BACKGROUND The therapeutic role of neurodynamic mobilization in improving lower limb function in patients with mild post-traumatic knee osteoarthritis remains poorly understood.AIM To further elucidate the role of neu...BACKGROUND The therapeutic role of neurodynamic mobilization in improving lower limb function in patients with mild post-traumatic knee osteoarthritis remains poorly understood.AIM To further elucidate the role of neurodynamic mobilization in facilitating knee joint functional recovery.METHODS Thirty-two patients with post-traumatic knee osteoarthritis treated at Chonghua Hospital of Traditional Chinese Medicine(Guilin)from March 2024 to August 2025 were randomly assigned to a control group(n=16)or an intervention group(n=16).Both groups received eight weeks of conventional treatment;and the intervention group additionally underwent neurodynamic mobilization.Outcomes including pain assessed by the visual analogue scale,active range of motion,Lysholm score,stork stand test,single hop test,and Y-balance test were assessed before and after the intervention.RESULTS There were no significant differences between the two groups in baseline characteristics,including gender,age,body mass index,or surgical side(P>0.05).Two-way repeated-measures analysis of variance demonstrated significant time×group interaction effects for the visual analogue scale score(F=13.364,P<0.05),Lysholm knee score(F=20.385,P<0.05),stork stand test(F=103.756,P<0.05),and Y-balance test score(F=8.089,P<0.05).CONCLUSION Neurodynamic mobilization effectively reduces pain,improves knee function,and enhances lower limb balance in patients with mild post-traumatic knee osteoarthritis.展开更多
Objective: To evaluate the practical efficacy of early limb functional exercise rehabilitation nursing in patients with hemiplegia following stroke through a retrospective analysis. Methods: A total of 80 stroke-induc...Objective: To evaluate the practical efficacy of early limb functional exercise rehabilitation nursing in patients with hemiplegia following stroke through a retrospective analysis. Methods: A total of 80 stroke-induced hemiplegic patients admitted to our hospital from January 2022 to December 2023 were selected. Their rehabilitation outcomes were retrospectively analyzed, and nursing effectiveness was statistically assessed. Results: The limb function scores of all 80 patients significantly improved post-nursing intervention compared to pre-intervention levels (P <0.05). Their daily living ability scores also showed statistically significant improvement (P <0.05). Among the patients, only one case developed pulmonary infection; neither pressure ulcers nor deep vein thrombosis occurred, indicating a low overall complication rate. Conclusion: Early limb functional exercise rehabilitation nursing for stroke-induced hemiplegic patients effectively enhances limb function and daily living abilities while reducing complication incidence, demonstrating significant clinical value.展开更多
Objective:To investigate the clinical value of guidance on limb function exercises in the rehabilitation of patients with cerebral infarction,providing objective data support for optimizing rehabilitation plans during...Objective:To investigate the clinical value of guidance on limb function exercises in the rehabilitation of patients with cerebral infarction,providing objective data support for optimizing rehabilitation plans during the recovery period and enhancing overall rehabilitation outcomes.Methods:This study selected 114 patients with cerebral infarction admitted to our hospital from June 2024 to January 2026.They were randomly divided into a control group and an observation group,with 57 patients in each group.The control group received basic rehabilitation training,while the observation group received specialized guidance on limb function exercises in addition to basic rehabilitation training.Motor function,self-care ability,neurological function,and activities of daily living were compared between the two groups.Results:Compared to before the intervention,scores for motor function,self-care ability,and activities of daily living increased in both groups after the intervention,with higher scores in the observation group.Neurological function scores decreased in both groups,with lower scores in the observation group(all p<0.05).Conclusion:Combining systematic guidance on limb function exercises with basic rehabilitation training can effectively improve motor and neurological functions,as well as enhance self-care ability and activities of daily living in patients with cerebral infarction.展开更多
Lower limb fractures are a prevalent clinical orthopedic condition,primarily caused by factors such as trauma and osteoporosis.Surgical treatment serves as the main intervention method;however,the postoperative rehabi...Lower limb fractures are a prevalent clinical orthopedic condition,primarily caused by factors such as trauma and osteoporosis.Surgical treatment serves as the main intervention method;however,the postoperative rehabilitation of limb function is characterized by a lengthy and challenging process.Patients often experience suboptimal rehabilitation outcomes due to a lack of rehabilitation knowledge and insufficient compliance.The information asymmetry theory elucidates the information imbalance between doctors and patients resulting from disparities in professional knowledge.Collaborative decision-making nursing intervention effectively alleviates information asymmetry by establishing a mechanism for information sharing between doctors and patients,thereby fully mobilizing patients’initiative in rehabilitation.This paper synthesizes relevant domestic and international research in recent years to summarize the application methods and implementation effects of collaborative decision-making nursing intervention based on information asymmetry theory in the postoperative limb functional rehabilitation of patients with lower limb fractures.It aims to provide theoretical references and practical evidence for optimizing clinical rehabilitation nursing models and enhancing rehabilitation quality following lower limb fracture surgery.展开更多
Objective:To investigate the effects of robot-assisted training on upper limb function in elderly stroke patients.Methods:Seventy elderly stroke patients treated in the Rehabilitation Medicine Department of Jiangsu Pr...Objective:To investigate the effects of robot-assisted training on upper limb function in elderly stroke patients.Methods:Seventy elderly stroke patients treated in the Rehabilitation Medicine Department of Jiangsu Provincial Organ Hospital from January 2023 to December 2023 were randomly divided into an intervention group(n=35)and a control group(n=35).In addition to conventional rehabilitation and nursing care,both groups received 40 minutes of daily upper limb training.The control group underwent entirely manual training,whereas the intervention group received a combination of 20 minutes of manual and 20 minutes of robot-assisted training.All participants completed this protocol five times weekly for four weeks,with assessments of upper limb motor function and activities of daily living(ADL)conducted pre-and post-intervention.Results:After treatment,both groups showed significant increases in Fugl-Meyer Assessment(FMA-UE)and Barthel Index(BI)scores compared to before treatment(p0.05).Conclusion:Robot-assisted training can improve upper limb motor function and enhance ADL capabilities in elderly stroke patients.展开更多
