Analyzing the Combination Effects of Repetitive Transcranial Magnetic Stimulation and Motor Control Training on Balance Function and Gait in Patients with Stroke-Induced Hemiplegia

Objective:To analyze the effects of repetitive transcranial magnetic stimulation combined with motor control training on the treatment of stroke-induced hemiplegia,specifically focusing on the impact on patients’balance function and gait.Methods:Fifty-two cases of hemiplegic stroke patients were randomly divided into two groups,26 in the control group and 26 in the observation group,using computer-generated random grouping.All participants underwent conventional treatment and rehabilitation training.In addition to these,the control group received repetitive transcranial magnetic pseudo-stimulation therapy+motor control training,while the observation group received repetitive transcranial magnetic stimulation therapy+motor control training.The balance function and gait parameters of both groups were compared before and after the interventions and assessed the satisfaction of the interventions in both groups.Results:Before the invention,there were no significant differences in balance function scores and each gait parameter between the two groups(P>0.05).However,after the intervention,the observation group showed higher balance function scores compared to the control group(P<0.05).The observation group also exhibited higher step speed and step frequency,longer step length,and a higher overall satisfaction level with the intervention compared to the control group(P<0.05).Conclusion:The combination of repetitive transcranial magnetic stimulation and motor control training in the treatment of stroke-induced hemiplegia has demonstrated positive effects.It not only improves the patient’s balance function and gait but also contributes to overall physical rehabilitation.

Tai Chi as an intervention to reduce falls and improve balance function in the elderly:A meta-analysis of randomized controlled trials

Objective: To systematically evaluate the effectiveness of fall prevention and balance function in the elderly.Methods: Databases, including Pub Med, Web of Science, Cochrane Library, Chinese Biomedical Literature Database(CBM), and CNKI were electronically searched, and the relevant references of the included papers were also manually searched. Two reviewers independently screened the articles according to the inclusion and exclusion criteria, extracted the data, and assessed the methodological quality. A metaanalysis was performed using the Cochrane Collaboration's Rev Man 5.1 software.Results: Six randomized controlled trials(RCTs) involving 2796 participants were included. The results of the meta-analysis showed that compared with a physiotherapy intervention, Tai Chi could significantly reduce the incidence rates of falls [relative risk(RR) ? 0.82, 95% confidence interval(CI)(0.73, 0.92)],while there were significant differences in the Timed Up and Go test, Functional Reach Test and Berger Balance Scale.Conclusions: Tai Chi is effective in reducing the risk of falls and improving balance in the elderly.

Toward a description of the centrality dependence of the charge balance function in the HYDJET++model

Data from the Large Hadron Collider on the charge balance function in Pb+Pb collisions at center-of-mass energy 2.76 TeV per nucleon pair are analyzed and interpreted within the framework of the HYDJET++model.This model allows us to qualitatively reproduce the experimentally observed centrality dependence of the balance function widths at relatively low transverse momentum intervals due to the different charge creation mechanisms in soft and hard processes.However,a fully adequate description of the balance function in these intervals implies an essential modification of the model by including exact charge conservation via the canonical rather than the grand canonical ensemble.A procedure is proposed for introducing charge correlations into the thermal model without changing other model parameters.With increasing transverse momenta,the default model results describe the exper-imental data much better because the contribution of the soft component of the model is significantly reduced in these transverse momentum intervals.In practical terms,there is a transition to a single source of charge correlations,namely,charge correlations in jets in which exact charge conservation holds at each stage.

Retrospective study of effect of whole-body vibration training on balance and walking function in stroke patients

BACKGROUND Dysfunction in stroke patients has been a problem that we committed to solve and explore.Physical therapy has some effect to regain strength,balance,and coordination.However,it is not a complete cure,so we are trying to find more effective treatments.AIM To observe the effect of whole-body vibration training(WVT)on the recovery of balance and walking function in stroke patients,which could provide us some useful evidence for planning rehabilitation.METHODS The clinical data of 130 stroke participants who underwent conventional rehabilitation treatment in our hospital from January 2019 to August 2020 were retrospectively analyzed.The participants were divided into whole-body vibration training(WVT)group and non-WVT(NWVT)group according to whether they were given WVT.In the WVT group,routine rehabilitation therapy was combined with WVT by the Galileo Med L Plus vibration trainer at a frequency of 20 Hz and a vibration amplitude of 0+ACY-plusmn+ADs-5.2 mm,and in the NWVT group,routine rehabilitation therapy only was provided.The treatment course of the two groups was 4 wk.Before and after treatment,the Berg balance scale(BBS),3 m timed up-and-go test(TUGT),the maximum walking speed test(MWS),and upper limb functional reaching(FR)test were performed.RESULTS After 4 wk training,in both groups,the BBS score and the FR distance respectively increased to a certain amount(WVT=46.08±3.41 vs NWVT=40.22±3.75;WVT=20.48±2.23 vs NWVT=16.60±2.82),with P<0.05.Furthermore,in the WVT group,both BBS score and FR distance(BBS:18.32±2.18;FR:10.00±0.92)increased more than that in the NWVT group(BBS:13.29±1.66;FR:6.16±0.95),with P<0.05.Meanwhile,in both groups,the TUGT and the MWS were improved after training(WVT=32.64±3.81 vs NWVT=39.56±3.68;WVT=12.73±2.26 vs NWVT=15.04±2.27,respectively),with P<0.05.The change in the WVT group(TUGT:17.49±1.88;MWS:6.79±0.81)was greater than that in the NWVT group(TUGT:10.76±1.42;MWS:4.84±0.58),with P<0.05.CONCLUSION The WVT could effectively improve the balance and walking function in stroke patients,which may be good for improving their quality of life.

