Function Rehabilitation In Patients Research Articles

Virtual planning, guided surgery, and digital prosthodontics in the treatment of extended mandible chondrosarcoma.

Chondrosarcoma is among the most common primary bone tumors in adults. In the mandible, chondrosarcoma is a very uncommon malignant cartilage-producing tumor. This case report shows how virtual planning combined with other digital technologies may improve masticatory function rehabilitation in patients with enlarged mandibular chondrosarcoma. The present study reports a case of a 52-year-old male patient who was initially diagnosed with a mandible chondroma, which was successfully excised with no evidence of malignant transformation. Nevertheless, the patient's symptoms recurred after 10 years, and a subsequent diagnosis of mandible chondrosarcoma was established, prompting the need for subtotal mandible resection and reconstruction with a fibula-free flap. Following a healing period, the patient underwent dental implant surgery to restore the mandibular dental arch, which was performed utilizing computer-aided design and computer-aided manufacturing technology, with fully guided implant placement facilitated by virtual planning. In this case report, the implant position data merging process is described from the digital impression and control model to ensure optimal passive fit of the full-arch zirconia prosthesis and discuss the importance of occlusal adjustments to avoid technical and biological complications. Virtual planning and digital technologies are crucial for the effective management of mandibular defects, allowing for accurate treatment and complete restoration of mandibular function. Their use leads to improved patient outcomes and quality of life. As technology advances, their importance in treating complex medical conditions is only expected to grow.

Retracted: Analysis of the Effect of Mindfulness Behavior Intervention Combined with Progressive Breathing Training on Pulmonary Function Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease.

[This retracts the article DOI: 10.1155/2022/1698918.].

Analysis of the Effect of Mindfulness Behavior Intervention Combined with Progressive Breathing Training on Pulmonary Function Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease.

Purpose Studies have shown that 50%–70% of patients with chronic obstructive pulmonary disease (COPD) have fatigue in addition to respiratory symptoms, so relieving respiratory symptoms and reducing fatigue are the main treatment objectives for COPD patients. This study focuses on the effect of positive behavioral intervention combined with progressive breathing training on pulmonary function rehabilitation in patients with COPD. Methods 86 patients who underwent COPD treatment in our hospital between August 2020 and December 2021 were selected as study subjects and were divided into control (n = 43) and study groups (n = 43) using the random number table method. Patients in the control group were given conventional care, treatment, and health guidance, while patients in the study group were given positive behavioral intervention combined with progressive breathing training on this basis. Patients in both groups were compared on the basis of Multidimensional Fatigue Inventory 20 (MFI-20) score, the Medical Coping Questionnaire (MCMQ score), the Massive Attentional Awareness Scale (MAAS) score, and pulmonary function indicators (including the percentage of forced expiratory volume one second (FEV1%), peak expiratory flow (PEF), forced vital capacity (FVC), and 6-min walk distance (6MWD)) and quality of life (MCMQ) scores before and after 12 weeks of intervention. Results After 12 weeks of intervention, the study group had higher MFI-20 scores (comprehensive fatigue, physical fatigue, reduced activity, decreased power, and mental fatigue), confrontation scores on the MCMQ scale, MAAS scores (observation, description, nonjudgmental to intrinsic experience, nonresponsiveness to intrinsic experience, and perceived behavior), FEV1%, PEF, FVC, and 6MWD levels than the control group (P < 0.05). The scores of avoidance and submission on the MCMQ scale, and all scores of quality of life (cough, expectoration, shortness of breath, chest tightness, housework, going out, sleep, and energy) were lower than those of the control group (P < 0.05). Conclusion Positive behavioral interventions combined with progressive breathing training have a strengthening effect on the clinical treatment of COPD patients. Positive behavioral interventions combined with progressive breathing training are simple to implement as individual self-regulation methods and can be practiced on their own after being familiar with certain methods and techniques, and long-term adherence helps individuals cope with the stimulation of adverse events. Trail Registration. The clinical registration number for this research is L2020083.

