ABSTRACT
Objective To compare the static standing balance of stroke patients after different biofeedback protocols.Methods Thirty-two stroke patients were randomly divided into a knowledge of performance (KP) group,a knowledge of results (KR) group and a control group.All 3 groups received 4 weeks of conventional rehabilitation training plus another 30min of static standing balance training per day.The KP group received audio-visual feedback in real time during the training.The KR group received section result feedback.The control group received no feedback during the extra balance training.Before and after the training,the performance of the 3 groups was evaluated using Berg's Balance Scale (BBS) and a portable biofeedback device.Results Average BBS performance improved significantly more in the KP group (3.08± 1.08) than in KR group (1.30±0.67) and control group (1.20± 0.79) (P＜0.05).No significant difference was detected between the KR and control groups (P＞0.05).The average improvements of the KP group in terms of Standing with Eyes Closed and Tandem Standing (0.92±0.79 and 0.83± 0.39) were significantly highcr than those in the KR (0.30± 0.48 and 0.20± 0.42) and control groups (0.01 ± 0.01 and 0.40±0.52) (P＜0.05).Average trunk angular displacements in all four directions [Anterior (2.83±0.93;6.15± 1.85),Posterior (2.56±0.88;5.97±1.74);Left (2.86±1.16;6.49±2.42),Right (2.68±1.43;5.98±2.05)] in the KP group was significantly higher than in the others (P＜0.05).No significant differences were detected between the KR and control groups in BBS results or in posture.Conclusions Static standing training should incorporate real time biofeedback.It is then more effective than conventional standing training or training with section results feedback.It is worth spreading in clinical applications.
ABSTRACT
Objective To study the effect of self-made stereotactic head frame on hypertensive cerebral hemorrhage.Methods Sixty-seven patients with putamen hemorrhage,admitted to our hospital from January 1,2013 to January 1,2014,were enrolled as minimally invasive group;a self-made laser assisted stereotactic head frame was used to putaminal intracranial catheter.Another 53 patients with putaminal hemorrhage,performed traditional craniotomy at the same time period,were enrolled as control group.Systemic analysis and evaluation of effect of these two methods were performed.Results As compared with the control group,minimally invasive group had significantly lower mortality rate 6 months after surgery (22.6％ vs.8.9％) and re-bleeding rate (15.1％ vs.2.99％),significantly increased percentage of favorable outcomes (43.4％ vs.68.7％),statistically shorter surgical times ([203.2±38.6] min vs.[41.2±8.1] min) and hospital stays ([28.1±7.2] d vs.[18.2±4.4] d),and significantly decreased medical expenses ([23647.7±5503.2] yuan vs.[51678.6±7524.2] yuan,P＜0.05).Conclusion Treating putaminal hemorrhage using self-made laser assisted stereotactic head frame enjoys advantages as simple operation,lower cost and good efficacy.
ABSTRACT
Objective To investigate the causes of recurrent spontaneous abortion(RSA) and to know the relation between RSA and antiphospholipid thrombosis syndrome(APL-T). Methods ELISA and PTT-LA were used to detect anticardiolipin antibody(ACA) and lupus anticoagulant(LA) in 32 patients with RSA and 20 normal controls(NC). Results There were 17 positive of antiphospholipid antibody(APA) in RSA group. The incidence was significantly higher than that in NC group. The incidence of LA was also significantly higher than that in NC group. 8 patients were diagnosed as APL-T. Conclusion LA may be the more important reason of RSA. It should be considered as APL-T when RSA is unexplained.