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Research on international policies of digital empowerment of physical activity and health in children with disabilities: framework, core content, and strategic action
WEI Xiaowei
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (4): 381-388.   DOI: 10.3969/j.issn.1006-9771.2024.04.002
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Objective To explore the framework, core content and strategic action of international policies concerning the digital empowerment of physical activity and health among children with disabilities.

Methods Employing the World Health Organization (WHO) health service system's six building blocks as a theoretical basis, this study conducted a systematic content analysis of core policy documents issued by key international organizations including the WHO, United Nations Educational, Scientific and Cultural Organization (UNESCO), International Telecommunication Union (ITU), and United Nations International Children's Emergency Fund (UNICEF). These documents cover topics related to digital empowerment, artificial intelligence, digital health, physical activity and health, high-quality physical education, and inclusive education. The analysis aimed to identify the international policy framework, core content and strategic action related to the digital empowerment of physical activity and health for children with disabilities.

Results The policy framework for digital empowerment of physical activity and health in children with disabilities encompasses six key areas, aligned with the WHO health service system's six building blocks: service provision, health workforce, health information systems, medical products and technology, health financing, leadership and digital governance. Key strategic actions for implementing digital empowerment include strengthening legal and policy support to enhance digital governance capabilities, establishing cross-sectoral collaboration mechanisms, fostering continuous innovation in digital technology, building a comprehensive service system for digital empowerment in physical activity and health, establishing and enforcing relevant technological and ethical standards, promoting digital community inclusion, and improving the monitoring and quality control of services related to physical activity and health for children with disabilities.

Conclusion Based on the WHO health service system's six building blocks, this study provides a detailed analysis of international policies from WHO, UNESCO, ITU and UNICEF, and constructs a comprehensive policy framework for the digital empowerment of physical activity and health in children with disabilities. It highlights the core contents and main strategic actions necessary for policy development and the application of digital technologies in the field of physical activity and health for children with disabilities. The findings underscore the importance of national and local policy development of digital empowerment technologies to support the physical activity and health of children with disabilities.

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Chinese Journal of Rehabilitation Theory and Practice    2025, 31 (1): 67-69.   DOI: 10.3969/j.issn.1006-9771.2025.01.006
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Effect of respiratory training based on core stability training on feedforward control in patients with chronic nonspecific low back pain
CHEN Linghui, ZHENG Qi, LI Yan, FU Jianming, ZENG Ming, JIN Xin, LU Jingjing
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (6): 737-744.   DOI: 10.3969/j.issn.1006-9771.2024.06.015
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Objective To investigate the effect of respiratory training based on core stability training on feedforward control in patients with chronic nonspecific low back pain (CNLBP).

Methods A total of 60 patients with CNLBP in Jiaxing Second Hospital from January, 2022 to March, 2023 were randomly divided into control group (n = 30) and experimental group (n = 30). Both groups received health education, physical factor therapy and core stability training, while the experimental group received respiratory training in addition, for four weeks. Visual Analogue Scale (VAS) score, Japanese Orthopaedic Association low back pain (JOA) score and Oswestry Dysfunction Index (ODI) were compared between two groups before and after treatment, while surface electromyography was used to detect the root mean square (RMS) and integrated electromyography (iEMG) of transversus abdominis, multifidus and triceps (movement muscles), and the activation sequence and relative activation time of transversus abdominis, multifidus and triceps were calculated.

Results After treatment, the scores of VAS, JOA and ODI improved significantly in both groups (|t| > 8.515, P < 0.001), and the scores were better in the experimental group than in the control group (|t| > 2.089, P < 0.05). RMS and iEMG of transversus abdominis and multifidus improved significantly after treatment in both groups (|t| > 18.831, P < 0.001), and were significantly better in the experimental group (|t| > 3.481, P < 0.05). The transversus abdominis and multifidus in both groups were activated before the movement muscles, and the relative activation time of transversus abdominis and multifidus increased in negative (|t| > 48.115, P < 0.001), the experimental group being better (|t| > 3.229, P < 0.05).

Conclusion Combination of core stability training and respiratory training is beneficial in reducing the pain of patients with CNLBP, reducing the lumbar dysfunction, improving the order of muscle activation, and strengthening feedforward control.

