Taizhou Bridge is the first kilometer level three-pylon two-span suspension bridge in the world and the structural complexity has significant effects on the seismic performance of the bridge. Shaking table test of Tai...Taizhou Bridge is the first kilometer level three-pylon two-span suspension bridge in the world and the structural complexity has significant effects on the seismic performance of the bridge. Shaking table test of Taizhou Bridge is arranged to investigate the effects of non-uniform ground motion input, collision between main and side spans and optimal seismic structural system. It's very important and difficult to design and manufacture the scaled down model of Taizhou Bridge used during the shaking table test. The key point is that the girder and pylons are very hard to be manufactured if the similarity ratio is strictly followed. Based on the finite element method (FEM) analysis, a simplified scaled down model is designed and the bending stiffness of the girder and pylon are strictly simulated, and the torsion stiffness and axial stiffness are not strictly simulated. The inner forces and displacements of critical sections, points of simplified model and theoretical model are compared by FEM analysis, and it's found out that the difference between the seismic responses is relatively small. So, the simplified model can be used to conduct the shaking table test by the FEM verification.展开更多
Objective: To investigate the effect of tuina along the pathways of meridians on lower limb swelling after surgical repair of fracture. Methods: A total of 72 cases with lower limb fractures were randomly allocated ...Objective: To investigate the effect of tuina along the pathways of meridians on lower limb swelling after surgical repair of fracture. Methods: A total of 72 cases with lower limb fractures were randomly allocated into an observation group(n=36) and a control group(n=36). On the third day when the draining tube was removed after surgery, patients in both groups started same rehabilitation training. The patients in the observation group received additional tuina therapy along the pathways of meridians, twice a day for 7 d. Then the swelling and deswelling time of patients in both groups were observed. Results: After 7 d of treatment, the swelling degree of patients in both groups were significantly alleviated(P〈0.05); and the alleviation was more significant in the observation group than that in the control group(P〈0.05). There was between-group statistical difference in clinical effect(P〈0.05). The follow-up visit 6 months after treatment showed a significantly shorter deswelling time in the observation group than that in the control group(P〈0.05). Conclusion: Tuina along the pathways of meridians plus rehabilitation training can effectively prevent or alleviate(fracture) postoperative lower limb swelling.展开更多
Objective: To observe the effect of acupuncture, tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy. Methods: A total of 60 infants with spastic cerebral palsy w...Objective: To observe the effect of acupuncture, tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy. Methods: A total of 60 infants with spastic cerebral palsy were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. The treatment group was treated with acupuncture, tuina therapy plus rehabilitative therapy of Western medicine. The control group was simply treated with rehabilitative therapy of Western medicine, as same as that for the treatment group. The assessment was respectively given to the sick infants before the treatment and after the treatment of six months, to evaluate lying and rolling scores in dimension A, to evaluate sitting score in dimension B, to evaluate crawling and kneeling scores in dimension C, and evaluate standing score in dimension D in the gross motor functions and determine the muscle tone of the gastrocnemius muscle by modified Ashworth scale (MAS). Results: The differences were not statistically significant in comparison of the gross motor functions and the muscle tone of the gastrocnemius muscle between the two groups of sick infants before the treatment (P〉O.OS); after the treatment of six months, the above items were obviously improved in the two groups (P〈O.01), better in the treatment group than in the control group, with the statistical significance in the differences between the groups (P〈O.01). Conclusion: Acupuncture, tuina plus rehabilitative therapy of Western medicine are remarkable in the therapeutic effects in the treatment of motor disorders of the lower limbs in the sick infants with spastic cerebral palsy. This therapeutic method is safe, simple and convenient and needs to be clinically popularized and applied.展开更多
