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Problem identification and revitalization strategies for the recovery and reconstruction of traditional villages in the Ms 6.8 Luding Earthquake
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作者 HUANG Chao QIU Jian +3 位作者 LIU Chun JIANG Rui ZHAO Chuanrong ZHANG Yi 《Journal of Mountain Science》 SCIE CSCD 2024年第2期361-379,共19页
Post-disaster reconstruction is a topic of global concern,and traditional villages have special heritage attributes and need to face more requirements and obstacles in post-disaster reconstruction.This paper summarize... Post-disaster reconstruction is a topic of global concern,and traditional villages have special heritage attributes and need to face more requirements and obstacles in post-disaster reconstruction.This paper summarizes four concepts based on the research on post-disaster reconstruction both domestically and internationally,as well as the recovery and reconstruction of cultural heritage.Through a field survey of traditional villages in the Ms 6.8 Luding earthquake-stricken area,it is found that there are problems such as insufficient awareness of heritage value,misalignment of scientific reconstruction technology,and insufficient protection of reconstruction elements during the reconstruction process.Traditional villages face the risk of declining or even loss of heritage value.In order to effectively protect traditional villages and inherit the carrier of regional culture,four targeted reconstruction response strategies are proposed,i.e.,to"establish special planning for traditional village preservation","emphasize recovery of the authenticity of village heritage","ensure elements for village heritage recovery"and"promote the activation and utilization of village heritage",based on the problems discovered during the survey and the four concepts summarized in the research on post-disaster reconstruction of traditional villages.The research results hope to provide useful reference for ancient cultural areas affected by earthquakes on how to protect cultural heritage during the post-disaster reconstruction process. 展开更多
关键词 Seismic hazard Decision making Traditional village Cultural heritage protection post-earthquake recovery and reconstruction Revitalization strategy
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Analysis of therapeutic effect of rehabilitation treatment improving function of knee joint following reconstruction anterior crucial ligament with allogenic achilles tendon under arthroscopy
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作者 常青 黄迅悟 +1 位作者 张晓鸥 郑光新 《中国临床康复》 CSCD 2002年第16期2495-2495,共1页
Objective Combining the reconstruction of anterior crucial ligament(ACL) with functional rehabilitation,we recover the injured knee as possible as can.Methods 38 patients received ACL reconstruction with allogenci Ach... Objective Combining the reconstruction of anterior crucial ligament(ACL) with functional rehabilitation,we recover the injured knee as possible as can.Methods 38 patients received ACL reconstruction with allogenci Achilles tendon under arthroscopy.We reconstructed the injured ACL and the injured medial crucial ligament(MCL) by utilization of length of achiles tendon.Then we carried out different rehabilitations in accordance with special needs of the patients.Results The follow up was performed for more than 7 months in 34 cases.Lysholm method was used to evaluate patients’ function before and after operation.Results showed average score was 53.8 preoperatively, and 84.2 postoperatively,the good rate was 84.4%.In the objective examination,anterior drawer test(ADT),31 cases were positive preoperatively,1 was positive postoperatively;lachman test:34 were positive preoperatively,1 was positive postoperatively;4 were weak positive postoperatively.There were 3 cases with pain of knee joints and 4 cases with limitation of activity of knee joints(5~20 degree) postopratively.Conclusion Combination of reconsgruction of ACL with allogenic achilles tendon and the functional rehabilitation can gain remarkable curative effect. 展开更多