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Construction of exercise rehabilitation specility based on World Health Organization Rehabilitation Competency Framework
RONG Xianfeng, LI Fanghui, TAN Jiali
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (6): 639-647.   DOI: 10.3969/j.issn.1006-9771.2024.06.003
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Objective To discuss the education of exercise rehabilitation specialty in China using World Health Organization rehabilitation competency framework (RCF).

Methods With reference to World Health Organization Rehabilitation in Health Systems and RCF, this paper discussed the objectives, course contents and human resource management of exercise rehabilitation in China.

Results Rehabilitation service was an important part of health service to achieve the goals of United Nations 2030 health coverage, well-being of all people and sustainable development. Sports rehabilitation would cultivate professionals with knowledge of rehabilitation medicine and exercise rehabilitation. We should establish the concept of "people-oriented", improve the multi-disciplinary human resource management system, and improve the provision of multi-dimensional rehabilitation services in communities and hospitals, to cultivate professionals with both theoretical and practical abilities. RCF played an important role in developing teaching objectives, which helped for competency oriented education, curriculum settings, and an education system centered on competency.

Conclusion Under the context in Rehabilitation in Health Systems and RCF, we have clarified the competency characteristics required for the training of sports rehabilitation professionals, optimized the training mode of sports rehabilitation professionals, and explored the path to achieve the goals of sports rehabilitation talent training.

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Brain-computer interface technology used in rehabilitation medicine in the last decade: a visualized analysis
YANG Rong, WANG Qian, ZI Yang, CHEN Yiting, LI Yingcai, LENG Jun
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (4): 416-423.   DOI: 10.3969/j.issn.1006-9771.2024.04.006
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Objective To analyze the use of brain-computer interface technology in the field of rehabilitation in the last decade.

Methods The articles of brain-computer interface technology used in rehabilitation from January, 2013 to August, 2023 in CNKI and Web of Science core collection database were retrieved. CiteSpace 6.2.R4 software was applied for visualized analysis, and the corresponding knowledge map was drawn.

Results A total of 1 582 literatures were retrived, including 506 in Chinese and 1 076 in English. The annual publication volume was on the rise. For English, China was the country with the highest number of literatures, and the United States with the highest centrality. For Chinese, the most high-yield author was Ming Dong, and the most high-yield institution was Tianjin University; while the most high-yield authors were Birbaumer N and Jochumsen M, and the most high-yield institution was the University of Tübingen in English. Research hotspots included motor imagery, stroke, EEG signals, etc. The researches could be clustered in four areas: basic research, disease, function and joint application. Brain-computer interfaces combined with motor imagery, exoskeleton rehabilitation robots, functional electrical stimulation and virtual reality after stroke accounted for a large portion of applications.

Conclusion The research related to brain-computer interfaces applied to the field of rehabilitation is generally on the rise. Future attention may continue to be given to the use of brain-computer interface technology in patients with stroke, spinal cord injury and amyotrophic lateral sclerosis. Basic research on neuroplasticity and signal decoding deserves the attention of domestic scholars.

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Expert consensus on rehabilitation and management of airway function for neurocritical patients with tracheotomy (2024)
Committee of Neurological Rehabilitation, China Association of Rehabilitation of Disabled Persons, China Rehabilitation Research Center
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (8): 869-881.   DOI: 10.3969/j.issn.1006-9771.2024.08.001
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Objective To create an evidence-based expert consensus on airway function rehabilitation and management post tracheostomy in neurocritical patients.

Methods The lists of problems and recommendations were defined using Delphi method, and the evidence quality and recommendation strength were evaluated using GRADE, and the results were reported based on RIGHT.

Results The comprehensive rehabilitation of airway function for neurocritical patients with tracheotomy in the setting of clinical rehabilitation would be conducted by a multidisciplinary team, including rehabilitation physicians, rehabilitation therapists, nurses, etc. A total of 17 recommendations were finally formulated on four major issues, including the airway function rehabilitation, airway management, pre-decannulation assessment and decannulation, and the monitoring after decannulation and rehabilitation management.

Conclusions The expert consensus on the airway function rehabilitation and the management after tracheostomy in neurocritical patients in the setting of clinical rehabilitation has been created, which may be helpful for the quality and safety of rehabilitation for the airway function in neurocritical patients with tracheostomy.

