Application of sensory and motor training in AIDET communication mode in patients after knee arthroplasty

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.

A Model and Treatment for Autism at the Convergence of Chinese Medicine and Western Science:First 130 Cases

Objective：To present a model for autism showing that impairment of sensory and self-regulation is the core deficit that underlies delays in social/language skills and abnormal behavior in autism;and to demonstrate the efficacy of a treatment for autism based on Chinese medicine.Methods：Children with autism under 6 years of age were assigned to treatment or wait-list conditions.A total of 130 children were treated and the results compared with 45 wait-list controls.Treatment is a tuina methodology directed at sensory impairment——Kai Qiao Tuina.The treatment was a five-month protocol that was implemented daily by trained parents via trained support staff.The effects of treatment on the main symptoms,autistic behavior,social/ language delay,sensory and self-regulatory impairment,as well as on parenting stress,were observed and compared.Results：The treatment had a large effect size（P0.0001） on measures of sensory and self-regulation. The evaluations done by pre-school teachers demonstrated improvement in the measures of autism（P0.003）, and were confirmed by evaluations done by parents（P0.0001）.There was a large decrease（P0.0001） in parenting stress.Conclusions：Sensory and self-regulatory impairment is a main factor in the development and severity of autism.Treatment of young children with autism with Kai Qiao Tuina resulted in a decrease in sensory and self-regulatory impairment and a reduction in severity of measures of autism.