目的 介绍美国康复医疗统一数据系统(Uniform Data System For Medical Rehabilitation,UDSMR)。方法 统计和分析UDSMR 1995年和1996年资料，重点介绍应用功能独立性评测 (functional independence measure,FIM) 量表评价脑血管意外和...目的 介绍美国康复医疗统一数据系统(Uniform Data System For Medical Rehabilitation,UDSMR)。方法 统计和分析UDSMR 1995年和1996年资料，重点介绍应用功能独立性评测 (functional independence measure,FIM) 量表评价脑血管意外和骨关节病病人康复治疗的疗效，以及随访情况，主要包括：病人入院、出院和随访时（出院3个月）FIM的评分，FIM效率（每天进步的分数）及FIM进步程度等。结果 美国国内的主要康复医疗单位收治的病人以老年人为主，平均年龄为69岁，住院病人中女性略多于男性。主要康复治疗的病种以骨关节病、脑血管意外等为主。在收住康复病房的病人中90％以上是由其他科室转入，康复医学科住院病人平均住院天数为18～21 d，且有缩短趋势。FIM量表各项评分结果表明，康复医学科住院病人中功能障碍最明显的是运动能力和转移能力障碍，而康复治疗后功能改善最明显的同样是运动能力和转移能力的改善。在住院病人中出院与入院相比，FIM评分平均进步20分左右，随访与入院相比，FIM评分平均进步30分左右。结论 UDSMR是一种理想的康复治疗病人，包括脑血管意外和骨关节病病人功能评价和随访记录的数据管理系统。展开更多
目的研究Fugl-Meyer运动功能评分量表上肢部分(upper Fugl-Meyer motor function assessment,U-FMA)在脑卒中患者镜像康复治疗中的评估作用及与功能独立性评测量表(functional independence measure, FIM)的关系。方法将80例脑卒中后偏...目的研究Fugl-Meyer运动功能评分量表上肢部分(upper Fugl-Meyer motor function assessment,U-FMA)在脑卒中患者镜像康复治疗中的评估作用及与功能独立性评测量表(functional independence measure, FIM)的关系。方法将80例脑卒中后偏瘫的患者随机分为常规康复组(40例)和镜像治疗组(40例)。常规康复组给予常规康复训练,镜像治疗组在常规康复训练的基础上加用镜像疗法;疗程均为24周。治疗前及治疗8、16、24周后采用U-FMA量表评估运动功能、FIM量表评估日常独立活动能力。分析患者运动功能及日常生活活动能力改善程度,并分析两者间的相关性。结果两组治疗8周、16周、24周后,与治疗前U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。两组U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。相关性分析显示,U-FMA评分与FIM评分呈正相关。结论镜像治疗能够提高脑卒中偏瘫患者上肢运动功能,改善日常生活活动能力。U-FMA量表、FIM量表均能较好反映卒中患者康复后上肢运动功能、日常生活能力改善程度,两者具有良好的相关性。展开更多
The effect of rating scales and test parts of body on the fabric-evoked prickle evaluation results are studied by carrying out subjective evaluation tests under controlled environment conditions （24 4±1）℃, （6...The effect of rating scales and test parts of body on the fabric-evoked prickle evaluation results are studied by carrying out subjective evaluation tests under controlled environment conditions （24 4±1）℃, （65 =l= 5） %RH. Ten college female students aged about 20 were chosen as the subjects, who have participated a preliminary training on subjective prickle evaluation. The prickle of a range of 9 light-weight worsted woven wool and wool blend fabrics and a cotton fabric were tested by using a 1 - 5 rating scale and using a 0 - 10 rating scale respectively at different test parts of body respectively such as forearm, upper arm ball and neck back. The test results were statistically analyzed. It is found that there is a significant correlation coefficient between the evaluation results of using the 1 - 5 rating scale and of using the 0- 10 rating scale. It is also found that there are highly significant correlation coefficients between the evaluation results of using the forearm prickle test and the neck back prickle test, between the evaluation results of using the neck back prickle test and the upper arm ball prickle test, and between the evaluation results of using the forearm prickle test and the upper arm ball prickle test. It is suggested that the forearm prickle test is preferable in evaluating fabric-evoked prickle for its convenience and sensitivity.展开更多
Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A to...Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.展开更多
文摘目的 介绍美国康复医疗统一数据系统(Uniform Data System For Medical Rehabilitation,UDSMR)。方法 统计和分析UDSMR 1995年和1996年资料，重点介绍应用功能独立性评测 (functional independence measure,FIM) 量表评价脑血管意外和骨关节病病人康复治疗的疗效，以及随访情况，主要包括：病人入院、出院和随访时（出院3个月）FIM的评分，FIM效率（每天进步的分数）及FIM进步程度等。结果 美国国内的主要康复医疗单位收治的病人以老年人为主，平均年龄为69岁，住院病人中女性略多于男性。主要康复治疗的病种以骨关节病、脑血管意外等为主。在收住康复病房的病人中90％以上是由其他科室转入，康复医学科住院病人平均住院天数为18～21 d，且有缩短趋势。FIM量表各项评分结果表明，康复医学科住院病人中功能障碍最明显的是运动能力和转移能力障碍，而康复治疗后功能改善最明显的同样是运动能力和转移能力的改善。在住院病人中出院与入院相比，FIM评分平均进步20分左右，随访与入院相比，FIM评分平均进步30分左右。结论 UDSMR是一种理想的康复治疗病人，包括脑血管意外和骨关节病病人功能评价和随访记录的数据管理系统。
文摘目的研究Fugl-Meyer运动功能评分量表上肢部分(upper Fugl-Meyer motor function assessment,U-FMA)在脑卒中患者镜像康复治疗中的评估作用及与功能独立性评测量表(functional independence measure, FIM)的关系。方法将80例脑卒中后偏瘫的患者随机分为常规康复组(40例)和镜像治疗组(40例)。常规康复组给予常规康复训练,镜像治疗组在常规康复训练的基础上加用镜像疗法;疗程均为24周。治疗前及治疗8、16、24周后采用U-FMA量表评估运动功能、FIM量表评估日常独立活动能力。分析患者运动功能及日常生活活动能力改善程度,并分析两者间的相关性。结果两组治疗8周、16周、24周后,与治疗前U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。两组U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。相关性分析显示,U-FMA评分与FIM评分呈正相关。结论镜像治疗能够提高脑卒中偏瘫患者上肢运动功能,改善日常生活活动能力。U-FMA量表、FIM量表均能较好反映卒中患者康复后上肢运动功能、日常生活能力改善程度,两者具有良好的相关性。
文摘The effect of rating scales and test parts of body on the fabric-evoked prickle evaluation results are studied by carrying out subjective evaluation tests under controlled environment conditions （24 4±1）℃, （65 =l= 5） %RH. Ten college female students aged about 20 were chosen as the subjects, who have participated a preliminary training on subjective prickle evaluation. The prickle of a range of 9 light-weight worsted woven wool and wool blend fabrics and a cotton fabric were tested by using a 1 - 5 rating scale and using a 0 - 10 rating scale respectively at different test parts of body respectively such as forearm, upper arm ball and neck back. The test results were statistically analyzed. It is found that there is a significant correlation coefficient between the evaluation results of using the 1 - 5 rating scale and of using the 0- 10 rating scale. It is also found that there are highly significant correlation coefficients between the evaluation results of using the forearm prickle test and the neck back prickle test, between the evaluation results of using the neck back prickle test and the upper arm ball prickle test, and between the evaluation results of using the forearm prickle test and the upper arm ball prickle test. It is suggested that the forearm prickle test is preferable in evaluating fabric-evoked prickle for its convenience and sensitivity.
文摘Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.