Effective of exercise therapy on functional balance, physical performance and quality of life among patients undergoing hemodialysis: randomized controlled trial

Background:Patients undergoing hemodialysis suffer from deteriorating physical health,impaired physical function,and have a low quality of life,that explained by insufficient metabolic clearance.To overcome these obstacles,cost-effective strategies must be developed,including exercise as a complement to hemodialysis therapy.Objective:To determine the effectiveness of exercise therapy on functional balance,physical performance,and quality of life among patients undergoing hemodialysis:a randomized controlled trial.Methods:This randomized controlled trial study was carried out on 68 patients with chronic kidney disease undergoing hemodialysis for at least six months and had a medically stable condition who were randomly divided into training(n=32)exercise therapy and(n=31)control,groups.The training group participated in 8-week(3 sessions per week)resistance exercise therapy in three sets of 10 repetitions of knee extension,hip flexion,and hip abduction with the use of an elastic band under the supervision of a training physiotherapist and researcher during the first hour of the three routine hemodialysis treatment session per week.But the control group did not experience any intervention.To analyze the data,two-way analysis of variance and Bonferroni statistical tests were used at the significant level of(P=0.05).Results:6 Minute-Walk Test(6MWT)(0.013),and in the Physical Activity Scale for the Elderly(PASE)(0.014),and Short Survey Form 36(SF-36)questionnaires and health-related quality of life(HRQOL)(0.001)had significant improvements in the training group in comparison to the control group from pre to post-test,also physical performance(0.001)was improving as compared with control group(0.89)at(P=0.05).Conclusion:Resistance exercise therapy interventions for eight weeks effectively improve the physical function and performance,activity levels,and health-related quality of life of patients with chronic kidney disease and undergoing regular hemodialysis compared with a control group.

The effect of baduanjin exercise in rehabilitation for functional ankle instability:A study protocol for a randomized controlled pilot trial

Introduction:Patients with functional ankle instability(FAI)have problems with joint control,balance,gait,and postural symmetry.Baduanjin is a type of traditional Chinese exercise that has been shown to be effective in treating many diseases and symptoms.However,to date,the effect of Baduanjin in patients with FAI has not been proved.This pilot trial is an assessor-blinded randomized controlled trial,and its objective is to study the efficacy and safety of Baduanjin on the rehabilitation of patients with FAI.Methods:Seventy-two participants,who are eligible according to specified inclusion and exclusion criteria,will be randomized(in a 1:1 ratio),using a random number table,into two groups:a Baduanjin group and a conventional treatment group.The Baduanjin group will be subjected to the Baduanjin exercise in addition to the conventional treatment therapy.Participants’exercise programs will be implemented for 4 weeks(5 days a week).All participants will be assessed at baseline,and after two and 4 weeks of treatment.The surface electromyography results of the bilateral erector spinae,tibialis anterior,and peroneus longus will be the primary outcomes,while the balance function under different conditions and the level of FAI in daily life measured using the Cumberland Ankle Instability Tool will be the secondary outcomes.Ethics and Dissemination:The trial has been approved by the Research Ethical Committee of Dongzhimen Hospital,the First Affiliated Hospital of Beijing University of Chinese Medicine(no.DZMEC-KY-2019-18),and it will follow the principles of the Consolidated Standards of Reporting Trials statements as well as the Declaration of Helsinki.The findings of this study will be submitted for publication in peer-reviewed journals.The results will also be disseminated to the participants via phone calls or e-mail.

