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El ejercicio terapéutico es una modalidad de intervención aplicada por el fisioterapeuta para las limitaciones y alteraciones funcionales que causan restricciones en los roles de los individuos. Objetivo: identificar los efectos del ejercicio terapéutico en pacientes quemados mediante la revi-sión de literatura actualizada disponible. Método: se realizó una revisión de literatura científica de 17 estudios publicados en materia de ejercicio terapéutico en paciente quemado, se revisaron publicaciones en inglés, español y portugués en las bases de datos Pubmed y PEDro, en la biblio-teca virtual Scielo y se integró información de libros en medios impresos y referencias bibliográ-ficas online. Resultados: las intervenciones con ejercicio terapéutico mostraron gran variabilidad, no obstante, los estudios reportan efectos positivos en varios aspectos relacionados con el movi-miento y la mejoría en la funcionalidad Discusión: La evidencia demostró efectos positivos del ejercicio terapéutico en la mejoría funcional y calidad de vida del paciente quemado. La rehabili-tación mediante ejercicio estructurado es una estrategia segura y eficaz para restaurar la función física general en las víctimas de quemaduras
The therapeutic exercise is an intervention modality applied by the physiotherapist for limi-tations and functional alterations that cause restrictions in the roles of individuals. Objective: to identify the effects of the therapeutic exercise in burned patients through reviewing availa-ble updated literature. Method: a literature review of 17 published researches was conducted to determine the effectiveness of therapeutic exercise in burned patients. Publications in English, Spanish and Portuguese were reviewed in the Pubmed and PEDro databases through the Scielo virtual library and integrated. Printed books and online bibliographical references were reviewed aswell. Results: the interventions with a therapeutic exercise showed a great variability, never-theless, the studies report positive effects in different aspects related with the movement and the functionality improvement. Discussion: The evidence showed positive effects of the therapeutic exercise on the functional improvement and quality of life of the burned patient. The rehabilita-tion made through a structured exercise is a reliable and effective strategy to restore the general physical function in burn victims.
Assuntos
Humanos , Queimaduras , Terapia por Exercício , Especialidade de Fisioterapia , Ferimentos e LesõesRESUMO
Objective To review our experience in the diagnosis and surgical management of aberrant right posterior hepatic bile duct injury.Methods Twenty eight patients with aberrant right posterior hepatic bile duct injury treated at the First Affiliated Hospital of Xinjiang Medical University between January 2002 to December 2011 were studied retrospectively.According to the injury type and the time of diagnosis,these patients were divided into three groups.The first group comprised of 10 patients in whom the injury was recognized and repaired at the time of the original surgery.The second group consisted of 10 patients in whom the injured aberrant right posterior hepatic bile duct was diagnosed and treated after operation.The third group comprised of 8 patients who developed an external bile fistula after the aberrant right posterior hepatic bile duct injury.The short and long term complications after surgical repair in the three groups were compared.Results In the first group,1 patient developed an intra-abdominal fluid collection.There was no bile stricture patients in first group.In the second group,1 patient developed bile fistula,2 patients intra-abdominal fluid collections,1 patient wound infection,and 1 patient bile duct stricture.In the third group,2 patients developed bile fistula,1 patient intestinal obstruction,2 patients wound infection,1 patient intra-abdominal hemorrhage,2 patients bile duct stricture and 1 patient an incisional hernia on follow-up.Conclusions Finding and repairing an aberrant right posterior hepatic bile duct injury at the original operation is the best treatment.According to the type and time of diagnosis,different surgical repair methods can be used for the aberrant right posterior hepatic bile duct injury.
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Objective To explore the protective effect of olfactory ensheathing cell(OEC)Schwann cell(SC)-extracellular matrix(ECM)-poly(DL-lactide-co-glycolide acid)(PLGA)bridging complex on peripheral target organ and spinal cord neurons after rat sciatic nerve defect.Methods A 15 mm right sciatic nerve defect model was established in SD rats and repaired with OEC-SC-ECM-PLGA bridging complex that contained OEC,SC,ECM and self-made PLGA conduit.At the same time,the study set OEC-ECM-PLGA group,SC-ECM-PLGA group,ECM-PLGA group,PLGA group and nerve autograft control group.At 1,3,6 and 9 weeks after surgery,the gastrocnemius muscle water weight test and motor end-plate test were performed.At the 9th week after surgery,CM-DiI and horseradish peroxidase(HRP)retrograde tracing were performed.Results The gastrocnemius muscle water weight and number of motor end-plate were decreased in all groups after surgery but gradually increased after three weeks except for ECM-PLGA group and PLGA group.At the 9th week,OEC-SC-ECM-PLGA group showed no statistical differences with nerve autograft group in aspects of gastrocnemius muscle water weight,number of motor end-plate and length of motor end-plate major axis(P ＞ 0.05).At the 9th week,CM-DiI and HRP retrograde tracing found that the number of positive neurons in spinal cord in OEC-SC-ECM-PLGA group showed no statistical differences compared with nerve autograft group(P ＞0.05).Conclusions OEC-SC-ECM-PLGA bridging complex can partially protect peripheral target organ and spinal cord neurons after rat sciatic nerve defect.
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Objective To observe the effect of visible light on apoptosis of cultured human retinal pigment epithelium (RPE) cells. Methods Being the light source,500lx,(2 000?500)lx and (3 400?200)lx cold white light were used. The duration of exposure was 0,6,12 and 24 hours respectively. Apoptosis was detected by terminal deoxynucleotidyl transferase mediated dUTP nick end labelling, Annexin V flunorescein isothiocyanate/Propidium iodium labelling and flow cytometry. Results Apoptosis and necrosis were found in cultured human RPE cells which were exposed to visible light.(1)A significant increase in apoptotic and necrotic percentages was consistent with a higher light intensity.(2)Apoptosis was the main response to shorter (6 h and 12 h) exposure duration,while necrosis was more pronounced correlated to the prolongation of post exposure culture ( P 500 lx) increases the proportion of apoptosis and necrosis of human RPE cells in vitro.The extent is related to exposure intensity and duration. It demonstrates that the lower intensity and the shorter duration of exposure to light are, the more pronounced apoptotic percentages are observed,otherwise necrosis.
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Objective To evaluate surgical therapy for ruptured aortoiliac artery. Method Between Apr 1984 and Dec 2003, 23 patients of ruptured aortoiliac artery were admitted with ruptured aortoiliac artery aneurysm in 18 cases and traumatic artery rupture in 5 patients. Two patients were treated with direct vascular repair and 21 patients underwent prosthetic grafts replacement. Result Four cases died perioperatively including 2 patients dying of acute renal failure, one of upper gastrointestinal heamorrhage caused by stress ulcer at 48 h after operation, and one of respiratory failure in 72 h. Conclusion Based on the etiology emergency operations should be performed on patients of ruptured aortoiliac artery by repairing or prosthetic grafts replacement.