Observation of Clinical Curative Effect of Limb Function Rehabilitation in Patients with Cerebrovascular Disease

Observation of Clinical Curative Effect of Limb Function Rehabilitation in Patients with Cerebrovascular Disease

PD20-12 HYPERBARIC OXYGENATION THERAPY IN SEXUAL RECOVERY AFTER RADICAL PROSTATECTOMY

You have accessJournal of UrologySexual Function/Dysfunction: Medical, Hormonal & Non-surgical Therapy I (PD20)1 Sep 2021PD20-12 HYPERBARIC OXYGENATION THERAPY IN SEXUAL RECOVERY AFTER RADICAL PROSTATECTOMY Ragif Veliev, Eugeniy Veliev, and Yegor Sokolov Ragif VelievRagif Veliev More articles by this author , Eugeniy VelievEugeniy Veliev More articles by this author , and Yegor SokolovYegor Sokolov More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002009.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Erectile function (EF) preservation remains an important goal in maintaining quality of life after radical prostatectomy (RP). A number of methods have been proposed to improve the recovery of EF after RP, however the current results cannot be considered optimal. The aim of this study is to evaluate the efficacy of hyperbaric oxygenation therapy (HOT) on sexual function rehabilitation in patients after nerve-sparing RP (nsRP) METHODS: The study comprised 76 patients with preserved EF prior to surgery, which were randomized into two groups. Group 1 (n=36) received HOT course (10 x 90 min sessions, 100% oxygen at 2.0 ATA) during first month after RP; group 2 (n=40) had no postoperative therapy. Patients in both groups received no additional therapy with the aim of sexual rehabilitation (PDE5 inhibitors, prostaglandins, etc.). Both groups did not differ in the age of patients at the time of RP, prostate volume, body mass index, clinical stage, grade group, IIEF score before surgery and the proportion of uni- and bilateral nsRP (p>0.05). EF status was assessed by IIEF-15 questionnaire. A comparative analysis of the dynamics of EF restoration in both groups was performed. RESULTS: One year after surgery, full EF recovery in the HOT group was observed in 28 versus 19 cases in the control group (76.5% vs 47.6%, p=0.001), primarily because of positive HOT effect on EF rehabilitation in unilateral nsRP cases (77.7% vs 40%, p=0.003). HOT after bilateral nsRP did not have a significant effect on the recovery of EF (75% vs 71,4%, p=0.3). Use of HOT had no influence on orgasmic function rehabilitation (82.4% vs 81%, p>0.05). No biochemical recurrences were observed in the HOT group. CONCLUSIONS: HOT may be considered as possible EF rehabilitation method in patients after unilateral nsRP. According to the early results, use of HOT in postoperative period doesn’t exceed the risk of biochemical recurrence. Further efficacy and safety assessment is needed as well as evaluation of an optimal scheme and terms of the treatment. Source of Funding: No source of funding © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e371-e372 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ragif Veliev More articles by this author Eugeniy Veliev More articles by this author Yegor Sokolov More articles by this author Expand All Advertisement Loading ...

Monitoring of Motor Nerve Function Rehabilitation in Patients with Upper Extremity Hemiplegia Based on Functional Magnetic Resonance Imaging

Through functional magnetic resonance imaging (fMRI) technology, it is planned to use complex brain network technology to track brain functional imaging tracking treatment of stroke hemiplegia with scalp acupuncture. Functional magnetic resonance imaging (fMRI) can continuously monitor the rehabilitation process of motor nerve function in patients with stroke and upper limb hemiplegia, and explore the mechanism of brain plasticity changes at different levels of neural function cortex, motor function neural circuit, and behavior level. First, the fMRI test uses a block design, and the subjects complete the movement of the thumb and index finger. After completing the dysfunction assessment, fMRI data collection was performed on the patient before the CIMT treatment using a magnetic resonance apparatus, and a second fMRI data collection was performed 2 weeks after the CIMT treatment; only one fMRI data collection was performed on the volunteers. The functional magnetic resonance data was processed using the AFNI software package, and the functional scores of subjects were calculated using SPSS software. Second, studying the remodeling of residual brain tissue and functional compensation pathways can help to further clarify the recovery mechanism of motor function after stroke hemiplegia. Finally, compulsory exercise therapy can effectively improve upper limb motor dysfunction in stroke patients. The forced use of upper extremities during treatment induces the reorganization and compensation of cerebral cortical functional areas. This change in brain functional areas is consistent with the increase of upper extremity movement and improvement of motor function, fMRI can provide neuronal reorganization after exercise therapy evidence with compensation.

