New trends and developments of functional training research in the field of health care / 中国组织工程研究

BACKGROUND:Functional training has been popular in recent years,but it is mainly applied in sports training field.There are still insufficient studies and applications in medical and health fields. OBJECTIVE:To provide a theoretical basis for relevant research in sports,medical and health fields,through a more comprehensive and in-depth exploration and analysis of the research hot spots,ideological trends,frontiers and development trends of international functional training in the field of medical and health care. METHODS:The 2 206 high-quality articles addressing health-related functional training during 2012-2022 were exported from the Web of Science Core Set Database as the object of analysis.Combined with research methods such as literature analysis,Citespace V analysis software was used for visual analysis of keywords,subject categories and highly cited literatures. RESULTS AND CONCLUSION:The number of articles published on functional training in the field of health is on the rise.There are more articles from the United States,with a larger impact.China also has a high volume of publications,but the impact and depth of research is lacking.Improving physical and mental health and cognitive ability of middle-aged and older people is the main focus,followed by preventing sports injuries and promoting recovery in athletes.In the future,more research will be conducted on teenagers,the disabled and other groups,and there will be a continued increase in injury prevention and recovery promotion for athletes.Chinese scholars have less research on the effects of functional training on the physical health of the general public,and more attention should be paid to improving the physical and mental health of the general public.

Incidencia del entrenamiento funcional para potencializar la fuerza en nadadores semilleros del club Varadero / Incidência de treino funcional para potenciar a força dos nadadores do clube Varadero / Incidence of functional training to potentiate strength in beginner swimmers of the Varadero club

RESUMEN El entrenamiento funcional ayuda a potencializar la fuerza en ciertos grupos musculares; de esta manera, el deportista mejora la postura corporal, gana fuerza y resistencia muscular y, por ende, puede incrementar indicadores relacionados con la capacidad física y el rendimiento final. En tal sentido, se planteó como objetivo de la investigación, aplicar un programa de entrenamiento funcional enfocado en el mejoramiento de la fuerza en nadadores semilleros del Club Varadero. La investigación es de tipo descriptiva-explicativa de orden correlacional; se diagnostica una población de 17 nadadores (ambos géneros; 14-16 años) del Club referido. Se aplica un entrenamiento funcional adaptado al nadador sobre la base de cuatro indicadores físicos en dos momentos de aplicado dicho entrenamiento. Se logran diferencias significativas a favor del postest en todas las pruebas físicas, tanto en el test de flexión de codo (p=0.001), como el test de abdominales (p=0.001). Además, se incluyen el salto horizontal (p=0.005) y el salto vertical (p=0.001). Es primordial potencializar el entrenamiento de la capacidad física de la fuerza en nadadores mediante una correcta planificación de entrenamiento funcional, dado el fortalecimiento de los músculos que intervienen en el gesto técnico. Se recomiendan cuatro acciones que influyen en ampliar la muestra de estudio; se hace énfasis en el género femenino; se comparan los resultados de la investigación con otros estudios en otros rangos etarios y se realiza una investigación de tipo cuasiexperimental.

RESUMO O treino funcional ajuda a potenciar a força em certos grupos musculares; desta forma, o atleta melhora a postura corporal, ganha força e resistência muscular e, portanto, pode aumentar os indicadores relacionados com a capacidade física e o desempenho final. Neste sentido, o objectivo da investigação era aplicar um programa de treino funcional centrado na melhoria da força dos nadadores do Clube Varadero. A investigação é do tipo descritivo-explicativo de ordem correlativa; é diagnosticada uma população de 17 nadadores (ambos os sexos; 14-16 anos de idade) do Clube. O treino funcional adaptado ao nadador foi aplicado com base em quatro indicadores físicos em dois momentos após a aplicação do treino. Foram conseguidas diferenças significativas a favor do pós-teste em todos os testes físicos, tanto no teste de flexão do cotovelo (p=0,001) como no teste abdominal (p=0,001). Além disso, o salto horizontal (p=0,005) e o salto vertical (p=0,001) estão incluídos. É essencial melhorar o treino da capacidade física de força dos nadadores através de um planeamento correto do treino funcional, dado o reforço dos músculos envolvidos no gesto técnico. São recomendadas quatro ações que influenciam o alargamento da amostra do estudo; é dada ênfase ao sexo feminino; os resultados da investigação são comparados com outros estudos noutras faixas etárias e é realizado um tipo de investigação quase-experimental.