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Application of artificial intelligence in anxiety and depression among children and adolescents: a scoping review
SU Rufeng, ZHONG Xiaoke, GAO Xiaoyan, JIANG Changhao
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (5): 513-519.   DOI: 10.3969/j.issn.1006-9771.2024.05.003
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Objective To review the application of artificial intelligence in anxiety and depression among children and adolescents.

Methods PubMed, Web of Science, CNKI and Wanfang data were searched for literature related to artificial intelligence applied in of anxiety and depression among children and adolescents from January, 2014 to January, 2024, and a scoping review was conducted.

Results A total of ten papers were included, originating from the United States, China, Australia and France. These researches were primarily published in journals related to psychology, public health, clinical medicine, neuroscience and rehabilitation, involving six cross-sectional researches, three longitudinal researches and one interview, including 10 880 participants aged from three to 18 years. The types of data mainly included questionnaires/scales, interview data and brain imaging data. Features related to anxiety and depression were extracted from the data, and artificial intelligence were employed to develop models for the identification or prediction of anxiety and depression in children and adolescents.

Conclusion Artificial intelligence is potential for identifying or predicting anxiety and depression in children and adolescents.

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Effect of behavioral vision training on post-stroke ocular motility disorders
WANG Xue, WANG Liping, SONG Ning, LIU Lanqun, ZHOU Jie, WU Jun
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (6): 726-730.   DOI: 10.3969/j.issn.1006-9771.2024.06.013
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Objective To explore the effect of behavioral vision training on post-stroke ocular motility disorders (PSOMD).

Methods From August to Octobor, 2023, a total of 21 PSOMD patients in Beijing Bo'ai Hospital were selected. They received behavioral vision training, including brain-based visual training and visual fusion training, for four weeks. Visual function was assessed with Snellen eye chart, strabismus prism and Titmus near stereopia.

Results The vision of both right and left eyes improved after training (Z right eye = -3.601, Z left eye = 3.012, P < 0.01), while the strabismus prism reduced significantly (t = 8.930, P < 0.001). But Titmus near stereopia showed no difference (P > 0.05).

Conclusion Behavioral vision training could improve vision and strabismus after stroke.

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Research on framework, core content and priority areas of international policy of healthcare, rehabilitation and education services for children with hearing and speech impairments
ZHANG Qing, LI Yanqun, JIA Wenrong, LIU Qiaoyun, JIANG Ruilin
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (4): 373-380.   DOI: 10.3969/j.issn.1006-9771.2024.04.001
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Objective To analyze the framework, core content and priority development areas of international policy concerning healthcare, rehabilitation and educational services for children with hearing and speech impairments.

Methods Based on the WHO's "Rehabilitation in Health Systems" and the six building blocks of health services, this study conducted a systematic analysis of the international policy framework, core content and priority areas for global healthcare, rehabilitation and education services for children with hearing and speech impairments, with reference to the WHO World Report on Hearing.

Results Regarding leadership and governance, an inter-sectoral governance system and capabilities are necessary, formed through inclusive policy-making and collaborative planning with all stakeholders to enhance ear and hearing health initiatives. In the area of financing, sustainable funding and health protection policies are vital, advocating for incremental annual investments to broaden the scope of ear and hearing healthcare services. Human resources development calls for bolstering educational and training initiatives, expanding programs for ear and hearing healthcare, speech therapy and special education professionals, to elevate service delivery proficiency. For service provision, establishing an integrated, person-centered ear and hearing care system is advocated, which weaves ear and hearing care interventions into comprehensive health strategies, acknowledging the necessities and priorities across all levels and establishing an inclusive service system in the realms of children's healthcare, rehabilitation and education. In terms of medical technology and infrastructure, the study encourages the facilitation of high-caliber hearing technologies, emphasizing the efficacy and cost-effectiveness of devices like hearing aids and cochlear implants, and fully incorporating assistive and accessible technologies into educational and rehabilitative practices to improve the comprehensive care of children with hearing loss. Digital technologies' proliferation within children's healthcare, rehabilitation and educational services is also encouraged. In the field of information systems and monitoring, the development of standardized monitoring metrics and the establishment of evaluation mechanisms for hearing healthcare services are proposed, promoting remote surveillance and services. For rehabilitation and education, the establishment of a unified monitoring data platform to augment the quality of hearing and speech rehabilitation services for children is suggested. The WHO delineates five international priority development areas for healthcare, rehabilitation, and educational services for children with hearing and speech impairments, namely early intervention and education, hearing and speech therapy, psychosocial support, social skills and community participation, and vocational education and life skills training.

