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301.
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观察由护士辅助上肢运动能力康复训练与患者自助Bobath握手上举训练对脑卒中偏瘫患者上肢功能恢复的影响。将60名患者随机分为对照组和试验组,对照组患者自助做Bobath握手上举训练,试验组由护士给予上肢运动能力分期康复训练。1个月后,两组患者上肢功能差异及日常生活活动(activities of daily living,ADL)能力差异有统计学意义(P〈0.05)。1个月后,两侧肩峰差差异也有非常显著的统计学意义(P〈O.01)。因此,由护士给予上肢运动能力分期康复训练有利于脑卒中偏瘫患者提高上肢功能和日常生活活动能力,以及保持正常的人体姿势利于患者康复。 相似文献
303.
Previous studies have shown that inclusion of arm swing in gait rehabilitation leads to more effective walking recovery in patients with walking impairments. However, little is known about the correct arm-swing trajectories to be used in gait rehabilitation given the fact that changes in walking conditions affect arm-swing patterns. In this paper we present a comprehensive look at the effects of a variety of conditions on arm-swing patterns during walking. The results describe the effects of surface slope, walking speed, and physical characteristics on arm-swing patterns in healthy individuals. We propose data-driven mathematical models to describe arm-swing trajectories. Thirty individuals (fifteen females and fifteen males) with a wide range of height (1.58–1.91 m) and body mass (49–98 kg), participated in our study. Based on their self-selected walking speed, each participant performed walking trials with four speeds on five surface slopes while their whole-body kinematics were recorded. Statistical analysis showed that walking speed, surface slope, and height were the major factors influencing arm swing during locomotion. The results demonstrate that data-driven models can successfully describe arm-swing trajectories for normal gait under varying walking conditions. The findings also provide insight into the behavior of the elbow during walking. 相似文献
304.
Matthews LR 《Behaviour research and therapy》2005,43(4):475-483
Work potential in adult survivors of road accidents with and without post-traumatic stress disorder (PTSD) was examined at a mean of 8.6 months (SD = 3.77) post-accident. All participants were working prior to their accident. Results showed that survivors with PTSD had significantly less work potential post-accident than survivors without PTSD. Specific barriers to employability for survivors with PTSD identified by this study included high levels of depression, reduced time-management ability, and an over-concern or anxiety with physical injuries. Respondents with PTSD, however, reported significantly greater extrinsic motivation to work than those without PTSD. Early intervention and referral to occupational rehabilitation programs that: (1) help address these barriers to employability and stimulate the existing motivation to return to work, and (2) work alongside clinical treatment programs, may assist in the reduction of poor work outcomes that people with PTSD following road accidents often experience. 相似文献
305.
急性心肌梗死早期康复治疗的探讨 总被引:1,自引:0,他引:1
黎兰芳 《医学与哲学(人文社会医学版)》2005,26(4):63-64
遵循生物 -心理 -社会医学模式 ,结合传统康复治疗从生物功能、心理功能、社会功能三方面去探讨急性心肌梗死的早期康复治疗是切实可行的 ,而且明显优于传统的康复治疗 ,实行早期康复治疗时应从生物功能、心理功能、社会功能三个方面综合考虑 ,不宜偏废任何一方 相似文献
306.
中国卒中单元的模式探讨 总被引:8,自引:0,他引:8
卒中单元是针对急性卒中病人综合性治疗和康复的医疗单元,循证医学证据表明卒中单元是目前脑卒中治疗的最有效措施,建立有中国特色的卒中单元是我国目前脑血管病临床实践的当务之急。我们应该因地制宜,建立符合中国国情的卒中单元模式,卒中的早期康复治疗中应包括针灸疗法。 相似文献
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308.
There are many factors to consider in designing and interpreting group studies. These include both analytic considerations, such as the selection of valid and reliable outcome measures, and subjective considerations, such as the selection of outcomes that are perceived to be important to participants and researchers. In this paper, we review key issues to consider in the design of group studies in neurorehabilitation, using problem-solving studies in traumatic brain injury as an example. 相似文献
309.
《Occupational Therapy in Mental Health》2012,28(4):361-385
AbstractCentralized Off-Unit Programing With Extended hours (COPE) is a recovery-oriented model of service that aims to address limited occupational engagement and social isolation among inpatient clients with serious mental illness. This study explored the self-reported outcomes of 12 clients using semi-structured interviews and pre- and post- administration of the Personal Recovery Outcome Measure. These outcomes were supported by significant improvements in personal recovery and included sense of choice, occupational engagement, socialization, change in environment, skill learning, and improved sense of wellness. These findings provide preliminary evidence on the COPE model of service and its potential role in promoting personal recovery. 相似文献
310.