关键词 跟腱重建 十字韧带术 康复治疗 膝关节功能 疗效
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Effect of suspension training on neuromuscular function, postural control, and knee kinematics in anterior cruciate ligament reconstruction patients 被引量:3
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作者 Dong-Dong Huang Liang-Hua Chen +4 位作者 Zhe Yu Quan-Jun Chen Jie-Nuan Lai Hai-Hong Li Gang Liu 《World Journal of Clinical Cases》 SCIE 2021年第10期2247-2258,共12页
BACKGROUND Suspension training(SET)is a method of neuromuscular training that enables the body to carry out active training under unstable support through a suspension therapy system.However,there have been few report... BACKGROUND Suspension training(SET)is a method of neuromuscular training that enables the body to carry out active training under unstable support through a suspension therapy system.However,there have been few reports in the literature on the application of SET to anterior cruciate ligament reconstruction(ACLR)patients.It is not clear what aspects of the patient's function are improved after SET.AIM To investigate the effect of SET on the neuromuscular function,postural control,and knee kinematics of patients after ACLR surgery.METHODS Forty participants were randomized to an SET group or a control group.The SET group subjects participated in a SET protocol over 6 wk.The control group subjects participated in a traditional training protocol over 6 wk.Isokinetic muscle strength of the quadriceps and hamstrings,static and dynamic posture stability test,and relative translation of the injured knee were assessed before and after training.RESULTS The relative peak torque of the quadriceps and hamstrings in both groups increased significantly(P<0.001),and the SET group increased by a higher percentage than those in the control group(quadriceps:P=0.004;hamstrings:P=0.011).After training,both groups showed significant improvements in static and dynamic posture stability(P<0.01),and the SET group had a greater change than the control group(P<0.05).No significant improvement on the relative translation of the injured knee was observed after training in either group(P>0.05).CONCLUSION Our findings show that SET promotes great responses in quadriceps and hamstring muscle strength and balance function in ACLR patients. 展开更多
关键词 Anterior cruciate ligament reconstruction Suspension training Neuromuscular function Postural control Knee kinematics rehabilitation
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Developing an enhanced recovery after surgery program for oncology patients who undergo hip or knee reconstruction surgery 被引量:2
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作者 Maria Bourazani Eleni Asimakopoulou +7 位作者 Chrysseida Magklari Nikolaos Fyrfiris Ioannis Tsirikas Giakoumis Diakoumis Martha Kelesi Georgia Fasoi Theodoros Kormas Gunhild Lefaki 《World Journal of Orthopedics》 2021年第6期346-359,共14页
