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Application of sensory and motor training in AIDET communication mode in patients after knee arthroplasty
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作者 Di Tong Jing Zhang Xin-Ying Liang 《World Journal of Clinical Cases》 SCIE 2024年第25期5720-5728,共9页
BACKGROUND Patients with knee arthroplasty often have problems such as slow recovery of knee function,which may cause negative emotions and affect their postoperative rehabilitation.The application of sensory and moto... BACKGROUND Patients with knee arthroplasty often have problems such as slow recovery of knee function,which may cause negative emotions and affect their postoperative rehabilitation.The application of sensory and motor training in the Acknowledge,Introduce,Duration,Evaluation,Thank You(AIDET)communication mode in patients after knee arthroplasty can provide reference for the selection of postoperative rehabilitation training measures.AIM To explore the sensory and motor training effects in AIDET communication mode on knee function recovery and resilience of patients after knee arthroplasty.METHODS One hundred patients who underwent knee arthroplasty at our hospital between January 2022 and January 2024 were randomly divided into two groups.The control group(n=50)received routine rehabilitation training.In the observation group(n=50),the AIDET communication mode was used to perform sensory and motor training,in addition to routine rehabilitation training.The rehabilitation training was administered for 8 weeks.After surgery,knee function,balance ability,walking ability,proprioception,and resilience were compared between the two groups.RESULTS The New York Hospital for Special Surgery knee scores of the observation group at the time of discharge and 8 weeks after intervention were(65.23±6.84,84.53±5.27),which was higher than those of the control group(61.03±7.15,74.92±6.52)(P<0.05).The balance ability of the observation group at the time of discharge and 8 weeks after the intervention was higher than that of the control group,the time of time up to go test was shorter than that of the control group,and proprioceptive function was higher than that of the control group(P<0.05).The resilience level in the observation group after the intervention was higher than that in the control group(P<0.05).CONCLUSION Sensory and motor training in AIDET communication mode promotes knee function recovery of patients after knee arthroplasty,improves their limb walking ability and balance function,and increases their resilience level. 展开更多
关键词 AIDET communication mode Sensory and motor training Knee arthroplasty Knee function RESILIENCE
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Examination on the Effect of the Psychomotor Training Program on Certain Basic Motoric Properties in 20-Year-Old Men
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作者 Milaim Berisha NigarYaman +1 位作者 Ayse Onal CetinYaman 《Psychology Research》 2016年第11期640-647,共8页
关键词 运动性能 训练计划 效果检验 平衡能力 男性 体育教学 预试验 慢性疾病
