Aim The purpose of this study is to compare the effects of the two clutches on recording the condylar movement. Methodology Ten subjects (6 women,4 men; mean age 25.4 years) participated in the study. The mandibular...Aim The purpose of this study is to compare the effects of the two clutches on recording the condylar movement. Methodology Ten subjects (6 women,4 men; mean age 25.4 years) participated in the study. The mandibular move-ment,sagittal condylar inclination angle,and transversal condylar inclination angle of each subject were recorded with the CADIAX? using the two clutches,respectively. The characteristics of the tracings of the protrusion,opening,and mediotrusion were analyzed with the t-test statistics at α = 0.05 level. The Kappa values were calculated for an assessment of the congruence of the tracings. Results The results showed that the contour,direction,and dimension of the tracings in the two clutches were approxi-mately same,but the tracings determined by the functional occlusal clutch were more regular and congruent. In the group segment recorded with the tray clutch,opening/ closing paths of one subject showed crossed and time curves of three subjects appeared peak-like changes of velocity,but none were statistically different (P0.05). Conclusion The research suggests that the functional occlusal clutch should be preferred in the evaluation of the mandibular function,as the tracings with the tray clutch are more likely to produce false positive results.展开更多
目的:探讨老年髋关节置换术患者术后康复运动管理中引入渐进模型的效果。方法:采用回顾性分析法,选择2020年6月至2022年6月南通大学附属南通第三医院收治的行老年髋关节置换术患者128例,将实施常规围手术期治疗及术后康复运动训练的64...目的:探讨老年髋关节置换术患者术后康复运动管理中引入渐进模型的效果。方法:采用回顾性分析法,选择2020年6月至2022年6月南通大学附属南通第三医院收治的行老年髋关节置换术患者128例,将实施常规围手术期治疗及术后康复运动训练的64例患者作为对照组,将引入基于渐进模型的术后康复运动管理的64例患者作为研究组。对比2组康复情况、手术前后髋关节功能、步态指标、平衡能力及生活质量变化,并统计术后并发症发生率。结果:研究组术后恢复活动时间、髋关节恢复活动时间及住院时间均较对照组短(均P<0.05);术后3个月,研究组髋关节各维度评分、总分较对照组高,步宽较对照组短,步频较对照组高(均P<0.05);研究组睁眼支撑面稳定(eyes open when standing on firm support,EOFI)、闭眼支撑面稳定(eyes closed when standing on firm support,ECFI)、睁眼支撑面不稳(eyes open when standing on foam support,EOFO)、闭眼支撑面不稳(eyes closed when standing on foam support,ECFO)、综合值较对照组低(均P<0.05);研究组生活质量各维度评分、总分较对照组高,术后并发症总发生率较对照组低(均P<0.05)。结论:老年髋关节置换术患者术后康复运动管理中引入渐进模型效果显著,可改善髋关节功能及步态指标,提高平衡能力及生活质量,减少并发症的发生。展开更多
目的观察电针透刺和Mulligan动态关节松动术治疗轻中度膝骨关节炎(knee osteoarthfitis,KOA)的临床疗效,探寻安全有效的中西医结合治疗方案。方法将90例来自长沙市中心医院的轻中度KOA患者随机分为电针透刺组、关节松动组和联合组,每组3...目的观察电针透刺和Mulligan动态关节松动术治疗轻中度膝骨关节炎(knee osteoarthfitis,KOA)的临床疗效,探寻安全有效的中西医结合治疗方案。方法将90例来自长沙市中心医院的轻中度KOA患者随机分为电针透刺组、关节松动组和联合组,每组30例。电针透刺组即在透刺基础上连接电针仪,关节松动组采用Mulligan动态关节松动术治疗,联合组即电针透刺结合Mulligan动态关节松动术。各组均每天治疗1次,每周治疗5次,共治疗6周。在治疗前及治疗6周后,通过疼痛视觉模拟评分(visual analogue scale,VAS)、西安大略和麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities arthritis index,WOMAC)、Lysholm膝关节功能评估量表、膝关节最大主动关节活动度(active range of motion,AROM)、髌上囊积液及关节间隙角等指标综合评定疗效。结果治疗后,3组患者的VAS、WOMAC评分较治疗前均有下降,Lysholm评分、AROM较治疗前均有提高,关节间隙角较治疗前减小,髌上囊积液量较治疗前减少(P<0.05);联合组的上述指标较电针透刺组、关节松动组改善更明显(P<0.05);电针透刺组在减少髌上囊积液方面优于关节松动组(P<0.05);关节松动组在增加膝关节AROM、缩小关节间隙角方面优于电针透刺组(P<0.05)。结论电针透刺及Mulligan动态关节松动术均能不同程度缓解轻中度KOA患者疼痛症状,降低髌上囊积液量,缩小关节间隙角,改善膝关节整体功能,且二者联合疗效更佳。展开更多
为了更好的实现外骨骼上肢康复机械臂仿人的康复动作,即在手臂自然下垂状态下,实现大臂的直接外展动作,本文通过分析人体肩关节的结构和基本动作以及部分已存在的外骨骼机械臂肩关节的不足,对运动模型进行简化,设计了一种三自由度外骨...为了更好的实现外骨骼上肢康复机械臂仿人的康复动作,即在手臂自然下垂状态下,实现大臂的直接外展动作,本文通过分析人体肩关节的结构和基本动作以及部分已存在的外骨骼机械臂肩关节的不足,对运动模型进行简化,设计了一种三自由度外骨骼式肩关节。该设计应用在外骨骼机械臂上,可以使机械臂在手臂自然下垂状态下实现外展/内收、前屈/后展、水平外展/水平内收3个基本动作,这样的三自由度(degree of freedom,DOF)联动,可以使外骨骼机械臂实现的日常功能动作更符合人体关节的生理需求,更接近人体自然运动规律。而且三维模型运动模拟结果表明,此设计可达到预期的仿人运动效果。该研究对临床康复仿生运动具有积极意义。展开更多
文摘Aim The purpose of this study is to compare the effects of the two clutches on recording the condylar movement. Methodology Ten subjects (6 women,4 men; mean age 25.4 years) participated in the study. The mandibular move-ment,sagittal condylar inclination angle,and transversal condylar inclination angle of each subject were recorded with the CADIAX? using the two clutches,respectively. The characteristics of the tracings of the protrusion,opening,and mediotrusion were analyzed with the t-test statistics at α = 0.05 level. The Kappa values were calculated for an assessment of the congruence of the tracings. Results The results showed that the contour,direction,and dimension of the tracings in the two clutches were approxi-mately same,but the tracings determined by the functional occlusal clutch were more regular and congruent. In the group segment recorded with the tray clutch,opening/ closing paths of one subject showed crossed and time curves of three subjects appeared peak-like changes of velocity,but none were statistically different (P0.05). Conclusion The research suggests that the functional occlusal clutch should be preferred in the evaluation of the mandibular function,as the tracings with the tray clutch are more likely to produce false positive results.