Enhanced recovery after surgery(ERAS)protocols are applied in orthopedic surgery and are intended to reduce perioperative stress by implementing combined evidence-based practices with the cooperation of various health... Enhanced recovery after surgery(ERAS)protocols are applied in orthopedic surgery and are intended to reduce perioperative stress by implementing combined evidence-based practices with the cooperation of various health professionals as an interdisciplinary team.ERAS pathways include pre-operative patient counselling,regional anesthesia and analgesia techniques,post-operative pain management,early mobilization and early feeding.Studies have shown improvement in the recovery of patients who followed an ERAS program after hip or knee arthroplasty,compared with those who followed a traditional care approach.ERAS protocols reduce post-operative stress,contribute to rapid recovery,shorten length of stay(LOS)without increasing the complications or readmissions,improve patient satisfaction and decrease the hospital costs.We suggest that the ERAS pathway could reduce the LOS in hospital for patients undergoing total hip replacement or total knee replacement.These programs require good organization and handling by the multidisciplinary team.ERAS programs increase patient's satisfaction due to their active participation which they experience as personalized treatment.The aim of the study was to develop an ERAS protocol for oncology patients who undergo bone reconstruction surgeries using massive endoprosthesis,with a view to improving the surgical outcomes. 展开更多
关键词 Hip or knee replacement Joint reconstruction Enhanced recovery after orthopedic surgery Fast-track orthopedic surgery Enhanced recovery after surgery pathways in orthopedic surgery rehabilitation after hip or knee replacement
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Implantosuported Rehabilitation after Marginal Recession of Mandibular Calcifying Epithelial Odontogenic Tumor: Case Report
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作者 Bruna Barcelos Ferreira Victor Tieghi Neto +7 位作者 Andréa Guedes Barreto Gonç ales Denise Tostes Oliveira bio Sanches Magalhã es Tunes Eduardo Sanches Gonç ales 《Open Journal of Stomatology》 2019年第9期199-207,共9页
The Calcifying Epithelial Odontogenic Tumor (CEOT) also called the Pindborg’s Tumor represents a rare benign epithelial odontogenic neoplasm with locally aggressive behavior. Surgical excision with a safety margin is... The Calcifying Epithelial Odontogenic Tumor (CEOT) also called the Pindborg’s Tumor represents a rare benign epithelial odontogenic neoplasm with locally aggressive behavior. Surgical excision with a safety margin is one of the treatment options, requiring bone and soft tissue reconstruction for implant-supported rehabilitation, providing the individual with a return to adequate oral functions. The objective of the present study is to report on the case of the treatment stages and the factors involved in the rehabilitation of a 23-year-old man with a history of mandibular lesion diagnosed as CEOT. A marginal resection of the mandible lesion was performed, with posterior reconstruction with iliac crest bone graft and soft tissue graft to allow the implant-supported rehabilitation. Currently, in the postoperative control, the individual shows no signs of tumor recurrence and is rehabilitated without functional and/or aesthetic complaints. Surgical excision should be framed as a form of treatment, aiming for better resolution in the more complex cases of these invasive tumors. 展开更多
关键词 ORAL PATHOLOGY Bone reconstruction Dental Implants ORAL rehabilitation
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Relative Impact of Oral Rehabilitation on Quality of Life and Patient Satisfaction Following Mandibular Resection in a Sub-Urban Nigerian Tertiary Hospital
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作者 Obitade S. Obimakinde Adeyinka A. Adeleke +2 位作者 Akinkunmi M. Akinpelu Oluwaseun D. Abodunde Christopher O. Ibidun 《Open Journal of Stomatology》 2019年第8期181-191,共11页
