Effect Of Postoperative Rehabilitation Research Articles

Effect of Acoustic Environment in Wards on Postoperative Rehabilitation in Patients with Oral Cancer: A Retrospective Study.

The increase in patient flow, replacement of medical equipment, and variations in surrounding environments induce increasingly serious acoustic environment problems in hospitals. This study aims to provide additional bases for the formulation of subsequent management plans in clinical practice by analyzing the influence of the acoustic environment in wards and the postoperative rehabilitation effect among patients with oral cancer. The medical records of 210 patients with oral cancer undergoing surgical treatment in Jinan Stomatological Hospital from February 2020 to October 2022 were selected for retrospective analysis. Patients with the acoustic environment in wards >55 and ≤55 dB were classified as groups A and B, respectively, according to the acoustic environment in wards. The effects of the acoustic environment in wards on postoperative blood pressure, blood viscosity, and blood glucose fluctuation (BGF) were observed to further analyze their relationship. No significant difference was observed in indices such as preoperative systolic pressure (SP), diastolic pressure (DP), cardiac output (CO), postoperative CO, total cholesterol, and low- and high-density lipoproteins between the two groups (P > 0.05). The SP, DP, whole blood low-shear viscosity (WBLSV), whole blood middle-shear viscosity (WBMSV), whole blood high-shear viscosity (WBHSV), and BGF in group B were significantly lower than group A (P < 0.05). Correlation results showed that the total mean value of the acoustic environment in wards was positively correlated with SP, DP, WBLSV, WBMSV, WBHSV, and BGF (P < 0.05). The high acoustic environment in wards is significantly positively correlated with postoperative blood pressure, blood viscosity, and BGF in patients with oral cancer. The hospital should focus on and strengthen the management of the acoustic environment in wards, providing additional schemes to promote the postoperative recovery of patients with oral cancer.

Effects of staged rehabilitation training on inflammatory factor levels and red blood cell distribution width followingcardiac valve replacement

BackgroundThe current study was conducted aimed atexploring the effects of staged rehabilitation training on the levels of inflammatory factors and red blood cell distribution in patients who underwent cardiac valve replacement.MethodsA total of 140 patients who underwent cardiac valve replacement at The First Hospital of Hebei Medical University between April 2021 and November 2022 were included in this study. During the postoperative rehabilitation phase, the patients were randomly assigned to either the control group or the experimental group. The experimental group received staged rehabilitation training (n = 70), while the control group received conventional care and rehabilitation suggestions without specialized staged rehabilitation training (n = 70). Informed consent was obtained from all patients prior to theirinclusion in the study. Clinical data of the patients were collected andanalyzed. RDW was measured using an automated blood cell analyzer on postoperative day 1, 14, and 28. Levels ofTNF-α, IL-6 and CRP were measured using ELISA. Quality of life was evaluated usingthe WHOQOL-BREF questionnaire. The effects of postoperative rehabilitation were assessed using the 6MWD test. The occurrence of adverse events in the postoperative periodwas alsoanalyzed.ResultsThere were no significant differences in the general characteristics of the two groups of patients (P > 0.05). On the first day after surgery, no significant differences were seen in RDW between the two groups (P > 0.05). However, on the 14th and 28th day after surgery, the experimental group exhibited a significant reduction in RDW compared to the control group (P < 0.05). On the first day after surgery, the levels of serum TNF-α, IL-6 and CRP were comparable between the two groups (P > 0.05). However, on the 14th and the 28th after surgery, the experimental group showed evidently lower levels of TNF-α, IL-6 and CRP compared to the control group (P < 0.05). The experimental group demonstrated higher scores in the domains of physical health, psychological state, social relationships, and environment in the WHOQOL-BREF questionnaire compared to the control group (P < 0.05). Furthermore, the experimental group exhibited increased average,minimum,maximum walking distances in the6-minute walking test compared to the control group (P < 0.05). There were no significant differences in the incidence of postoperative adverse events between the two groups of patients (P > 0.05).ConclusionStaged rehabilitation training exerteda positive effect on the levels of inflammatory factors and red blood cell distribution in patients following cardiac valve replacement. This type of rehabilitation training facilitated the patient’s recovery process by reducing the inflammatory response and improving the condition of red blood cells. Additionally, it enhanced the quality of life and rehabilitation outcomes for patients.