Objective: To observe the clinical effect of tuina in rehabilitation following total hip replacement. Methods: 60 cases were randomly allocated into a treatment group and control group, 30 cases in each group. Cases...Objective: To observe the clinical effect of tuina in rehabilitation following total hip replacement. Methods: 60 cases were randomly allocated into a treatment group and control group, 30 cases in each group. Cases in the treatment were treated with combined tuina and rehabilitation, while cases in the control group were treated with rehabilitation alone. All treatment retained for two weeks. The results were observed 7 d, 2 weeks and 6 weeks following the total hip replacement using Harris scale and Hamilton Anxiety Rating Scale (HAMA). Results: For Harris scale, there were significant intra-group differences in different time frames (P〈0.05); there were no statistical differences between the two groups 1 d, 7 d and 6 weeks following the total hip replacement (P〉0.05); and there were statistical differences between the two groups 2 weeks following the total hip replacement. For HAMA scale, there were significant intra-group differences in different time frames (P〈0.05); there were no significant differences between the two groups 1 d following the total hip replacement; and there were substantial differences between the two groups 7 d, 2 weeks and 6 weeks following the total hip replacement. Conclusion: In a given unit time, combined tuina and rehabilitation is superior to rehabilitation alone in improving the patients' post-operative pain, articular range of motion and anxiety.展开更多
Objective:To analyze the mistakes in the application of tuina therapy in the rehabilitation of stroke,in order to elevate the clinical effects in the treatment of stroke by tuina.Methods:The issues are found out by ...Objective:To analyze the mistakes in the application of tuina therapy in the rehabilitation of stroke,in order to elevate the clinical effects in the treatment of stroke by tuina.Methods:The issues are found out by searching and analyzing the relevant articles on tuina treatment of stroke.Results:In the tuina treatment of stroke,mistakes exist in the intervening time of the treatment,in the emphasis of tuina with negligence of rehabilitation,in the assessment of therapeutic effects,in the selection of the manual techniques and acupoints,and in the negligence of health education.Conclusion:In the tuina treatment of stroke,it is advisable to start treatment in the early stages,use the manual techniques in different phases,to cooperate with rehabilitation at the proper time and to emphasize health education,in order to avoid or reduce the occurrence of misuse syndrome,and eliminate the appearance of disuse syndrome,for displaying the unique advantage of tuina therapy fully and promoting the innovation and development of TCM rehabilitative techniques.展开更多
Objective: To observe the effect of foot bath and massage on insomnia in patients with liver cirrhosis. Methods: By control design of retrospective nonconcurrent cohort study, 100 insomnia patients with liver cirrhosi...Objective: To observe the effect of foot bath and massage on insomnia in patients with liver cirrhosis. Methods: By control design of retrospective nonconcurrent cohort study, 100 insomnia patients with liver cirrhosis admitted and treated in our clinic between October 2011 and September 2012, were recruited in the control group and given routine nursing of internal medicine. A total of 105 insomnia patients with liver cirrhosis, admitted and treated between October 2012 and September 2013, were recruited in the intervention group and given foot bath and massage on the basis of routine nursing of internal medicine. After continuous intervention for 14 d, the clinical effects and the nursing satisfaction were evaluated. Results: There were statistically significant differences in clinical effects and sleeping quality between the two groups(P<0.05, P<0.01). The therapeutic effect was better in the intervention group than in the control group, and the nursing satisfaction was remarkably higher in the intervention group than in the control group(P<0.05). Conclusion: Foot bath and massage can obviously reduce insomnia in the patients with liver cirrhosis, improve the sleeping quality, and effectively elevate the nursing satisfaction of the patients, and are worthy of clinical popularization and application.展开更多
