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Objective@#To evaluate the effect of biofeedback training on bowl function among rectal cancer patients with chemoradiotherapy and temporary enterostomy.@*Methods@#Using randomized controlled trial design, 109 rectal cancer patients were randomly divided into three groups, the first blank control group, the second group pelvic floor muscle exercise group, the third group biofeedback group. High resolution anorectal manometry was used for 6 longitudinal traces in 16 months. Data of bowel function were collected by Memorial Sloan Kettering Cancer Center (MSKCC) Bowel Function Instrument.@*Results@#The main effect of the change of five indicators, anal resting pressure, rectal resting pressure, maximum squeeze pressure, maximum squeeze time and high pressure zone, was time. The other four indicators, rectal volume at first senory, rectal volume at sense of convenience, maximal tolerable rectal volume and rectal compliance, among patients of biofeedback group were (32.71±5.00) ml, (74.26±8.30) ml, (188.40±12.68) ml, (5.69±1.18) ml/kPa and (68.09±6.38). The rectal volume at first senory, rectal volume at sense of convenience, maximal tolerable rectal volume and rectal compliance, among patients of biofeedback group were significant higher than blank control group and pelvic floor muscle exercise group (F=3.589-26.826, P<0.05).@*Conclusion@#The biofeedback could significantly improve the sensory indicators of patients with middle and low rectal cancer. High-resolution anorectal manometry could effectively evaluate the effect of biofeedback training in patients with middle and low rectal cancer.
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Objective To observe the effect of 1 Hz repetitive transcranial magnetic stimulation (rTMS) on upper limb motor function af-ter stroke. Methods 40 patients with ischemic internal carotid artery (ICA) stroke were randomly divided into treatment group (n=20) and control group (n=20). Both groups received conventional rehabilitation and medication. The treatment group received rTMS while the con-trol group received pseudo stimulation, 1 Hz at 100%resting motor threshold (RMT) over contralesional motor cortex (unaffected side). The treatment group was tested with motor evoked potentials (MEPs), and both groups were assessed with Fugl-Meyer Assessment (FMA) and grip strength after treatment. Results The amplitude of MEPs of the unaffected cortex increased in the treatment group after treatment (P<0.001). The treatment group improved in grip strength and the scores of FMA in the affected side compared with the control group after treat-ment (P<0.001). No serious side-effect was found. Conclusion rTMS was safe and feasible for patients with ischemic ICA stroke to im-prove the upper limb motor function.
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@#Objective To observe the effect of 1 Hz repetitive transcranial magnetic stimulation (rTMS) on upper limb motor function after stroke. Methods 40 patients with ischemic internal carotid artery (ICA) stroke were randomly divided into treatment group (n=20) and control group (n=20). Both groups received conventional rehabilitation and medication. The treatment group received rTMS while the control group received pseudo stimulation, 1 Hz at 100% resting motor threshold (RMT) over contralesional motor cortex (unaffected side). The treatment group was tested with motor evoked potentials (MEPs), and both groups were assessed with Fugl-Meyer Assessment (FMA) and grip strength after treatment. Results The amplitude of MEPs of the unaffected cortex increased in the treatment group after treatment (P< 0.001). The treatment group improved in grip strength and the scores of FMA in the affected side compared with the control group after treatment (P<0.001). No serious side-effect was found. Conclusion rTMS was safe and feasible for patients with ischemic ICA stroke to improve the upper limb motor function.
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@#Objective To observe the effect of 1 Hz repetitive transcranial magnetic stimulation (rTMS) on upper limb motor function after stroke. Methods 40 patients with ischemic internal carotid artery (ICA) stroke were randomly divided into treatment group (n=20) and control group (n=20). Both groups received conventional rehabilitation and medication. The treatment group received rTMS while the control group received pseudo stimulation, 1 Hz at 100% resting motor threshold (RMT) over contralesional motor cortex (unaffected side). The treatment group was tested with motor evoked potentials (MEPs), and both groups were assessed with Fugl-Meyer Assessment (FMA) and grip strength after treatment. Results The amplitude of MEPs of the unaffected cortex increased in the treatment group after treatment (P< 0.001). The treatment group improved in grip strength and the scores of FMA in the affected side compared with the control group after treatment (P<0.001). No serious side-effect was found. Conclusion rTMS was safe and feasible for patients with ischemic ICA stroke to improve the upper limb motor function.
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Objective To study the temperature changes around metal in ultrashort wave electric-field and it's influence factors.Methods Medical ultrashort wave therapeutic instrument was used and output switen was set at the 1 st grade.After tuning, one end of metal object was placed into 0.2ml water contained in a plastic tube ( with a length of 2cm and diameter of 2mm).Temperature changes of water around metal in different conditions were measured by digital thermometer.In experiments, several different conditions were studied, such as the length of metal, the vertical distance between metal and electrodes, the location of metal ultrashort electric field and the action duration of ultrashort wave.Results Under the same condition, when the prolate axis of metal paralleled to electrodes and the real lengths of metal outside of electric field were 10cm, 20cm, 30cm, 50cm, 70cm, 90cm, water temperatures around metal rose 4.37, 8.30,18.00, 20.64, 32.92 and 38.96℃, respectively; when the prolate axis of metal paralleled to electrodes and the verticaldistances between metal and one electrode were 1.5, 3.0, 4.5 and 6.Ocm, water temperatures around metal rose 66.03,49.37, 14.80 and 0.87℃, respectively; when the prolate axis of metal was vertical to electrodes and the distanees between one end of metal and electrodes were 5, 9 and 15cm, water temperature around metal rose 56.10,26.64 and11.07℃, respectively; when the vertical distances between metal and the electrode edge were 0,5,10,15cm, water temperatures around metal rose 25.32 , 10.26 ,2.88 and 1.53℃, respectively;when the lengths of metal with a fixed-length,the included real length in electric field, were 20, 10 and 0cm, water temperatures around metal rose 2.84 , 4.04 and7.30℃ , respectively.Under the same condition, the action duration of ultrashort wave were changed to be 5 and 10min,water temperatures around metal rose 24.90 and 39.07℃, respectively.Conclusion This study show that the water temperature rising around metal will be relatively small when:( 1 ) the real length of metal is short ; ( 2 ) the prolate axis of metal parallels to electrodes and is placed in the middle area between two electrodes;(3)the distance between two electrodes increase and the action duration is short;(4)the overall length of metal is contained in electric field between electrodes,or the metal is kept away from electrodes edges.
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Objective To investigate the effect and mechanism of ultrashortwave(USW)diathermy and rotating magnetic(RM)field therapy on the brain following transient focal cerebral ischemia and reperfusion in rats. Methods Fifty-two Wistar rats were randomly divided into a sham operation group, an ischemia and a reperfusion control group, a USW treatment group and a RM treatment group. Focal cerebral ischemia and reperfusion were induced by intraluminal filament occlusion of the middle cerebral artery. Each brain was removed at 24 h after the reperfusion and water content, cerebral infarct volume and histological expression of Bcl-2 and Bax proteins were observed. Results When USW treatment was started at 18 h after reperfusion, decreased infarct volume and water content were observed, but RM treatment did not show this relationship. Both USW and RM were associated with increased expression of Bcl-2 protein and decreased the expression of Bax protein. Conclusions USW treatment is beneficial in focal cerebral ischemia. RM′s effect is uncertain. Any effect is through reducing apoptosis.