Conclusion Based on the six components of the health service system, this study systematically analyzed the international policies of health care, rehabilitation and education services for hearing-impaired and speech-impaired children, and constructed the service structure and core contents of health care, rehabilitation and education services for them. Under the vision of WHO health service system, the development of hearing-impaired health and rehabilitation, and the construction of hearing-impaired health and rehabilitation service system should focus on five areas: early intervention and education, hearing and speech therapy, psychosocial support, social skills and community participation, and vocational education and life skills training.

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Effect of virtual reality on cognitive function and quality of life in patients with Parkinson's disease: a meta-analysis
LÜ Meiling, WANG Jie, ZENG Weisi, WEN Xiaoting, CHU Xin
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (6): 648-656.   DOI: 10.3969/j.issn.1006-9771.2024.06.004
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Objective To evaluate the effect of virtual reality (VR) on cognitive function and quality of life in patients with Parkinson's disease.

Methods A systematic search of CBM, CNKI, Wanfang data, VIP, Cochrane Library, Web of Science, Embase, and PubMed was carried out to identify randomized control trials (RCT) about the effect of VR technology on patients with Parkinson's disease from inception to February 29th, 2024. The control group received routine cognitive training, balance training or physical therapy, and the experimental group received VR technology. The quality of articles was evaluated using the Cochrane Collaboration's 5.1.0 RCT risk assessment tool for bias. The meta-analysis was performed using Revman5.4. GRADE was used to evaluate the evidence quality of outcome indicators.

Results A total of 13 literatures involving 426 patients were included. Allocation concealment and blind methods were not described in most literatures, and selective reporting of research results or other biases was unclear. VR technology could improve the Motreal Cognitive Assessment (MoCA) score (MD = 1.11, 95%CI 0.31 to 1.90, P = 0.006), Trail Making Test (TMT)-A score (MD = -6.25, 95%CI -11.71 to -0.78, P = 0.030) and depression scale score (SMD = -0.56, 95%CI -0.95 to 0.18, P = 0.004) of patients with Parkinson's disease; however, it did not improve TMT-B score (MD = -6.01, 95%CI -28.16 to 16.14, P = 0.590), Unified Parkinson's Disease Rating Scale (UPDRS)-Part II score (MD = -2.11, 95%CI -4.97 to 0.75, P = 0.150) and Parkinson's Disease Questionnaire (PDQ-39) score (MD = -0.92, 95%CI -4.03 to 2.19, P = 0.560). For quality of evidence, MoCA score, UPDRS-Part II score and PDQ-39 score were low, and depression score and TMT score were moderate.

Conclusion VR technology can improve the cognitive function and depression of patients with Parkinson's disease; however, no significant improvement is found in activities of daily living and quality of life.

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Electroencephalography applied in autism spectrum disorder research in decade: a bibliometrics analysis
ZHANG Zhe, DONG Xianwen, XU Chengming, HU Wenjing, HE Tingli, CUI Xinxin, XU Hongyan, ZHOU Zhangying, HAN Ya'nan
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (6): 693-700.   DOI: 10.3969/j.issn.1006-9771.2024.06.009
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Objective To analyze the current state, research hotspots, and development trends of electroencephalography (EEG) applied in the field of autism spectrum disorder (ASD).

Methods Relevant literature from the Web of Science core collection database from January, 2014 to January, 2024 were retrieved and analyzed using CiteSpace 6.2.R4.

Results A total of 1 509 articles were included, with an increasing trend in publication volume over the years. The United States ranked highest in both publication volume and node centrality. The primary journals in this field were concentrated in clinical medicine, immunology and psychology. Keyword co-occurrence and clustering indicated that research primarily focused on the correlation between core symptoms of ASD and EEG indicators, differential diagnosis of ASD and its comorbidities, brain functional connectivity, and assessment of rehabilitation efficacy. Keywords bursted in the past three years mainly included artificial intelligence and machine learning.