Objective: To observe the clinical effect of early intervention of combined tuina with medicated bath for neonatal brain injuries. Methods: Brain-benefiting tuina manipulations, medicated bath and music plus exercis...Objective: To observe the clinical effect of early intervention of combined tuina with medicated bath for neonatal brain injuries. Methods: Brain-benefiting tuina manipulations, medicated bath and music plus exercise therapies were employed in 60 infants with medium or severe brain injuries. The Gesell measurement methods were adopted prior to and 3 months after treatment to evaluate the development quotient (DQ). In addition, the long-term follow-up was made after one and a hall years. Result: The scores of DQ prior to treatment, 3 month after treatment and 1.5 years after treatment were (34.98±28.94), (66.17±14.91) and (75.40±14.69) respectively, showing a marked improvement after 3 months and 1.5 years of treatment (P=0.000). Conclusion: Early intervention using tuina manipulations could enhance the brain development, repair the nerve injury, improve the motion and cognitive ability and prevent the sequela of the nervous system.展开更多
Objective: To observe the effect of combining tuina with balance training on balance functions of stroke patients. Methods: A total of 120 cases who met the inclusion criteria were randomly allocated into an observ...Objective: To observe the effect of combining tuina with balance training on balance functions of stroke patients. Methods: A total of 120 cases who met the inclusion criteria were randomly allocated into an observation group and a control group. In addition to routine medical and rehabilitation treatment in both groups, balance training was used in the control group, versus combining tuina with balance training in the observation group. The therapeutic efficacies in two groups were evaluated using the Balance Subscale of the FugI-Meyer Test (FM-B) before and after treatment. Results: After 3 courses of treatment, the FM-B scores were significantly improved in both groups (P〈O.01); and there was statistical difference in FM-B scores between the two groups (P〈0.05). Conclusion: Tuina manipulation of regulating the Governor Vessel can improve the balance function of stroke patients and benefit the patients' self-care abilities.展开更多
Objective: To investigate the curative effect of the self-made mechanical vibration massage instrument for treatment of brachial plexus injury in rats and to explore its mechanism. Methods: Brachial plexus injury mode...Objective: To investigate the curative effect of the self-made mechanical vibration massage instrument for treatment of brachial plexus injury in rats and to explore its mechanism. Methods: Brachial plexus injury models were made in 144 Wistar rats and one week after natural healing of the wound, they were randomly divided into 3 groups, mechanical vibration treatment group (MV group), nerve growth factor treatment group (NGF group) and model group, 48 rats in each group. Then again, the each group was randomly divided into 4 subgroups, 7-day group, 14-day group, 21-day group and 28-day group, 12 rats in each subgroup. The MV group were treated by mechanical vibration at acupoints on three-yang and three-yin channels of the hand with the mechanical vibration massage instrument; The NGF group were treated with injection of NGF into musculus pectoralis major on the affected side; And the model group were normally fed with no treatment. After treatment for 7, 14, 21 and 28 days, the diameter of both forelimbs were measured, the electrophysiological examination on the brachial plexus in vitro and the ultrastructure observation with electron microscope on the affected side were carried out, the motor nerve conduction velocity (MNCV) and motor nerve action potential (MNAP) of the brachial plexus on the affected side, NGF content of submaxillary gland as well as muscular Na+, K+-ATPase activity were determined respectively. Results: The different rates of the forelimb diameter in the MV group and the NGV group on the 14th d, 21st d and 28th d were better than those in the model group (P<0.05 or P<0.001), and in the MV group were better than those in the NGF group on the 21st d and the 28th d (P<0.05). MNCV in the MV group and the NGV group on the 21st d and 28th d was better than that in the model group (P<0.05 or P<0.001), and in the MV group was better than that in the NGF group on the 28th d (P<0.05). MNAP in the MV group and the NGV group on the 14th d, 21st d and 28th d was better than that in the model group (P<0.05 or P<0.001), and in the MV group was better than that in the NGF group on the 21st d and 28th d (P<0.05). The NGF mean gray index of submaxillary gland in the model group was higher than that in the MV group and the NGF group on the 7th d (P<0.05); in the NGF group and the model group was higher than that in the MV group on the 14th d (P<0.05); and in the NGF group and the MV group was higher than that in the model group on the 21st d and 28th d (P<0.05). Na+, K+-ATPase activity in the model group and the MV group was higher than that in the NGF group (P<0.05) on the 14th d, and in the MV group was higher than that in the model group on the 28th d (P<0.05). Conclusion: As compared with the NGF group and the model group, mechanical vibration treatment can effectively accelerate repair of injured brachial plexus, slow down atrophy of skeletal muscle, and promote secretion of NGF in submaxillary gland.展开更多
