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OBJECTIVE@#To investigate the clinical results of the application of critical rehabilitation pathway in the rehabilitation after total knee arthroplasty.@*METHODS@#From March 2015 to December 2019, 67 patients with total knee arthroplasty (TKA) were included. There were 49 females and 18 males, 42 cases on the left and 25 cases on the right, with an average age of 60 to 81(70.72±5.92) years old. Critical rehabilitation paths included intensive strength and gait rehabilitation exercises. All patients were evaluated before operation and 3, 12 months after operation. The evaluation indexes included stair climbing test (SCT), six minute walk test (6MWT), quadriceps and hamstring strength, range of motion, visual pain scale (VAS), Western Ontario McMasterUniversity Osteoarthritis score(WOMAC).@*RESULTS@#All the patients completed the entire pathway and the assessment. The results of pre-operative, 3 months after surgery and 12 months after surgery were as follows respectively. SCT-up: (16.32±3.58) s, (18.16±2.46) s, (11.00±1.29) s, @*CONCLUSION@#Critical rehabilitation path is safe and effective. The knee function of patients who receive critical rehabilitation path after TKA is significantly improved in the first 12 months after operation.
Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Arthroplasty, Replacement, Knee , Knee Joint/surgery , Osteoarthritis, Knee/surgery , Quadriceps Muscle , Range of Motion, Articular , Recovery of FunctionABSTRACT
Objective:To investigate the characteristics of cognitive impairment of patients with severe traumatic brain injury (TBI) and to analyze the related factors. Method:From September, 2015 to September, 2017, 94 patients surviving from severe TBI were assessed with Montreal Cognitive Assessment (MoCA), and their baseline data were recorded in detail. Results:The scores were lower in the recall, abstraction, verbal fluency, visual executive and attention of MoCA, and higher in naming, digit span, orientation and calculation. The scores in total, attention, abstraction and recall were lower in patients with frontal lobe injury than those with basal ganglion injury. The scores in total, naming, abstraction and recall were lower in patients with frontal-temporal-parietal lobes injury than those with basal ganglion injury. Multivariate regression showed that the time of coma and the location of injury were the related factors to the total score of MoCA (P < 0.05). Conclusion:Cognitive impairment after TBI demostrates commonly in many aspects, which are related with the time of coma and the area of injury.
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Objective:To investigate the characteristics of cognitive impairment of patients with severe traumatic brain injury (TBI) and to analyze the related factors. Method:From September, 2015 to September, 2017, 94 patients surviving from severe TBI were assessed with Montreal Cognitive Assessment (MoCA), and their baseline data were recorded in detail. Results:The scores were lower in the recall, abstraction, verbal fluency, visual executive and attention of MoCA, and higher in naming, digit span, orientation and calculation. The scores in total, attention, abstraction and recall were lower in patients with frontal lobe injury than those with basal ganglion injury. The scores in total, naming, abstraction and recall were lower in patients with frontal-temporal-parietal lobes injury than those with basal ganglion injury. Multivariate regression showed that the time of coma and the location of injury were the related factors to the total score of MoCA (P < 0.05). Conclusion:Cognitive impairment after TBI demostrates commonly in many aspects, which are related with the time of coma and the area of injury.
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<p><b>OBJECTIVE</b>To observe therapeutic effect of acupuncture at acupoints selected according to rehabilitation medical theory on upper limb spasticity in the patient of poststroke.</p><p><b>METHODS</b>Sixty cases were randomly divided into an acupuncture group and an electro-stimulation group, 30 cases in each group. The acupuncture group were treated by acupuncture at the contralateral scalp motor region of the affected limb, Jiquan (HT 1), Chize (LU 5), Daling (PC 7) on the flexor side and Jianyu (LI 15), Tianjing (TE 10), Yangchi (TE 4) on the extensor muscle side of the affected limb; the electro-stimulation group were treated by electric stimulation. The two groups also were treated with necessary medical treatment and anti-spasm rehabilitation motor training. The course was 3 weeks. Modified Ashworth Scale for muscle spasm (MAS), modified Fugl-Meyer Assessment (FMA) for upper limb motor function, and Modified Barthel Index (MBI) for ability of daily living were used for assessment of the therapeutic effect.</p><p><b>RESULTS</b>After treatment, the spasm was significantly alleviated, the motor function of the upper limb and daily living ability were significantly increased (P<0.01) in the two groups; after treatment, BMI scores in the acupuncture group was very significantly superior to that in the electro-stimulation group. The total effective rate was 93.3% in the acupuncture group and 86.7% in the electro-stimulation group, with no significant difference between the two groups.</p><p><b>CONCLUSION</b>Proper acupuncture is an effective method for upper limb spasm in the patient of poststroke, and the therapeutic effect is better for mild-moderate spasm of the upper limb.</p>
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Acupuncture Therapy , Muscle Spasticity , Therapeutics , Stroke RehabilitationABSTRACT
@#ObjectiveTo explore the best applying time and effect of baclofen on recovery of motor function of stroke patients with hemiplegia.Methods83 stroke patients with hemiplegia were divided into group A and group B according to the degree of muscle tension, every group was divided into the treatment group and control group. Patients of the four groups were treated with routine rehabilitation training, and baclofen was added to the patients of two treatment groups. Motor ability and activities of daily living (ADL) of patients were evaluated before and after one month treatment.ResultsAfter one month treatment, motor ability and ADL of all patients were improved, but in group A, there were not significant differences existed between treatment group and control group (P>0.05), while, there was a significant difference existed in group B(P<0.01).ConclusionBaclofen is necessary to stroke patients with hemiplegia only when the muscle tension increased obviously (≥Asworth 3).
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@#ObjectiveTo explore relation of muscle tension on recovery of upper limbs motor function of patients with hemiplegia after stroke.Methods102 hemiplegia patients were divided into 4 groups according to the degree of muscle tension,and treated with routine rehabilitation training. After one month,upper limbs motor ability and activities of daily living (ADL) of patients were assessed.ResultsAfter treatment,upper limbs motor ability and ADL of all patients were raised,but patients with light muscle tension had a better effect compared with those with serious muscle tension (P<0.01).ConclusionExcessive muscle tension will block the motor functional recovery of patients with hemiplegia after stroke.