Objective:To study the efficacy of biofeedback combined with occupational therapy in stroke patients,including upper arm function,hand function,and self-care ability.Methods:A total of 60 stroke patients who met the i...Objective:To study the efficacy of biofeedback combined with occupational therapy in stroke patients,including upper arm function,hand function,and self-care ability.Methods:A total of 60 stroke patients who met the inclusion and exclusion criteria of this study were divided into a treatment group and a control group,with 30 cases in each group,using a random number table method.The total course of treatment was 4 weeks,with 5 treatments per week.Both groups received routine rehabilitation treatment,while the treatment group was supplemented with biofeedback therapy on the basis of routine rehabilitation.Before treatment and after 4 weeks of treatment,the Hemiplegic Hand Function Assessment Scale,Carroll Upper Extremity Function Assessment Scale,Wolf Motor Function Test(WMFT),and Brunnstrom Scale were used to evaluate patients’hand function,Activities of Daily Living(ADL)ability,and motor function,respectively.Adverse events during treatment were observed.Results:After treatment,the Brunnstrom stages,Carroll upper extremity function scores,and Wolf upper extremity function scores of patients in both groups were significantly improved(p<0.001),and the improvement effect in the treatment group was more significant(p<0.001).Conclusion:Stroke patients receiving basic rehabilitation treatment combined with occupational therapy and biofeedback therapy can better improve their upper arm and hand functions.Meanwhile,the combination of biofeedback therapy and occupational therapy is superior to occupational therapy alone,enhancing the self-care ability of stroke patients.展开更多
Neglecting the use of the affected limb in stroke patients can result in learned non-use.Modified constraint-induced movement therapy(mCIMT)is a form of rehabilitation therapy that limits the less paretic side,and thr...Neglecting the use of the affected limb in stroke patients can result in learned non-use.Modified constraint-induced movement therapy(mCIMT)is a form of rehabilitation therapy that limits the less paretic side,and through repeated and concentrated training improve the upper limb function of the paretic side.The aim of this paper is to develop a critical systematic review on the research evidence evaluating the effectiveness of applying mCIMT in the recovery of upper limb function in stroke patients.The outcome of this evaluation support that mCIMT significantly improves the upper limb function of stroke patients.Moreover,group mCIMT modality and TR(trunk restraint)+mCIMT modality provide greater benefits than mCIMT alone.展开更多
BACKGROUND The exercise of limb function is the most economical and safe method to promote the maturation of arteriovenous fistula(AVF).However,due to the lack of a uni-fied exercise standard in China,many patients ha...BACKGROUND The exercise of limb function is the most economical and safe method to promote the maturation of arteriovenous fistula(AVF).However,due to the lack of a uni-fied exercise standard in China,many patients have insufficient awareness of the importance of AVF,leading to poor effectiveness of limb function exercise.The self-management education model can effectively promote patients to take pro-active health-related actions.This study focuses on the characteristics of patients during the peri-AVF period and conducts a phased limb function exercise under the guidance of the self-management education model to observe changes in fac-tors such as the maturity of AVF.AIM To assess the impact of stage-specific limb function exercises,directed by a self-management education model,on the maturation status of AVFs.METHODS This study is a randomized controlled trial involving 74 patients with forearm AVFs from the Nephrology Department of a tertiary hospital in Sichuan Province,China.Patients were randomly divided into an observation group and a control group using a random number table method.The observation group underwent tailored stage-specific limb func-tion exercises,informed by a self-management education model which took into account the unique features of AVF at various stages,in conjunction with routine care.Conversely,the control group was given standard limb function exercises along with routine care.The assessment involves the maturity of AVFs post-intervention,post-operative complications,and the self-management level of the fistula in both groups patients.Analyses were conducted using SPSS version 23.0.Count data were represented by frequency and percentage and subjected to chi-square test comparisons.Measurement data adhering to a normal distribution were presented as mean±SD.The independent samples t-test was utilized for inter-group comparisons,while the paired t-test was used for intra-group comparisons.For measurement data not fitting a normal distribution,the median and interquartile range were presented and analyzed using the Wilcoxon rank sum test.RESULTS At the 8-wk postoperative mark,the observation group demonstrated significantly higher scores in AVF symptom recognition,symptom prevention,and self-management compared to the control group(P0.05).At 4 wk after the operation,the observation group displayed a superior vessel diameter and depth from the skin of the drainage vessels in comparison to the control group(P0.05).By the 8-wk postoperative interval,the observation group outperformed the control group with notable enhancements in blood flow rates,vessel diameter,and depth from the skin of drainage vessels(P0.05).By the 4-wk postoperative juncture,complications between the observation and control groups were statistically indistinguishable(P>0.05).CONCLUSION Stage-specific limb function exercises,under the guidance of a self-management education model,amplify the capacity of AVF patients to discern and prevent symptoms.Additionally,they expedite AVF maturation and miti-gate postoperative limb edema,underscoring their efficacy as a valuable method for the care and upkeep of AVF in hemodialysis patients.展开更多