Surgical Interventions for the Management of Carpal Tunnel Syndrome: A Narrative Review.

Carpal tunnel syndrome (CTS) is a severe condition that affects the hand, causing pain, numbness, paresthesia, and autonomic dysfunction caused by increased pressure, damage, and demyelination of the median nerve in the carpal tunnel. The most effective treatment for CTS is carpal tunnel release (CTR) via transverse carpal ligament (TCL) transect. We can apply decompression through endoscopic procedures; standard open techniques and minimally invasive wrist incisions can all be used to accomplish decompression. Superior outcomes have been reported in many studies, including patient satisfaction, symptom relief, improvements in multiple assessment modality results, and fewer complications. Soreness at the incision site, tenderness around the site of ligament release, transitory loss of motor or sensory function, and the need for a repeat operation are all postoperative consequences. There is minimal and low-quality evidence to support the effectiveness of postoperative rehabilitation, such as wrist orthoses, dressings, exercise, and ice therapy, which have benefited patients anecdotally.

Comparative analysis of post-operative rehabilitation approaches for medial patellar luxation in small-breed dogs

Background and Aim: Electrical stimulation (ES) and light amplification by stimulated emission of radiation (LASER) therapy are frequently used in post-operative rehabilitation; however, there is currently insufficient research comparing their effectiveness. This study aimed to assess the effectiveness of post-operative rehabilitation following medial patellar luxation (MPL) surgical correction by comparing ES and LASER therapy when combined with exercise. This was compared with a control group that consisted solely of post-operative home exercise implemented by the owner. Materials and Methods: We conducted a prospective clinical trial on dogs that had undergone surgical treatment for MPL. The dogs were categorized into the following three groups: The control group, which did not participate in any post-operative rehabilitation program; the ES group, which received post-operative rehabilitation involving ES therapy; and the LASER group, which underwent post-operative rehabilitation featuring LASER therapy. Results: There were no significant differences among the groups regarding the evaluation parameters, including lameness score, pain score, thigh muscle circumference, and range of motion. Although there may have been a difference in pain score in some groups, it could be attributed to the pre-operative condition of patients. These results aligned with the owner questionnaires’ canine brief pain inventory assessments, showing no significant differences between treatment groups. Conclusion: Post-operative rehabilitation for MPL correction may enhance limb usage, joint function, muscle mass, and pain relief. However, the duration and level of post-operative pain may influence the necessity for rehabilitation. In addition, ES and LASER therapy offer similar pain-relieving effects after MPL surgery; therefore, the choice between these methods depends on the availability of equipment and veterinarian preferences. Keywords: electrical stimulation, light amplification by stimulated emission of radiation therapy, medial patellar luxation, post-operative management, rehabilitation.

Individual Factors Modifying Postoperative Pain Management in Elective Total Hip and Total Knee Replacement Surgery.

Total hip and knee replacements are the most common orthopedic procedures performed due to osteoarthritis. Pain is an intrinsic symptom accompanying osteoarthritis, persisting long before surgery, and continuing during the preoperative and postoperative periods. Appropriate pain management after surgery determines the comfort, duration, and cost of hospitalization, as well as the effectiveness of postoperative rehabilitation. Individual differences in pain perception and tolerance in orthopedic patients remain an important research topic. Therefore, the aim of this study was to investigate the predictors of analgesic requirements (morphine, acetaminophen, and ketoprofen), including individual pain threshold and tolerance, body mass index (BMI), diabetes, and beliefs about pain control in patients undergoing elective hip or knee arthroplasty using a multilevel regression model (N = 147, 85 women, 62 men, 107 after hip replacement, and 40 after knee replacement). Results: Higher pain tolerance was associated with a lower dose of morphine per kg after surgery. Patients undergoing hip surgery received a lower dose of ketoprofen than patients undergoing knee surgery. The more the patient believed in personal pain control, the stronger the negative relationship between pain tolerance and morphine requirement. The lowest doses were given to patients with the highest pain tolerance and the greatest belief in personal control. Factors such as belief in pain control and pain tolerance should be considered in comprehensive postoperative pain management in orthopedic patients to reduce opioid doses and, thus, side effects.