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Analyzing the Combination Effects of Repetitive Transcranial Magnetic Stimulation and Motor Control Training on Balance Function and Gait in Patients with Stroke-Induced Hemiplegia
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作者 Xiaoqing Ma Zhen Ma +2 位作者 Ye Xu Meng Han Hui Yan 《Proceedings of Anticancer Research》 2024年第1期54-60,共7页
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’bala... 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. 展开更多
关键词 Stroke-induced hemiplegia Repetitive transcranial magnetic stimulation motor control training Balance function GAIT
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ACUPUNCTURE COMBINED WITH LANGUAGE TRAINING FOR TREATMENT OF MOTOR APHASIA CAUSED BY ISCHEMIC APOPLEXY 被引量:2
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作者 罗卫平 黄红缨 朱洁艳 《World Journal of Acupuncture-Moxibustion》 2008年第4期9-16,22,共9页
Objective To observe therapeutic effects of acupuncture combined with language training on aphasia induced by ischemic apoplexy and investigate the mechanisms. Methods 60 patients were randomly divided into a treatmen... Objective To observe therapeutic effects of acupuncture combined with language training on aphasia induced by ischemic apoplexy and investigate the mechanisms. Methods 60 patients were randomly divided into a treatment group treated by acupuncture associated with language training and a control group treated by simple language training. Tongue-acupuncture was applied as the main therapy, and language training included speech organ training, mouth-shape and voice training, spoken language expression training and practical communication ability training. According to Aphosio Bottery of Chinese (ABC), language ex- amination evaluation was made, and event related potential (P300) was detected before and after treatment. Results The therapeutic effect in the treatment group was significantly better than that in the control group (P〈O. 05), and the scores of ABC items including information content, speech fluency, repetition, vocabula- ry denomination, color naming, response denomination, confirmation or negation, acoustic recognition and carrying out instruction in the treatment group were obviously higher than those in the control group (P〈0.05). After one course of treatment, the latencies of N2 and P3 waves in P300 were significantly short- ened and the amplitude of P3 was significantly elevated in the treatment group, compared with those in the control group (P〈0.05). Conclusion Acupuncture combined with language training provided remarkable therapeutic effects in treating cerebral infarction-induced motor aphasia, and it was better than simple lan- guage training. The results of enhancing of the ABC scores including information content, speech fluency, repetition, vocabulary denomination, color naming, response denomination, confirmation or negation, acous- tic recognition and carrying out instruction, and shortening of the latencies of N2 and P3 waves in P300 and ele- vation of P3 amplitude may be taken as the indices for evaluating and anticipating clinical therapeutic effects of the therapy for treating the disease, which may also be some of the mechanisms. 展开更多