With the visual illusion of the mirror,Mirror Therapy,models the primary somatosensory cortex,cortical and muscular excitability,stimulating cortical reorganization and sensorimotor recovery.Studies have shown to be e...With the visual illusion of the mirror,Mirror Therapy,models the primary somatosensory cortex,cortical and muscular excitability,stimulating cortical reorganization and sensorimotor recovery.Studies have shown to be effective in improving motor function in short and medium term,in activities of daily living,in visuospatial neglect and in reducing pain,especially in patients with complex regional pain syndrome.Objective:To report the perception of Occupational Therapists regarding the application of Mirror Therapy in professional practice.Specifically,what factors lead to its application,what are the effects and benefits of the technique,what are its advantages and limitations.Results:In the perception of Occupational Therapists,the Mirror Therapy technique has the following benefits:significant decrease in pain,improved sensitivity and functionality of the upper limb,unblocking movements in the affected limb,decreased phantom pain;as negative aspects:difficulties in spatial/environmental control,patient's perceptual/cognitive skills,high level of concentration/attention,absence of scientific evidence in neurological conditions.Conclusion:For the interviewed Occupational Therapists,the Mirror Therapy is a safe and useful technique to be applied in your professional practice that has been showing positive results in the functional recovery of patients,however,it lacks studies that identify the appropriate time to start its application and the explanation of an intervention protocol.展开更多
Objective: to explore the treatment of hemiplegia patients with cerebral apoplexy, adopt different treatment programs, summarize and explore the implementation effect and excellence of early rehabilitation treatment p...Objective: to explore the treatment of hemiplegia patients with cerebral apoplexy, adopt different treatment programs, summarize and explore the implementation effect and excellence of early rehabilitation treatment program, and analyze the impact on patients' daily living ability and limb function. Methods: a total of 132 patients, all of whom were stroke patients, were enrolled in the study from January 20 to January 21. There were 66 patients in each group. Two groups of patients to implement different treatment, conventional treatment group for patients to implement conventional treatment, rehabilitation treatment group for patients to implement rehabilitation treatment, explore the implementation effect of conventional treatment group and rehabilitation treatment group. Results: Barthel scores were improved after treatment and before treatment, and were significantly higher than before treatment (P < 0.05). After 30 days of treatment and 90 days of treatment, the scores of Barthel in the rehabilitation group increased, and the difference was lower than 0.05, indicating that the improvement effect of the rehabilitation group was better. Conclusion:the effect of early rehabilitation therapy is more ideal after stroke hemiplegia treatment, which can improve the therapeutic effect and clinical symptoms.展开更多
Objective: to observe the effect of early acupuncture and moxibustion on limb function in the rehabilitation treatment of patients with acute ischemic stroke. Methods: the patients with acute ischemic stroke treated i...Objective: to observe the effect of early acupuncture and moxibustion on limb function in the rehabilitation treatment of patients with acute ischemic stroke. Methods: the patients with acute ischemic stroke treated in our hospital from January 2021 to January 2022 were selected as the research subjects, and they were treated with early acupuncture and rehabilitation. Results: after receiving the corresponding intervention, the patients condition improved obviously, and the scores of limb function showed a good trend, and the total effective rate of treatment was high, which further promoted the improvement of their quality of life. Conclusion: for patients with acute ischemic stroke, it is significant to apply early acupuncture in their rehabilitation treatment, which is mainly reflected in accelerating the recovery of limb function, and it is worth popularizing.展开更多
Objective: to explore the influence of continuous rehabilitation nursing mode on the limb function and living ability of stroke hemiplegia patients. Methods: 80 patients with stroke hemiplegia from March 2021-January ...Objective: to explore the influence of continuous rehabilitation nursing mode on the limb function and living ability of stroke hemiplegia patients. Methods: 80 patients with stroke hemiplegia from March 2021-January 2022.The control group was given routine care, and the experimental group implemented a continuous rehabilitation nursing model. Body function, living ability, compliance with rehabilitation training, time of exercise, discharge and satisfaction rate is between the two groups. Results: the experimental group had limb function, and the living ability was higher; the rehabilitation training compliance than the control group was higher than the control group; the time of start exercise and discharge was shorter than the control group; the satisfaction rate was higher than the control group, and there was a significant difference, P < 0.05. Conclusion: continuous rehabilitation care mode for stroke hemiplegia patients can improve compliance, start early exercise and discharge time, improve limb function, living ability, and improve satisfaction rate.展开更多
Objective: to explore the application effect of early exercise on limb function recovery in the treatment of cerebral hemorrhage hemiplegia. Methods: from March 1, 2019 to February 28, 2022, 136 hemiplegic patients wi...Objective: to explore the application effect of early exercise on limb function recovery in the treatment of cerebral hemorrhage hemiplegia. Methods: from March 1, 2019 to February 28, 2022, 136 hemiplegic patients with cerebral hemorrhage admitted and treated in our hospital were selected as participants in this study. They were randomly divided into reference group (68 cases) and study group (68 cases). Patients in the reference group were given routine nursing mode, and patients in the research group were given early exercise on this basis. The clinical efficacy of two groups of patients was observed and compared. Results: before the nursing intervention, there was no significant difference in limb function, neurological function score and self-care ability between the two groups. After the intervention, all scores of the two groups were improved, and the improvement in the research group was more ideal, namely, upper limb function (51.25 ± 6.13), lower limb function (25.21 ± 2.19), self-care ability (74.23 ± 5.25) and self-care ability. Conclusion: on the basis of symptomatic treatment, early exercise for hemiplegic patients with cerebral hemorrhage can promote the recovery of limb function as soon as possible and significantly improve their self-care ability.展开更多
