DOI: 10.3969/j.issn.1006-9771.2021.02.012
Abstract436)   HTML19)    PDF(pc) (926KB)(470)       Save
Objective

To assess the clinical outcomes of our modified postoperative rehabilitation program after total arthroscopic Latarjet procedure.

Methods

From July, 2017 to March, 2019, 32 patients suffered from habitual anterior shoulder dislocation were treated with arthroscopic Latarjet procedure in our medical center. They were randomly assigned to control group (n = 15) and experimental group (n = 17). The control group received conventional rehabilitation program after shoulder arthroscopic Bankart repair, while the experimental group received modified rehabilitation program after arthroscopic Latarjet procedure. After surgery, they followed our postoperative management and rehabilitation program, and finished every phase of follow-up. Before and three weeks and six weeks after surgery, they were accessed with Visual Analogue Score (VAS) for pain, active range of motion (AROM) and functional assessment. Twelve months after surgery, their satisfaction were compared.

Results

None of them was lost at one-year follow-up postoperatively. No recurrent dislocation occurred. Three months after surgery, the VAS, AROM and the scores of shoulder functional assessments were better in the experimental group than in the control group (|t| > 2.149, P < 0.05). Six months after surgery, no significant difference was found in VAS and AROM between two groups (|t| < 1.481, P > 0.05), and the scores of shoulder functional assessments were better in the experimental group than in the control group (|t| > 2.300, P < 0.05). Twelve months after surgery, the percentage of restored throwing ability and patients' satisfaction (t = -4.564, P < 0.001) were higher in the experimental group than in the control group.

Conclusion

Compared with the conventional rehabilitation program after shoulder arthroscopic Bankart repair, modified postoperative rehabilitation program for arthroscopic Latarjet procedure is safer and more effective, which could bring better functional outcomes and higher patients' satisfaction.

Table and Figures | Reference | Related Articles | Metrics
Effect of Pain Relief on Gait Characteristics of Patients with Chronic Nonspecific Low Back Pain
Wu-jie HUANG,Hong LIU,Ya-ping LI,Zheng JIANG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 197-202.   DOI: 10.3969/j.issn.1006-9771.2021.02.013
Abstract563)   HTML28)    PDF(pc) (1017KB)(242)       Save
Objective

To observe the effects of pain relief after acupuncture on walking speed, step length and ground reaction force (GRF) of patients with chronic nonspecific low back pain (CNLBP) during walking.

Methods

From May to December, 2019, 28 CNLBP patients were randomly divided into waiting list group (n = 14) and acupuncture group (n = 14). The acupuncture group received acupuncture, 30 minutes a time, three times a week, for four weeks. The waiting list group only received health education after enrollment until four weeks later. Gait analysis was performed with three-dimensional motion system for both groups after enrollment and one month later. The walking speed, step length and GRF characteristic values were recorded and compared, as well as Visual Analogue Score (VAS) for pain.

Results

After intervention, The VAS decreased in both groups (t > 2.956, P < 0.05), and was lower in the acupuncture group than in the waiting list group (t = -2.844, P = 0.004). No significant difference in walking speed, step length and GRF characteristic values was found after intervention in both groups (P > 0.05).

Conclusion

One month-acupuncture could relief the pain of CNLBP patients, however, it could not improve the performance during walking.

Table and Figures | Reference | Related Articles | Metrics
Short-term Effect of Hip Muscles Strengthening on Knee Osteoarthritis
Bing-chen AN,Jie-jiao ZHENG,Tian-tian ZHOU,Yu-ting TANG,Jie LIAN
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 203-207.   DOI: 10.3969/j.issn.1006-9771.2021.02.014
Abstract586)   HTML38)    PDF(pc) (1184KB)(352)       Save
Objective

To compare the short-term effects of hip muscles strengthening and quadriceps strengthening on knee osteoarthritis (KOA), and discuss the advantages of hip muscles strengthening.

Methods

From October, 2015 to May, 2016, 42 old females with KOA were divided into two groups equally. They received hip strengthening (HS group) and quadriceps strengthening (QS group) for two weeks, respectively. The pain, stiffness and physical function scores of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were measured. Isokinetic strength peak torque (PT) was assessed for knee extensors and flexors, and 6-minute Walk Test was also evaluated. They were followed up two months later.