Outcomes of Physiotherapy Exercises After Total Knee Replacement Surgery

Introduction: Total knee replacement (TKR) surgery is a common procedure for severe knee osteoarthritis, improving the quality of life for many patients. Despite surgical success, optimal recovery heavily relies on effective post-operative rehabilitation. This systematic review aimed to evaluate the effectiveness of various physiotherapy exercises in enhancing recovery outcomes following TKR, focusing on knee function, pain reduction, and patient satisfaction. Methods: A comprehensive search of PubMed, Scopus, Cochrane Library, and Web of Science was conducted, focusing on interventional studies and clinical trials published in the last five years up to 2022. Studies included were those evaluating physiotherapy interventions post-TKR, with clear measures on efficacy regarding patient outcomes. Exclusion criteria encompassed non-exercise-based rehabilitations, observational studies, and non-English publications. Data extraction focused on intervention types, sample sizes, and outcome measures. Results: Twelve studies were included, with sample sizes ranging from 30 to over 200 participants. Interventions varied from in-person physiotherapy, home-based exercises, high-intensity training, to tele-rehabilitation. High-intensity physiotherapy programs were associated with a 40% greater improvement in knee function compared to standard care. Tele-rehabilitation provided comparable outcomes in terms of pain management and mobility improvements, with patient satisfaction exceeding 80% in some studies. However, adherence and exercise intensity were noted challenges in remote settings. Conclusions: The review highlights physiotherapy's pivotal role in post-TKR recovery, with high-intensity programs showing significant benefits in knee function. Tele-rehabilitation emerges as a promising alternative, potentially increasing access to care. These findings support the integration of structured physiotherapy into rehabilitation protocols to maximize recovery outcomes. Future research should explore strategies to enhance adherence and effectiveness of tele-rehabilitation services.

Depth camera-based model for studying the effects of muscle loading on distal radius fracture healing

BackgroundDistal radius fractures (DRFs) treated with volar locking plates (VLPs) allows early rehabilitation exercises favourable to fracture recovery. However, the role of rehabilitation exercises induced muscle forces on the biomechanical microenvironment at the fracture site remains to be fully explored. The purpose of this study is to investigate the effects of muscle forces on DRF healing by developing a depth camera-based fracture healing model. MethodFirst, the rehabilitation-related hand motions were captured by a depth camera system. A macro-musculoskeletal model is then developed to analyse the data captured by the system for estimating hand muscle and joint reaction forces which are used as inputs for our previously developed DRF model to predict the tissue differentiation patterns at the fracture site. Finally, the effect of different wrist motions (e.g., from 60° of extension to 60° of flexion) on the DRF healing outcomes will be studied. ResultsMuscle and joint reaction forces in hands which are highly dependent on hand motions could significantly affect DRF healing through imposed compressive and bending forces at the fracture site. There is an optimal range of wrist motion (i.e., between 40° of extension and 40° of flexion) which could promote mechanical stimuli governed healing while mitigating the risk of bony non-union due to excessive movement at the fracture site. ConclusionThe developed depth camera-based fracture healing model can accurately predict the influence of muscle loading induced by rehabilitation exercises in distal radius fracture healing outcomes. The outcomes from this study could potentially assist osteopathic surgeons in designing effective post-operative rehabilitation strategies for DRF patients.