Background: Resection of the mandible can lead to bony defect which has a direct bearing on the quality of life of the patient. Reconstruction of such defect is necessary to restore aesthetics but optimal functioning ... Background: Resection of the mandible can lead to bony defect which has a direct bearing on the quality of life of the patient. Reconstruction of such defect is necessary to restore aesthetics but optimal functioning of the oral cavity can only be achieved with prosthodontic rehabilitation. We, hereby, report the impact of oral rehabilitation on patients’ satisfaction and quality of life after mandibular reconstruction in our institution. Materials and Method: Patients who had oral rehabilitation following mandibular reconstruction from January 2010 to December 2015 were included. Patients’ oral health related quality of life [OHRQL] before and after rehabilitation was evaluated using the head and neck module of the European Organization for Research and Treatment of Cancer [EORTC]. Oral functions and denture satisfaction were also evaluated with Visual Analogue Scale [VAS]. Data obtained were analyzed with SPSS version 20 and level of significance was set at p Result: Of the 43 patients who had mandibular reconstruction during the study period, only 21 [48.8%] had dental rehabilitation. Twelve patients [57.1%] had conventional acrylic denture, 5 had fixed denture [bridge] while 4 patients had rehabilitation with dental implants. The mean follow-up period after rehabilitation was 8.42 months [Range: 6 - 22 months]. Although, OHRQL analysis revealed an improvement following rehabilitation, only the social aspect of the evaluation was statistically significant [p p = 0.00]. On the contrary, there was no statistically significant difference in aesthetics amongst the patients regardless of type of rehabilitation [p = 0.26]. Conclusion: Findings from this study showed that there is improvement in OHRQL following dental rehabilitation. Also, Patients who were rehabilitated with dental implant had better oral function than those with fixed or conventional denture. 展开更多
关键词 MANDIBULAR reconstruction ORAL rehabilitation IMPLANT DENTURE ORAL Function
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Complication of lengthening and the role of post-operative care, physical and psychological rehabilitation among fibula hemimelia
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作者 Maryam Salimi Rojin Sarallah +3 位作者 Salar Javanshir Seyed Peyman Mirghaderi Amirhossein Salimi Shokoufeh Khanzadeh 《World Journal of Clinical Cases》 SCIE 2022年第24期8482-8489,共8页
There is a clear clinical need for efficient physiotherapy and rehabilitation programs during and after bone lengthening and reconstruction for gaining the optimal effect and also prevention or treatment of lengthenin... There is a clear clinical need for efficient physiotherapy and rehabilitation programs during and after bone lengthening and reconstruction for gaining the optimal effect and also prevention or treatment of lengthening side effects.Pin tract infection is the most prevalent side effect during lengthening which could be prevented and treated initially via proper wound care.Muscle contractures are typically a consequence of the generated tension on the distracted muscle.It can be managed by physiotherapy initially and surgically in later severe stages.Furthermore,it is essential to avoid muscle contracture development,which is the demonstration of the imbalanced muscle appeals on the joint to inhibit the following subluxation.The knee is the furthermost affected