ABSTRACT
For the children who suffer trauma in earthquake, rehabilitation care aims to promote functional recovery, shorten hospital stay, and reduce the incidence of complications or disability by evidence-based, multidisciplinary, and comprehensive early rehabilitation intervention on the basis of first aid and clinical treatment. Children are likely to suffer traumatic brain injury, spinal cord injury, peripheral nerve injury, limb fracture, and amputation in the earthquake disaster, so the clinical rehabilitation care designed considering the characteristics of children should be provided immediately after acute phase of trauma to promote functional recovery.
Subject(s)
Child , Humans , Amputation, Traumatic , Rehabilitation , Brain Injuries , Rehabilitation , Disasters , Earthquakes , Peripheral Nerve Injuries , Rehabilitation , Spinal Cord Injuries , Rehabilitation , Wounds and Injuries , RehabilitationABSTRACT
Objective To investigate the changes of distribution of plantar pressure in Hallux Valgus and provide laboratory proof for clinical therapy and rehabilitation of hallux valgus. Method 17 cases of hallux valgus with 34 involved feet were examined. 17 persons with normal feet were choosen as control group. Forefoot plantar pressure was measured during walking by Footscan system. The forefoot was divided into five regions according to the five metatarsals. The parameters, peak pressure (PP) and pressure time integral (PTI) of the five regions, were compared to evaluate the plantar pressure changes while walking. ResultsForefoot plantar pressure distribution of hallux valgus is quite different from that of normal feet. Among five regions PP and PTI under the third metatarsal are maximum, which was (24.01±12.33)Pa，(6.89±3.02) respectively. While the maximum of normal feet was under the second metatarsal, which was (16.79±7.65)Pa，(6.03±2.72) respectively. Conclusions There are biomechanical differences between hallux valgus and normal feet which can be embodied by the distribution of plantar pressure. The center of plantar pressure distribution obviously shifts from interior to exterior.
ABSTRACT
@#ObjectiveTo develop an experimental model of orthostatic hypotension (OH) after spinal cord injury (SCI) in rabbits and investigate the effect of tilting table exercise and Shengmaiyin on it. MethodsRabbit model of OH after SCI were induced by complete transection of spinal cord at the T5 spinal segment and raised to 60° head up tilt (HUT) on a tilting table. Tilting table exercise and Shengmaiyin were applied to different groups for 28 d from 4 days after operation. Systolic blood pressure (SBP) and pulse rate (PR) were observed with non-invasive sphygmobolometer of rabbit 3, 10, 17, 24, 31 d after the operation. Liquid chromatography with electrochemical detection(HPLC-ECD) was used to detect the concentrations of plasma norepinephrine (NE) and epinephrine(E) with horizontal position and HUT 60° on the 31st day. ResultsSBP with HUT 60° in rabbits of combined treatment group was significantly higher than that in rabbits of SCI group on the 24th day after operation,and the drop in SBP from horizontal position to HUT60° was significantly lower than that in rabbits of SCI group. SBP with HUT 60° in rabbits of exercise group and combined treatment group was significantly higher than that in rabbits of SCI group on the 31st day after operation. The drop in SBP from horizontal position to HUT 60° was significantly lower in rabbits of Shengmaiyin group, exercise group and combined treatment group than that in rabbits of SCI group on the 31st day after operation. The concentration of E and NE of SCI group, Shengmaiyin group, exercise group and combined treatment group was lower than that of sham group, but there was no significant difference among these groups. ConclusionThe treatment with tilting table exercise and Shengmaiyin can improve OH after SCI partially in rabbits without involving norepinephrine and epinephrine significantly. The period of treatment can be shorten when both therapies used together.
ABSTRACT
@#ObjectiveTo assess the efficacy and results of cervical double door laminoplasty for the treatment of cervical spinal cord injury without radiographic spinal fracture and dislocation.Methods24 patients (all men) with cervical spinal cord injury without radiographic spinal fracture and dislocation were treated with operation of cervical double door laminoplasty. The follow up period ranged from 3 months to 21 months. ASIA scores of motion and sensation before and after operation were compared.Results After surgical treatment, ASIA scores of motion and sensation of patients were improved from 35.2±7.1 and 72.4±13.1 to 59.3±6.8 and 122.2±15.2 respectively and having a significant difference compared with that before operation (P<0.01).Conclusion Cervical double door laminoplasty, which is characterized by thorough decompression of spinal cord and preserving the posterior supporting tissue as much as possible to maintain the stabilization of cervical spine after operation, is an ideal optional method for cervical spinal cord injury without radiographic spinal fracture and dislocation.