Stroke hemiplegia is a disease and condition that occurs when there is an accident in the patient's cerebrovascular. When this happens, the patient's brain blood circulation will have corresponding problems, r...Stroke hemiplegia is a disease and condition that occurs when there is an accident in the patient's cerebrovascular. When this happens, the patient's brain blood circulation will have corresponding problems, resulting in many diseases. At least, it will affect the patient's language expression ability, and at worst, it may lead to hemiplegia. Therefore, in order to reduce the high disability rate of patients with this disease, this paper will study the impact of extended nursing on the rehabilitation of limb function of stroke patients with hemiplegia, hoping to be helpful to the physical condition and rehabilitation of patients.展开更多
Objective: to analyze the effect of rapid rehabilitation neurosurgical nursing in patients with craniocerebral injury. Methods: the subjects were 46 patients with craniocerebral trauma treated in our hospital from Jan...Objective: to analyze the effect of rapid rehabilitation neurosurgical nursing in patients with craniocerebral injury. Methods: the subjects were 46 patients with craniocerebral trauma treated in our hospital from January 2019 to October 2020.After average grouping according to the order of admission, the control group was given routine nursing and the experimental group was given rapid rehabilitation neurosurgical nursing. The difference of nursing results was evaluated. Results: the scores of limb function and BI in the experimental group were slightly higher than those in the control group (P < 0.05); The incidence of complications, readmission and death in the experimental group was slightly lower than that in the control group (P < 0.05). Conclusion: in the nursing intervention of patients with craniocerebral trauma, the rapid rehabilitation neurosurgical nursing mode is helpful to improve the limb function of patients, and the prognosis of patients under this nursing mode is more ideal, which should become the first choice of clinical nursing.展开更多
Objective: to analyze and observe the effect of early limb function training on nursing quality of patients with cerebral infarction. Methods: 82 patients with cerebral infarction in our hospital were selected as the ...Objective: to analyze and observe the effect of early limb function training on nursing quality of patients with cerebral infarction. Methods: 82 patients with cerebral infarction in our hospital were selected as the object of this study. The time period of the object was from April 2020 to April 2021. All the patients were randomly divided into the reference group (routine nursing) and the study group (early limb function training nursing), with 41 cases each. Compare nursing quality and motor function. Results: the scores of nursing quality and FMA in the study group were significantly higher than those in the reference group (P < 0.05). Conclusion: early limb function training has a positive effect on the nursing quality of patients with cerebral infarction, and the patients' motor function, mental state, social function and physical function have been significantly improved, and the nursing quality has been improved, which has the popularization value.展开更多
Objective: the aim of this study will be to improve the physical function and quality of life of patients with stroke, in combination with continuous rehabilitation treatment, improve the efficiency of nursing and the...Objective: the aim of this study will be to improve the physical function and quality of life of patients with stroke, in combination with continuous rehabilitation treatment, improve the efficiency of nursing and the implementation of clinical effects. Methods: During the course of the experiment, patients with ischemic paralysis were selected for the purpose of this study. Between January 2020 and December 20, we received 80 patients for proper treatment in our hospital. These were divided into two groups using a random number method. This group underwent continuous rehabilitation activities and compared treatment outcomes with a group of patients who used conventional medical services. Results: from the nursing point of view, the patients in our group had statistical value in Fugle-Meyer, Bartel comparison (n < 0.05). In addition, patients with unsatisfactory symptoms in the post-doctor analysis group were evaluated by the alarm (43.4±2.5) to evaluate the degree of depression in the group (43.0 ±1.7) points, which was better than that in the control group (n < 0.05). Conclusion: the use of continuous rehabilitation measures not only improved physical function in patients with stroke, but also improved self-esteem in daily life, with coordinated body control, comprehensive care is effective and worthy of widespread use.展开更多
Objective: this experiment mainly carries on the ultra-early rehabilitation nursing intervention to the cerebral apoplexy patient, analyzes this nursing method to the limb function restoration effect. Methods: the str...Objective: this experiment mainly carries on the ultra-early rehabilitation nursing intervention to the cerebral apoplexy patient, analyzes this nursing method to the limb function restoration effect. Methods: the stroke patients in our hospital were taken as the research object. All patients participating in the experiment were selected from January 2020 to January 2021. The total number of patients is 80. The patients were divided into two groups. The control group received routine nursing, while the observation group received ultra-early rehabilitation nursing intervention. The recovery of limb function before and after nursing was compared. Results: the total effective rate was 87.4% in the observation group and 67.5% in the control group. In addition, patients in the observation group had good effect on Barthel score and fegl-Meyer score after nursing. Therefore, this nursing method is worth learning. Conclusion: the clinical application of ultra-early rehabilitation nursing can effectively improve the treatment effect of patients, with significant application effect, and can promote the recovery of limb function of hemiplegic patients. It has significant clinical application value and can be widely promoted.展开更多