关键词 Acupuncture Language training Cerebral Infarction motor Aphasia Aphasia Battery of Chinese (ABC) Event Related Potential (P300)
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Botulinum toxin type A plus rehabilitative training for improving the motor function of the upper limbs and activities of daily life in patients with stroke and brain injury 被引量:1
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作者 Fei Guo Wei Yue +2 位作者 Li Ren Yumiao Zhang Jing Yang 《Neural Regeneration Research》 SCIE CAS CSCD 2006年第9期859-861,共3页
BACKGROUND:Botulinum toxin type A(BTX-A)is mostly to be used to treat various diseases of motor disorders,whereas its effect on muscle spasm after stroke and brain injury needs further observation.OBJECTIVE:To observe... BACKGROUND:Botulinum toxin type A(BTX-A)is mostly to be used to treat various diseases of motor disorders,whereas its effect on muscle spasm after stroke and brain injury needs further observation.OBJECTIVE:To observe the effect of BTX-A plus rehabilitative training on treating muscle spasm after stroke and brain injury.DESIGN:A randomized controlled observation.SETTINGS:Department of Rehabilitation,Department of Neurology and Department of Neurosurgery,the Second Hospital of Hebei Medical University.PARTICIPANTS:Sixty inpatients with brain injury and stroke were selected from the Department of Rehabilitation,Department of Neurology and Department of Neurosurgery,the Second Hospital of Hebei Medical University from January 2001 to August 2006.They were all confirmed by CT and MRI,and had obvious increase of spastic muscle strength in upper limbs,their Ashworth grades were grade 2 or above.The patients were randomly divided into treatment group(n=30)and control group(n=30).METHODS:①Patients in the treatment group undertook comprehensive rehabilitative trainings,and they were administrated with domestic BTX-A,which was provided by Lanzhou Institute of Biological Products,Ministry of Health(S10970037),and the muscles of flexion spasm were selected for upper limbs,20-25 IU for each site.②Patients in the treatment group were assessed before injection and at 1 and 2 weeks,1 and 3 months after injection respectively,and those in the control group were assessed at corresponding time points.The recovery of muscle spasm was assessed by modified Ashworth scale(MAS,grade 0-Ⅳ;Grade 0 for without increase of muscle strength;GradeⅣfor rigidity at passive flexion and extension);The recovery of motor function of the upper limbs was evaluated with Fugl-Meyer Assessment(FMA,total score was 226 points,including 100 for exercise,14 for balance,24 for sense,44 for joint motion,44 for pain and 66 for upper limb);The ADL were evaluated with Barthel index,the total score was 100 points,60 for mild dysfunction,60-41 for moderate dysfunction,<40 for severe dysfunction).MAIN OUTCOME MEASURES:Changes of MAS grade,FMA scores and Barthel index before and after BTX-A injection.RESULTS:All the 60 patients with brain injury and stroke were involved in the analysis of results.