joint by the aforementioned problem due to the inherent lack of ligamentous and bony stability.Joint stiffness is the other possible unfavorable effect of lengthening.It happens because of extensive muscle contractures or may possibly be attributed to rigidity of the joint following the amplified pressure on the joint surface during the process of lengthening.Physiotherapy and occupational therapy including endurance and strength exercise as well as stretching play an important role during the rehabilitation periods for the prevention and also the treatment of muscle contracture and the following deformity and also joint stiffness.Likewise,the effect of mental and physical rehabilitation programs should not be overlooked. 展开更多
关键词 Fibular hemimelia rehabilitation reconstruction LENGTHENING
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Cancer Rehabilitation,A New Discipline Based upon Multidisciplinary Collaboration
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作者 Shan Su 《Journal of Advances in Medicine Science》 2022年第2期14-21,共8页
Cancer Rehabilitation is a new discipline,a combination of tumor medication,immunology,psychology,nutritional science and exercise physiology etc..The core of cancer rehabilitation is the therapy of natural immunology... Cancer Rehabilitation is a new discipline,a combination of tumor medication,immunology,psychology,nutritional science and exercise physiology etc..The core of cancer rehabilitation is the therapy of natural immunology,which aims at activating T-cells,and restoring the bone marrow function impaired during chemo-radiation therapy.Cancer rehabilitation seeks to achieve the gradual recovery of the immune system,which in turn hinders recurrence and metastasis.In addition,with the help of psychological consultation,nutritional and physical exercise guidance,cancer patients may have a better chance at managing the risk of recurrence and metastasis,extending life expectancy with an improved quality of life. 展开更多
关键词 Cancer rehabilitation Therapy of natural immunology Immune activation Immune reconstruction Immune response management Cancer rehabilitation psychology Cancer rehabilitation nutritional science Cancer rehabilitation exercise physiology
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移植物类型对前交叉韧带重建后患者膝关节功能的影响 被引量:1
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作者 李露祎 厉晓杰 +1 位作者 黑泽明 刘华 《中国组织工程研究》 CAS 北大核心 2024年第17期2753-2758,共6页
背景:临床上常采用移植物重建前交叉韧带,而不同移植物类型又影响着患者术后膝关节功能和康复方案的制定。目的:回顾分析不同移植物类型对前交叉韧带重建后患者肌力、关节稳定性、功能性活动及重返运动的影响。方法:在PubMed、Web of Sc... 背景:临床上常采用移植物重建前交叉韧带,而不同移植物类型又影响着患者术后膝关节功能和康复方案的制定。目的:回顾分析不同移植物类型对前交叉韧带重建后患者肌力、关节稳定性、功能性活动及重返运动的影响。方法:在PubMed、Web of Science、Cochrane、中国知网、万方数据库中进行检索,中文检索词为“前交叉韧带重建术,自体移植物,同种异体移植物,人工韧带,骨-髌腱-骨,股四头肌肌腱,腘绳肌肌腱,腓骨长肌肌腱,康复训练,重返运动”;英文检索词为“anterior cruciate ligament reconstruction,autografts,allografts,artificial ligaments,bone-patellatendon-bone,quadriceps tendon autograft,hamstring tendon autograft,peroneus longus tendon autograft,rehabilitation,exercise,protocol,return to sport”。结果与结论:选用骨-髌腱-骨移植物的患者应加强股四头肌离心收缩练习,康复后期应关注股四头肌耐力和爆发力的恢复。与骨-髌腱-骨移植物和腘绳肌肌腱移植物相比,选用股四头肌肌腱移植物的患者在5-8个月内符合回归标准的患者明显更少,应制定较长时间的训练计划,训练周期尽量持续到3年以上。选用腘绳肌肌腱移植物应强化多角度下腘绳肌力量训练,尤其是屈膝60°以上的周期至少持续至术后18周。选用腓骨长肌肌腱移植物的患者后续应加强踝关节周围肌肉力量,以足底肌肉力量为主。选用同种异体移植物应注意移植物经低剂量辐射消毒后其抗张力性降低20%,因此应关注膝关节稳定性训练。选用人工韧带移植物的患者3-6周内可渐进性增强股四头肌和腘绳肌力量训练,重视早期本体感觉练习,对平衡、跳跃及灵活性进行针对性训练。 展开更多
关键词 前交叉韧带重建 自体移植物 同种异体移植物 人工韧带 康复 膝关节功能
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血流限制训练对前交叉韧带重建患者膝关节功能恢复的Meta分析
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作者 左会武 耿治中 +2 位作者 陈鹏 林熙凯 陈建 《中国组织工程研究》 CAS 北大核心 2024年第12期1962-1968,共7页