Results

Before exercise, there was no significant difference in all the indexes between two groups (P > 0.05). Two weeks after exercise, the knee flexor PT (t = -4.038, P = 0.001) and 6-minute walk distance (t = -2.474, P = 0.022) increased in QS group; the pain, stiffness and physical function scores of WOMAC (t > 2.487, P < 0.05), the knee extensor and flexor PT (|t| > 6.370, P < 0.001), and 6-minute walk distance (t = -2.241, P = 0.037) improved in HS group; the scores of WOMAC were lower (t > 2.087, P < 0.05) and the knee extensor PT was higher (t = -5.028, P < 0.001) in HS group than in QS group. At two-months' follow-up, the drop-out rate was significantly lower in HS group than in QS group (χ2 = 13.480, P < 0.001).

Conclusion

Hip muscles strengthening is a good choice for KOA in the early stage of treatment, which could avoid the pain in quadriceps training, increase quadriceps strength and improve physical function.

Table and Figures | Reference | Related Articles | Metrics
Effect of Exercise-based Cardiac Rehabilitation on Patients with Acute Coronary Syndrome after Percutaneous Coronary Intervention
Wei YUAN,Shan NIE,Nan JIA,Zhi-chang ZHENG,Hao-yan WANG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 208-215.   DOI: 10.3969/j.issn.1006-9771.2021.02.015
Abstract603)   HTML20)    PDF(pc) (1129KB)(219)       Save
Objective

To analyze the effects of exercise-based cardiac rehabilitation (ER) on patients with acute coronary syndrome (ACS) after percutaneous coronary intervention (PCI), and to identify which type of ACS patients would benefit most in terms of cardiovascular functional capacity after ER.

Methods

From December, 2017 to July, 2019, 31 ACS patients who discharged in a stable situation after PCI were studied. All patients were referred to a three-month ER program after discharge. They were divided into normal wall motion group (normal group, n = 14) and abnormal regional wall motion group (abnormal group, n = 17) according to baseline myocardial wall motion reported by echocardiography. The degree of wall motion abnormalities was quantified by the wall motion score index (WMSI). Echocardiography and cardiopulmonary exercise testing (CPET) were performed before and after ER.

Results

Eight patients were dropped, and 23 patients completed the trial. WMSI decreased in the abnormal group (Z = -2.852, P = 0.004), and the left ventricular ejection fraction (LVEF) didn't change in both groups (P > 0.05) after ER. CPET showed that the heart rate at rest decreased in the normal group after ER (t = -2.268, P = 0.047); and the peak work rate, peak oxygen uptake, percentage of predicted value of peak oxygen uptake, peak minute ventilation and the third minute heart rate recovery increased in the abnormal group after ER (t > 2.739, P < 0.05).

Conclusion

ER during recovery period could help more improve the cardiac function and exercise tolerance of ACS patients with abnormal WMSI after PCI. WMSI is an important indicator of cardiac function in ACS patients with preserved ejection fraction.

Table and Figures | Reference | Related Articles | Metrics
Agreement of Spatiotemporal Gait Characteristics between Gaitboter Gait Analysis System and Noraxon Gait Analysis System
Ming-ming GAO,Ze-jia HE,Xiao-ping YUN,Zhou LONG,Cheng WANG,Xiang-dong WANG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 216-221.   DOI: 10.3969/j.issn.1006-9771.2021.02.016
Abstract544)   HTML21)    PDF(pc) (1608KB)(406)       Save
Objective

To assess the agreement between measurements of spatiotemporal gait characteristics made with Gaitboter and Noraxon gait analysis systems.

Methods

From February to April, 2019, 35 healthy adults were recruited to participate in gait analysis using Gaitboter and Noraxon gait analysis apparatuses, respectively. Stance phase, swing phase, stride length, cadence, velocity and toe out were recorded and computed. Intraclass correlation coefficients (ICC) and Bland-Altman plots were used to evaluate the agreement between the two gait analysis systems.

Results

There was a good reliability in spatiotemporal gait characteristics between two gait analysis systems (ICC 0.691 to 0.835). Bland-Altman plots also showed good agreement.

Conclusion

The measurements of temporal and spatial parameters with Gaitboter and Noraxon gait analysis systems yield acceptable agreement, and further study needs to be conducted on the validity of the Gaitboter gait analysis system.

Table and Figures | Reference | Related Articles | Metrics
Effect of Virtual Painless Ward Based on Mobile Internet on Pain Management for Patients after Craniotomy
Na HUANG,Hui-xin ZHANG,Hao REN,Yu-qi GUO
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 222-229.   DOI: 10.3969/j.issn.1006-9771.2021.02.017
Abstract568)   HTML16)    PDF(pc) (1109KB)(202)       Save
Objective

To evaluate the effect of virtual painless ward management based on mobile internet on pain management of patients after craniotomy.