Conclusion The researches in EEG technology in the field of ASD is generally increasing. Future researches may focus on exploring the brain network mechanisms of ASD using EEG combined with multimodal neuroimaging, and machine learning technologies.

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Effect of manual therapy based on surface electromyography on knee osteoarthritis for older people: a randomized controlled trial
ZHU Bowen, ZHAO Suhong, LI Miaoxiu, ZHANG Shuaipan, YAO Chongjie, ZHU Qingguang, FANG Min
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (9): 1099-1106.   DOI: 10.3969/j.issn.1006-9771.2024.09.014
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Objective To investigate the effect of manual therapy based on surface electromyography on knee osteoarthritis (KOA) in the older people.
Methods A total of 106 outpatient with unilateral KOA were selected from Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, from August, 2023 to June, 2024, and were randomly divided into control group (n = 53) and experimental group (n = 53). The control group accepted routine manual therapy, and the experimental group accepted manual therapy based on the analysis of average electromyography (AEMG). They were assessed with Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Visual Analogue Scale (VAS) for pain, Tinetti Balance and Gait Score, and 6-minute walk test (6-MWT) distances before and after treatment.
Results One case dropped down in each group. Before treatment, AEMG decreased in the rectus femoris, medial femoris and medial head of gastrocnemius on the affected side in the experimental group (|Z| > 8.647, P < 0.001), and it increased in the lateral femoris, semitendinosus and biceps femoris (|Z| > 4.808, P < 0.001). The scores of WOMAC, VAS, Tinetti Balance and Gait Score, and distances of 6-MWT improved in both groups after treatment (|t| > 3.987, P < 0.001), and improved more in the experimental group than in the control group, except the VAS score (|t| > 2.213, P < 0.05).
Conclusion Manual therapy focusing on activation of rectus femoris, medial femoris and medial head of gastrocnemius, inhibition of the lateral femoris, semitendinosus and biceps femoris, and releasing the tension of the medial and lateral collateral ligaments, according to the results of surface electromyography, can alleviate the pain of the KOA in the older people and improve the mobility of the knee.

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Correlation of upper extremity somatosensory evoked potentials with sensory and motor functions in stroke patients in different stages
YANG Shining, MA Jiang, LI Hong, GUO Liying, LIU Xianying, ZHANG Lifang
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (6): 701-708.   DOI: 10.3969/j.issn.1006-9771.2024.06.010
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Objective To investigate the correlation between somatosensory evoked potentials (SEP) of upper limbs, and sensory and motor functions in stroke patients in different stages.

Methods From June, 2021 to October, 2023, 177 stroke patients in Shijiazhuang People's Hospital were diveded into acute stage group (within 14 days, n = 25), early recovery group (14 days to one month, n = 110) and middle to late recovery group (one to six months, n = 42) according to the duration of the disease. General information of the patients was recorded; SEP examination was performed, and N20 lantency and amplitude were recorded. Monofilament touch and two-point discrimination sensation of the patient's hands were tested using the monofilament and two-point discrimination tools, respectively; and motor function was assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE). The correlation between SEP, and the sensory and motor scores in each group was analyzed.

Results There was no significant difference in the monofilament tactile and two-point discrimination scores among the three groups (P > 0.05). SEP was not correlated with sensory and motor functions in the acute stage group (P > 0.05); in the early recovery group, N20 latency was negatively correlated with monofilament tactile sensation (r = -0.267, P = 0.005) and positively correlated with two-point discrimination sensation (r = 0.220, P = 0.021), and N20 amplitude was positively correlated with monofilament tactile sensation (r = 0.328, P < 0.001) and FMA-UE score (r = 0.418, P < 0.001), and negatively correlated with two-point discrimination (r = -0.405, P < 0.001); in the middle to late recovery group, the N20 latency was negatively correlated with FMA-UE score (r = -0.313, P = 0.044), and N20 amplitude was positively correlated with monofilament tactile sensation (r = 0.598, P < 0.001) and FMA-UE score (r = 0.393, P = 0.010), and negatively correlated with two-point discrimination (r = -0.591, P < 0.001). Multiple linear regression analyses showed that the score of monofilament tactile sensation was negatively correlated with N20 latency (β = -0.510, P = 0.046), and the FMA-UE score was positively correlated with N20 amplitude (β = 0.313, P = 0.026) in the middle to late recovery group; in the early recovery group, the two-point discriminative sensation score was negatively correlated with N20 amplitude (β = -0.270, P = 0.039).