The effect of enteral nutrition nursing intervention on postoperative treatment of chronic critically ill patients: Health prevention data analysis

The field of genomics has witnessed remarkable advancements, leading to the gradual clarification of the genetic mechanism underlying various cancers. As a result, there has been an increased emphasis on gene prevention and treatment. Against this backdrop, this paper aims to examine the impact of enteral nutrition nursing intervention on the postoperative treatment of patients with chronic critical illness, with a focus on health prevention. Based on an analysis of the clinical data of patients with chronic critical illness, the study found that enteral nutrition nursing intervention plays a crucial role in enhancing the nutritional status of patients, reducing the incidence of complications, shortening the length of hospital stay, and improving the effect of postoperative rehabilitation. The study's results provide valuable insights into the efficacy of enteral nutrition nursing intervention in the postoperative treatment of patients with chronic critical illness. By improving the nutritional status of patients, enteral nutrition nursing intervention can help reduce the risk of complications, shorten the length of hospital stay, and enhance the effectiveness of postoperative rehabilitation. These findings underscore the importance of adopting effective interventions such as enteral nutrition nursing to improve the therapeutic outcomes of chronic critical illness patients and achieve the goal of health prevention.

Does Accelerated Rehabilitation Provide Better Outcomes Than Restricted Rehabilitation in Postarthroscopic Repair of Meniscal Injury?

Meniscal injury is a common pathology, and the postoperative rehabilitation program is essential to patients after surgery. However, the optimal rehabilitation plan after meniscus suture is still controversial. To compare the clinical outcomes between accelerated rehabilitation and restricted programs in patients with meniscus suture (with or without anterior cruciate ligament reconstruction, ACLR). Four databases, including PubMed, Ovid, Embase, and the Cochrane Library, were searched up to November 2021. This study only included studies comparing the clinical outcomes between accelerated (immediate range of motion and weight-bearing) and restricted rehabilitation (immobilization and progressive weight-bearing) for meniscus suture. All selected studies were divided into 2 subgroups: isolated meniscus suture or combined with ACLR. The Lysholm score, Tegner score, and Knee Injury and Osteoarthritis Outcome Score were evaluated in simple meniscus sutures no less than 1year. Failure rate was evaluated in both groups, and the tunnel enlargement was additionally evaluated in patients who underwent ACLR. Eleven studies with 612 patients were eligible for analysis. The accelerated group included 4 studies with 330 participants, while the restricted group included 7 studies with 282 participants. For the patients after isolated meniscus suture, the accelerated group achieved higher Lysholm scores (mean difference = -4.66; 95% confidence interval, -8.6 to -0.73; P = .02; I2 = 88%) than the restricted group. For the patients after meniscus suture with ACLR, patients undergoing accelerated rehabilitation were associated with a significantly larger tibial tunnel enlargement in the anterior-posterior view (mean difference = -7.08; 95% confidence interval, -10.92 to -3.24; P = .0003; I2 = 0%) and lateral view (mean difference = -10.33; 95% confidence interval, -16.9 to -3.75; P = .002; I2 = 17%). This meta-analysis evaluated the effects of postoperative rehabilitation in either accelerated or restricted programs in patients with meniscus lesions after repair. A significant higher mean self-reported function was discovered at final follow-ups in the accelerated group. However, a significant increase in tibial tunnel enlargement was also found in accelerated group.

Establishment and Verification of a Predictive Nomogram for New Vertebral Compression Fracture Occurring after Bone Cement Injection in Middle-Aged and Elderly Patients with Vertebral Compression Fracture.

