Standing at a table while training improves the upper limb function of hemiplegic stroke survivors / 中华物理医学与康复杂志

Objective To explore the effect of standing at a table while training on the upper limb function and muscle surface electromyography of hemiplegics.Methods Sixty hemiplegic persons were randomly divided into an experimental group and a control group,each of 30.The affected upper limbs of the experimental group were trained while standing at a table,while the control group was trained while sitting.Before the treatment,as well as after 2 and 4 weeks of treatment,both groups' motor functioning was evaluated using the Fugl-Mayer upper limb assessment (FMA),as well as muscle surface electromyography.Results Before the treatment there was no significant difference betweenthe two groups' average FMA scores.After 2 and 4 weeks of treatment it had increased significantly in the experimental group,but in the control group the increase was not significant until the fourth week.In terms of surface myography,significant differences were observed in the biceps femoris and gastrocnemius muscles of both groups after 2 weeks.Two weeks later there was further significant improvement in both groups except for the tibialis anterior muscles of the control group.The differences between the two groups were significant after two weeks in the electromyograms of the biceps femoris,gastrocnemius muscle and anterior tibialis.After four weeks the differences between the groups in all of the electromyograms were significant.Conclusion Compared with the traditional sitting position,standing at a table while training can effectively improve the muscle activity of the rectus abdominis and the spine so as to promote the recovery of movement in hemiplegic upper limbs.

Diagnosis and Rehabilitation of Spinal Cord Injury / 中国康复理论与实践

@#Spinal cord injury(SCI)may result in tetraplegia or paraplegia,which is a great damage to the abilities of patients' daily living.There is no cure of SCI at present,and standard rehabilitation is an effective treatment method of SCI.It will help the SCI patients to develop their remaining function and potential function,prevent all kinds of complications,decrease the incidence of disabilities,improve their quality of life,shorten their stay in hospital and decrease the medical expenditure.The necessary premise of their reentry family and society is to complete the barrier free accessibilities of their housing and occupational training.