基金National Science and Technology Support Program of China(No.2009BAG15B01)Key Programs for Science and Technology Development of Chinese Transportation Industry(No.2008-353-332-190)+2 种基金Natural Science Foundation of China(No.50708074)the Ministry of Science and Technology of China(No.SLDRCE08-B-04)Kwang-Hua Fund for College of Civil Engineering,Tongji University
文摘Taizhou Bridge is the first kilometer level three-pylon two-span suspension bridge in the world and the structural complexity has significant effects on the seismic performance of the bridge. Shaking table test of Taizhou Bridge is arranged to investigate the effects of non-uniform ground motion input, collision between main and side spans and optimal seismic structural system. It's very important and difficult to design and manufacture the scaled down model of Taizhou Bridge used during the shaking table test. The key point is that the girder and pylons are very hard to be manufactured if the similarity ratio is strictly followed. Based on the finite element method (FEM) analysis, a simplified scaled down model is designed and the bending stiffness of the girder and pylon are strictly simulated, and the torsion stiffness and axial stiffness are not strictly simulated. The inner forces and displacements of critical sections, points of simplified model and theoretical model are compared by FEM analysis, and it's found out that the difference between the seismic responses is relatively small. So, the simplified model can be used to conduct the shaking table test by the FEM verification.
文摘Objective: To investigate the effect of tuina along the pathways of meridians on lower limb swelling after surgical repair of fracture. Methods: A total of 72 cases with lower limb fractures were randomly allocated into an observation group(n=36) and a control group(n=36). On the third day when the draining tube was removed after surgery, patients in both groups started same rehabilitation training. The patients in the observation group received additional tuina therapy along the pathways of meridians, twice a day for 7 d. Then the swelling and deswelling time of patients in both groups were observed. Results: After 7 d of treatment, the swelling degree of patients in both groups were significantly alleviated(P〈0.05); and the alleviation was more significant in the observation group than that in the control group(P〈0.05). There was between-group statistical difference in clinical effect(P〈0.05). The follow-up visit 6 months after treatment showed a significantly shorter deswelling time in the observation group than that in the control group(P〈0.05). Conclusion: Tuina along the pathways of meridians plus rehabilitation training can effectively prevent or alleviate(fracture) postoperative lower limb swelling.
文摘Objective: To observe the effect of acupuncture, tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy. Methods: A total of 60 infants with spastic cerebral palsy were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. The treatment group was treated with acupuncture, tuina therapy plus rehabilitative therapy of Western medicine. The control group was simply treated with rehabilitative therapy of Western medicine, as same as that for the treatment group. The assessment was respectively given to the sick infants before the treatment and after the treatment of six months, to evaluate lying and rolling scores in dimension A, to evaluate sitting score in dimension B, to evaluate crawling and kneeling scores in dimension C, and evaluate standing score in dimension D in the gross motor functions and determine the muscle tone of the gastrocnemius muscle by modified Ashworth scale (MAS). Results: The differences were not statistically significant in comparison of the gross motor functions and the muscle tone of the gastrocnemius muscle between the two groups of sick infants before the treatment (P〉O.OS); after the treatment of six months, the above items were obviously improved in the two groups (P〈O.01), better in the treatment group than in the control group, with the statistical significance in the differences between the groups (P〈O.01). Conclusion: Acupuncture, tuina plus rehabilitative therapy of Western medicine are remarkable in the therapeutic effects in the treatment of motor disorders of the lower limbs in the sick infants with spastic cerebral palsy. This therapeutic method is safe, simple and convenient and needs to be clinically popularized and applied.