Objective: to analyze the clinical effect of carotid adventitia stripping on limb function and cognitive function in patients with severe craniocerebral injury. Methods: 72 patients with severe craniocerebral injury t...Objective: to analyze the clinical effect of carotid adventitia stripping on limb function and cognitive function in patients with severe craniocerebral injury. Methods: 72 patients with severe craniocerebral injury treated in our hospital from March 2018 to March 2020 were selected as the research object. After routine physical examination, carotid adventitia stripping was performed. The patients were rechecked 6 months after operation, the improvement of limb function and cognitive function were observed, and the treatment efficiency was calculated. Results: normal walking function, eating function and cognitive function were recovered in 9 patients, accounting for 12.3% (9 / 72); The limb function and cognitive function of 24 patients were significantly improved. With the help of external force, they could basically walk and eat by themselves. In terms of communication with others, the speech logic was basically normal, accounting for 33.33% (24 / 72); The limb function and cognitive function of 31 patients were improved. With the help of external force, they could walk a short distance and have simple communication, accounting for 43.06% (31 / 72). The symptoms of 8 patients had no significant change after operation, accounting for 11.11% (8 / 72). The total effective rate was 88.89% (64 / 72). Conclusion: carotid adventitia stripping is effective in the treatment of patients with severe craniocerebral injury. The limb motor coordination and cognitive function of patients have been significantly improved after operation, which is worthy of clinical application.展开更多
Objective: to use early rehabilitation treatment for the patients with acute stroke hemiplegia, to observe and analyze its impact on the upper and lower limb function recovery and daily life ability. Methods: in June ...Objective: to use early rehabilitation treatment for the patients with acute stroke hemiplegia, to observe and analyze its impact on the upper and lower limb function recovery and daily life ability. Methods: in June 2021-June 2022 for intercept research time interval, a total of 60 cases of acute stroke hemiplegia, random principle specification grouping, control group received 30 cases of routine treatment, observation group received 30 cases of early rehabilitation treatment, around the upper and lower limb function assessment score, daily life ability evaluation score, balance function, cognitive function scale evaluation score and complication rate data line to compare. Results: before the treatment work, the evaluation results, daily life ability, balance function, and cognitive function evaluation results showed no difference (P> 0.05), and the results were higher (P <0.05);for the complication rate, the observation group showed lower results (P <0.05). Conclusion: for acute stroke cases, early rehabilitation treatment, which can improve the function of upper and lower limbs, strengthen their living ability, balance function and cognitive function, and prevent complications in patients, which is worthy of clinical application.展开更多
基金Supported by the Central Guided Local Science and Technology Development Fund Project for Science and Technology Innovation Base Construction,No.Guike ZY24212046National Natural Science Foundation of China,No.U22A2092+3 种基金Guangxi Education Science“the 14th Five-Year Plan”2024 Special Project“Research on Steam Education Practice in Rehabilitation Engineering”,No.2024ZJY304the Research Basic Ability Enhancement Program for Young and Middle-aged Teachers of Guangxi,No.2025KY2255the Innovation Project of GUET Graduate Education,No.2025YCXB010Natural Science Research Project of Guilin Life and Health Career Technical College,No.2025GKKY04.
摘要BACKGROUND The therapeutic role of neurodynamic mobilization in improving lower limb function in patients with mild post-traumatic knee osteoarthritis remains poorly understood.AIM To further elucidate the role of neurodynamic mobilization in facilitating knee joint functional recovery.METHODS Thirty-two patients with post-traumatic knee osteoarthritis treated at Chonghua Hospital of Traditional Chinese Medicine(Guilin)from March 2024 to August 2025 were randomly assigned to a control group(n=16)or an intervention group(n=16).Both groups received eight weeks of conventional treatment;and the intervention group additionally underwent neurodynamic mobilization.Outcomes including pain assessed by the visual analogue scale,active range of motion,Lysholm score,stork stand test,single hop test,and Y-balance test were assessed before and after the intervention.RESULTS There were no significant differences between the two groups in baseline characteristics,including gender,age,body mass index,or surgical side(P>0.05).Two-way repeated-measures analysis of variance demonstrated significant time×group interaction effects for the visual analogue scale score(F=13.364,P<0.05),Lysholm knee score(F=20.385,P<0.05),stork stand test(F=103.756,P<0.05),and Y-balance test score(F=8.089,P<0.05).CONCLUSION Neurodynamic mobilization effectively reduces pain,improves knee function,and enhances lower limb balance in patients with mild post-traumatic knee osteoarthritis.
摘要Objective: To evaluate the practical efficacy of early limb functional exercise rehabilitation nursing in patients with hemiplegia following stroke through a retrospective analysis. Methods: A total of 80 stroke-induced hemiplegic patients admitted to our hospital from January 2022 to December 2023 were selected. Their rehabilitation outcomes were retrospectively analyzed, and nursing effectiveness was statistically assessed. Results: The limb function scores of all 80 patients significantly improved post-nursing intervention compared to pre-intervention levels (P <0.05). Their daily living ability scores also showed statistically significant improvement (P <0.05). Among the patients, only one case developed pulmonary infection; neither pressure ulcers nor deep vein thrombosis occurred, indicating a low overall complication rate. Conclusion: Early limb functional exercise rehabilitation nursing for stroke-induced hemiplegic patients effectively enhances limb function and daily living abilities while reducing complication incidence, demonstrating significant clinical value.
摘要Objective:To investigate the clinical value of guidance on limb function exercises in the rehabilitation of patients with cerebral infarction,providing objective data support for optimizing rehabilitation plans during the recovery period and enhancing overall rehabilitation outcomes.Methods:This study selected 114 patients with cerebral infarction admitted to our hospital from June 2024 to January 2026.They were randomly divided into a control group and an observation group,with 57 patients in each group.The control group received basic rehabilitation training,while the observation group received specialized guidance on limb function exercises in addition to basic rehabilitation training.Motor function,self-care ability,neurological function,and activities of daily living were compared between the two groups.Results:Compared to before the intervention,scores for motor function,self-care ability,and activities of daily living increased in both groups after the intervention,with higher scores in the observation group.Neurological function scores decreased in both groups,with lower scores in the observation group(all p<0.05).Conclusion:Combining systematic guidance on limb function exercises with basic rehabilitation training can effectively improve motor and neurological functions,as well as enhance self-care ability and activities of daily living in patients with cerebral infarction.