①FMA scores of upper limbs:The FMA score in the treatment group at 2 weeks after treatment was higher than that before treatment[(14.98±10.14),(13.10±9.28)points,P<0.05],whereas there was no significant difference at corresponding time point in the control group.The FMA scores at 1 and 3 months in the treatment group[(23.36±10.69),(35.36±11.36)points]were higher than those in the control group[(20.55±10.22),(30.33±10.96)points,P<0.01].②MAS grades of upper limbs:There were obviously fewer cases of gradeⅢin MAS at 2 weeks after treatment than before treatment in the treatment group(0,9 cases,P<0.05),whereas there was no obvious difference in the control group.There were obviously fewer cases of gradeⅢin MAS at 2 weeks and 1 month after treatment in the treatment group(0,0 case)than the control group(5,2 cases,P<0.01).③Barthel index of upper limbs:The Barthel index at 2 weeks after treatment was higher than that before treatment in the treatment group[(30.36±22.25),(28.22±26.21)points,P<0.05],whereas there was no significant difference in the control group.The Barthel indexes at 1 and 3 months after treatment in the treatment group were obviously higher than those in the control group[(20.55±10.22),(30.33±10.96)points,P<0.01].CONCLUSION:BTX-A has obvious efficacy on decreasing muscle tension after stroke and brain injury,and relieving muscle spasm;Meanwhile,the combination with rehabilitative training can effectively ameliorate the motor function of upper limbs and ADL of the patients. 展开更多
关键词 Botulinum toxin type A plus rehabilitative training for improving the motor function of the upper limbs and activities of daily life in patients with stroke and brain injury TYPE
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口腔运动训练联合小儿推拿对早产儿喂养不耐受影响的效果观察
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作者 李惠怡 黄惜华 +2 位作者 李琳 许德博 梁振宇 《护理研究》 北大核心 2024年第7期1311-1313,共3页
目的:探讨口腔运动训练联合小儿推拿对早产儿喂养不耐受(FI)的应用效果,为临床治疗提供依据。方法:选取2021年10月—2023年3月在广东省第二人民医院新生儿监护室收治的90例喂养不耐受的早产儿为研究对象,随机分为对照组和试验组,各45例... 目的:探讨口腔运动训练联合小儿推拿对早产儿喂养不耐受(FI)的应用效果,为临床治疗提供依据。方法:选取2021年10月—2023年3月在广东省第二人民医院新生儿监护室收治的90例喂养不耐受的早产儿为研究对象,随机分为对照组和试验组,各45例。对照组给予常规口腔运动训练,试验组给予口腔运动训练联合小儿推拿。比较两组鼻饲管拔除时间、达全肠内营养时间、鼻饲管留置时间和总住院时间及干预前、干预后第7天10 min经口吮奶量、吸吮熟练度。结果:试验组拔除鼻饲管时间、达全肠内营养时间和总住院时间短于对照组,干预后第7天10 min经口吮奶量、吸吮熟练度均优于对照组,差异均有统计学意义(P<0.05)。结论:口腔运动训练联合小儿推拿可缩短喂养不耐受早产儿鼻饲时间、达全肠内营养时间及住院时间,提高吸吮熟练度,增加患儿经口吮奶量。 展开更多
关键词 早产儿 喂养不耐受 口腔运动训练 小儿推拿 护理
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Passive activity enhances residual control ability in patients with complete spinal cord injury
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作者 Yanqing Xiao Mingming Gao +6 位作者 Zejia He Jia Zheng Hongming Bai Jia-Sheng Rao Guiyun Song Wei Song Xiaoguang Li 《Neural Regeneration Research》 SCIE CAS 2025年第8期2337-2347,共11页
Patients with complete spinal cord injury retain the potential for volitional muscle activity in muscles located below the spinal injury level.However,because of prolonged inactivity,initial attempts to activate these... Patients with complete spinal cord injury retain the potential for volitional muscle activity in muscles located below the spinal injury level.However,because of prolonged inactivity,initial attempts to activate these muscles may not effectively engage any of the remaining neurons in the descending