ABSTRACT Functional training helps to enhance strength in certain muscle groups; in this way, the athlete improves body posture, gains muscle strength and endurance and, therefore, can increase indicators related to physical capacity and final performance. In this sense, the objective of the research was to apply a functional training program focused on the improvement of strength in beginner swimmers of the Varadero Club. The research is of descriptive-explanatory type of correlational order; a population of 17 swimmers (both genders; 14-16 years old) of the referred Club is diagnosed. A functional training adapted to the swimmer is applied on the basis of four physical indicators in two moments of applying said training. Significant differences are achieved in favor of the post- test in all the physical tests, both in the elbow flexion test (p=0.001) and in the abdominal test (p=0.001). In addition, the horizontal jump (p=0.005) and the vertical jump (p=0.001) are included. It is essential to potentiate the training of the physical capacity of strength in swimmers through a correct planning of functional training, given the strengthening of the muscles that intervene in the technical gesture. Four actions are recommended that influence the expansion of the study sample; emphasis is placed on the female gender; The results of the research are compared with other studies in other age ranges and a quasi-experimental type of research is carried out.

Entrenamiento funcional como método de recuperación poscompetencia en fútbol sub-12. Criterios de especialistas

La recuperación es un estado funcional del deportista una vez que el estímulo físico se detiene, lo que es esencial para la bioadaptación del organismo. El entrenamiento funcional, al simular una actividad de la vida cotidiana de forma integral, puede ser utilizado para la recuperación muscular, es una alternativa para la recuperación poscompetencia en futbolistas de iniciación. En tal sentido, se plantea como propósito demostrar si el entrenamiento funcional permite la recuperación poscompetencia en futbolistas Sub-12. La investigación es transversal-correlacional, de orientación cualitativa, estudia a una población de 21 jugadores de fútbol Sub-12, a los cuales se les implementó una propuesta de intervención con ejercicios funcionales, se les midió el índice de fatiga en dos momentos de la preparación y se consultaron los criterios de 13 especialistas. Las siete fases del test Bangsbo (Pretest) disminuyeron su efectividad en la medida que se sucedieron las pruebas (Prueba 1: 7.35s; Prueba 7: 6.99s) y en el postest, la efectividad fue mejor (Min: 7.59s a Máx: 7.86s), se redujo el índice de fatiga en 1 % (de 1,55s a 0.78s). Por otra parte, los especialistas no consideraron que el entrenamiento funcional posee una influencia significativa en la recuperación poscompetencia (2.54 puntos Baja y Media). La aplicación del entrenamiento funcional evidenció mejoras en el índice de fatiga, resulta una alternativa efectiva para la recuperación poscompetencia en fútbol Sub-12, aunque los especialistas consultados desde el punto de vista teórico no han considerado la importancia que posee el entrenamiento funcional para optimizar los procesos de recuperación orgánica.

A recuperação é um estado funcional do atleta quando o estímulo físico pára, o que é essencial para a bi adaptação do organismo. O treino funcional, através da simulação de uma atividade da vida quotidiana de forma integral, pode ser utilizado para a recuperação muscular, é uma alternativa para a recuperação pós-competição em jogadores de futebol principiantes. Neste sentido, o objectivo deste estudo é demonstrar se o treino funcional permite a recuperação pós-competição em jogadores de futebol sub-12. A investigação é transversal-correlacional, de orientação qualitativa, estuda uma população de 21 jogadores de futebol sub-12, aos quais foi implementada uma proposta de intervenção com exercícios funcionais, o índice de fadiga foi medido em dois momentos da preparação e foram consultados os critérios de 13 especialistas. As sete fases do teste Bangsbo (Pré-teste) diminuíram em eficácia à medida que os testes prosseguiam (Teste 1: 7,35s; Teste 7: 6,99s) e no pós-teste, a eficácia foi melhor (Min: 7,59s para Max: 7,86s), o índice de fadiga foi reduzido em 1% (de 1,55s para 0,78s). Por outro lado, a formação funcional não foi considerada pelos especialistas como tendo uma influência significativa na recuperação pós-competição (2,54 pontos Baixo e Médio). A aplicação do treino funcional mostrou melhorias no índice de fadiga, é uma alternativa eficaz para a recuperação pós-competição no futebol sub-12, embora os especialistas consultados do ponto de vista teórico não tenham considerado a importância do treino funcional para optimizar os processos de recuperação orgânica.

Recovery is a functional state of the athlete once the physical stimulus stops, which is essential for the bioadaptation of the organism. Functional training, by simulating an activity of daily life in an integral way, can be used for muscle recovery, and is an alternative for post-competition recovery in beginner soccer players. In this sense, the purpose of this study is to demonstrate whether functional training allows post-competition recovery in U12 soccer players. The research is transversal-correlational, of qualitative orientation, it studies a population of 21 U-12 soccer players, to whom an intervention proposal with functional exercises was implemented, the fatigue index was measured in two moments of the preparation and the criteria of 13 specialists were consulted. The seven phases of the Bangsbo test (Pretest) decreased their effectiveness as the tests went on (Test 1: 7.35s; Test 7: 6.99s) and in the posttest, the effectiveness was better (Min: 7.59s to Max: 7.86s), the fatigue index was reduced by 1 % (from 1.55s to 0.78s). On the other hand, the specialists did not consider that functional training has a significant influence on post competition recovery (Low and Medium 2.54points). The application of functional training evidenced improvements in the fatigue index, it is an effective alternative for post competition recovery in U-12 soccer, although the specialists consulted from the theoretical point of view have not considered the importance of functional training to optimize the processes of organic recovery.