摘要Lower limb fractures are a prevalent clinical orthopedic condition,primarily caused by factors such as trauma and osteoporosis.Surgical treatment serves as the main intervention method;however,the postoperative rehabilitation of limb function is characterized by a lengthy and challenging process.Patients often experience suboptimal rehabilitation outcomes due to a lack of rehabilitation knowledge and insufficient compliance.The information asymmetry theory elucidates the information imbalance between doctors and patients resulting from disparities in professional knowledge.Collaborative decision-making nursing intervention effectively alleviates information asymmetry by establishing a mechanism for information sharing between doctors and patients,thereby fully mobilizing patients’initiative in rehabilitation.This paper synthesizes relevant domestic and international research in recent years to summarize the application methods and implementation effects of collaborative decision-making nursing intervention based on information asymmetry theory in the postoperative limb functional rehabilitation of patients with lower limb fractures.It aims to provide theoretical references and practical evidence for optimizing clinical rehabilitation nursing models and enhancing rehabilitation quality following lower limb fracture surgery.
基金Nanjing Medical University Science and Technology Development Fund(NMUB20240122)。
摘要Objective:To investigate the effects of robot-assisted training on upper limb function in elderly stroke patients.Methods:Seventy elderly stroke patients treated in the Rehabilitation Medicine Department of Jiangsu Provincial Organ Hospital from January 2023 to December 2023 were randomly divided into an intervention group(n=35)and a control group(n=35).In addition to conventional rehabilitation and nursing care,both groups received 40 minutes of daily upper limb training.The control group underwent entirely manual training,whereas the intervention group received a combination of 20 minutes of manual and 20 minutes of robot-assisted training.All participants completed this protocol five times weekly for four weeks,with assessments of upper limb motor function and activities of daily living(ADL)conducted pre-and post-intervention.Results:After treatment,both groups showed significant increases in Fugl-Meyer Assessment(FMA-UE)and Barthel Index(BI)scores compared to before treatment(p0.05).Conclusion:Robot-assisted training can improve upper limb motor function and enhance ADL capabilities in elderly stroke patients.
摘要Objective:To study the efficacy of biofeedback combined with occupational therapy in stroke patients,including upper arm function,hand function,and self-care ability.Methods:A total of 60 stroke patients who met the inclusion and exclusion criteria of this study were divided into a treatment group and a control group,with 30 cases in each group,using a random number table method.The total course of treatment was 4 weeks,with 5 treatments per week.Both groups received routine rehabilitation treatment,while the treatment group was supplemented with biofeedback therapy on the basis of routine rehabilitation.Before treatment and after 4 weeks of treatment,the Hemiplegic Hand Function Assessment Scale,Carroll Upper Extremity Function Assessment Scale,Wolf Motor Function Test(WMFT),and Brunnstrom Scale were used to evaluate patients’hand function,Activities of Daily Living(ADL)ability,and motor function,respectively.Adverse events during treatment were observed.Results:After treatment,the Brunnstrom stages,Carroll upper extremity function scores,and Wolf upper extremity function scores of patients in both groups were significantly improved(p<0.001),and the improvement effect in the treatment group was more significant(p<0.001).Conclusion:Stroke patients receiving basic rehabilitation treatment combined with occupational therapy and biofeedback therapy can better improve their upper arm and hand functions.Meanwhile,the combination of biofeedback therapy and occupational therapy is superior to occupational therapy alone,enhancing the self-care ability of stroke patients.
摘要Neglecting the use of the affected limb in stroke patients can result in learned non-use.Modified constraint-induced movement therapy(mCIMT)is a form of rehabilitation therapy that limits the less paretic side,and through repeated and concentrated training improve the upper limb function of the paretic side.The aim of this paper is to develop a critical systematic review on the research evidence evaluating the effectiveness of applying mCIMT in the recovery of upper limb function in stroke patients.The outcome of this evaluation support that mCIMT significantly improves the upper limb function of stroke patients.Moreover,group mCIMT modality and TR(trunk restraint)+mCIMT modality provide greater benefits than mCIMT alone.
基金Supported by The Research Project 2022 of The People's Hospital of Jianyang City,No.JY202208.
摘要BACKGROUND The exercise of limb function is the most economical and safe method to promote the maturation of arteriovenous fistula(AVF).However,due to the lack of a uni-fied exercise standard in China,many patients have insufficient awareness of the importance of AVF,leading to poor effectiveness of limb function exercise.The self-management education model can effectively promote patients to take pro-active health-related actions.This study focuses on the characteristics of patients during the peri-AVF period and conducts a phased limb function exercise under the guidance of the self-management education model to observe changes in fac-tors such as the maturity of AVF.AIM To assess the impact of stage-specific limb function exercises,directed by a self-management education model,on the maturation status of AVFs.METHODS This study is a randomized controlled trial involving 74 patients with forearm AVFs from the Nephrology Department of a tertiary hospital in Sichuan Province,China.Patients were randomly divided into an observation group and a control group using a random number table method.The observation group underwent tailored stage-specific limb func-tion exercises,informed by a self-management education model which took into account the unique features of AVF at various stages,in conjunction with routine care.Conversely,the control group was given standard limb function exercises along with routine care.The assessment involves the maturity of AVFs post-intervention,post-operative complications,and the self-management level of the fistula in both groups patients.Analyses were conducted using SPSS version 23.0.Count data were represented by frequency and percentage and subjected to chi-square test comparisons.Measurement data adhering to a normal distribution were presented as mean±SD.The independent samples t-test was utilized for inter-group comparisons,while the paired t-test was used for intra-group comparisons.For measurement data not fitting a normal distribution,the median and interquartile range were presented and analyzed using the Wilcoxon rank sum test.RESULTS At the 8-wk postoperative mark,the observation group demonstrated significantly higher scores in AVF symptom recognition,symptom prevention,and self-management compared to the control group(P0.05).At 4 wk after the operation,the observation group displayed a superior vessel diameter and depth from the skin of the drainage vessels in comparison to the control group(P0.05).By the 8-wk postoperative interval,the observation group outperformed the control group with notable enhancements in blood flow rates,vessel diameter,and depth from the skin of drainage vessels(P0.05).By the 4-wk postoperative juncture,complications between the observation and control groups were statistically indistinguishable(P>0.05).CONCLUSION Stage-specific limb function exercises,under the guidance of a self-management education model,amplify the capacity of AVF patients to discern and prevent symptoms.Additionally,they expedite AVF maturation and miti-gate postoperative limb edema,underscoring their efficacy as a valuable method for the care and upkeep of AVF in hemodialysis patients.
