Rehabilitation strategy

  • 文章类型: Case Reports
    背景:骨化性肌炎(MO)是一种罕见的疾病,涉及肌肉骨骼系统外部的骨骼形成。虽然手术干预是主要的治疗方法,预防复发和规范康复也至关重要。这里,我们提出了预防MO复发的手术策略。
    方法:一名28岁女性患者因左侧鹰嘴粉碎性骨折首次入院。然而,不正确的术后康复导致肘关节僵硬与异位骨化的发展,导致正常运动范围的丧失。根据体格检查,患者被诊断为MO,X光检查结果,和临床表现。我们设计了一种切除MO的手术策略,然后用Ilizarov框架固定,并实施了科学合理的康复计划。手术持续3小时,估计失血量为45mL。手术后放置了引流管,通过超声引导穿刺抽吸液体。患者在手术后经历了关节僵硬的显著降低。在9个嘴巴的最后随访中,肘关节的活动范围有了明显的改善,没有其他症状报告。
    结论:Ilizarov框架是促进MO去除后康复的有利手术技术。它提供的好处,如被动恢复,个体化治疗,迅速恢复。
    BACKGROUND: Myositis ossificans (MO) is a rare disease involving the formation of bone outside the musculoskeletal system. While surgical intervention is the main treatment approach, preventing recurrence and standardized rehabilitation are also crucial. Here, we present a surgical strategy to prevent the recurrence of MO.
    METHODS: A 28-year-old female patient was admitted for the first time for a comminuted fracture of the left olecranon. However, incorrect postoperative rehabilitation resulted in the development of elbow joint stiffness with ectopic ossification, causing a loss of normal range of motion. The patient was diagnosed with MO based on physical examination, X-ray findings, and clinical presentation. We devised a surgical strategy to remove MO, followed by fixation with an Ilizarov frame, and implemented a scientifically reasonable rehabilitation plan. The surgery lasted for 3 h with an estimated blood loss of 45 mL. A drainage tube was placed after surgery, and fluid was aspirated through ultrasound-guided puncture. The patient experienced a significant reduction in joint stiffness after surgery. In the final follow-up at 9 mouths, there was evident improvement in the range of motion of the elbow joint, and no other symptoms were reported.
    CONCLUSIONS: The Ilizarov frame is an advantageous surgical technique for facilitating rehabilitation after MO removal. It offers benefits such as passive recovery, individualized treatment, and prompt recovery.
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  • 文章类型: Journal Article
    背景:对运动的恐惧与老年人的下肢激活模式有关。然而,在考虑与跌倒相关的信心的同时,对步进策略的连续扰动的洞察是未知的。
    目的:当考虑到肢体优势和跌倒功效差异时,有和没有运动恐惧症的受试者之间连续三次滑脱扰动后是否存在潜伏期时间延迟?
    方法:有15名患有运动恐惧症的老年人和15名年龄和体重指数(BMI)匹配的对照受试者。受试者在三个连续的扰动(250、300和400毫秒的短途旅行)期间站在平台上,是由Bertec设备生产的。受试者完成问卷以评估其与跌倒相关的恐惧的心理特征(运动恐惧症的坦帕量表:TSK)以及改良的跌倒功效量表(FES)。延迟时间(msec)测量受试者响应翻译所花费的时间。
    结果:总体而言,FES结果显示与TSK呈中度负相关(r=-0.52,p=0.004).FES有显著的组间差异(t=2.78,p=0.01)。FES表现出显著的正相关系数(范围从0.40到0.51)和显著的负相关系数(范围从-0.41到-0.61),除了缓慢的扰动。各组在连续潜伏期和肢体侧表现出显著的相互作用(F=5.84,p=0.02)。在运动恐惧症组中,优势肢快速扰动期间的潜伏期时间(F=5.53,p=0.02)明显较短。
    结论:对照组在跌倒相关活动中表现出信心,但是,当考虑反复滑脱扰动后的优势肢体时,两组之间的潜伏期显着不同。运动恐惧症组显示出优势肢体的潜伏期较短,以防止潜在的跌倒风险。在患有运动恐惧症的老年人中,需要以跌倒相关的信心和改善的站立平衡来考虑肢体侧的群体互动和连续的扰动。
    Fear of movement has been related to lower limb activation patterns in older adults. However, insight into consecutive perturbations on stepping strategy while considering fall-related confidence is unknown.