Acute effect of sodium bicarbonate supplementation on the performance during CrossFit® training

Abstract Aim: To verify the acute effect of sodium bicarbonate (NaHCO3) supplementation on performance during CrossFit® workout. Methods: Nine experienced males (30.8 ± 3.5 years; 84.4 ± 9.5 kg; 177.5 ± 4.03 cm; 2.2 ± 1.0 years) in CrossFit® participated in this study. They were allocated to two conditions: a) supplementation with 0.3 g.kg-1 of body weight of NaHCO3 and b) supplementation with 0.045 g.kg-1 of body weight of sodium chloride (NaCl). Blood lactate was analyzed at two different moments: before (lac-pre) and after the training protocol (lac-post). The heart rate (HR) and the rating of perceived exertion (RPE) were also collected every two minutes during the execution of the training protocol, and the RPE was also collected after it was finished. At the end of the training protocol, a questionnaire to measure gastrointestinal side effects (GSE) was answered by the participants. Repetitions performed in the training protocol was computed to evaluate the performance during the workout. Results: The results showed that there were no differences found when comparing the conditions for all parameters. HR and RPE were different in the first few minutes (< 4-6 minutes) when compared to the final minutes (> 14 minutes) of the workout. The area under the curve of HR and RPE was significantly lower in the NaHCO3 condition. Conclusion: Acute NaHCO3 supplementation did not improve performance during workout 'Cindy' in experienced men. Supplementation also did not alter hemodynamic and perceptual parameters, nor did it cause any GSE. However, responses as a function of time were reduced with NaHCO3 supplementation.

Application of Virtual Reality in Burn Rehabilitation(review) / 中国康复理论与实践

This article reviewed the application of virtual reality in motor functional training,management of pain,psychological therapy,and so on,and discussed the further development in China.

Functional training of core muscles preventing low back pain and improving core muscle function of recruits: An observational study / 第二军医大学学报

Objective To explore the significance of functional training of core muscles for preventing low back pain and improving core muscle function in recruits. Methods Healthy male recruits were enrolled from a naval training base and were randomly assigned to core muscle training group and conventional lumbar muscle training group. The recruits in the two groups received functional training of core muscles and routine training of lumbar and abdominal muscles for 12 weeks, respectively. The training procedure was 3-5 times a week and increased with training cycle, with 3 sets of actions being completed every time for 30 min. On the 4th, 8th and 12th weeks, rehabilitation physicians came into the base and investigated the incidence of low back pain of the recruits. Two fixed physicians carried out waist core muscle stability bridge test and waist and back core muscle endurance test on the 1st and 12th weeks. Results Totally 588 recruits were enrolled, including 295 recruits in the core muscle training group and 293 in the conventional lumbar muscle training group. The incidence of low back pain on the 12th week was significantly lower in the core muscle training group than that in the conventional lumbar muscle training group (1.13% [3/266] vs 6.07% [15/247], P=0.002). On the 12th week, the bridge and endurance of lumbar muscles were significantly increased versus those on the 1st week in the two groups, but the growth rate of the core muscle training group was significantly greater than that of the conventional lumbar muscle training group (all P<0.01). Conclusion Compared with traditional lumbar muscle training, functional training of core muscles more effectively prevents low back pain, enhances the lumbar and abdominal core muscle to maintain spinal stability, and improves back muscle endurance.

Effects of high frequency repetitive transcranial magnetic stimulation on executive function in patients after stroke / 中华神经科杂志