New vertebral compression fracture (NVCF) occurring after bone cement injection in middle-aged and elderly patients with vertebral compression fracture is very common. Preoperative baseline characteristics and surgical treatment parameters have been widely studied as a risk factor, but the importance of the patients' laboratory indicators has not been thoroughly explored. We aimed to explore the relationship between laboratory indicators and NVCF, and attempt to construct a clinical prediction model of NVCF together with other risk factors. Retrospective analysis was performed for 200 patients who underwent bone cement injection (percutaneous kyphoplasty or vertebroplasty) for vertebral compression fractures between January 2019 and January 2020. We consulted the relevant literature and collated the factors affecting the occurrence of NVCF. Feature selection of patients with NVCF was optimized using the least absolute shrinkage and selection operator regression model, which was used to conduct multivariable logistic regression analysis, to create a predictive model incorporating the selected features. The discrimination, calibration, and clinical feasibility of the predictive model were assessed using the concordance index (C-index), calibration plots, and decision curve analysis. Internal validation was performed using Bootstrap resampling verification. Time from injury to surgery exceeding 7 days, low osteocalcin levels, elevated homocysteine levels, osteoporosis, mode of operation (percutaneous vertebroplasty), lack of postoperative anti-osteoporosis treatment, and poor diffusion of bone cement were independent risk factors for NVCF in middle-aged and elderly patients with vertebral compression fracture after bone cement injection. The C-index of the nomogram constructed using these seven factors was 0.895, indicating good discriminatory ability. The calibration plot showed that the model was well calibrated. Bootstrap resampling verification yielded a significant C-index of 0.866. Decision curve analysis demonstrated that the greatest clinical net benefit for predicting NVCF after bone cement injection could be achieved with a threshold of 1%-91%. This nomogram can effectively predict NVCF incidence after bone cement injection in middle-aged and elderly patients with vertebral compression fracture, thus aiding clinical decision-making and postoperative management, promoting effective postoperative rehabilitation, and improving the quality of life.

The Influence of Early Rehabilitation on Changes in the Range of Spinal and Thoracic Mobility in Patients after Thoracotomy Due to Lung Cancer Depending on Used Anaesthesia

Introduction: To the best of our knowledge, no reports are available on the relationship between the technique of anaesthesia and the effects of rehabilitation. Objective: The aim of the study is to assess the effectiveness of early rehabilitation on changes in range of spinal and thoracic mobility with different pain control after thoracotomy due to lung cancer. Material and methods: The study involved 100 patients following lung lobe resection by open anterolateral thoracotomy. After the operation, participants were assigned to 2 groups depending on the use of additional anaesthesia. All participants received standardised post-operative physiotherapy. The range of mobility of the spine and chest, the verbal rating scale (VRS) and visual analogue scale (VAS) were measured before and on the 1st, 3rd and 7th day after surgery. Results: In the study, an increase was shown in measurements for patients from both groups undergoing the rehabilitation programme after surgery. Mobility was highly significant in the study group. However, the mobility of the chest decreased in both groups, and in subsequent measurements following physiotherapy, its range improved, although it did not reach the baseline level even on the 7th day after the procedure. Consequently, 1 week after surgery, the decrease in spinal mobility among the group with standard anaesthesia was 1.3 cm greater than in the group with additional anaesthesia (-1.5 vs. -0.2 cm). Pain changes were greater in the control group. Conclusions: 1. It may be concluded that the mobility of the thoracic spine after the procedure in decreased both groups, to later significantly improve for subsequent measurements in favour of patients with additional analgesia. 2. Respiratory mechanics of the chest and the level of pain, both measured by the VRS and VAS, systematically decreased in subsequent measurements after surgery among both groups, however, greater respiratory mobility was noted in the group of patients with additional analgesia. 3. It was demonstrated that the patients from the study group achieved optimal measurement values in relation to the control group, which were measured several times after the procedure, demonstrating a shorter and effective post-operative rehabilitation process.