pathway.A previous study unexpectedly found that a brief clinical round of passive activity significantly increased volitional muscle activation,as measured by surface electromyography.In this study,we further explored the effect of passive activity on surface electromyographic signals during volitional control tasks among individuals with complete spinal cord injury.Eleven patients with chronic complete thoracic spinal cord injury were recruited.Surface electromyography data from eight major leg muscles were acquired and compared before and after the passive activity protocol.The results indicated that the passive activity led to an increased number of activated volitional muscles and an increased frequency of activation.Although the cumulative root mean square of surface electromyography amplitude for volitional control of movement showed a slight increase after passive activity,the difference was not statistically significant.These findings suggest that brief passive activity may enhance the ability to initiate volitional muscle activity during surface electromyography tasks and underscore the potential of passive activity for improving residual motor control among patients with motor complete spinal cord injury. 展开更多
关键词 complete spinal cord injury cycle training epidural electrical stimulation motor training passive activity physiological state spinal cord circuit surface electromyography volitional control task
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推拿手法实训教学以近带远训练方法初探 被引量:2
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作者 严晓慧 《中国中医药现代远程教育》 2024年第3期17-21,共5页
为使推拿手法初学者养成专业动作习惯,有效预防职业损伤,更好、更快地掌握推拿手法技能,高效的教学方法非常重要。此文从教育心理学关于动作技能形成的相关论述中获得启发,针对手法实训教学中注重的示范、练习和反馈环节所存在的问题进... 为使推拿手法初学者养成专业动作习惯,有效预防职业损伤,更好、更快地掌握推拿手法技能,高效的教学方法非常重要。此文从教育心理学关于动作技能形成的相关论述中获得启发,针对手法实训教学中注重的示范、练习和反馈环节所存在的问题进行分析和改革探索,提出分解示范和部分练习的教学思路,并通过对手法上肢动作运动方式的分析,把手法动作分解为单一动作,再由单一动作到复合动作,编排成体操,拟定了“以近带远”训练方法——“上肢手法操”六节,以期为推拿手法实训教学提供新的方法和思路。 展开更多
关键词 推拿手法 动作技能 实训教学 以近带远
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四海理论指导的针刺联合认知-运动双任务训练对中风后认知功能障碍患者感知控制及注意力的影响
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作者 谢青 杨胜玲 +3 位作者 磨雪玲 何琳 龙佳佳 黄金艳 《针灸临床杂志》 2024年第8期27-31,共5页
目的:探讨四海理论指导的针刺联合认知-运动双任务训练对中风后认知功能障碍患者感知控制及注意力的影响。方法:将80例中风后认知功能障碍患者随机分为两组。对照组给予认知-运动双任务训练干预,研究组于对照组基础上联合四海理论指导... 目的:探讨四海理论指导的针刺联合认知-运动双任务训练对中风后认知功能障碍患者感知控制及注意力的影响。方法:将80例中风后认知功能障碍患者随机分为两组。对照组给予认知-运动双任务训练干预,研究组于对照组基础上联合四海理论指导的针刺治疗,比较两组患者感知控制及注意力情况。结果:治疗后两组患者疾病感知控制量表各维度评分均较治疗前降低,且研究组患者均低于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者数字符号测试(SDMT)量表评分、数字惊觉测试(DVT)量表评分、数字广度(DS)量表评分、简易智能精神状态检查量表(MMSE)及蒙特利尔认知评估量表(MoCA)评分均较治疗前升高,且研究组均高于对照组,差异具有统计学意义(P<0.05)。结论:四海理论指导的针刺联合认知-运动双任务训练治疗中风后认知功能障碍患者疗效确切,能够明显改善患者感知控制及注意力。 展开更多
关键词 中风 认知功能障碍 四海理论 针刺 认知-运动双任务训练
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认知-运动双重任务训练对老年血管性轻度认知障碍病人认知状态及步行能力的影响
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作者 张莹 寇京莉 +2 位作者 孙雪枫 欧洲 张佟 《循证护理》 2024年第7期1287-1290,共4页