Objective To observe the effect of high frequency repetitive transcranial magnetic stimulation ( rTMS) on executive function in patients after stroke .Methods Thirty-six stroke patients with executive dysfunction in the Second Affiliated Hospital of Guangzhou Medical University from March 2016 to April 2017 were randomly divided into experimental group ( n=18 ) and control group ( n=18 ) .The experimental group received 10 Hz rTMS of the left dorsolateral prefrontal cortex ( DLPFC ) and cognitive functional training , while the control group received sham rTMS and cognitive functional training , for four weeks.Mini-Mental State Examination(MMSE), Wisconsin Card Classification Test(WCST), Digit Symbol Test( DST) and Digital Span ( DS) were used for cognitive assessment at baseline and therapy completed . Results After a four weeks therapy , the total number of responses showed no significant difference in WCST between two groups.But the control group after treatment showed that MMSE score (17.44 ±4.73) and DST score (4.50 (2.75, 8.25)) were improved compared with that before treatment (MMSE score 15.28 ±4.61, t=-8.371, P=0.000;DST score 4.00 (2.75, 7.25), Z=-2.122, P=0.049), and the DS score and the numbers of correction , classification and continuous errors of WCST showed no significant difference compared with that before treatment .The experimental group after treatment showed that MMSE score (20.67 ±4.59), DST score (7.50(4.75, 12.50)), DS score (recite in order 7.00 (7.00, 8.00), recite in reverse order 3.00 (2.00, 4.00)), the numbers of correction of WCST (24.61 ± 8.30), the numbers of continuous errors (12.17 ±5.08), the numbers of classification (2.00 (2.00, 3.00) were improved compared with that before treatment ( MMSE score 15.50 ±5.24, t=-21.013, P=0.000;DST score 3.00(1.00, 7.00), Z=-3.757, P=0.000; DS score recited in order 6.00(5.00, 6.00), Z=-3.703, P=0.000;DS score recited in reverse order 2.00(1.00, 3.00), Z=-3.494, P=0.000;The numbers of correction of WCST (16.50 ±9.34), t=-6.544, P=0.000); The numbers of continuous errors (18.06 ±5.63, t=9.744, P=0.000); The numbers of classification (1.00 (1.00, 2.00), Z=-3.900, P=0.000 ).And the curative effect was better than that of control group . Conclusion High frequency rTMS combined with cognitive function training can improve the executive dysfunction of stroke patients , and the improvement is better than cognitive functional training alone .

Effects of high frequency repetitive transcranial magnetic stimulation on executive function in patients after stroke / 中华神经科杂志

Objective To observe the effect of high frequency repetitive transcranial magnetic stimulation ( rTMS) on executive function in patients after stroke .Methods Thirty-six stroke patients with executive dysfunction in the Second Affiliated Hospital of Guangzhou Medical University from March 2016 to April 2017 were randomly divided into experimental group ( n=18 ) and control group ( n=18 ) .The experimental group received 10 Hz rTMS of the left dorsolateral prefrontal cortex ( DLPFC ) and cognitive functional training , while the control group received sham rTMS and cognitive functional training , for four weeks.Mini-Mental State Examination(MMSE), Wisconsin Card Classification Test(WCST), Digit Symbol Test( DST) and Digital Span ( DS) were used for cognitive assessment at baseline and therapy completed . Results After a four weeks therapy , the total number of responses showed no significant difference in WCST between two groups.But the control group after treatment showed that MMSE score (17.44 ±4.73) and DST score (4.50 (2.75, 8.25)) were improved compared with that before treatment (MMSE score 15.28 ±4.61, t=-8.371, P=0.000;DST score 4.00 (2.75, 7.25), Z=-2.122, P=0.049), and the DS score and the numbers of correction , classification and continuous errors of WCST showed no significant difference compared with that before treatment .The experimental group after treatment showed that MMSE score (20.67 ±4.59), DST score (7.50(4.75, 12.50)), DS score (recite in order 7.00 (7.00, 8.00), recite in reverse order 3.00 (2.00, 4.00)), the numbers of correction of WCST (24.61 ± 8.30), the numbers of continuous errors (12.17 ±5.08), the numbers of classification (2.00 (2.00, 3.00) were improved compared with that before treatment ( MMSE score 15.50 ±5.24, t=-21.013, P=0.000;DST score 3.00(1.00, 7.00), Z=-3.757, P=0.000; DS score recited in order 6.00(5.00, 6.00), Z=-3.703, P=0.000;DS score recited in reverse order 2.00(1.00, 3.00), Z=-3.494, P=0.000;The numbers of correction of WCST (16.50 ±9.34), t=-6.544, P=0.000); The numbers of continuous errors (18.06 ±5.63, t=9.744, P=0.000); The numbers of classification (1.00 (1.00, 2.00), Z=-3.900, P=0.000 ).And the curative effect was better than that of control group . Conclusion High frequency rTMS combined with cognitive function training can improve the executive dysfunction of stroke patients , and the improvement is better than cognitive functional training alone .