目的:系统评价血流限制训练对前交叉韧带重建术后康复的临床疗效,以期为临床实践提供参考依据。方法:计算机检索中国知网、万方数据库、PubMed、Web of Science、EBSCO等数据库,搜集国内外有关血流限制训练干预前交叉韧带重建术后康复... 目的:系统评价血流限制训练对前交叉韧带重建术后康复的临床疗效,以期为临床实践提供参考依据。方法:计算机检索中国知网、万方数据库、PubMed、Web of Science、EBSCO等数据库,搜集国内外有关血流限制训练干预前交叉韧带重建术后康复的随机对照试验,检索时限均从各数据库建库至2022-08-10。结局指标包括膝关节肌力、膝关节周围肌肉量及膝关节功能评价,均为连续性变量。由2名研究者独立筛选文献、提取资料并使用PEDro量表、Cochrane风险偏倚评估工具进行纳入研究的偏倚风险评价,然后采用RevMan5.4软件进行Meta分析。结果:共纳入9篇文献,包括226例受试者,其中试验组114例,对照组112例。Meta分析结果显示,血流限制训练组与常规抗阻训练组相比,可以显著改善患者膝关节肌力[SMD=0.54,95%CI(0.29,0.79),P<0.01]、肌肉量[SMD=0.26,95%CI(0.06,0.46),P=0.01]及膝关节功能[SMD=1.17,95%CI(0.53,1.80),P<0.01];亚组分析显示,仅当干预时间>4周时,膝关节肌力[SMD=0.68,95%CI(0.38,0.97),P<0.01]与肌肉量[SMD=0.38,95%CI(0.09,0.68),P=0.01]出现显著性改善。结论:当前的证据表明,血流限制训练可以改善前交叉韧带重建术后患者肌力及膝关节功能,减少肌肉萎缩,并建议术后干预时间达到4周以上以获得更好的肌力与肌肉量改善效果。 展开更多
关键词 血流限制训练 前交叉韧带重建 术后康复 股四头肌肌力 META分析
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Identifying drivers of urban landuse changes in the Wenchuan earthquake- affected area by using night-time light data
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作者 HUANG Tao DING Mingtao +2 位作者 GENG Dongxian GAO Zemin ZHENG Hao 《Journal of Mountain Science》 SCIE CSCD 2024年第4期1140-1159,共20页
To learn the process of urban land evolution before and after an earthquake is vital to formulate the urban reconstruction control policies and recovery measures in the earthquake-stricken areas.However,spatiotemporal... To learn the process of urban land evolution before and after an earthquake is vital to formulate the urban reconstruction control policies and recovery measures in the earthquake-stricken areas.However,spatiotemporal evolution and its driving factors of urban land in earthquake-prone areas remains limited due to the scarcity of ground observation data.This research,leveraging night-time light remote sensing imagery and land cover data,conducted a comprehensive analysis of the long-term evolution characteristics of urban land in earthquake-prone areas.It introduced methodologies for assessing the socio-economic impact and the primary natural environmental factors driving urban land evolution in these regions.To validate the proposed methods,the 2008 Wenchuan earthquake-affected area in China was selected as a representative study area.The results indicated that the average Digital Number(DN)values in socio-economically impacted areas showed a trend of rising,falling,and then rising again after the earthquake.DN values in three types of damaged areas including Type Ⅱ,Type Ⅲ,and Type Ⅳ exceeded pre-earthquake levels.The analysis of determinative factors influencing urban land evolution revealed that slope and elevation were key elements in controlling urban land expansion before the earthquake,whereas factors such as slope,elevation,lithology,and faults had a stronger influence on urban land expansion after the earthquake.It can be seen that,in view of the differences in the natural conditions of regions for post-disaster reconstruction,the local government need to actively adjust and adapt to urban spatial planning,so as to leverage the scale effect of large-scale inputs of funds,facilities,human resources and other factors after the disaster,thus enhancing resilience and recovery efficiency in response to disaster impacts. 展开更多
关键词 Wenchuan earthquake Night-time lights Urban land post-earthquake reconstruction
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前交叉韧带重建术后不同时间介入康复治疗对膝关节功能恢复的影响
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作者 韩良 姜效韦 +3 位作者 徐付国 陈姣姣 张杨梅 李瑾 《医药前沿》 2024年第2期1-5,共5页