目的:探究认知-运动双重任务训练对老年血管性轻度认知障碍(VaMCI)病人认知状态及步行能力的影响。方法:选取我院2021年4月—2022年4月收治80例老年VaMCI病人作为研究对象,依据训练方式不同分为常规训练组和双重任务组,各40例。常规训... 目的:探究认知-运动双重任务训练对老年血管性轻度认知障碍(VaMCI)病人认知状态及步行能力的影响。方法:选取我院2021年4月—2022年4月收治80例老年VaMCI病人作为研究对象,依据训练方式不同分为常规训练组和双重任务组,各40例。常规训练组给予常规认知功能训练,双重任务组给予认知-运动双重任务训练,干预3个月后比较两组病人认知状态、步行能力、跌倒风险控制。结果:干预后,双重任务组临床痴呆量表(CDR)评分低于常规训练组,简易精神状态量表(MMSE)评分高于常规训练组(P<0.05),改良Barthel指数(MBI)评分、步频、步速水平高于常规训练组(P<0.05),修订版跌倒功效量表(MFES)、Berg平衡量表(BBS)评分高于常规训练组(P<0.05)。结论:认知-运动双重任务训练可改善老年VaMCI病人的认知状态,调控跌倒风险控制水平,调节步行能力。 展开更多
关键词 认知-运动双重任务训练 血管性轻度认知障碍 认知功能 老年人 护理
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针刺醒神四穴联合认知-运动双重任务训练对脑梗死合并认知功能障碍的治疗效果研究
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作者 陈军 陈瑞妹 +1 位作者 李东鹤 李学茬 《中国医药》 2024年第10期1526-1530,共5页
目的探讨针刺醒神四穴联合认知-运动双重任务训练(CMDT)对脑梗死合并认知功能障碍的治疗效果。方法选择2020年8月至2023年8月海南医学院第二附属医院收治的96例脑梗死合并认知功能障碍患者,采用随机数字表法分为对照组和观察组,各48例... 目的探讨针刺醒神四穴联合认知-运动双重任务训练(CMDT)对脑梗死合并认知功能障碍的治疗效果。方法选择2020年8月至2023年8月海南医学院第二附属医院收治的96例脑梗死合并认知功能障碍患者,采用随机数字表法分为对照组和观察组,各48例。在基础治疗的基础上,对照组采用CMDT治疗4周,观察组采用针刺醒神四穴联合CMDT治疗4周。比较2组蒙特利尔认知评估量表(MoCA)评分、简易精神状态检查(MMSE)评分、P300振幅和潜伏期、美国国立卫生研究院卒中量表(NIHSS)评分、神经递质水平和生活质量。结果治疗后,2组MoCA、MMSE评分均高于治疗前,且观察组均高于对照组(均P<0.001);2组P300潜伏期均短于治疗前,且观察组短于对照组,2组P300振幅均高于治疗前,且观察组高于对照组(均P<0.05)。治疗后,2组NIHSS评分均低于治疗前,且观察组低于对照组[(7.1±2.0)分比(10.3±2.6)分](t=6.666,P<0.001);2组血清乙酰胆碱、多巴胺水平均高于治疗前,且观察组均高于对照组(均P<0.05)。治疗后,2组日常生活活动能力量表评分均高于治疗前,且观察组高于对照组[(60±15)分比(53±13)分](t=2.569,P=0.012)。结论针刺醒神四穴联合CMDT可有效纠正脑梗死合并认知功能障碍患者神经递质紊乱,改善认知功能和神经功能,提高生活质量。 展开更多
关键词 脑梗死 认知功能障碍 针刺 认知-运动双重任务训练
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CRH3头车压力场FFC仿真分析
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作者 杨敏 《甘肃科技纵横》 2024年第4期73-77,共5页
为研究CRH3动车组气动特性和预防车体局部结构疲劳,保障列车运行安全,文章应用FFC(Fluent for CATIA)软件,对CRH3动车组头车周围压力场及车体表面压力进行流体仿真分析。结果表明:头车车体各部位表面压力的压力梯度随车体几何曲率的增... 为研究CRH3动车组气动特性和预防车体局部结构疲劳,保障列车运行安全,文章应用FFC(Fluent for CATIA)软件,对CRH3动车组头车周围压力场及车体表面压力进行流体仿真分析。结果表明:头车车体各部位表面压力的压力梯度随车体几何曲率的增加而增加,车鼻处压力最大;排障器、车顶及车后棱角结构倒圆角后,最大正压力由4220 N/m^(2)减至4150 N/m^(2);不同车速下,车体表面的压力值随车速的提高而增大,最大压力绝对值与车速的平方成正比关系。棱角结构光顺,有效改善了车体周围流场及车体表面压力分布,减小了车鼻处压力水平;高速度是可能导致车鼻等处局部结构疲劳的要素。 展开更多
关键词 FFC 动车 压力场 数值模拟
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任务导向训练联合引导式教育对痉挛型脑瘫病儿粗大运动功能的影响
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作者 陈婷婷 张曦 +1 位作者 王振芳 王文秀 《安徽医药》 CAS 2024年第11期2202-2205,共4页
目的观察任务导向训练联合引导式教育对痉挛型脑瘫病儿粗大运动功能的影响。方法采用便利抽样法选择2021年10月至2023年1月在山西省儿童医院康复科诊治且符合入选标准的痉挛型脑瘫病儿60例,家长签知情同意书后,用密封信封法将入选病儿... 目的观察任务导向训练联合引导式教育对痉挛型脑瘫病儿粗大运动功能的影响。方法采用便利抽样法选择2021年10月至2023年1月在山西省儿童医院康复科诊治且符合入选标准的痉挛型脑瘫病儿60例,家长签知情同意书后,用密封信封法将入选病儿分成对照组和观察组,每组各30例。对照组病儿接受常规康复训练(每日1次,每项治疗30 min),观察组在常规康复训练基础上给予任务导向训练联合引导式教育(每日1次,每次30 min),两组病儿均住院治疗12周,分别于干预前、干预12周后采用Peabody粗大运动发育量表(PDMS-GM)姿势、移动测试及粗大运动功能评定量表(GMFM)的D区、E区对病儿粗大运动功能进行评估。结果干预12周后观察组病儿的GMFM的D区评分(26.02±3.14)分、E区评分(27.97±5.29)分,PDMSGM姿势评分(57.34±14.83)分、移动评分(75.14±14.73)分与组内治疗前、对照组治疗后比较,均差异有统计学意义(P<0.O5)。结论任务导向训练联合引导式教育可改善痉挛型脑瘫病儿粗大运动功能。 展开更多
关键词 脑性瘫痪 任务导向训练 引导式教育 粗大运动功能
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弹力带抗阻训练对脑卒中下肢运动功能障碍患者肌力水平和运动耐力的影响
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作者 李民 丰谢华 +4 位作者 李爱 杨剑峰 杜文文 史荣芬 张超 《中国实用神经疾病杂志》 2024年第5期611-615,共5页