摘要With the visual illusion of the mirror,Mirror Therapy,models the primary somatosensory cortex,cortical and muscular excitability,stimulating cortical reorganization and sensorimotor recovery.Studies have shown to be effective in improving motor function in short and medium term,in activities of daily living,in visuospatial neglect and in reducing pain,especially in patients with complex regional pain syndrome.Objective:To report the perception of Occupational Therapists regarding the application of Mirror Therapy in professional practice.Specifically,what factors lead to its application,what are the effects and benefits of the technique,what are its advantages and limitations.Results:In the perception of Occupational Therapists,the Mirror Therapy technique has the following benefits:significant decrease in pain,improved sensitivity and functionality of the upper limb,unblocking movements in the affected limb,decreased phantom pain;as negative aspects:difficulties in spatial/environmental control,patient's perceptual/cognitive skills,high level of concentration/attention,absence of scientific evidence in neurological conditions.Conclusion:For the interviewed Occupational Therapists,the Mirror Therapy is a safe and useful technique to be applied in your professional practice that has been showing positive results in the functional recovery of patients,however,it lacks studies that identify the appropriate time to start its application and the explanation of an intervention protocol.
摘要Objective: to explore the treatment of hemiplegia patients with cerebral apoplexy, adopt different treatment programs, summarize and explore the implementation effect and excellence of early rehabilitation treatment program, and analyze the impact on patients' daily living ability and limb function. Methods: a total of 132 patients, all of whom were stroke patients, were enrolled in the study from January 20 to January 21. There were 66 patients in each group. Two groups of patients to implement different treatment, conventional treatment group for patients to implement conventional treatment, rehabilitation treatment group for patients to implement rehabilitation treatment, explore the implementation effect of conventional treatment group and rehabilitation treatment group. Results: Barthel scores were improved after treatment and before treatment, and were significantly higher than before treatment (P < 0.05). After 30 days of treatment and 90 days of treatment, the scores of Barthel in the rehabilitation group increased, and the difference was lower than 0.05, indicating that the improvement effect of the rehabilitation group was better. Conclusion:the effect of early rehabilitation therapy is more ideal after stroke hemiplegia treatment, which can improve the therapeutic effect and clinical symptoms.
摘要Objective: to observe the effect of early acupuncture and moxibustion on limb function in the rehabilitation treatment of patients with acute ischemic stroke. Methods: the patients with acute ischemic stroke treated in our hospital from January 2021 to January 2022 were selected as the research subjects, and they were treated with early acupuncture and rehabilitation. Results: after receiving the corresponding intervention, the patients condition improved obviously, and the scores of limb function showed a good trend, and the total effective rate of treatment was high, which further promoted the improvement of their quality of life. Conclusion: for patients with acute ischemic stroke, it is significant to apply early acupuncture in their rehabilitation treatment, which is mainly reflected in accelerating the recovery of limb function, and it is worth popularizing.
摘要Objective: to explore the influence of continuous rehabilitation nursing mode on the limb function and living ability of stroke hemiplegia patients. Methods: 80 patients with stroke hemiplegia from March 2021-January 2022.The control group was given routine care, and the experimental group implemented a continuous rehabilitation nursing model. Body function, living ability, compliance with rehabilitation training, time of exercise, discharge and satisfaction rate is between the two groups. Results: the experimental group had limb function, and the living ability was higher; the rehabilitation training compliance than the control group was higher than the control group; the time of start exercise and discharge was shorter than the control group; the satisfaction rate was higher than the control group, and there was a significant difference, P < 0.05. Conclusion: continuous rehabilitation care mode for stroke hemiplegia patients can improve compliance, start early exercise and discharge time, improve limb function, living ability, and improve satisfaction rate.
摘要Objective: to explore the application effect of early exercise on limb function recovery in the treatment of cerebral hemorrhage hemiplegia. Methods: from March 1, 2019 to February 28, 2022, 136 hemiplegic patients with cerebral hemorrhage admitted and treated in our hospital were selected as participants in this study. They were randomly divided into reference group (68 cases) and study group (68 cases). Patients in the reference group were given routine nursing mode, and patients in the research group were given early exercise on this basis. The clinical efficacy of two groups of patients was observed and compared. Results: before the nursing intervention, there was no significant difference in limb function, neurological function score and self-care ability between the two groups. After the intervention, all scores of the two groups were improved, and the improvement in the research group was more ideal, namely, upper limb function (51.25 ± 6.13), lower limb function (25.21 ± 2.19), self-care ability (74.23 ± 5.25) and self-care ability. Conclusion: on the basis of symptomatic treatment, early exercise for hemiplegic patients with cerebral hemorrhage can promote the recovery of limb function as soon as possible and significantly improve their self-care ability.
摘要Stroke hemiplegia is a disease and condition that occurs when there is an accident in the patient's cerebrovascular. When this happens, the patient's brain blood circulation will have corresponding problems, resulting in many diseases. At least, it will affect the patient's language expression ability, and at worst, it may lead to hemiplegia. Therefore, in order to reduce the high disability rate of patients with this disease, this paper will study the impact of extended nursing on the rehabilitation of limb function of stroke patients with hemiplegia, hoping to be helpful to the physical condition and rehabilitation of patients.