Risk Factors for Healthcare-Associated Infections in Pediatric Cardiac Surgery

Introduction: Congenital heart defects are one of the most common malformations. Almost 50 % of patients with congenital heart defects require cardiac surgery. Nosocomial infections strongly influencing the effectiveness of postoperative rehabilitation remain among the major problems of modern health care. Objective: To establish risk factors for infectious complications in children with congenital heart defects after cardiac surgery. Materials and methods: In 2014 to 2021, we conducted a case–control study of 603 patients under the age of 18 with congenital heart defects who underwent 643 cardiac surgeries at the perinatal center. The case cohort included 134 children of both sexes having infectious complications while the control cohort included 469 children of both sexes showing no signs of nosocomial infections after cardiac surgeries. We assessed the role of endogenous and exogenous risk factors for postoperative infectious complications and the relationship between the exposure and the outcome based on the odds ratio. Testing for significance of differences was performed by hypothesis assessment with the calculation of the p-value and estimation of confidence intervals. Results: The incidence density of healthcare-associated infections was 15.6 (13.26–18.32) per 1,000 patient-days. The most significant endogenous and exogenous risk factors were identified. Conclusions: The established predictors of infectious complications indicate the need for a risk-based approach to prevention of nosocomial infections in pediatric cardiac surgery.

Summary of experience in cochlear implantation surgery in Tibet and analysis of postoperative rehabilitation effect

Cochlear implant surgery is now recognized as the most effective intervention for patients with severe and profound sensorineural hearing loss. Due to various factors such as high altitude, low oxygen content, and ethnic differences in Tibet, the early hearing screening found that the incidence of neonatal hearing loss was significantly higher than in the mainland. With the great assistance of the China Disabled Persons' Federation, the first cochlear implant surgery was carried out in Tibet in 2011, and a total of 116 cases have been completed. This article aims to summarize the clinical experience of cochlear implant surgery in Tibet for ten years and retrospectively analyze the postoperative rehabilitation effect, so as to improve the understanding of cochlear implant surgery in plateau areas.

Evaluation of the effectiveness of rehabilitation of patients before coronary bypass surgery using dry carbon dioxide baths and respiratory training

BACKGROUND: Preoperative rehabilitation of patients before coronary bypass surgery using non-drug technologies is aimed at increasing adherence to treatment, improving psychoemotional stability and the results of surgical intervention and subsequent postoperative rehabilitation.&#x0D; AIMS: the aim of the study was to evaluate the effectiveness of pre-rehabilitation of patients before coronary bypass surgery, including dry carbon dioxide baths and respiratory training in a day hospital.&#x0D; MATERIALS AND METHODS: Under observation were 36 male patients aged 3455 years before surgery for coronary heart disease. Depending on the activities carried out, the subjects are divided into two groups. Patients in the control group (n=18) received a basic complex of a lipid-lowering diet with salt restriction, therapeutic exercises in a small group method, dosed walking, sessions with a psychologist, and drug therapy. Patients of the main group (n=18) received, in addition to the basic complex, dry carbonic baths and respiratory training using breathing simulators.&#x0D; RESULTS: The use of dry carbon dioxide baths and respiratory training in prehabilitation before coronary bypass surgery is accompanied by an increase in physical performance, improvement of clinical, hemodynamic and psychological parameters.&#x0D; CONCLUSION: The inclusion of dry carbon dioxide baths and respiratory training in the complexes of preoperative rehabilitation of patients with coronary artery disease contributes to an increase in their adherence to treatment and surgical intervention, as well as to an increase in the effectiveness of postoperative rehabilitation.

Clinical Efficacy Analysis of Fast Rehabilitation Nursing on Pain Mitigation after Lumbar Discectomy and Bone Graft Fusion and Internal Fixation.

Objective To investigate clinical efficacy analysis of fast rehabilitation nursing on pain mitigation after lumbar discectomy and bone graft fusion and internal fixation. Methods A total of 60 patients with lumbar disc herniation who underwent lumbar discectomy and bone graft fusion and internal fixation in our hospital from January 2021 to December 2021 were randomized either into routine group (n = 30) or rehabilitation group (n = 30) via the random number table method. The patients in the routine group were intervened with the routine postoperative nursing mode, and the patients in the rehabilitation group were intervened with the fast rehabilitation nursing mode on the basis of the nursing of the patients in the routine group. The rehabilitation effect, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores, postoperative pain improvement, and nursing satisfaction were compared between the two groups. Results The postoperative rehabilitation effect of the rehabilitation group was significantly better than that of the routine group (P < 0.05). The fast rehabilitation nursing resulted in a notably lower postoperative SAS and SDS scores versus the routine nursing (P < 0.001). The postoperative pain was significantly mitigated in the rehabilitation group when compared with the routine group (P < 0.001). The fast rehabilitation nursing implemented in the rehabilitation group led to a remarkably higher nursing satisfaction of the patients (P < 0.001). Conclusion The fast rehabilitation nursing mode intervention for lumbar disc herniation patients undergoing lumbar discectomy and bone graft fusion and internal fixation is a promising approach to improve the postoperative rehabilitation, mitigate postoperative pain, and relieve anxiety, depression, and other negative emotions, with higher clinical nursing satisfaction.