A curative efficacy study of functional training focusing on muscle group around shoulder for subacromial impingement syndrome / 中国康复医学杂志

Objective:To study the curative efficacy of functional training focusing on muscle group around shoulder for subacromial impingement syndrome.Method:Forty five patients with subacromial impingement syndrome (SIS) were randomly grouped into three groups (fifteen patients for each group).Patients in Group Ⅰ were trained only on muscles around scapula.Patients in Group Ⅱ were treated on rotator cuff muscles.While patients in Group Ⅲ were treated on both.The training goes every 2 days and last for 4 weeks.The indexes for evaluating curative efficacy included:the Neer-test,the Hawkins-test and the Peen Shoulder Score.These indexes were measured immediately and three months after the four week treatment.Result:After treatment of the functional training focusing on muscle group around shoulder,Neer-tests and Hawkins-tests of all of patients were changed from positive to negative,the degree of pain compared with pain before the treatment declined apparently(P＜0.01),at the same time,the degree of satisfaction and the function went up remarkablely(P＜0.01).Compared with group Ⅰ and group Ⅱ,it dropped the most notably on the degree of pain in the group Ⅲ(P＜0.01),however,the degree of satisfaction and the function rose most apparently (P＜0.01) Conclusion:The curative efficacy of functional training focusing on muscle group around shoulder for sub-acromial impingement syndrome was effective apparently.But the efficacy of treated focusing on both muscles around scapula and rotator cuff was the most remarkably.

Effects of functional training combined with self-made hand flexing training band in treatment of scar contracture after burn injury of dorsal hand / 中华烧伤杂志

Objective@#To observe the effects of functional training combined with self-made hand flexing training band in treatment of scar contracture after burn injury of dorsal hand.@*Methods@#Forty-six patients with scar contracture after deep partial-thickness or full-thickness burn injury of dorsal hand hospitalized in our department from March 2013 to February 2015 were divided into routine training group (RT, n=18) and comprehensive training group (CT, n=28) according to their willingness. Two weeks after the wounds were healed, patients in group RT were treated with functional training of hands and self-made pressure gloves, while patients in group CT were treated with self-made hand flexing training band (consisting of nylon strap, flexing band, and velcro) on the basis of those in group RT. All patients were treated for 3 months. Before and after treatment, scar condition of affected hands was assessed with Vancouver Scar Scale (VSS). The range of motion of joints of affected hands was measured by Total Active Movement (TAM) Scale. The function of affected hands was evaluated by Carroll Upper Extremity Function Test. Data were processed with t test, chi-square test, and Mann-Whitney U test.@*Results@#(1) The score of VSS in patients of group RT was (10.0±1.9) points before treatment and (4.4±1.4) points after treatment, with the improved score of (5.6±1.0) points. The score of VSS in patients of group CT was (10.5±1.8) points before treatment and (4.6±1.4) points after treatment, with the improved score of (5.9±1.2) points. There was no statistically significant difference in the improved score of patients between the two groups (t=0.834, P>0.05). The score of VSS in patients of groups RT and CT after treatment was significantly lower than that before treatment (with t values respectively 14.014 and 10.003, P values below 0.01). (2) Before treatment, the ratios of excellent and good results according to TAM were 2/9 in patients of group RT and 3/14 in group CT, with no statistical differences between them (χ2=2.140, P>0.05). After treatment, the ratio of excellent and good results according to TAM in patients of group CT (6/7) was higher than that in group RT (5/9, χ2=0.023, P=0.038). The ratios of excellent and good results according to TAM in patients of groups RT and CT after treatment were significantly higher than those before treatment (with Z values respectively -2.023 and -4.780, P values below 0.05). (3) The improved score of hand function in patients of group CT was (26±12) points, which was higher than (15±7) points in group RT (t=3.278, P=0.002). The score of hand function in patients of groups RT and CT after treatment was significantly higher than that before treatment (with t values respectively 2.628 and 6.125, P values below 0.05). There were no significant differences in grades of hand function of patients between the two groups before treatment (Z=-0.286, P>0.05). After treatment, the grade of hand function in patients of group CT was higher than that in group RT(Z=-1.993, P=0.046). The grades of hand function in patients of groups RT and CT after treatment were significantly higher than those before treatment (with Z values respectively -2.717 and -4.998, P values below 0.01).@*Conclusions@#For patients with scar contracture after burn injury of dorsal hand, early functional training combined with hand flexing training band can improve the range of motion of hand joints and functional recovery of hand, and the result was better than functional training alone.

Short roundtable RBCM: treinamento funcional / Short Roundtable RBCM: Functional Training

O objetivo do estudo foi explorar informações gerais sobre treinamento funcional (TF), abrangendo conceito, características, ferramentas, controle de variáveis e carga, estado atual e perspectivas futuras. Foram convidados 13 autores com histórico de publicações nacionais sobre TF para responder 5 questões. Três aceitaram o convite. Concluiu-se que o TF é aquele que objetiva o aprimoramento equilibrado das capacidades biomotoras no intuito de garantir eficiência e segurança para o desempenho das atividades cotidianas. As características do TF se assemelham às funções cotidianas, sendo integrado, assimétrico, acíclico e multiplanar, no qual comportamento motor e equilíbrio entre capacidades biomotoras se destacam. Controle e progressão de cargas ainda carecem de evidências, sugerindo-se o uso de percepção de esforço, bem como as recomendações da literatura sobre heterocronismo da recuperação. A instabilidade apresenta vantagens como maior exigência neuromuscular para controle postural e de movimento, mostrando-se eficiente em aprimorar equilíbrio e desempenho funcional. Sua desvantagem é o prejuízo sobre o desempenho agudo de força, potência e velocidade. A ciência atual em TF tem explorado seus efeitos sobre ajustes morfofuncionais. Investigações futuras devem explorar o controle das variáveis, para minimizar a concorrência entre capacidades biomotoras distintas, bem como entender a eficácia do TF sobre a ótica da neurociência.(AU)