Methods

From May to October, 2019, 117 patients who accepted virtual painless ward management based on mobile Internet after craniotomy were selected as painless ward group. From December, 2018 to April, 2019, 117 patients previously hospitalized in the same department after craniotomy were selected as control group. The regression equation was established to compare the Numerical Rating Scale (NRS), nursing satisfaction and anxiety rate between two groups, and the general data, such as age, were taken as independent variables into the regression equation. Partial regression coefficient (B), odds ratio (OR) and 95% confidence interval (CI) of the painless ward management after adjustment compared with that of the non-painless ward management were calculated.

Results

Multivariate regression analysis showed that, compared with the control group, the score of NRS within four days significantly decreased (B = -2.700, 95%CI -3.167 to -2.232, P < 0.001), the nursing satisfaction significantly increased (B = 0.542, 95%CI 0.289 to 0.795, P < 0.001), and the anxiety rate significantly decreased (B = -2.119, OR = 0.120, 95%CI0.053 to 0.271, P < 0.001) in the painless ward group. However, the improvement of the anxiety rate might not completely depend on the decrease of NRS score (B = -0.112, OR = 0.894, 95%CI 0.727 to 1.100, P > 0.05).

Conclusion

The procedure of virtual painless ward based on mobile internet could obviously improve the management level of analgesia for patients after craniotomy.

Table and Figures | Reference | Related Articles | Metrics
Effect of Home-based Rehabilitation Training on Posterior Shoulder Dislocation with Reverse Hill-Sachs Lesion: A Case Report
Luo-zhi-fei ZHOU,Xiao-sheng XIA,Zi-li WANG
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 230-236.   DOI: 10.3969/j.issn.1006-9771.2021.02.018
Abstract627)   HTML45)    PDF(pc) (2729KB)(464)       Save
Objective

To explore the effect of home-based rehabilitation training on a patient with posterior shoulder dislocation with reverse Hill-Sacks lesion.

Methods

According to the preoperative and postoperative evaluation and the operation way, a four-phase home-based rehabilitation training plan was developed for the patient, which included the training of muscle strength and range of motion, and proprioceptive sensation training and so on. The patient was followed up in rehabilitation department regularly. The range of motion was measured, and were also evaluated with Manual Muscle Test, Visual Analogue Score (VAS) and modified Rowe Score.

Results

Six months after operation, the active range of motion of flexion, extension, adduction, abduction and external rotation of his shoulder reached to the normal range, the active internal rotation reached to level L3, the muscle strength recovered to the normal level, the VAS decreased from six preoperative to 0 postoperative, and the modified Rowe Score improved from 16 preoperative to 91. Ten months after operation, his active internal rotation reached to level L1, and the modified Rowe Score was 93.

Conclusion

Individualized remote guidance and reasonable home-based rehabilitation training might be effective on posterior shoulder dislocation with reverse Hill-Sacks lesion.

Table and Figures | Reference | Related Articles | Metrics
Implementation of Ethical Principles to Promote Development of Rehabilitation Services
Li-jun MENG,Shi-cai WU
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (2): 237-242.   DOI: 10.3969/j.issn.1006-9771.2021.02.019
Abstract521)   HTML20)    PDF(pc) (990KB)(369)       Save
Objective

To analyze the ethical value of rehabilitation medicine and its influence on rehabilitation medicine services.

Methods

The ethical value of rehabilitation medicine was studied with the literature review, investigation, and analysis method, integrating with the behavioral process of rehabilitation medicine, and relevant issues were proposed.

Results

Rehabilitation medicine ethics was important for rehabilitation medicine services, and played a great role in improvement of qualities of services.

Conclusion

The article proposes the significance and methods of how to practice medical ethical principles in rehabilitation medicine, and points out specific measures and practical countermeasures for implementing medical ethics.