Postoperative rehabilitation effect and influence factors of adult prelingual deafness with cochlear implant

Objective: To investigate whether pre-lingual deafness adult caused by inadequate auditory compensation in childhood can benefit from cochlear implants and the related influencing factors. Methods: A total of 26 prelingual deafness as experimental group [11 males and 15 females, the age of operation was (24.5±5.7) years] and 13 postlingual deafness as control group [5 males and 8 females, the age at the time of operation was (42.2±11.4) years] were recruited. Objective assessment included hearing threshold and speech recognition rate tests while wearing cochlear implants. Subjective assessment used Nijmegen Cochlear Implant Questionnaire to assess hearing-related quality of life of subjects. The changes of hearing ability in the prelingual deafness group before and after operation and the differences with the postlingual deafness group were compared, and the correlation between speech recognition ability and the age diagnosed as severe or profound deafness, the age of hearing aid invalid, and duration of wearing cochlear implant were analyzed as factor indicators. All statistical results were analyzed by SAS 9.4 software. Results: In terms of objective indicators, the speech recognition rate of pre-lingual deafness was significantly lower than that of post-lingual deafness [(35.4±28.0)% vs (80.9±8.0)%,t=7.67, P<0.001], while there was no statistical difference in hearing threshold between the two groups [(34.8±4.0) dB HL vs (33.1±3.7) dB HL, t=1.30, P>0.05]. The indicators in the subjective questionnaire showed that the prelingual deafness group was only weaker in advanced sound perception, confidence and total mean score than the post-lingual deafness group (P<0.05), and there was no significant difference in other aspects(P>0.05), meanwhile, all indicators of the prelingual deafness group were significantly improved compared with the preoperative level (P<0.001). There was a moderate positive correlation between the hearing quality and the speech recognition rate in the prelingual deafness group(r=0.51, P=0.008). The regression analysis showed that the invalid age of hearing aid was the exact influencing factor of speech recognition rate. Conclusions: Certain prelingual deaf adults can adapt to cochlear implants and obtain different degrees of auditory assistance. Compared with the improvement of objective auditory ability assessment, the patient who received cochlear implantation gain more improvement in auditory related quality of life subjectively. The ineffective age of preoperative hearing aid is an important factor, which needs to be aroused sufficient preoperative attention.

Emerging Limb Rehabilitation Therapy After Post-stroke Motor Recovery.

Stroke, including hemorrhagic and ischemic stroke, refers to the blood supply disorder in the local brain tissue for various reasons (aneurysm, occlusion, etc.). It leads to regional brain circulation imbalance, neurological complications, limb motor dysfunction, aphasia, and depression. As the second-leading cause of death worldwide, stroke poses a significant threat to human life characterized by high mortality, disability, and recurrence. Therefore, the clinician has to care about the symptoms of stroke patients in the acute stage and formulate an effective postoperative rehabilitation plan to facilitate the recovery in patients. We summarize a novel application and update of the rehabilitation therapy in limb motor rehabilitation of stroke patients to provide a potential future stroke rehabilitation strategy.

Surgical repair of the supraspinatus: pre- and postoperative architectural changes in the muscle.