The aim of the study was to explore general information about functional training (FT), covering concept, features, devices, control of variables and load, current state and future prospects. Thirteen authors with a history of national publications on TF were invited to answer 5 questions. Three accepted the invitation. It was concluded the TF aims the balanced improvement of biomotor capabilities in order to ensure efficiency and security for the daily activities performance. The characteristics of TF are similar to daily activities being integrated, asymmetric, acyclic and multiplanar, in which motor behavior and balance between biomotor capabilities stand out. Control and progression of loads still lack evidence suggesting the use of rated perceived exertion as well as literature recommendations on recovery heterocronism. Instability has advantages such as increased neuromuscular requirement for postural control and movement, being efficient in improving balance and functional performance. Its disadvantage is the acute decrease on strength, power and speed movement. The current science of TF has explored its effects on morphological and functional variables. Future research should explore the control of variables to minimize of competition between different biomotor skills as well as understand the effectiveness of TF on the neuroscience perspective.(AU)

The effect of clamping the urinary catheter before removal in cervical cancer patients / 中国实用护理杂志

Objective To investigate the necessity of clamping the indwelling catheters before removal in patients with cervical cancer postoperatively. Methods A total of 198 cases of patients with cervical cancer after radical hysterectomy were divided into the study group (70 cases) and the control group (128 cases) randomly according to operation time. In the study group the catheters were clamped intermittently by patients 2 days before removal, while in the control group the catheters were removed without clamping. The rate of recatheterization, urinary tract infection, as well as the residual urinary volume were compared between groups. Results There were no significant differences in the rate of urinary tract infection and recatheterization between the two groups (P>0.05). The residual urinary volume was significantly higher in the study group than that in the control group ( χ2=10.293, P=0.016). Conclusions There may be no positive effect of training the bladder function by clamping the indwelling catheters before its removal in patients after radical hysterectomy, besides, it can not change the risk of recatheterization and can increase the residual urine in the bladder 24 hours after removal of the catheter.

Effects of functional training on movement performance and balance in elite fencing athletes with patellar tendinopathy / 中华物理医学与康复杂志

Objective To investigate the effect of functional training on knee pain,functional movement screen (FMS) score and balance in Chinese elite fencing athletes with patellar tendinopathy.Methods Twenty-four fencing athletes with a diagnosed patellar tendinopathy were randomized into a treatment group (TG) and a control group (CG),each of 12.Both groups were given routine physical therapy,while TG received motor function training in addition for eight weeks.Both groups completed the numerical rating scale (NRS),FMS and balance test before and after the intervention.Results After the intervention,the average PRS and FMS of TG were 2.08± 1.24 and 16.25±0.97 respectively,which significantly outperformed those of TG before the intervention and those of CG after the intervention (P＜0.05).Moreover,TG indicated superior results in parameters of static postural balance including center of pressure,total length of swinging pathway,maximal length of swinging pathway,and area of swinging pathway when compared to TG before the intervention and CG after the intervention(P＜0.05).Conclusion The motor functiontraining is effective in improving functional movement and balance in elite fencing athletes with patellar tendinopathy.

Efectos de un programa de entrenamiento funcional en la musculatura core en mujeres con fibromialgia / Effects of Functional Training Program in Core Muscles in Women with Fibromyalgia / Efeitos de um programa de treinamento funcional na musculatura do core em mulheres com fibromialgia

Objetivo: Evaluar los efectos de un programa de entrenamiento funcional de músculos core dirigido a las mujeres con fibromialgia. Materiales y métodos: Se realizó un ensayo cuasiexperimental de tipo antes y después de una intervención durante 20 semanas, con frecuencia de 3 días/semana y una duración de 60 minutos cada sesión. En un grupo único de 8 mujeres, se evaluaron los cambios en la fuerza muscular, dolor, calidad de vida relacionada con la salud y el nivel de actividad física. Resultados: Hubo aumento en las repeticiones de la prueba de flexión de tronco, el tiempo en las pruebas puente lateral derecho e izquierdo y puente en prono. Todas las características del dolor disminuyeron y según el S-FIQ hubo disminución en el cansancio matutino, la rigidez y la ansiedad. También los Met´s/minuto-semanas aumentaron después de la intervención. Conclusión: Estos datos sugieren que el programa de entrenamiento funcional de músculos core es eficaz en el aumento de la fuerza muscular, la modulación del dolor, la optimización de rendimiento funcional, así como el aumento de los niveles de actividad física en mujeres con fibromialgia.