文摘Objective: To observe the clinical effect of tuina in rehabilitation following total hip replacement. Methods: 60 cases were randomly allocated into a treatment group and control group, 30 cases in each group. Cases in the treatment were treated with combined tuina and rehabilitation, while cases in the control group were treated with rehabilitation alone. All treatment retained for two weeks. The results were observed 7 d, 2 weeks and 6 weeks following the total hip replacement using Harris scale and Hamilton Anxiety Rating Scale (HAMA). Results: For Harris scale, there were significant intra-group differences in different time frames (P〈0.05); there were no statistical differences between the two groups 1 d, 7 d and 6 weeks following the total hip replacement (P〉0.05); and there were statistical differences between the two groups 2 weeks following the total hip replacement. For HAMA scale, there were significant intra-group differences in different time frames (P〈0.05); there were no significant differences between the two groups 1 d following the total hip replacement; and there were substantial differences between the two groups 7 d, 2 weeks and 6 weeks following the total hip replacement. Conclusion: In a given unit time, combined tuina and rehabilitation is superior to rehabilitation alone in improving the patients' post-operative pain, articular range of motion and anxiety.
基金National High Technology Research and Development Program"Study on TCM Comprehensive Program for Early Rehabilitation and Avoidance of Recurrence in Ischemic Apoplexy"(863 Program,2007AA02Z4B2)
文摘Objective:To analyze the mistakes in the application of tuina therapy in the rehabilitation of stroke,in order to elevate the clinical effects in the treatment of stroke by tuina.Methods:The issues are found out by searching and analyzing the relevant articles on tuina treatment of stroke.Results:In the tuina treatment of stroke,mistakes exist in the intervening time of the treatment,in the emphasis of tuina with negligence of rehabilitation,in the assessment of therapeutic effects,in the selection of the manual techniques and acupoints,and in the negligence of health education.Conclusion:In the tuina treatment of stroke,it is advisable to start treatment in the early stages,use the manual techniques in different phases,to cooperate with rehabilitation at the proper time and to emphasize health education,in order to avoid or reduce the occurrence of misuse syndrome,and eliminate the appearance of disuse syndrome,for displaying the unique advantage of tuina therapy fully and promoting the innovation and development of TCM rehabilitative techniques.
基金supported by Tongde Hospital of Zhejiang Province
文摘Objective: To observe the effect of foot bath and massage on insomnia in patients with liver cirrhosis. Methods: By control design of retrospective nonconcurrent cohort study, 100 insomnia patients with liver cirrhosis admitted and treated in our clinic between October 2011 and September 2012, were recruited in the control group and given routine nursing of internal medicine. A total of 105 insomnia patients with liver cirrhosis, admitted and treated between October 2012 and September 2013, were recruited in the intervention group and given foot bath and massage on the basis of routine nursing of internal medicine. After continuous intervention for 14 d, the clinical effects and the nursing satisfaction were evaluated. Results: There were statistically significant differences in clinical effects and sleeping quality between the two groups(P<0.05, P<0.01). The therapeutic effect was better in the intervention group than in the control group, and the nursing satisfaction was remarkably higher in the intervention group than in the control group(P<0.05). Conclusion: Foot bath and massage can obviously reduce insomnia in the patients with liver cirrhosis, improve the sleeping quality, and effectively elevate the nursing satisfaction of the patients, and are worthy of clinical popularization and application.
文摘Objective: To observe the clinical effect of early intervention of combined tuina with medicated bath for neonatal brain injuries. Methods: Brain-benefiting tuina manipulations, medicated bath and music plus exercise therapies were employed in 60 infants with medium or severe brain injuries. The Gesell measurement methods were adopted prior to and 3 months after treatment to evaluate the development quotient (DQ). In addition, the long-term follow-up was made after one and a hall years. Result: The scores of DQ prior to treatment, 3 month after treatment and 1.5 years after treatment were (34.98±28.94), (66.17±14.91) and (75.40±14.69) respectively, showing a marked improvement after 3 months and 1.5 years of treatment (P=0.000). Conclusion: Early intervention using tuina manipulations could enhance the brain development, repair the nerve injury, improve the motion and cognitive ability and prevent the sequela of the nervous system.