目的 探讨弹力带抗阻训练对脑卒中下肢运动功能障碍患者肌力水平、运动耐力的影响。方法 选择2021-06—2022-12在南京市江宁医院接受治疗的80例脑卒中下肢运动功能障碍患者进行研究,采用随机数表法分为试验组(n=40)和对照组(n=40)。对... 目的 探讨弹力带抗阻训练对脑卒中下肢运动功能障碍患者肌力水平、运动耐力的影响。方法 选择2021-06—2022-12在南京市江宁医院接受治疗的80例脑卒中下肢运动功能障碍患者进行研究,采用随机数表法分为试验组(n=40)和对照组(n=40)。对照组给常规运动指导治疗,试验组加用弹力带抗阻训练治疗。比较2组临床疗效、肌力水平、峰值摄氧量(VO_(2)peak)、无氧阈值(AT)、6 min步行距离、步态参数及Barthel指数、平衡功能评分变化情况。结果 治疗后,试验组总有效率85%,高于对照组的65%,差异有统计学意义(P<0.05);试验组下肢肌力评分低于对照组[(1.40±0.23)分比(1.98±0.63)分],Fugl Meyer运动量表评分高于对照组[(29.87±3.58)分比(24.15±3.74)分],差异均有统计学意义(P<0.05);试验组VO_(2)peak、AT及6 min步行距离分别为(20.42±1.71)m L/(min·kg)、(13.89±1.01)mL/(min·kg)、(140.56±23.78)m,均高于对照组的(18.46±1.23)m L/(min·kg)、(13.02±1.21)mL/(min·kg)、(116.58±29.61)m,差异均有统计学意义(P<0.05);试验组步长、步速、步频及单支撑相水平分别为(36.87±4.71)cm、(57.78±7.23)cm/s、(69.31±5.41)step/s、(31.05±3.01)%,均高于对照组的(31.52±3.67)cm、(52.84±6.09)cm/s、(63.05±6.08)step/s、(27.21±3.08)%,差异均有统计学意义(P<0.05);试验组Barthel指数、平衡功能评分分别为(78.61±5.61)分、(41.15±2.31)分,均高于对照组的(67.59±6.13)分、(32.56±5.47)分,差异均有统计学意义(P<0.05)。结论 在脑卒中下肢运动功能障碍患者中弹力带抗阻训练治疗有较好的效果,可有效改善肌力水平、运动耐力水平。 展开更多
关键词 脑卒中 弹力带抗阻训练 下肢运动功能障碍 肌力水平 运动耐力
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基于目标导向性训练对重度脑性瘫痪儿童运动功能的影响 被引量:1
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作者 吴德萍 刘智程 +4 位作者 高劼 徐晨烨 唐久来 赵凯 吴德 《中国康复医学杂志》 CAS CSCD 北大核心 2024年第3期334-339,346,共7页
目的:探讨基于目标导向性训练(goal directed training,GDT)对重度脑性瘫痪儿童运动功能的影响,为临床应用提供依据。方法:采用前瞻性病例对照研究,纳入重度脑性瘫痪儿童80例,按照随机数字表法分为研究组与对照组,每组40例,研究组采用... 目的:探讨基于目标导向性训练(goal directed training,GDT)对重度脑性瘫痪儿童运动功能的影响,为临床应用提供依据。方法:采用前瞻性病例对照研究,纳入重度脑性瘫痪儿童80例,按照随机数字表法分为研究组与对照组,每组40例,研究组采用目标导向性运动训练,对照组采用神经发育学疗法(neurodevelopment therapy,NDT)。治疗前及治疗6个月、12个月时对两组患儿进行粗大运动功能量表88项(gross motor function measure,GMFM-88)中的仰卧位与俯卧位(A区)、坐位(B区),精细功能评估(fine motor function measure,FMFM)中视觉追踪(A区)、上肢关节活动能力(B区)、坐位分级测试(level of sitting scale,LSS)和日常生活能力(activity daily living scale,ADL)评估。结果:治疗6个月后,研究组与对照组在GMFM-88中A区与B区评分、LSS评分、FMFM中A区与B区评分及ADL评分的差异均无显著性意义(P>0.05);治疗12个月后,研究组的各项评分均高于对照组(P<0.05)。随治疗时间延长,两组各项评分均升高。组别、时间及时间与组别的交互效应对GMFM-A、GMFM-B、LSS及FMFM-B评分有显著影响(P<0.05),时间和时间与组别的交互效应对FMFM-A评分和ADL评分有显著影响(P<0.05)。结论:基于目标导向性训练可以提高重度脑性瘫痪儿童的粗大运动功能、坐位能力及精细运动功能,改善重度脑性瘫痪儿童的日常生活活动能力。 展开更多
关键词 脑性瘫痪 目标导向性训练 运动功能
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补肾健脑针法联合康复训练对痉挛型脑瘫患儿精细运动功能影响的临床研究
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作者 莫丽华 周开斌 邓艳媚 《智慧健康》 2024年第4期121-124,共4页
目的 研究分析补肾健脑针法联合康复训练对痉挛型脑瘫患儿精细运动功能影响的临床效果。方法 研究选取本院2022年1—12月收治的痉挛型脑瘫患儿100例,分为对照组与实验组,每组50例。对照组采用康复训练,实验组加用补肾健脑针法干预。分... 目的 研究分析补肾健脑针法联合康复训练对痉挛型脑瘫患儿精细运动功能影响的临床效果。方法 研究选取本院2022年1—12月收治的痉挛型脑瘫患儿100例,分为对照组与实验组,每组50例。对照组采用康复训练,实验组加用补肾健脑针法干预。分析比较两组患者治疗有效性、脑瘫严重程度等指标。结果 与对照组相比,实验组患者治疗有效性增高,脑瘫严重程度好转,差异具有统计学意义(P<0.05)。结论 补肾健脑针法联合康复训练对痉挛型脑瘫患儿精细运动功能影响的临床效果较好。 展开更多
关键词 补肾健脑针法 随机对照研究 痉挛型脑瘫 康复训练 运动功能指标
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早期悬吊保护下智能助行训练对脑卒中后运动和行走功能的效果 被引量:2
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作者 郑建玲 刘惠林 +4 位作者 朱琳 顾彬 颜如秀 赵圻 宋鲁平 《中国康复理论与实践》 CSCD 北大核心 2024年第4期431-436,共6页
目的探讨脑卒中偏瘫患者早期应用悬吊保护下智能助力步行对下肢运动功能的康复效果。方法2020年10月至2023年3月,北京博爱医院脑卒中偏瘫早期住院患者42例,随机分为对照组(n=21)和试验组(n=21)。两组均接受常规康复,对照组在天轨悬吊保... 目的探讨脑卒中偏瘫患者早期应用悬吊保护下智能助力步行对下肢运动功能的康复效果。方法2020年10月至2023年3月,北京博爱医院脑卒中偏瘫早期住院患者42例,随机分为对照组(n=21)和试验组(n=21)。两组均接受常规康复,对照组在天轨悬吊保护下行常规步行训练,试验组在天轨悬吊保护下穿戴智能助力步行器进行训练,共4周。治疗前后,采用Fugl-Meyer评定量表(FMA)、FMA-平衡功能(FMA-B)和无线传感三维步态分析进行评定。结果训练后,两组患侧肢体FMA和FMA-B评分,步频、步速、患侧步长、患侧单支撑相、髋关节屈曲最大角度、膝关节屈曲最大角度均改善(|t|>2.230,P<0.05),且试验组优于对照组(|t|>2.140,P<0.05)。结论早期介入智能助力步行训练能更好提高脑卒中偏瘫患者运动、平衡和行走功能。 展开更多