Objective: To evaluate the effects of a program of functional muscles core training targeting women with fibromyalgia. Materials and methods: A quasi-experimental type trial was conducted, before and after an intervention, for 20 days, often three days/week, 60 minutes each session. In a single-group of eight women, changes in muscle strength, pain, quality of life related to health and physical activity were evaluated. Results: An increase in repetitions of the test trunk flexion, time on the left and right bridge testing lateral and prone bridge the test were found. All features of pain decreased, and, according to the S-FIQ, a decrease in morning fatigue, stiffness and anxiety was reported. Also Met's/minute-weeks increased after intervention. Conclusion: These data suggest that functional program core muscle training is effective in increasing muscle strength, pain modulation, functional performance optimization, and increased levels of physical activity in women with fibromyalgia.

Objetivo: Avaliar os efeitos de um programa de treinamento funcional dos músculos do core dirigido às mulheres com fibromialgia. Materiais e métodos: realizou-se um ensaio quase-experimental de tipo antes e depois de uma intervenção durante 20 semanas, com frequência de 3 dias/semana e uma duração de 60 minutos cada sessão. Em um grupo único de 8 mulheres, avaliaram-se as mudanças na força muscular, dor, qualidade de vida relacionada com a saúde e o nível de atividade física. Resultados: houve aumento nas repetições do teste de flexão de tronco, o tempo nos testes da ponte lateral direita e esquerda e ponte em prono. Todas as características da dor diminuíram e segundo o S-FIQ houve diminuição no cansaço matutino, a rigidez e a ansiedade. Também os MET/minutos-semanas aumentaram depois da intervenção. Conclusão: estes dados sugerem que o programa de treinamento funcional de músculos do core é eficaz no aumento da força muscular, a modulação da dor, a optimização do rendimento funcional, assim como o aumento dos níveis de atividade física em mulheres com fibromialgia.

INFLUENCE OF PARENTS'PARTICIPATORY FUNCTIONAL TRAINING ON THE PROGNOSIS OF NEWBORN BABIES WITH HYPOGLYCEMIC BRAIN INJURY / 现代医院

Objective To explore the effects of parents'participatory functional training on the prognosis of newborn babies with hypoglycemic brain injury.Methods Functional training was given to 32 parents of newborn babies with hypoglycemic brain injury and then carried out on their babies for three months.The clinical symptoms and clinical efficacy of the babies and parents'satisfaction with nursing care were then observed.Results The clinical symptoms of the babies were improved significantly after training, and the parents had significantly higher satisfaction with nursing care as compared to pretraining (p<0.01).After training, 22 babies showed significant clinical efficacy (68.75%) , 8 babies had the targeted effect (25.00%);and the total effect rate was 93.75%.Conclusion Parents'participatory functional training helps to improve the prognosis of newborn babies with hypoglycemic brain injury and reduce the incidence of neurological sequelae.

Effects of hyperbaric oxygen combined with function training on motor function in children with cerebral palsy / 中国现代医生

Objective To investigate the effects of hyperbaric oxygen combined with function training on motor function in children with cerebral palsy. Methods From December 2012 to December 2013 during the treatment,72 cases chil-dren with cerebral palsy were selected as the object of study confirmed in our hospital, two groups of children were given intensive training of motor function (Bobath method), Hyperbaric oxygen therapy, 1 time a day, continuous treatment for 10 d, intermittent 20 d was 1 course of treatment, continuous treatment after the 3 curative effect observation. And the observation group was combined with hyperbaric oxygen treatment, the change of GMF score before and after treatment were compared between the two groups after treatment. Results The total effective rate of observation group patients after the treatment was 94.4%, significantly higher than the control group (66.7%), the difference was significant (χ2=11.238, P<0.05) between two groups. Before treatment, GMF scores of two groups were not different significantly (P>0.05). After treatment, GMF scores of two groups decreased significantly (t=2.421, 2.235, P<0.05), and the GMF scores of observation group after treatment were sig nificantly lower than the control group, the difference was signifi-cant (t=2.387, P<0.05). Conclusion Training of hyperbaric oxygen combined with function training on motor function of relatively simple and the effect of the children is better than intensive training, two methods combined can obviously improved the movement function of children with cerebral palsy so as to further improve the effect of treatment of chil-dren with cerebral palsy, is worthy of extensive promotion and application.