Conclusion The correlation between SEP and sensory and motor functions becomes more significant with the prolongation of disease.

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Chinese Journal of Rehabilitation Theory and Practice    2025, 31 (1): 70-84.   DOI: 10.3969/j.issn.1006-9771.2025.01.007
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Effect of intelligent mirror glove task-oriented training combined with low-frequency repetitive transcranial magnetic stimulation on hand function in patients with stroke: a randomized controlled trial
CHEN Chen, MENG Zhaoxiang, YANG Kang, ZHANG Minjie, ZUO Ya'nan, WANG Kui, ZHANG Xibin, QUAN Yifeng, JIN Xing
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (7): 831-838.   DOI: 10.3969/j.issn.1006-9771.2024.07.012
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Objective To explore the effect of task-oriented training of intelligent mirror gloves combined with low-frequency repetitive transcranial magnetic stimulation (rTMS) on hand function recovery in stroke patients.
Methods From October 1st, 2022 to June 30th, 2023, 136 stroke patients in Northern Jiangsu People's Hospital were randomly divided into control group, mirror group, rTMS group and combination group, with 34 patients in each group. All the groups received routine rehabilitation treatment. In addition, the mirror group received task-oriented training of intelligent mirror gloves, rTMS group received low-frequency rTMS, and the combination group received task-oriented training combined with low-frequency rTMS, for four weeks. The Fugl-Meyer Assessment-Upper Extremities (FMA-UE) score, Wolf Motor Function Test (WMFT) score, and surface electromyographic root mean square (RMS) of forearm extensor and flexor muscle groups on the affected/healthy side before and after treatment were compared. And the differences of transcranial magnetic stimulation-motor-evoked potentials (MEP) between rTMS group and combination group before and after treatment were also compared.
Results Four cases in the control group, seven in the mirror group, five in rTMS group and six in the combination group dropped off. The intra-group effect (F > 996.656, P < 0.001), inter-group effect (F > 20.333, P < 0.001) and interaction effect (F > 72.796, P < 0.001) were significant in the scores of FMA-UE and WMFT, and the RMS ratio of forearm extensor and flexor muscle groups among four groups, in which the combination group was the best. After treatment, the amplitude of MEP increased in rTMS group and combination group (|t| > 3.842, P < 0.05), and was higher in the combination group than in rTMS group (t = -3.060, P < 0.01).
Conclusion The task-oriented training of intelligent mirror gloves combined with low-frequency rTMS could effectively promote the recovery of hand function in stroke patients.

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Speech and language rehabilitation services for children with hearing impairment based on ICF: theoretical framework and service system
ZHOU Jing, YI Ling, CHEN Jianchao, CHEN Xuefen, WEI Xingxing, CHEN Jingjing
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (7): 745-751.   DOI: 10.3969/j.issn.1006-9771.2024.07.001
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Objective Based on the bio-psycho-social model of functioning and health of International Classification of Functioning, Disability and Health (ICF) framework, this paper systematically analyzes rehabilitation-related policy documents of the World Health Organization (WHO) to explore the theoretical and policy principles, service systems, priority development areas, and main policy and technical measures for speech and language rehabilitation for children with hearing impairment.
Methods Under literature research and policy analysis methods, this paper systematically reviewed the functioning and health framework of ICF, relevant WHO policy reports and American Speech and Hearing Association technical documents, analyzed the current status and needs of rehabilitation services in China, and proposed a theoretical framework, priority areas, and main policy and technical measures for constructing an ICF-based speech and language rehabilitation service system for children with hearing impairment.
Results There were eight major principles for the development of speech and language rehabilitation for children with hearing impairment: child-centered and respect for individual differences, life-cycle support and promoting continuous development, evidence-based practice, multidisciplinary collaboration, building family participation support networks, promoting integrated education and social participation, focusing on cultural sensitivity, and technology-empowered rehabilitation innovation. Five service systems were elaborated, including comprehensive early screening, diagnosis, and intervention system; family and social support system; multidisciplinary team services system; comprehensive, multi-level speech and language rehabilitation service system; and digitally empowered services to build new rehabilitation service models. The priority development areas, and main policy and technical measures for speech and language rehabilitation for children with hearing impairment were also discussed.
Conclusion Based on the bio-psycho-social model of functioning and health of ICF, comprehensive, personalized, continuous, high-quality and universally accessible speech and language rehabilitation services can be developed by implementing measures, such as strengthening policy support, improving service systems, cultivating multidisciplinary professionals, promoting digital empowerment technologies and enhancing support system, to promote the overall development, social participation and quality of life for children with hearing impairment.

