美式脊椎矫正学在临床康复应用中的前景

美式脊椎矫正学起源于1895年的美国,目前遍及世界许多国家,是被WHO认可的广为流行的一种自然疗法。在注重整体、强调各器官、组织的整体平衡方面与我国中医相同。不同的是美式脊椎矫正严格建立在以脊椎解剖学、生物力学、X线影像学的基础之上,被视为传统自然疗法与现代医学科学相结合的独立学科。     

从一个康复“缺憾”个案看科学思维方法的意义

本文就一例截瘫患者从因分娩诱发患病、误诊误治到康复治疗实施的过程进行分析,通过总结在诊断、治疗和康复过程中的失误与经验,讨论我们在日常的工作中如何正确建立科学思维方法以及利用科学思维方法解决实际问题,以达到提高自身诊疗水平和独立思考能力的目的。     

骨折术后运动康复安全评定的几点体会

骨科学以运动系统疾病为对象,功能康复是骨科疾病治疗的最终目的。骨科治疗与康复是不可分割的整体。但骨科治疗与康复往往未能很好地结合,探索将两个学科有机地结合起来的安全运动康复评定的几点体会,制定出合理的运动处方,为较大限度地提高骨折疾病的功能疗效。     

Restauration d’un contexte de libre choix et insertion professionnelle des allocataires du RMI

This study deals with the vocational rehabilitation of minimum wage integration beneficiaries (RMI) and their commitment with an assistance service of vocational rehabilitation. We postulate that these public is perceived like not very autonomous by the welfare workers and that their freedom of action is some reduced. So we studied the impact of a context of freedom on the course of these public. Two results appeared. Firstly, a high context of freedom increases the commitment of people towards the welfare workers. Secondly, we observed that context of freedom did not have impact on the vocational rehabilitation of the individuals recently registered in RMI device. Nevertheless, in a freedom context, people registered since longer had the same probability to success that people recently registered in RMI device.     

大学生职业成熟度研究

本文对台湾学者的职业成熟度问卷进行了修订。结果显示经修订得到的大学生职业成熟度问卷具有较好的信度、效度,可以作为我国大学生职业成熟度的测量工具。     

Readiness to adaptively change under three conditions: Clinical,careers, and natural change situations

The Adaptive Change Model (ACM) was developed as an alternative form of the Transtheoretical Model of Change to address some of the criticisms of early operationalisation. Both models provide a framework for measuring the potentialities of change and to facilitate targeted behaviour change in general and clinical settings. In this research, the eight factors of the Adaptive Change Questionnaire (ACQ) operationalising the ACM were validated using confirmatory factor analysis, involving 238 respondents. The findings indicated a good fit between the model and data. A comparison of the mean scores of the factors of the ACM showed respondents seeking clinical therapy (n = 85) were lower on self‐rating of factors related to adaptive change than a group receiving career counselling (n = 88) and a non‐therapy group (n = 65). The ACQ factors correctly predicted the allocation of 79.3% of the clinical and non‐therapy respondents which confirmed previous research. The relevance of the findings for therapeutic interventions and future research are discussed.     

Reviewing psychologists' qualifications for career development practice in Australia

Vocational psychology and the practice of career development are important dimensions of the psychology discipline and profession. This paper contains an overview of Australian career development practice in light of recent trends, particularly the formalisation of career development practice among professions other than psychologists. Given the advent of professional standards for Australian career development practitioners, a review of postgraduate degrees in organisational, developmental and educational, and counselling psychology was conducted to determine their correspondence with the competencies presented in the Standards. The review found significant consistency with generic competencies. Degrees in organisational psychology provided the broadest correspondence, while degrees in counselling, developmental and educational psychology had lower levels of correspondence on specific competencies. The implications of the review are discussed in light of the evolution of the career development industry and psychologists' standing in this field.     

The Use of the Term Virtual Reality in Post-Stroke Rehabilitation: A Scoping Review and Commentary

Virtual reality (VR) offers many opportunities for post-stroke rehabilitation. However, “VR” can refer to several types of computer-based rehabilitation systems. Since these systems may impact the feasibility and the efficacy of VR interventions, consistent terminology is important. In this study, we aimed to optimize the terminology for VR-based post-stroke rehabilitation by assessing whether and how review papers on this topic defined VR and what types of mixed reality systems were discussed. In addition, this review can inspire the use of consistent terminology for other researchers working with VR. We assessed the use of the term VR in review papers on post-stroke rehabilitation extracted from Scopus, Web of Science and PubMed. We also developed a taxonomy distinguishing 16 mixed reality systems based on three factors: immersive versus semi-immersive displays, the way in which real and virtual information is mixed, and the main input device. 64% of the included review papers (N = 121) explicitly defined VR and 33% of them described different subtypes of VR, with immersive and non-immersive VR as the most common distinction. The most frequently discussed input devices were motion-capture cameras and handheld devices, while regular 2D monitors were the most frequently mentioned output devices. Our analysis revealed that reviews on post-stroke VR rehabilitation did not or only broadly defined “VR” and did not focus on a specific system. Since the efficacy and feasibility of rehabilitation may depend on the specific system, we propose a new data-driven taxonomy to distinguish different systems, which is expected to facilitate communication amongst researchers and clinicians working with virtual reality.     

Teaching medical staff psychological concepts via a hospital newsletter

Despite the increased recognition of the critical role of social and psychological factors in health and illness, the teaching of psychology is rarely integrated in medical education. Staff generally have minimal formal training in psychological concepts. Patients on the inpatient rehabilitation unit frequently present with unexpected reactions in response to acute trauma and resulting changes in identity and capabilities. Rehabilitation goals therefore, must be based on psychological, as well as physical, capacities. A one-page, user-friendly newsletter was designed to illustrate basic psychological principles via case vignettes. The topics of fear, countertransference, and resistance were selected as critical issues staff frequently encounter in their work with patients. The newsletters provided the staff with basic conceptual tools for effectively treating patients, and the work of psychologists was demystified. The newsletter format is proposed as a creative adjunct to didactic teaching.Copies of the newsletter Insight can be obtained by request from Dr. Gold.