关键词 脑卒中 偏瘫 智能助力步行训练 步态 运动 下肢 康复
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间歇性Theta节律刺激联合床旁康复训练治疗在急性重症脑卒中患者上肢运动障碍恢复中的应用
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作者 潘旗开 刘献松 吴泳锫 《实用医院临床杂志》 2024年第4期63-67,共5页
目的 探讨间歇性Theta节律刺激联合康复训练治疗在急性重症脑卒中患者上肢运动障碍恢复中的应用。方法 我院收治的94例急性重症脑卒中偏瘫患者,根据单双号法分为训练组(常规康复训练)与电刺激组(间歇性Theta节律刺激联合康复训练)各47... 目的 探讨间歇性Theta节律刺激联合康复训练治疗在急性重症脑卒中患者上肢运动障碍恢复中的应用。方法 我院收治的94例急性重症脑卒中偏瘫患者,根据单双号法分为训练组(常规康复训练)与电刺激组(间歇性Theta节律刺激联合康复训练)各47例。对比两组临床疗效(NIHSS)、治疗前后上肢运动情况[Fugl-Meyer评分(FMA)、改良Barthel指数(MBI)、上肢运动指数(MI)]、电刺激指标[中枢运动传导时间(CMCT)、运动诱发电位(MEP)]、表面肌电信号及脑血流动力学指标(外周阻力、平均血流速度、平均血流量)变化。结果 治疗第1、2、4周,两组NHISS逐渐下降,且各时间段电刺激组低于训练组(P<0.05);治疗后两组FMA、MBI、MI评分均上升,且电刺激组均高于训练组(P<0.05);两组CMCT、MEP均下降,且电刺激组均低于训练组(P<0.05);两组肱二头肌屈肘、肱三头肌伸肘时表面肌电信号上升,且电刺激组均高于训练组(P<0.05),肱二头肌伸肘、肱三头肌屈肘时组内或组间比较差异均无统计学意义(P>0.05);两组外周阻力下降,平均血流速度与血流量提高,且电刺激组外周阻力低于训练组,平均血流速度与血流量高于训练组(P<0.05);两组均未发现明显不良反应。结论 间歇性Theta节律刺激联合康复训练可恢复急性重症脑卒中偏瘫患者上肢运动功能,改善肌电信号与脑血流动力学指标,疗效显著,值得推广。 展开更多
关键词 急性重症脑卒中 间歇性Theta节律刺激 康复训练 上肢运动功能
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基于域间Mixup微调策略的跨被试运动想象脑电信号分类算法
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作者 蒋云良 周阳 +2 位作者 张雄涛 苗敏敏 张永 《智能系统学报》 CSCD 北大核心 2024年第4期909-919,共11页
为了缓解传统微调算法的灾难性遗忘问题,本文提出了一种基于域间Mixup微调策略的跨被试运动想象脑电信号分类算法Mix-Tuning。Mix-Tuning通过预训练、微调的二阶段训练方式,实现跨领域知识迁移。预训练阶段,Mix-Tuning使用源域数据初始... 为了缓解传统微调算法的灾难性遗忘问题,本文提出了一种基于域间Mixup微调策略的跨被试运动想象脑电信号分类算法Mix-Tuning。Mix-Tuning通过预训练、微调的二阶段训练方式,实现跨领域知识迁移。预训练阶段,Mix-Tuning使用源域数据初始化模型参数,挖掘源域数据潜在信息。微调阶段,Mix-Tuning通过域间Mixup,生成域间插值数据微调模型参数。域间Mixup数据增强策略引入源域数据潜在信息,缓解传统微调算法在样本稀疏场景下的灾难性遗忘问题,提高模型的泛化性能。Mix-Tuning被进一步应用于运动想象脑电信号分类任务,实现了跨被试正向知识迁移。Mix-Tuning在BMI数据集的运动想象任务达到了85.50%的平均分类准确率,相较于被试–依赖和被试–独立训练方式的预测准确率58.72%和84.01%,分别提高26.78%和1.49%。本文分析结果可为跨被试运动想象脑电信号分类算法提供参考。 展开更多
关键词 域间Mixup 预训练 微调 脑电信号 运动想象 跨被试知识迁移 卷积神经网络 正则化
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MOTOmed智能运动反馈训练联合精细化康复训练对脑梗死后偏瘫患者的影响
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作者 王斌 高松年 +1 位作者 刘巧云 董新春 《康复学报》 CSCD 2024年第2期117-123,共7页
目的 观察MOTOmed智能运动反馈训练联合精细化康复训练对脑梗死后偏瘫患者神经功能、平衡功能、肢体运动功能和生活质量的影响。方法 选择2022年1-10月在南通市第三人民医院康复中心住院治疗的148例脑梗死后偏瘫患者,采用随机数字表法... 目的 观察MOTOmed智能运动反馈训练联合精细化康复训练对脑梗死后偏瘫患者神经功能、平衡功能、肢体运动功能和生活质量的影响。方法 选择2022年1-10月在南通市第三人民医院康复中心住院治疗的148例脑梗死后偏瘫患者,采用随机数字表法分为对照组和观察组,每组74例。对照组在常规治疗基础上接受精细化康复训练。根据脑梗死患者(卧床患者、可坐立患者、借助辅具可站立患者和无辅具可挺直站立患者)肢体运动功能障碍程度给予相应的运动康复训练(如肢体关节训练、身体转移训练、平衡训练和步行训练等),5 d/周,持续治疗12周。观察组在对照组基础上联合MOTOmed智能运动反馈训练(被动运动模式、有助力运动模式和主动训练模式的上肢/下肢运动康复训练),1次/d,45 min/次,5 d/周,持续治疗12周。分别于治疗前后采用美国国立卫生研究院脑卒中量表(NIHSS)评分评估患者神经功能缺损情况;采用Berg平衡量表(BBS)评分评估患者平衡功能;采用Fugl-Meyer运动功能评定量表(FMA)评分评估患者肢体运动功能;采用改良Barthel指数量表(MBI)评分评估患者日常生活活动能力;采用世界卫生组织生活质量测定量表简表(WHOQOL-BREF)评分评估患者生活质量;比较患者大脑中动脉(MCA)、大脑前动脉(ACA)血流速度变化和血清神经生长因子(NGF)、脑源性神经营养因子(BDNF)水平。结果 与治疗前比较,2组治疗后NIHSS评分均明显降低,上肢/下肢FMA评分、BBS评分、MBI评分、WHOQOL-BREF评分、MAC和ACA血流速度、血清NGF和BDNF水平均明显升高,差异均具有统计学意义(P<0.05)。与对照组比较,观察组治疗后NIHSS评分明显降低,上肢/下肢FMA评分、BBS评分、MBI评分、WHOQOL-BREF评分、MAC和ACA血流速度、血清NGF和BDNF水平均明显升高,差异均具有统计学意义(P<0.05)。结论MOTOmed智能运动反馈训练联合精细化康复训练可改善脑梗死后偏瘫患者神经功能、平衡功能、肢体运动功能和生活质量,值得临床推广。 展开更多
关键词 脑梗死 偏瘫 MOTOmed智能运动反馈训练 精细化康复训练 神经功能 运动功能 平衡功能 生活质量
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