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Competency and professional activities for Chinese pediatric rehabilitation therapists based on World Health Organization rehabilitation competency framework
FENG Lei, LÜ Jun, WANG Xiaoqian, ZHENG Hongying, SHAO Ping, WANG Anni, SUN Mei, CHEN Gang
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (7): 752-759.   DOI: 10.3969/j.issn.1006-9771.2024.07.002
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Objective To construct the competency and professional activities of pediatric rehabilitation therapists in China based on World Health Organization rehabilitation competency framework (RCF).
Methods Competencies, activities, and tasks in the field of pediatric rehabilitation were collected through literature, official websites and interviews with key informants using RCF. Competency requirements suitable for pediatric rehabilitation therapists were selected, competency dimensions and activities were adjusted based on the context of pediatric rehabilitation therapy. Similar content was integrated through thematic framework analysis and content analysis. Competencies were matched with typical professional activities. A competency framework and professional activities for Chinese pediatric rehabilitation therapists were developed, and the Delphi method was used to survey 22 experts, ultimately confirming competency dimensions and activity content.
Results The enthusiasm coefficient of experts was 88.00%, the authority coefficient was 0.84, and the expert opinions were more focused on importance. The CV values of all competency dimensions and activities were ≤ 0.25, and the W test was statistically significant (P < 0.05), indicating a high degree of coordination among experts. A competency framework for pediatric rehabilitation therapists in China, included 17 competency dimensions and 17 professional activities.
Conclusion To explore the competency of typical professions through RCF may enhance the application of research results in the field of rehabilitation, which provides a reference for clarifying the job content and cultivating the competency of Chinese pediatric rehabilitation therapists.

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Effect of virtual and augmented reality on cognition, emotion and adaptive behavior in children and adolescents with autism spectrum disorder: a systematic review
YANG Wenrui, CUI Sidong, ZENG Li
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (9): 1026-1033.   DOI: 10.3969/j.issn.1006-9771.2024.09.005
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Objective To systematically analyze the effect of virtual reality (VR) and augmented reality (AR) on cognition, emotion and adaptive behavior in children and adolescents with autism spectrum disorder (ASD).
Methods The randomized controlled trials (RCT) about the effect of VR or AR interventions on cognition, emotion and adaptive behavior in children and adolescents with ASD were retrieved from databases of PubMed, Cochrane Library, Embase, Web of Science, CNKI, VIP and Wanfang data from January, 2008 to August, 2024, and a systematic review was conducted.
Results Nine RCT from China, Italy, Spain, Iran and the United Kingdom, involving a total of 384 participants, were included, published between 2016 and 2024. Participants aged two to 15 years. The approaches included VR immersive headsets, Xbox 360 Kinect game consoles, CAVE-style immersive virtual environments and AR; covered daily life scenario experiences, cognitive and social scenario training, and emotion recognition tasks. Outcome measures involved cognitive function, emotional function, attention, memory, basic interpersonal communication and adaptive behavior. Interventions typically lasted 15 to 60 minutes a time, one to three times a week, for three to 24 weeks. VR-based training improved overall cognition, emotion recognition, emotional control and expression, basic interpersonal communication and adaptive behavior; while AR-based training improved executive function, spatial orientation, task focus and memory.
Conclusion VR and AR are effective on overall cognitive function, emotional function, attention, memory, basic interpersonal communication and adaptive behavior in ASD children and adolescents.