Shortening of the tendon and muscle is recognised as a strong predictor of surgical failure of supraspinatus tendon tears. Changes in muscle architecture following repair have not been thoroughly investigated. Hence, we aimed to compare the pre- and postoperative architecture of the supraspinatus. We recruited eight participants with full-thickness supraspinatus tears. Images of the supraspinatus were captured preoperatively (pre-op) and postoperatively at one month (post-op1), three months (post-op2) and six months (post-op3) in relaxed and contracted states (0º and 60º glenohumeral abduction). Fibre bundle length (FBL), pennation angle (PA) and muscle thickness were quantified. Self-reported function, and maximal isometric abduction and external rotation strengths were assessed. The mean FBL increased from pre-op to post-op1 (p = 0.001) in the relaxed state and from pre-op to post-op2 (p = 0.002) in the contracted state. Decrease in FBL was observed from post-op2 to post-op3 in the relaxed state. The mean PA decreased from pre-op to post-op1 (p < 0.001) in the relaxed state, but increased from post-op2 to post-op3 in both relaxed (p = 0.006) and contracted (p = 0.004) states. At post-op3, external rotation (p = 0.009) and abduction (p = 0.005) strengths were greater than at post-op2. Overall function increased by 47.67% from pre-op to post-op3. Lengthening of the supraspinatus occurs with surgery, altering the length-tension relationship of the muscle, which can compromise muscle function and lead to inferior surgical outcomes. These findings may guide clinicians to optimise loads, velocities and shoulder ranges for effective postoperative rehabilitation.

Specific Features of Postoperative Rehabilitation of Patients with Secondary Hyperparathyroidism After Parathyroid Surgery Intervention

Aim: The objective of the research is to assess the effectiveness of postoperative rehabilitation of patients with secondary hyperparathyroidism (SHPT) after parathyroid surgery intervention (PTSI). Materials and Methods: The research focused on 143 patients with SHPT after PTSI who experienced chronic renal failure and were on programmed hemodialysis, the ASA risk III-IV. PTSI was performed under general anesthesia. After surgery, group I patients (n=71) received a “potassium-free” diet, programmed hemodialysis, calcium preparations, prophylactic doses of heparins, and symptomatic treatment. In group II (n=72), rehabilitation measures were supplemented with the administration of glucocorticoids with the control of blood cortisol and metabolism. Results: After PTSI, all patients felt general weakness, had a low level of ionized blood calcium, hemodynamic, oxygen and metabolism disorders, with more pronounced manifestations in group I. In group II, synchronously with the reduction of metabolic disorders, hemodynamics and oxygen level were restored to reference values, and hypocalcemia was quickly corrected with administering calcium (≥2g/day). Conclusions: The use of glucocorticoids accompanied with the control of blood cortisol levels and indirect calorimetry during the rehabilitation of patients with SHPT after PTSI accelerates the recovery of life support functions of patients and improves the results of their rehabilitation.

Effect of Health Education on Patients with Cervical Human Papilloma Virus Infection

Cervical HPV is an important factor leading to the occurrence of cervical cancer. Its occurrence and development is a gradual pathological change process, including high-risk HPV persistent infection, CIN, early invasive cancer and invasive cancer from quantitative to qualitative changes Continuous development process. At present, there is no good treatment for patients who have been infected with HPV. In order to enable HPV to achieve better prevention effects and postoperative rehabilitation effects, we have analyzed the application effects of health education in patients with cervical HPV infection to understand the importance of health education. Through a survey of patients who have undergone HPV treatment in hospitals in this city, the rehabilitation of patients who have adopted the same treatment method is compared. Experimental results prove that patients who have undergone the same treatment, but nave different levels of understanding of health education, have a great difference in their rehabilitation. Patients who understand health education are less than those who do not understand health education, and they receive treatment in patients. Later, patients who understand health education recover more than 40% faster than those who do not. This shows that health education plays an important role in the prevention and treatment of HPV, which can effectively prevent the occurrence of HPV, improve the postoperative rehabilitation effect of patients, and reduce postoperative risks.