基金supported by the Key Specialty Construction Project in the 12th Five-Year Plan of State Administration of Traditional Chinese Medicine of the People’s Republic of China
文摘Objective: To observe the effect of combining tuina with balance training on balance functions of stroke patients. Methods: A total of 120 cases who met the inclusion criteria were randomly allocated into an observation group and a control group. In addition to routine medical and rehabilitation treatment in both groups, balance training was used in the control group, versus combining tuina with balance training in the observation group. The therapeutic efficacies in two groups were evaluated using the Balance Subscale of the FugI-Meyer Test (FM-B) before and after treatment. Results: After 3 courses of treatment, the FM-B scores were significantly improved in both groups (P〈O.01); and there was statistical difference in FM-B scores between the two groups (P〈0.05). Conclusion: Tuina manipulation of regulating the Governor Vessel can improve the balance function of stroke patients and benefit the patients' self-care abilities.
文摘Objective: To investigate the curative effect of the self-made mechanical vibration massage instrument for treatment of brachial plexus injury in rats and to explore its mechanism. Methods: Brachial plexus injury models were made in 144 Wistar rats and one week after natural healing of the wound, they were randomly divided into 3 groups, mechanical vibration treatment group (MV group), nerve growth factor treatment group (NGF group) and model group, 48 rats in each group. Then again, the each group was randomly divided into 4 subgroups, 7-day group, 14-day group, 21-day group and 28-day group, 12 rats in each subgroup. The MV group were treated by mechanical vibration at acupoints on three-yang and three-yin channels of the hand with the mechanical vibration massage instrument; The NGF group were treated with injection of NGF into musculus pectoralis major on the affected side; And the model group were normally fed with no treatment. After treatment for 7, 14, 21 and 28 days, the diameter of both forelimbs were measured, the electrophysiological examination on the brachial plexus in vitro and the ultrastructure observation with electron microscope on the affected side were carried out, the motor nerve conduction velocity (MNCV) and motor nerve action potential (MNAP) of the brachial plexus on the affected side, NGF content of submaxillary gland as well as muscular Na+, K+-ATPase activity were determined respectively. Results: The different rates of the forelimb diameter in the MV group and the NGV group on the 14th d, 21st d and 28th d were better than those in the model group (P<0.05 or P<0.001), and in the MV group were better than those in the NGF group on the 21st d and the 28th d (P<0.05). MNCV in the MV group and the NGV group on the 21st d and 28th d was better than that in the model group (P<0.05 or P<0.001), and in the MV group was better than that in the NGF group on the 28th d (P<0.05). MNAP in the MV group and the NGV group on the 14th d, 21st d and 28th d was better than that in the model group (P<0.05 or P<0.001), and in the MV group was better than that in the NGF group on the 21st d and 28th d (P<0.05). The NGF mean gray index of submaxillary gland in the model group was higher than that in the MV group and the NGF group on the 7th d (P<0.05); in the NGF group and the model group was higher than that in the MV group on the 14th d (P<0.05); and in the NGF group and the MV group was higher than that in the model group on the 21st d and 28th d (P<0.05). Na+, K+-ATPase activity in the model group and the MV group was higher than that in the NGF group (P<0.05) on the 14th d, and in the MV group was higher than that in the model group on the 28th d (P<0.05). Conclusion: As compared with the NGF group and the model group, mechanical vibration treatment can effectively accelerate repair of injured brachial plexus, slow down atrophy of skeletal muscle, and promote secretion of NGF in submaxillary gland.