The Link between Psychomotor Disorders and Physical Therapy

The evolution of the individual in ontogenesis has been studied throughout life and on all sides of development. Studies in the field based on medical rehability performed by a full team such as doctors, physiotherapists and psychologists and not only have shown that the link between the patient’s psychological state and exercise are factors in full dependence and any imbalance can trigger irreparable effects. Psychology is the science that studies the laws of formation, development, functioning and deficiencies related to psychism;it includes a series of fundamental concepts that include: psychic processes, psychic phenomena, psychic attributes, psychic states or psychic activities. Psychic phenomena are the component elements of psychism. In a sense, the psychic phenomena are manifested by external facts, by our behavior, by the motor actions started, by gestures or verbal actions;in the other sense, psychic phenomena are manifested by inner deeds, as the form of ideas, images, feelings, and desires. The motor acts without psychism would be only simple automatisms, without human specifications of adaptation, while the psychism without motor acts would be deprived of the fundamentals of formation and functioning as well as of its production mechanisms. Objective: The objective of this study is to highlight the causal problems of delayed medical recovery in relation to the psychological and emotional factors. This desktop review aims to identify psychoemotional disorders in the case of subjects with operated lumbar disc herniation and aims to adapt a specialized physiotherapeutic protocol by adapting to CIF. The result of this study will be found in the percentage of socio-professional reintegration of the subjects with operated lumbar disc herniation and implicitly the increase in the quality of life. Conclusions: 1) For an effective functional recovery, a psycho-emotional balance is needed;2) A positive attitude actively influences medical rehabilitation;3) Regaining physical, cognitive and social activities depend on the degree of psycho-emotional impairment. .

儿童多动症的中医治疗及临床研究

用益智糖浆治疗观察儿童多动症66例,治疗后行为评分明显降低,学习成绩显著提高,软神经征阳性率显著降低,总有效率84.8％。治疗后24小时尿液中去甲肾上腺素(NE)、多巴胺(DA)、3.4-二羟基苯乙酸(DOPAC)、环磷酸腺苷(cAMP)、肌酐(Cr)均显著增高。

应用A型肉毒毒素治疗面肌痉挛

目的:应用国产A型肉毒毒素治疗面肌痉挛55例并观察其远期疗效、并发症,提出治疗时的注意事项。方法:根据注射的肌肉大小决定注射点及每点的注射剂量,肌肉震颤最明显处。每注射点的肉毒毒素注射量约在15U左右,一次注射的总量一般控制在130U。首次注射后2周后复查,若痉挛未完全控制,可追加注射1次,方法相同,但注射量应减半。结果:55例患者首次注射后完全缓解38例,占69%,部分缓解17例,占31%,对部分缓解的患者10天后追加注射1次,疗效基本满意。所有患者均未出现全身及局部副作用。结论:该注射方法简单,安全无痛苦,毒副作用小,疗效佳,应当是目前治疗面肌痉挛较好的方法,尤其适合基层单位应用推广。

A型肉毒毒素治疗面部肌肉痉挛

目的:通过面部局部注射A型肉毒毒素(botulinumtoxinA,BTXA),探讨治疗面部肌肉痉挛的安全、简单而有效的方法。方法:对82例面部痉挛的患者,根据面部痉挛的部位,确定BTXA的注射点及注射剂量,并可根据产生的作用而行重复注射。结果:注射24h,症状开始改善,2～7天痉挛迅速缓解,所治疗的82例患者症状全部获得了缓解。结论:BTXA已作为一种药物,用于治疗面部的肌肉张力异常和面部神经肌肉兴奋性过高等症。治疗无痛苦、操作简单、恢复快,是治疗面部肌肉痉挛的比较安全有效的技术。

The Problem of Traditional African Pharmacopoeia in Obstetrics: Use of Plants for Utero-Tonic Purposes and Materno-Fetal Outcome in Douala (Cameroon)

Introduction: The use of traditional preparations for the induction or acceleration of labor remains a common practice in our country in particular and in Africa in general with sometimes derogatory outcomes for the mother and the fetus. Goal: The objective was to assess immediate maternal and neonatal outcomes in women who reported having used the traditional pharmacopoeia for utero-tonic purposes. Methodology: We conducted a multi-centric cross- sectional study with prospective data collection in the maternities of the Laquintinie Hospital, Bonassama District and Nylon Hospitals. It took place over a period of seven months, from 1st October 2016 to 31st April 2017. This included all women who reported having used the unconventional pharmacopoeia for utero-tonic purposes before or after contractions started. The student and Chi-square tests were interpreted at the statistical threshold of 5% and the 95% confidence intervals. Results: We recruited 168 cases, 68.5% of the 245 women interviewed. The mean age was 27.1 ± 0.41 years;55% of our respondents had a secondary level of education;80% of them were admitted at term and 43% were multiparous. Nulliparity predisposed to traditional pharmacopoeia use (RR = 1.55, CI = 0.79 - 3.03) but primiparity reduced this risk (RR = 0.4, CI = 0.24 - 0.926). Stimulation of labor was the first indication in 85% of women, the rectal evacuation enema was the main route used (67%). The majority of plants used were those of the families Asteraceae, Anthericaceae, and Malvaceae. In per partum, 42% had a brilliant dilatation;there was a statistically significant association between the occurrence of dynamic dystocia (CI = 0.28 - 1.54, p = 0.006) and the risk of perineal tear (RR = 3.13, CI = 1.68 - 5.85;p = 0.007). The APGAR score at 5 min of life was less than 7 in 64% of cases (p = 0.027). The caesarean section rate was 69%. Conclusion: Traditional products with uterotonic effects are frequently used and unregulated with its corollary of materno-fetal complications.

中药辅助治疗儿童注意力缺陷多动症

将 4 0例儿童注意力缺陷多动症患儿随机分成两组各 2 0例 ,对照组服西药利他林 ,治疗组则加服中药天王补心丹加减 ,3个月后观察疗效。结果 :治疗组总有效率为 90 % ,对照组为 6 0 % ,两组比较 ,差异有显著性意义两组比较 ,差异有显著性意义 (P <0 .0 1)。

脆性X综合征的临床和细胞遗传学研究

本文采用两种不同的诱导脆性X表达的方法,对45例遗传咨询门诊患者及其有关亲属进行了研究,发现了8个脆性X综合征家系。通过两种方法的对比,发现5-氟尿嘧啶核苷加咖啡因诱导脆性X表达的方法,有助于检出脆性X表达频率较低的个体,并对脆性X综合征与多动症的关系,脆性位点Xq26与智力低下的关系进行了讨论。

金纳多治疗老年人蛛网膜下腔出血后脑血管痉挛的临床观察

目的探讨应用金纳多治疗老年人自发性蛛网膜下腔出血后脑血管痉挛的临床疗效。方法对2000年1月至2004年1月环湖医院神经内科50例自发性蛛网膜下腔出血患者应用金纳多治疗,并检查患者治疗前后血浆内皮素(ET)、血栓素(TXB2)、前列环素(PGF1α)的变化。结果治疗组疗效明显优于对照组,治愈率和总有效率与对照组相比差异有显著性意义。治疗组治疗后 ET(52.52±18.48)ng/L、TXB2(62.95±22.94)ng/L 血浆水平有明显下降,PGF1α(75.98±20.78)ng/L 有显著升高,与对照组相比差异显著。结论金纳多可以应用于自发性蛛网膜下腔出血后脑血管痉挛的治疗并有较好疗效,其作用机制与其针对自由基的清除作用和对内皮源性血管收缩因子的调整作用有关。