摘要Objective: to analyze the effect of rapid rehabilitation neurosurgical nursing in patients with craniocerebral injury. Methods: the subjects were 46 patients with craniocerebral trauma treated in our hospital from January 2019 to October 2020.After average grouping according to the order of admission, the control group was given routine nursing and the experimental group was given rapid rehabilitation neurosurgical nursing. The difference of nursing results was evaluated. Results: the scores of limb function and BI in the experimental group were slightly higher than those in the control group (P < 0.05); The incidence of complications, readmission and death in the experimental group was slightly lower than that in the control group (P < 0.05). Conclusion: in the nursing intervention of patients with craniocerebral trauma, the rapid rehabilitation neurosurgical nursing mode is helpful to improve the limb function of patients, and the prognosis of patients under this nursing mode is more ideal, which should become the first choice of clinical nursing.
摘要Objective: to analyze and observe the effect of early limb function training on nursing quality of patients with cerebral infarction. Methods: 82 patients with cerebral infarction in our hospital were selected as the object of this study. The time period of the object was from April 2020 to April 2021. All the patients were randomly divided into the reference group (routine nursing) and the study group (early limb function training nursing), with 41 cases each. Compare nursing quality and motor function. Results: the scores of nursing quality and FMA in the study group were significantly higher than those in the reference group (P < 0.05). Conclusion: early limb function training has a positive effect on the nursing quality of patients with cerebral infarction, and the patients' motor function, mental state, social function and physical function have been significantly improved, and the nursing quality has been improved, which has the popularization value.
摘要Objective: the aim of this study will be to improve the physical function and quality of life of patients with stroke, in combination with continuous rehabilitation treatment, improve the efficiency of nursing and the implementation of clinical effects. Methods: During the course of the experiment, patients with ischemic paralysis were selected for the purpose of this study. Between January 2020 and December 20, we received 80 patients for proper treatment in our hospital. These were divided into two groups using a random number method. This group underwent continuous rehabilitation activities and compared treatment outcomes with a group of patients who used conventional medical services. Results: from the nursing point of view, the patients in our group had statistical value in Fugle-Meyer, Bartel comparison (n < 0.05). In addition, patients with unsatisfactory symptoms in the post-doctor analysis group were evaluated by the alarm (43.4±2.5) to evaluate the degree of depression in the group (43.0 ±1.7) points, which was better than that in the control group (n < 0.05). Conclusion: the use of continuous rehabilitation measures not only improved physical function in patients with stroke, but also improved self-esteem in daily life, with coordinated body control, comprehensive care is effective and worthy of widespread use.
摘要Objective: this experiment mainly carries on the ultra-early rehabilitation nursing intervention to the cerebral apoplexy patient, analyzes this nursing method to the limb function restoration effect. Methods: the stroke patients in our hospital were taken as the research object. All patients participating in the experiment were selected from January 2020 to January 2021. The total number of patients is 80. The patients were divided into two groups. The control group received routine nursing, while the observation group received ultra-early rehabilitation nursing intervention. The recovery of limb function before and after nursing was compared. Results: the total effective rate was 87.4% in the observation group and 67.5% in the control group. In addition, patients in the observation group had good effect on Barthel score and fegl-Meyer score after nursing. Therefore, this nursing method is worth learning. Conclusion: the clinical application of ultra-early rehabilitation nursing can effectively improve the treatment effect of patients, with significant application effect, and can promote the recovery of limb function of hemiplegic patients. It has significant clinical application value and can be widely promoted.
摘要Objective: to analyze the clinical effect of carotid adventitia stripping on limb function and cognitive function in patients with severe craniocerebral injury. Methods: 72 patients with severe craniocerebral injury treated in our hospital from March 2018 to March 2020 were selected as the research object. After routine physical examination, carotid adventitia stripping was performed. The patients were rechecked 6 months after operation, the improvement of limb function and cognitive function were observed, and the treatment efficiency was calculated. Results: normal walking function, eating function and cognitive function were recovered in 9 patients, accounting for 12.3% (9 / 72); The limb function and cognitive function of 24 patients were significantly improved. With the help of external force, they could basically walk and eat by themselves. In terms of communication with others, the speech logic was basically normal, accounting for 33.33% (24 / 72); The limb function and cognitive function of 31 patients were improved. With the help of external force, they could walk a short distance and have simple communication, accounting for 43.06% (31 / 72). The symptoms of 8 patients had no significant change after operation, accounting for 11.11% (8 / 72). The total effective rate was 88.89% (64 / 72). Conclusion: carotid adventitia stripping is effective in the treatment of patients with severe craniocerebral injury. The limb motor coordination and cognitive function of patients have been significantly improved after operation, which is worthy of clinical application.
摘要Objective: to use early rehabilitation treatment for the patients with acute stroke hemiplegia, to observe and analyze its impact on the upper and lower limb function recovery and daily life ability. Methods: in June 2021-June 2022 for intercept research time interval, a total of 60 cases of acute stroke hemiplegia, random principle specification grouping, control group received 30 cases of routine treatment, observation group received 30 cases of early rehabilitation treatment, around the upper and lower limb function assessment score, daily life ability evaluation score, balance function, cognitive function scale evaluation score and complication rate data line to compare. Results: before the treatment work, the evaluation results, daily life ability, balance function, and cognitive function evaluation results showed no difference (P> 0.05), and the results were higher (P <0.05);for the complication rate, the observation group showed lower results (P <0.05). Conclusion: for acute stroke cases, early rehabilitation treatment, which can improve the function of upper and lower limbs, strengthen their living ability, balance function and cognitive function, and prevent complications in patients, which is worthy of clinical application.