Clinical Observation of Acupuncture plus Medicine and Function Training for Post-stroke Shoulder-hand Syndrome / 上海针灸杂志

Objective To observe the clinical efficacy of acupuncture plus medicine and function training in treating post-stroke shoulder-hand syndrome. Method Sixty patients with post-stroke shoulder-hand syndrome were randomized into a treatment group of 30 cases and a control group of 30 cases. The treatment group was intervened by acupuncture plus medicine and functional training, while the control group was only by functional training. Before and after intervention, the hand swelling degree, Visual Analogue Scale (VAS), shoulder joint motion scale, Fugl-Meyer Assessment (FMA) scale were used to measure the swelling and pain of hand, motion of shoulder, and motor function of upper limb. Result After intervention, the swelling and pain of hand, motion range of shoulder and motor function of upper limb were significantly improved in both groups (P<0.01), and the improvements in the treatment group were more significant than that in the control group (P<0.05). Conclusion Acupuncture plus medicine and function training can enhance the efficacy in treating post-stroke shoulder-hand syndrome, superior to pure function training.

Core stabilization exercises, implant fixation and lumbar fusion for degenerative lumbar spondylolisthesis：lumbar function evaluation / 中国组织工程研究

BACKGROUND:Lumbar degenerative disease is a common and frequently occurring disease in spinal surgery. With increasing age, the incidence rate is increased. OBJECTIVE: To elevate clinical outcomes and improve the quality of life of patients by analyzing spinal stability after lumbar implant fixation fusion and functional training in treatment of lumbar degenerative disease. METHODS: (1) We used a prospective randomized controled design. The 52 patients with I° or II° degenerative lumbar spondylolisthesis were randomly divided into two groups, with 26 cases in each group. Conventional exercises were carried out in the control group and core stabilization exercises for the treatment group, with course of treatment for 24 weeks. Curative effects of numerical rating scale and the Oswestry Disability Index were compared at 6, 12 and 24 weeks after treatment respectively. (2) Spinal stability after lumbar fusion and fixation of the implant for degenerative lumbar spondylolisthesis was evaluated by database document retrieval. RESULTS AND CONCLUSION:(1) After 24 weeks, numerical rating scale score and the Oswestry Disability Index were significantly lower in the treatment group than in the control group (P < 0.05 orP < 0.01). Core stabilization exercises apparently relieve lumbar pain and improve the ability of activities. Core stabilization exercises are better than conventional training. (2) Pedicle instrument fixation combined with interbody fusion is effective for lumbar spondylolisthesis within the second degree. Posterior interbody fusion has predominant mechanical property in maintaining spondylolisthesis orthopedic and stabilizing the structure. Correction loss and fixation failure easily occur after posterolateral fusion, but clinical effects are not affected.

Evaluation of quality care combined with systemic functional training in osteonecrosis of total hip arthroplasty implementation / 中国现代医生

Objective To investigate the effect of quality care combined with systematic training in osteonecrosis total hip arthroplasty in the implementation of the results. Methods Eighty patients with osteonecrosis routine total hip arthroplasty were divided into two groups, the control group(n=38) and the observation group (n=42). Control group with conventional methods of care,observation group was treated with quality of care and joint systemic functional train-ing. The Harris hip score, quality of life scores were compared before and after nursing interventions. Results Harris hip function scores of the observation group was significantly higher than the control group(P<0.05); the SF-12 scale scores of observation group were significantly higher the control group (P<0.05). Conclusion The quality of care com-bined with systemic functional training in osteonecrosis whole hip arthroplasty in implementing have significant effect in patients with hip function improved significantly.

Effects of early functional training guidance prevention knee stiffness af-ter fractures around the knee / 中国现代医生

Objective To evaluate the effect of early functional training guidance prevention of knee stiffness after frac-tures around the knee. Methods Choose From January 2012 to December 2012 in our hospital around knee fracture surgery 132 patients, were randomly divided into experimental group and the control group , 66 cases in the control group after the implementation of routine care, patients in the experimental group after the early stage used continuous passive motion of the knee ( CPM ) machine auxiliary functional exercise . Results Early postoperative rehabilitation experimental group and the control group were significantly increased knee ROM (P<0.05), but the experimental group after 2-8 weeks of knee ROM were significantly greater than in the control group (P<0.05). Postoperative rehabilitation and long-term experimental and control groups LKSS knee function scores were significantly improved recovery (P<0.05), the experimental group in three months, six months, 12 months LKSS scores were significantly higher (P<0.05). Postop-erative recovery and long-term experimental group and the control group standing balance BBS scores were significantly increased (P<0.05), the experimental group at 3 months, 6 months, 12 months of BBS scores were significantly higher (P<0.05). Conclusion Fractures around the knee after knee stiffness brake prone to affect rehabilitation , assistive knee surgery early implementation coaching helps patients receive early rehabilitation promote functional recovery of the knee and prevented to occur knee stiffness.