Observation of the Effect of Gait-induced Functional Electrical Stimulation on Stroke Patients with Foot Drop

Objective:To explore the effects of functional electrical stimulation and functional mid frequency electrical stimulation on lower limb function and balance function in stroke patients.Methods:20 cases of stroke patients with foot drop after admission were randomly divided into the observation group and the control group,10 cases in each group.On the basis of the two groups of patients,the observation group used the gait induced functional electrical stimulation to stimulate the peroneal nerve and the pretibial muscle in the observation group.The control group used the computer medium frequency functional electrical stimulation to stimulate the peroneal nerve and the anterior tibial muscle for 2 weeks.Before and after treatment,the lower extremity simple Fugl-Meyer scale(FMA),the Berg balance scale(BBS)and the improved Ashworth scale were evaluated respectively,and the comparative analysis was carried out in the group and between the groups.Results:After 2 weeks of treatment,the scores of FMA and BBS in the two groups were significantly higher than those before the treatment(P<0.05),and the scores of FMA and BBS in the observation group were higher than those in the control group(P<0.05),and the flexor muscle tension of the ankle plantar flexor muscle of the observed group was lower than that of the control group(P<0.05).Conclusions:Exercise therapy combined with gait induced functional electrical stimulation or computer intermediate frequency functional electrical stimulation can significantly improve lower limb function and balance function in patients with ptosis,and the therapeutic effect of functional electrical stimulation combined with gait is better.

Application of"balancing digestive functions by regulating pivot"in chronic atrophic gastritis and professor Wei Wei's clinical experience

Chronic atrophic gastritis(CAG)has attracted wide attention in clinic due to its high incidence rate and high canceration rate.At present,modern medicine lacks an effective treatment scheme for CAG.Traditional Chinese medicine can improve clinical symptoms,laboratory indexes,pathological examination results and patients'quality of life for patients of CAG.Professor Wei used the method of"Balancing Digestive Functions by Regulating Pivot"to treat CAG in clinical practice.With flexible addition and subtraction on the basic prescription Banxia Xiexin decoction and coordination with various external treatment methods and psychological construction,professor Wei has achieved satisfactory clinical effects with the pungent-opening and bitter-descending method and dispersing liver and promoting blood circulation method.

Posturodynamic 6 Test: A New Scoring Method for Effective Communication of Results

Background: Posturodynamic 6 (PDN-6) is a clinical assessment of posture that merges the Clinical Posturodynamic Test and the Pelvic Maintain Test. Current scoring system does not fulfill all our needs and requirements mostly because the same numeric score might reflect 28 different possible combinations of postural dysfunction in terms of anatomic region and laterality. Objective: We propose a new scoring method for the PDN-6 that would not change the clinical methods for the PDN-6 assessment. Specifically, new scoring method would clearly indicate specific patterns of postural dysfunction while still enabling statistical analyses. Methods: We developed a new scoring method for the PDN-6 without changing the instrument’s clinical procedures. We qualitatively assessed the validity of the new scoring system to detail specific patterns of postural dysfunction in terms of anatomic region and laterality. Results: New scoring method successfully deals with limitations of the previous scoring method. The new method enables clinicians to differentiate among 2 or more patients who might have very different patterns of postural dysfunction while still having the same numeric score using the previous scoring. The new scoring method provides quantitative data that are easily translated in terms of anatomic region and laterality for the postural dysfunctions that are present. Patient behavioral improvements are quantified, documented and interpreted with a change in score, and the exact nature of the improvements can be determined in terms of anatomic location and laterality. Rash analyses can also be used for statistical analyses. Conclusion: PDN-6 new scoring method provides quantitative data that provide more specific information about a patient’s postural deficits and any changes in their postural dysfunction over time without changing the clinical assessment methods.

Balanced Monitoring of Flow Phenomena in Moving Mesh Methods

Adaptive moving mesh research usually focuses either on analytical deriva-tions for prescribed solutions or on pragmatic solvers with challenging physical appli-cations. In the latter case, the monitor functions that steer mesh adaptation are oftendefined in an ad-hoc way. In this paper we generalize our previously used moni-tor function to a balanced sum of any number of monitor components. This avoidsthe trial-and-error parameter fine-tuning that is often used in monitor functions. Thekey reason for the new balancing method is that the ratio between the maximum andaverage value of a monitor component should ideally be equal for all components.Vorticity as a monitor component is a good motivating example for this. Entropy alsoturns out to be a very informative monitor component. We incorporate the monitorfunction in an adaptive moving mesh higher-order finite volume solver with HLLCfluxes, which is suitable for nonlinear hyperbolic systems of conservation laws. Whenapplied to compressible gas flow it produces very sharp results for shocks and otherdiscontinuities. Moreover, it captures small instabilities (Richtmyer-Meshkov, Kelvin-Helmholtz). Thus showing the rich nature of the example problems and the effective-ness of the new monitor balancing.