文摘目的:探讨老年髋关节置换术患者术后康复运动管理中引入渐进模型的效果。方法:采用回顾性分析法,选择2020年6月至2022年6月南通大学附属南通第三医院收治的行老年髋关节置换术患者128例,将实施常规围手术期治疗及术后康复运动训练的64例患者作为对照组,将引入基于渐进模型的术后康复运动管理的64例患者作为研究组。对比2组康复情况、手术前后髋关节功能、步态指标、平衡能力及生活质量变化,并统计术后并发症发生率。结果:研究组术后恢复活动时间、髋关节恢复活动时间及住院时间均较对照组短(均P<0.05);术后3个月,研究组髋关节各维度评分、总分较对照组高,步宽较对照组短,步频较对照组高(均P<0.05);研究组睁眼支撑面稳定(eyes open when standing on firm support,EOFI)、闭眼支撑面稳定(eyes closed when standing on firm support,ECFI)、睁眼支撑面不稳(eyes open when standing on foam support,EOFO)、闭眼支撑面不稳(eyes closed when standing on foam support,ECFO)、综合值较对照组低(均P<0.05);研究组生活质量各维度评分、总分较对照组高,术后并发症总发生率较对照组低(均P<0.05)。结论:老年髋关节置换术患者术后康复运动管理中引入渐进模型效果显著,可改善髋关节功能及步态指标,提高平衡能力及生活质量,减少并发症的发生。
文摘目的观察电针透刺和Mulligan动态关节松动术治疗轻中度膝骨关节炎(knee osteoarthfitis,KOA)的临床疗效,探寻安全有效的中西医结合治疗方案。方法将90例来自长沙市中心医院的轻中度KOA患者随机分为电针透刺组、关节松动组和联合组,每组30例。电针透刺组即在透刺基础上连接电针仪,关节松动组采用Mulligan动态关节松动术治疗,联合组即电针透刺结合Mulligan动态关节松动术。各组均每天治疗1次,每周治疗5次,共治疗6周。在治疗前及治疗6周后,通过疼痛视觉模拟评分(visual analogue scale,VAS)、西安大略和麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities arthritis index,WOMAC)、Lysholm膝关节功能评估量表、膝关节最大主动关节活动度(active range of motion,AROM)、髌上囊积液及关节间隙角等指标综合评定疗效。结果治疗后,3组患者的VAS、WOMAC评分较治疗前均有下降,Lysholm评分、AROM较治疗前均有提高,关节间隙角较治疗前减小,髌上囊积液量较治疗前减少(P<0.05);联合组的上述指标较电针透刺组、关节松动组改善更明显(P<0.05);电针透刺组在减少髌上囊积液方面优于关节松动组(P<0.05);关节松动组在增加膝关节AROM、缩小关节间隙角方面优于电针透刺组(P<0.05)。结论电针透刺及Mulligan动态关节松动术均能不同程度缓解轻中度KOA患者疼痛症状,降低髌上囊积液量,缩小关节间隙角,改善膝关节整体功能,且二者联合疗效更佳。
文摘为了更好的实现外骨骼上肢康复机械臂仿人的康复动作,即在手臂自然下垂状态下,实现大臂的直接外展动作,本文通过分析人体肩关节的结构和基本动作以及部分已存在的外骨骼机械臂肩关节的不足,对运动模型进行简化,设计了一种三自由度外骨骼式肩关节。该设计应用在外骨骼机械臂上,可以使机械臂在手臂自然下垂状态下实现外展/内收、前屈/后展、水平外展/水平内收3个基本动作,这样的三自由度(degree of freedom,DOF)联动,可以使外骨骼机械臂实现的日常功能动作更符合人体关节的生理需求,更接近人体自然运动规律。而且三维模型运动模拟结果表明,此设计可达到预期的仿人运动效果。该研究对临床康复仿生运动具有积极意义。