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International researches on artificial intelligence enabled diagnosis and intervention for children with disabilities in the past two decades: a visualized analysis
WANG Zhenzhou, ZHANG Yang
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (4): 404-415.   DOI: 10.3969/j.issn.1006-9771.2024.04.005
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Objective To analyze the current status, hot topics and evolution paths of international research on artificial intelligence (AI) enabled clinical diagnosis and intervention for special children in the past 20 years, and to predict the future research trends.

Methods The relevant literature of AI enabled diagnosis and intervention for special children in the Web of Science Core Collection (WoSCC) database from 2004 to 2023 was retrieved. CiteSpace 6.3.R1 was used to visualize the publication volume, countries (regions), institutions, authors, co-occurrence keywords, keyword clustering and time zone map of international researches.

Results A total of 314 articles were included. Famous universities in Europe and America dominated the research on AI enabled diagnosis and intervention for special children. Journal of Autism and Developmental Disorders was the journal with the most publications. The United States was the country with the most publications. The research team with the most publications was led by Acharya U Rajendra, whose main contribution was to establish data testing and diagnosis models for autism spectrum disorder (ASD) patients. The main keywords were artificial intelligence, ASD, children, machine learning, deep learning, classification, diagnosis, adolescents, individual, recognition, etc. The LLR keyword clustering analysis resulted in ten clusters. The research hotspots were diagnosis, ASD, attention deficit hyperactivity disorder, deep learning and machine learning. The research subjects mainly included ASD, attention deficit hyperactivity disorder, learning disability, Down syndrome, visual impairment, cerebral palsy and intellectual disability. AI technologies mainly included deep neural network, smart watch, facial expression recognition, virtual reality, robot, machine learning, assistive technology, smart glasses, etc. The application scenarios mainly included diagnosis and screening, treatment, social communication, attention training, navigation and object recognition, motion analysis and treatment, and cognitive therapy, etc. The evolution path and development trend of this field were: the diagnosis and intervention services for special children came from the initial cerebral palsy and learning disability, to multiple types; from the initial classification and diagnosis, to multiple aspects of recognition and intervention; from the initial traditional technology, to new technologies, providing more technical support and method innovation for their personalized and precise education, and forming a multi-technology combination intervention mode.

Conclusion The application of AI technologies in the diagnosis and intervention of children with disabilities shows a significant upward trend. The focus of research is gradually shifting from basic classification and diagnosis to more complex identification and personalized intervention, particularly in areas such as ASD and attention deficit hyperactivity disorder. The use of cutting-edge technologies like deep learning and machine learning is propelling the field towards more precise and personalized treatment. The intervention model combining multiple technologies is becoming the future trend of development in this field.

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Effect of combination of partial body weight support and functional electrical stimulation on lower limb motor function after stroke
XIONG Xingxiu, ZHANG Zhenghui, DENG Chunyan, LI Yunbo, CHEN Zhenpeng, LI Yuanjie, SONG Jing
Chinese Journal of Rehabilitation Theory and Practice    2024, 30 (5): 554-559.   DOI: 10.3969/j.issn.1006-9771.2024.05.008
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Objective To observe the effect of combination of partial body weight support and functional electrical stimulation on lower limb motor function for stroke patients.

Methods From January, 2023 to February, 2024, 60 stroke patients from Rehabilitation Hospital of Chancheng District People's Hospital in Foshan City were randomly divided into control group (n = 30) and observation group (n = 30). The control group received routine rehabilitation, while the observation group received a combination of celestial orbit system and functional electrical stimulation in addition, for three weeks. They were assessed with Balance assessment and training system, Berg Balance Scale (BBS), Fugl-Meyer Assessment-Lower Extremities (FMA-LE) and Holden Functional Ambulation Category (FAC) before and after treatment.

Results X-axis trajectory length, average speed of swaying, total wobble trajectory, Y-axis trajectory length, trajectory length per unit area, BBS score, FMA-LE score and FAC score improved in both groups after treatment (|t| > 4.809, P < 0.001); and all the indexes improved more in the observation group than in the control group (|t| > 2.268, P < 0.05), except X-axis trajectory length and average speed of swaying.

Conclusion Supplement of the combination of partial body weight support and functional electrical stimulation is more effective on lower limb motor function, balance and walking for stroke patients.

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