Delayed series casting after botulinum toxin injection is more effective for equinus children with spastic cerebral palsy / 中华物理医学与康复杂志

Objective:To compare the efficacy of series casting with different timings after botulinum toxin injection among equinus children with spastic cerebral palsy.Methods:Sixty-three equinus children with spastic cerebral palsy were randomly divided into a control group and an experimental group. After being injected with botulinum toxin type A, 4 weeks of series casting was applied immediately in the control group, while in the experimental group it was applied 2 weeks later. Both groups were given basic rehabilitation therapy including heel walking, kicking balls, single-leg standing, standing platform training and balance training. The modified Tardieu scale, three-dimensional gait analysis, gross motor function measure 88 (GMFM-88) and a self-made questionnaire were used to evaluate muscle tone, spasticity, gait parameters, standing and walking before the treatment and 2 and 6 months afterward.Results:Immediately after the treatment there was a significant improvement in both groups′ average MTS scores (R1, R2, R1-R2 with knee extension and flexion), dorsiflexion at initial contact, peak dorsiflexion in the stance and swing phases, and dimension D (standing), and also in their average GMFM-88 (walking) scores. Two and six months later the experimental group′s average MTS scores, peak dorsiflexion in the stance phase, and dimension D (standing) score in the GMFM-88 (walking) had improved significantly compared with the control group′s averages. However, no significant differences were observed between the two groups in any of the other measurements after the treatment.Conclusion:Delaying series casting after botulinum toxin A injection can significantly reduce tone and spasticity in the plantarflexors, improve the range of motion and functioning of the ankle, and alleviate the discomfort and pain caused by series casting.

Investigation of Bristol Chronic Obstructive Pulmonary Disease Knowledge Questionnaire for Rehabilitation Professionals / 中国康复理论与实践

@#ObjectiveTo investigate the state of rehabilitation professionals in knowledge about chronic obstructive pulmonary disease(COPD).Methods60 rehabilitation professionals had received a 3-hour education delivered by four pulmonary rehabilitation experts. The trainees were assessed by Bristol COPD Knowledge Questionnaire (BCKQ) after the course.ResultsThe score of BCKQ was from 42 to 80 while the average score was (60.00±9.33).ConclusionThe rehabilitation professionals' knowledge about COPD was poor.

Effect of Exercise on Chronic Obstructive Pulmonary Disease Stable Patients in Community / 中国康复理论与实践

@#ObjectiveTo observe the effect of exercise training on chronic obstructive pulmonary disease (COPD) stable patients in community. MethodsTraditional Chinese exercise prescription was given to 20 COPD patients. They were assessed with 6-minute walk distance (6MWD), the Borg scale and the St. George's Respiratory Questionnaire (SGRQ) before and after the training. ResultsThe Borg scales dropped from (4.45±2.04) to (3.15±2.13) （P＜0.05）. 6MWD increased from (370.32±74.48) m to (403.75±76.15) m （P＜0.05）. SGRQ scores also showed statistical significant difference （P＜0.05）. ConclusionExercise training can improve the tolerance and decrease dyspnea in COPD patients in stable stage. It also can improve the quality of life.