    Are there latency time delays following three consecutive slip perturbations between subjects with and without kinesiophobia when considering limb dominance and fall efficacy differences?
    There were 15 older adults with kinesiophobia and 15 age- and body mass index (BMI)-matched control subjects. The subjects stood on the platform during three consecutive perturbations (250, 300, and 400 msec excursions), which were produced by a Bertec device. The subjects completed questionnaires to evaluate the psychological features of their fall-related fear (Tampa Scale for Kinesiophobia: TSK) as well as the modified fall efficacy scale (FES). The latency times (msec) measured the time it took for a subject to respond to a translation.
    Overall, the results of the FES demonstrated a moderate negative association with the TSK (r = -0.52, p = 0.004). There was a significant group difference for the FES (t = 2.78, p = 0.01). The FES demonstrated significant positive correlation coefficients (ranging from 0.40 to 0.51) and significant negative correlation coefficients (ranging from -0.41 to -0.61), except for the slow perturbations. The groups demonstrated a significant interaction on consecutive latency times and limb side (F = 5.84, p = 0.02). The latency time during the fast perturbations on the dominant limb (F = 5.53, p = 0.02) was significantly shorter in the kinesiophobia group.
    The control group demonstrated confidence during fall-related activities, but the latency times were significantly different between groups when considering the dominant limb following repeated slip perturbations. The kinesiophobia group demonstrated shorter latency times on the dominant limb to protect against potential fall-risks from perturbations. The group interactions on limb side and consecutive perturbations need to be considered with fall-related confidence and improved standing balance in older adults with kinesiophobia.
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  • 文章类型: Journal Article
    OBJECTIVE: Early rehabilitation after stroke is important for the recovery of bodily functions in stroke patients. However, the percentage of completion of early limb rehabilitation among stroke patients is only 16%.
    OBJECTIVE: Raise the early rehabilitation intervention rate to 88% for patients with stroke within 24 hours of hospitalization.
    METHODS: We developed an education course on post-stroke rehabilitation and a related e-Learning course as well as organized an \'alliance for recovery\' team. In addition, we established a standard for post-stroke relay rehabilitation and designed rehabilitation relay cards, Xbox rehabilitation games, and nine squares challenge for brain stroke care.
    RESULTS: The accuracy of the knowledge of nursing staff related to physical rehabilitation improved from 72.4% to 100%; the accuracy of their perceptions regarding early limb rehabilitation increased from 16% to 100%; and patient satisfaction increased from 68% to 98%.
    CONCLUSIONS: We deployed diverse and innovative strategies to assist limb rehabilitation in patients with stroke. Patients and caregivers should be encouraged to participate in early rehabilitation and related programs and should apply the skills and rehabilitation activities learned to daily life.
    BACKGROUND: 多元創新策略於腦中風病人早期肢體復健計畫.
    UNASSIGNED: 早期復健對腦中風病人身體功能的恢復具其重要性,然而腦中風病人早期肢體復健介入率僅16%。.
    UNASSIGNED: 提升腦中風病人入院24小時內早期肢體復健介入率達88%。.
    UNASSIGNED: 制定腦中風肢體復健照護教育訓練與E-Learning課程、組成復原者聯盟、建立腦中風肢體復健接力標準、復健接力卡、Xbox復健遊戲、設計挑戰腦中風照護九宮格。.
    UNASSIGNED: 護理師肢體復健認知正確性由72.4%提升至100%;腦中風病人早期肢體復健介入率由16%提升至100%;病人滿意度由68%提升至98%。.
    UNASSIGNED: 運用多元創新策略於腦中風病人肢體復健,確實有良好成效,應持續增強病人與照護者早期復健與主動參與計畫,並將所學復健活動與技能,持續用於生活。.
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  • 文章类型: Journal Article
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