Table and Figures | Reference | Related Articles | Metrics
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (1): 1-14.   DOI: 10.3969/j.issn.1006-9771.2020.00.021
Abstract652)      PDF(pc) (1704KB)(533)       Save
Reference | Related Articles | Metrics
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (1): 15-26.   DOI: 10.3969/j.issn.1006-9771.2021.01.002
Abstract943)      PDF(pc) (1796KB)(1014)       Save
Reference | Related Articles | Metrics
Effect of Early Exercise Combined with Pentylenetetrazol on Neurologic Function after Cerebral Ischemia-reperfusion in Rats and Its Mechanism
PENG Zhi-feng, ZHANG Yi-ping, ZHANG Ji-hong
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (1): 27-30.   DOI: 10.3969/j.issn.1006-9771.2021.01.003
Abstract482)      PDF(pc) (1747KB)(147)       Save
Objective To observe the interactive effects of early exercise and γ-aminobutyric acid (GABA) receptor antagonists on the neurologic function and brain-derived neurotrophic factor (BDNF) expression in the cerebral ischemia-reperfusion (I/R) rat model. Methods Male Sprague-Dawley rats were divided into sham (n = 10), I/R (n = 10), exercise (EX) (n = 10), pentetrazol (PTZ) (n = 10) and pentetrazol plus exercise (PTZEX) (n = 10) groups. All the rats, except the sham group, accepted middle cerebral artery occlusion (MCAO) for one hour and reperfused. Since two days after reperfusion, PTZ and PTZEX groups accepted PTZ, a GABA receptor antagonist, 0.25 mg/kg peritoneal injection, once a day for five days; while EX and PTZEX groups ran on a treadmill, 30 minutes a day for five days. Seven days after reperfusion, all the rats were assessed with neurobehavioral score, the infarct volumes were assessed with TTC, and BDNF expression in ischemic penumbra was detected with reverse transcription polymerase chain reaction and ELISA. Results Compared with I/R group, the neurobehavioral scores of EX group, PTZ group and PTZEX group improved, the volumes of cerebral infarction reduced (P < 0.05), and PTZEX group was the best (P < 0.05). The expression of BNDF was the most in PTZEX group (P < 0.05). Conclusion Early exerxise combined with PTZ could promote the recovery of neurologic function in I/R rats, which may be related to the up-regulation of BDNF.
Reference | Related Articles | Metrics
Effects of Mirror Therapy on Upper Limb Motor Function and Corticospinal Tract Remodeling after Stroke: A Diffusion Tensor Imaging Study
LING Qing, HU Shi-hong, WANG Tian-yao, ZHOU Ya-fei, LIN Li-ping
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (1): 31-36.   DOI: 10.3969/j.issn.1006-9771.2021.01.004
Abstract598)      PDF(pc) (1994KB)(332)       Save
Objective To explore the effects of mirror therapy on upper limb motor function recovery and corticospinal tract remodeling after stroke. Methods From March, 2017 to March, 2019, 42 subcortical stroke patients with upper limb dysfunction from Shanghai Fifth People's Hospital were randomly divided into control group (n = 21) and observation group (n = 21). Both groups received routine rehabiliation, while the observation group received mirror therapy additionally, for twelve weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), and scanned with diffusion tensor imaging (DTI) before and after treatment. The fractional anisotropy (FA) in posterior limb of internal capsule (PLIC) was obtained. Results The scores of FMA-UE improved in both groups after treatment (t > 9.560, P < 0.001), and improved more in the observation group than in the control group (t > 2.634, P < 0.05). FA decreased significantly in the affected-lateral PLIC compared with that in the unaffected-lateral PLIC in both groups (t > 11.368, P < 0.001). FA in the affected side increased significantly after treatment in the observation group (t = 2.385, P < 0.05), while there was no significant difference in the control group (t = -0.596, P > 0.05). FA increased more significantly in the observation group than in the control group (t = 2.306, P < 0.05). Conclusion Mirror therapy can promote the recovery of motor function of upper limb and the corticospinal tract remodeling in stroke patients.
Reference | Related Articles | Metrics
Effects of Cognitive-Motor Dual Task Training on Vascular Mild Cognitive Impairment for Old Patients
ZHU Ling-ling, CHANG Hong, CAI Wei-xin, SONG Hai-qing, ZHU Yi-cheng, SHENG Yu
《Chinese Journal of Rehabilitation Theory and Practice》    2021, 27 (1): 37-42.   DOI: 10.3969/j.issn.1006-9771.2021.01.005
Abstract734)      PDF(pc) (1346KB)(299)       Save
Objective To explore the effect of cognitive-motor dual task training on vascular mild cognitive impairment (VaMCI) in old patients. Methods From March to September, 2019, 76 old patients with VaMCI in three general hospitals were divided into control group (n = 38) and intervention group (n = 38). All the patients accepted health education, while the intervention group accepted cognitive-motor dual task training in addition, for three months. They were assessed with Montreal Cognitive Assessment-Beijing Version (MoCA-BJ) and Trail Making Test (TMT-A) before and after intervention, and the one-year incidence of fall before and after intervention was investigated in the intervention group. Results Two cases in the control group and three cases in the intervention group dropped down. The total score and dimension scores of MoCA-BJ were more significantly in the intervention group than in the control group after intervention (|Z| > 2.002, P < 0.05), except the dimension of naming, while the time for TMT-A was significantly less (Z = -5.949, P < 0.001). The one-year incidence of fall decreased significantly during the year after intervention (χ2 = 10.080, P < 0.01). Conclusion Cognitive-motor dual task training can improve the cognitive function of older VaMCI patients, especially for attention and executive function, and reduce the risk of fall.
Reference | Related Articles | Metrics

Links