目的:探讨前交叉韧带(ACL)重建术后不同时间介入康复治疗对患侧膝关节功能恢复的影响。方法:回顾性分析2018年9月—2022年8月在徐州市中心医院骨科接受自体腘绳肌腱单束重建术及术后康复的96例ACL断裂患者的临床资料,共有54例患者在出院... 目的:探讨前交叉韧带(ACL)重建术后不同时间介入康复治疗对患侧膝关节功能恢复的影响。方法:回顾性分析2018年9月—2022年8月在徐州市中心医院骨科接受自体腘绳肌腱单束重建术及术后康复的96例ACL断裂患者的临床资料,共有54例患者在出院后3个月返回门诊随访并接受了康复评定,根据ACL重建术后介入康复治疗时间的不同分为早康复组(24例)和晚康复组(30例),早康复组在术后≤4周开始康复治疗;晚康复组在术后>4周开始康复治疗。收集患者入院时的一般资料,并对患者入院时、出院时及随访时的膝关节主动屈、伸活动度评定,视觉模拟量表(VAS)评分及国际膝关节文献委员会主观膝关节评分(IKDC)进行统计学分析。结果:入院时,早康复组VAS评分高于晚康复组,差异有统计学意义(P<0.05),出院时、随访时,两组VAS评分均低于入院时,差异均有统计学意义(P<0.05),而两组VAS评分比较,差异均无统计学意义(P>0.05);早康复组住院期间VAS评分改善值大于晚康复组,差异有统计学意义(P<0.05)。入院时,早康复组屈膝角度小于晚康复组,伸膝受限角度大于晚康复组,差异有统计学意义(P<0.05);出院时、随访时,两组屈膝角度均大于入院时,伸膝受限角度均小于入院时,早康复组屈膝角度大于晚康复组、伸膝受限角度均小于晚康复组,差异均有统计学意义(P<0.05);住院期间,早康复组屈膝角度改善值、伸膝受限角度改善值大于晚康复组,差异均有统计学意义(P<0.05)。入院时,早康复组IKDC评分低于晚康复组,差异有统计学意义(P<0.05);出院时,两组IKDC评分均高于入院时,早康复组IKDC评分仍低于晚康复组,差异有统计学意义(P<0.05);随访时,两组IKDC评分均高于出院时,早康复组IKDC评分高于晚康复组,差异均有统计学意义(P<0.05);住院期间,早康复组IKDC评分改善值高于晚康复组,差异有统计学意义(P<0.05)。结论:ACL断裂重建术后早、晚介入均能从康复治疗中受益,早介入康复治疗预后更好,花费时间更短。 展开更多
关键词 前交叉韧带重建术后 康复 时机
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前交叉韧带重建术后患者居家康复护理中可穿戴设备的应用
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作者 崔佰红 顾海燕 张徐萍 《护理学杂志》 CSCD 北大核心 2024年第10期93-96,共4页
目的评价基于传感器的可穿戴设备在前交叉韧带重建术患者居家康复护理中的应用效果。方法根据住院时间将骨关节科2022年1-6月收治的行前交叉韧带重建术患者33例作为对照组,2022年7-12月收治的31例作为观察组。对照组实施常规术后护理及... 目的评价基于传感器的可穿戴设备在前交叉韧带重建术患者居家康复护理中的应用效果。方法根据住院时间将骨关节科2022年1-6月收治的行前交叉韧带重建术患者33例作为对照组,2022年7-12月收治的31例作为观察组。对照组实施常规术后护理及康复训练,观察组在常规康复训练的同时佩戴基于传感器的可穿戴设备进行居家康复监督指导。于术后2周、6周、12周评价患者膝关节功能及康复锻炼依从性。结果两组Lysholm膝关节评分、国际膝关节评分委员会评分、康复锻炼依从性得分比较,时间效应、组间效应及交互效应差异有统计学意义(均P<0.05)。结论佩戴基于传感器的可穿戴设备进行居家康复监督指导,可有效提高前交叉韧带重建术后患者康复锻炼依从性,改善患者膝关节功能,有利于膝关节功能早日康复。 展开更多
关键词 前交叉韧带重建 传感器 可穿戴设备 膝关节功能 康复训练 依从性 康复护理 居家护理
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体育专业大学生前交叉韧带重建术后早期康复训练方法研究
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作者 袁小光 《当代体育科技》 2024年第7期4-7,共4页
前交叉韧带(ACL)是人体膝关节中的重要韧带之一,它起着维持膝关节稳定性和运动功能的重要作用。然而,由于运动损伤、事故或其他原因,ACL可能会断裂或损伤。在这种情况下,进行ACL重建手术是一种常见的治疗方法。该研究运用文献资料法、... 前交叉韧带(ACL)是人体膝关节中的重要韧带之一,它起着维持膝关节稳定性和运动功能的重要作用。然而,由于运动损伤、事故或其他原因,ACL可能会断裂或损伤。在这种情况下,进行ACL重建手术是一种常见的治疗方法。该研究运用文献资料法、数理统计法、案例分析法,设计出适合ACL重建术后康复训练的计划。以5名接受膝关节镜下ACL自体肌腱重建手术的体育专业学生为研究对象,探索前交叉韧带重建术后早期康复训练方法,以提高受试者的康复效果和功能恢复速度,从而改进当前康复训练方案,并帮助更多的体育专业学生以及其他运动参与者恢复健康。 展开更多
关键词 前交叉韧带 重建 早期 康复
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早期康复训练在口腔癌患者游离腓骨瓣移植术后供区功能恢复的应用效果 被引量:2
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作者 史亚伟 丁倩 +2 位作者 张然 李润婕 於伟 《护理实践与研究》 2023年第11期1605-1610,共6页
目的探讨早期康复训练在口腔癌游离腓骨瓣移植术后患者下肢的功能恢复中的应用效果。方法选取2019年7月—2020年8月医院收住的口腔癌游离腓骨瓣行上、下颌骨修复重建患者40例,将其按基本资料组间具有可比性的原则分为观察组和对照组,各2... 目的探讨早期康复训练在口腔癌游离腓骨瓣移植术后患者下肢的功能恢复中的应用效果。方法选取2019年7月—2020年8月医院收住的口腔癌游离腓骨瓣行上、下颌骨修复重建患者40例,将其按基本资料组间具有可比性的原则分为观察组和对照组,各20例。对照组给予常规康复护理,观察组在对照组基础上给予早期康复训练,分别于手术前、术后1周、术后2周、术后3个月进行客观测量和运用Enneking下肢功能量表行进行主观评价,比较两组供侧区域功能恢复情况。结果观察组患者在术后恢复过程中,踝关节内翻、外翻、背伸关节活动度和拇趾伸展肌力方面的恢复速度快于对照组,差异有统计学意义(P<0.05)。两组患者Enneking下肢功能量表评分显示,经康复训练介入的观察组患者相关评分随时间变化而升高,恢复速度及质量均优于对照组,差异有统计学意义(P<0.05)。结论游离腓骨瓣术后患者实施早期康复训练,可有效促进患者下肢功能的恢复。 展开更多
关键词 早期康复综合训练 游离腓骨瓣 口腔癌 修复重建 功能恢复
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两种康复训练方案对组织工程腱-骨界面早期愈合的影响
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作者 潘玮敏 王兵 +2 位作者 刘民 张明军 王刚 《西安工业大学学报》 CAS 2023年第6期598-604,613,共8页
为了探讨前交叉韧带(Anterior Cruciate Ligament;ACL)重建术后两种康复训练方案对组织工程腱骨界面早期愈合的影响。文中对23只雄性新西兰大白兔双侧膝关节行自体腘绳肌肌腱移植重建ACL,且移植肌腱骨隧道界面均植入组织工程界面支架CP... 为了探讨前交叉韧带(Anterior Cruciate Ligament;ACL)重建术后两种康复训练方案对组织工程腱骨界面早期愈合的影响。文中对23只雄性新西兰大白兔双侧膝关节行自体腘绳肌肌腱移植重建ACL,且移植肌腱骨隧道界面均植入组织工程界面支架CPCXB。术后随机分为三组:对照组(CON;n=7),持续被动训练组(CPM;n=8)和CPM+跑台训练组(CPM+TD;n=8)。其中CON组笼内自由活动,CPM组及CPM+TD组术后第2天分别应用CPM装置及兔子跑台进行不同方案的康复训练,8周后取材分别行影像学、组织学及生物力学检测。研究结果发现:Micro CT结果发现术后各组腱骨界面间新生骨TMC量及BV/TV分数值比较差异均具有统计学差异,且新生骨Tb.Th及Tb.N值比较差异也均有统计学差异,但CPM+TD组TMC量、BV/TV分数值、Tb.Th及Tb.N值均明显低于CON组和CPM组(P<0.05),而各组之间Tb.Sp值比较差异则无统计学差异。V G染色结果显示虽然三组界面均有新生骨及软骨填充,但CPM+TD组界面间隙明显大于CON组及CPM组,且界面间形成的胶原纤维连接方向不一。术后8周CPM+TD组最大牵拉力明显低于CON组及CPM组(P<0.05),CPM组最大牵拉力则高于CON组(P>0.05)。结论说明术后过早主动运动介入的康复训练方案不利于腱骨组织工程界面的早期愈合,可能导致组织工程界面愈合不良,为不同康复训练方案在ACL重建后组织工程腱骨界面愈合中的应用提供了更多的实验依据。 展开更多
关键词 前交叉韧带重建 康复训练 组织工程界面 界面愈合
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渐进式康复训练对乳腺癌乳房重建患者上肢功能的影响
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作者 张霞 王妙维 +2 位作者 李果 王傲 魏全 《中国康复》 2023年第12期720-723,共4页
目的:研究渐进式康复训练对乳腺癌乳房重建术后上肢功能的影响。方法:将2021年11月~2022年5月进行乳腺癌乳房重建术的39例患者随机分为观察组20例和对照组19例,观察组接受渐进式康复训练,对照组接受常规护理。评估术后第1及3个月时患者... 目的:研究渐进式康复训练对乳腺癌乳房重建术后上肢功能的影响。方法:将2021年11月~2022年5月进行乳腺癌乳房重建术的39例患者随机分为观察组20例和对照组19例,观察组接受渐进式康复训练,对照组接受常规护理。评估术后第1及3个月时患者上肢功能恢复情况。结果:与对照组相比,观察组在术后第1及3个月时肩前屈、外展活动度明显增加(P<0.05),上肢功能障碍问卷(DASH)评分下降(P<0.05)。2组均未出现手术切口不愈合、皮瓣坏死、假体取出的情况。结论:渐进式康复训练能改善乳腺癌乳房重建患者的肩部活动度,提高上肢功能,具有较好的安全性。 展开更多
关键词 乳腺癌 乳房重建 康复训练
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新型下肢功能锻炼带联合运动训练在前交叉韧带重建术后康复中的临床应用
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作者 赵剑洁 曾燕华 陈晨 《中国当代医药》 CAS 2023年第26期46-49,54,共5页
目的观察新型下肢功能锻炼带联合运动训练在前交叉韧带重建术(ACLR)术后康复中的应用效果。方法选取2020年5月至2022年8月赣州市人民医院收治的86例行ACLR患者作为研究对象,按照随机数字表法分为对照组(常规运动训练)和研究组(对照组的... 目的观察新型下肢功能锻炼带联合运动训练在前交叉韧带重建术(ACLR)术后康复中的应用效果。方法选取2020年5月至2022年8月赣州市人民医院收治的86例行ACLR患者作为研究对象,按照随机数字表法分为对照组(常规运动训练)和研究组(对照组的基础上接受新型下肢功能锻炼带),每组各43例。比较两组患者膝关节功能评分、膝关节活动度、膝关节肿胀度、膝关节疼痛程度、下肢肌力和满意度。结果研究组干预4周后膝关节功能评分高于对照组,差异有统计学意义(P<0.05)。研究组干预4周后膝关节活动度大于对照组,膝关节肿胀度、膝关节疼痛程度小于对照组,差异有统计学意义(P<0.05)。研究组干预4周后屈肌峰力矩(FPT)、伸肌峰力矩(EPT)以及膝关节屈/伸肌群峰力矩比值(H/Q)高于对照组,差异有统计学意义(P<0.05)。研究组的总满意度高于对照组,差异有统计学意义(P<0.05)。结论新型下肢功能锻炼带联合运动训练用于ACLR患者,可有效改善膝关节肿胀度、膝关节活动度、膝关节疼痛程度,恢复膝关节功能和下肢肌力。 展开更多
关键词 新型下肢功能锻炼带 运动训练 前交叉韧带重建 术后康复 临床应用
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骨科专科护士主导的“互联网+医疗健康”干预在前交叉韧带重建病人中的应用效果 被引量:3
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作者 温雅婷 郭霞 +2 位作者 孙国堃 刘庆君 秦德春 《护理研究》 北大核心 2023年第11期2043-2048,共6页
目的:探讨由骨科专科护士主导的“互联网+医疗健康”干预方案在前交叉韧带重建病人中的应用效果。方法:采用方便抽样法,选取2019年10月—2020年11月在我院行前交叉韧带重建病人47例作为对照组,2020年12月—2021年11月在我院行前交叉韧... 目的:探讨由骨科专科护士主导的“互联网+医疗健康”干预方案在前交叉韧带重建病人中的应用效果。方法:采用方便抽样法,选取2019年10月—2020年11月在我院行前交叉韧带重建病人47例作为对照组,2020年12月—2021年11月在我院行前交叉韧带重建病人47例作为试验组。对照组实施常规的出院指导和随访,试验组采用由骨科专科护士主导的“互联网+医疗健康”干预方案。在出院当天及术后1个月、3个月、6个月收集并分析两组病人的主动膝关节活动度、Lysholm评分、康复锻炼依从性评分、膝关节稳定性检查及生活质量评分。结果:试验组主动膝关节活动度、Lysholm评分、康复功能锻炼依从性及生活质量评分均优于对照组(P<0.05)。两组病人膝关节Lachman实验和Pivot shift检查在干预期间均为阴性,无松弛与再断裂的情况,均不需要进行翻修。结论:骨科专科护士主导的“互联网+医疗健康”干预方案可以改善前交叉韧带重建病人术后早期的膝关节功能,提高康复锻炼的依从性及生活质量。 展开更多
关键词 前交叉韧带重建 骨科 专科护士 互联网+ 膝关节功能 康复护理
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经皮穴位电刺激联合下肢康复机器人用于膝关节前交叉韧带损伤重建术后康复研究 被引量:2
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作者 杨等 王寒明 +5 位作者 耿久军 王欢 周元元 杨冠男 郄淑燕 王莹 《中国医学装备》 2023年第4期100-104,共5页
目的:探讨经皮穴位电刺激联合下肢康复机器人在膝关节前交叉韧带损伤重建术后康复中的应用效果。方法:选取医院收治的120例膝关节前交叉韧带损伤重建术后患者,应用随机数表法将其分为观察组和对照组,每组60例。对照组患者术后应用经皮... 目的:探讨经皮穴位电刺激联合下肢康复机器人在膝关节前交叉韧带损伤重建术后康复中的应用效果。方法:选取医院收治的120例膝关节前交叉韧带损伤重建术后患者,应用随机数表法将其分为观察组和对照组,每组60例。对照组患者术后应用经皮穴位电刺激联合常规康复训练,观察组患者术后在对照组康复训练基础上增加下肢康复机器人进行康复治疗,比较两组临床治疗效果、患肢疼痛情况与肿胀情况、膝关节活动度及膝关节功能。结果:观察组治疗总有效率明显高于对照组,差异有统计学意义(χ^(2)=7.200,P<0.05)。治疗后两组患肢肿胀值及视觉模拟量表(VAS)评分均降低,差异有统计学意义(t观察组=19.554,t=24.023;t_(对照组)=13.257,t=20.531;P<0.05);治疗后观察组患肢肿胀值及VAS评分低于对照组,差异有统计学意义(t=13.551,t=33.243;P<0.05)。治疗后两组膝关节外旋度数、内旋度数以及屈伸度数均增加,差异有统计学意义(t观察组=27.765,t=33.457,t=21.107;t_(对照组)=20.993,t=19.091,t=12.236;P<0.05)。治疗后观察组外旋度数、内旋度数及屈伸度数高于对照组,差异具有统计学意义(t=25.124,t=12.454,t=14.648;P<0.05);治疗后两组患者膝关节主观(IKDC)评分及膝关节功能(Lysholm)评分均明显降低,差异具有统计学意义(t观察组=17.046,t=6.512;t_(对照组)=18.842,t=3.595;P<0.05),且观察组低于对照组(t=2.270,t=3.944,P<0.05)。结论:对膝关节前交叉韧带损伤重建术患者术后应用经皮穴位电刺激联合下肢康复机器人进行康复治疗,能够减轻患者临床症状,提升治疗效果,降低患者肢体肿胀程度与疼痛情况,提升膝关节活动度,提升患者整体膝关节功能,值得临床应用推广。 展开更多
关键词 经皮穴位电刺激 下肢康复机器人 膝关节 前交叉韧带损伤重建术 关节功能
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