Efficacy of coupling intermittent theta-burst stimulation and 1 Hz repetitive transcranial magnetic stimulation to enhance upper limb motor recovery in subacute stroke patients: A randomized controlled trial.

Both 1 Hz repetitive transcranial magnetic stimulation (rTMS) and intermittent theta-burst stimulation (iTBS) are reported to benefit upper limb motor function rehabilitation in patients with stroke. However, the efficacy of combining 1 Hz rTMS and iTBS has not been adequately explored. We aimed to compare the effects of 1 Hz rTMS and the combination of 1 Hz rTMS and iTBS on the upper limb motor function in the subacute phase post-stroke. Twenty-eight participants were randomly assigned to three groups: Group A (1 Hz rTMS over the contralesional primary motor cortex (M1) and iTBS over the ipsilesional M1), Group B (contralesional 1 Hz rTMS and ipsilesional sham iTBS), and Group C (contralesional sham 1 Hz rTMS and ipsilesional sham iTBS). The participants received the same conventional rehabilitation accompanied by sessions of transcranial magnetic stimulation for two weeks (5 days one week). Motor-evoked potential (MEP), upper extremity Fugl-Meyer Assessment (UE-FMA), and Barthel Index (BI) were performed before and after the sessions. Group A showed greater UE-FMA, BI, and MEP amplitude improvement and more significant decrement in MEP latency compared to Group B and Group C in testable patients. Correlation analyses in Group A revealed a close relation between ipsilesional MEP amplitude increment and UE-FMA gain. The combining of 1 Hz rTMS and iTBS protocol in the present study is tolerable and more beneficial for motor improvement than the single use of 1 Hz rTMS in patients with subacute stroke.

Nonblinded study of immersive virtual reality efficacy for motor rehabilitation in patients with acute ischemic stroke: results presented

Objectives – to evaluate the efficacy of the immersive virtual reality (VR) as a supplementary method of the motor function restoration in the lower extremities of the patients with acute ischemic stroke in the carotid territory. Berg balance scale dynamics was used for patients assessment. Material and methods. The study included 33 patients with acute ischemic stroke in the carotid territory. The patients were randomized into two groups: the control group received the conventional treatment; the experimental group additionally received VR therapy with a sensory impact. The VR therapy included 10 sessions of 15 minutesduration each. Results. On the 6th day of VR treatment, the static-locomotor function index on Berg balance scale was significantly improved in patients in the experimental group (p=0.03). On the last day of rehabilitation, the difference between the study groups in the static locomotor function demonstrated the improvement on 23 points (95% CI 13–27 points) in the experimental group, the Berg balance scale improvement reached 7 points (95% CI 2–13 points). Conclusion. The study revealed the positive input of the immersive VR sessions in static loco-motor function rehabilitation in patients in the acute period of ischemic stroke. The method demonstrated its safety and acceptability in this category of patients. Deeper immersion through the use of an explicit interaction with the VR objects could increase the efficiency of this rehabilitation method in static locomotor function restoration.

Effects of combining high- and low-frequency repetitive transcranial magnetic stimulation on upper limb hemiparesis in the early phase of stroke.

Both high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) and low-frequency rTMS (LF-rTMS) are reported to benefit upper limb motor function rehabilitation in patients with stroke. However, the efficacy of combining LF- and HF-rTMS (LF-HF rTMS) has not been adequately explored, especially in the early phase of stroke. To compare the effects of LF- and LF-HF rTMS on the upper limb motor function in the early phase post stroke. Sixty-two patients were randomly assigned to three groups: LF-rTMS group (1 Hz rTMS to the contralesional hemisphere), LF-HF rTMS group (1 Hz rTMS to the contralesional hemisphere followed by 10 Hz rTMS to the lesional hemisphere) and sham group. The patients received the same conventional rehabilitation accompanied with sessions of rTMS for 15 consecutive days. The upper limb motor function was evaluated using the Fugl-Meyer Assessment (FMA) and the Wolf Motor Function Test (WMFT) before the first session, after the last session, and at 3 months after the last session. All patients finished the study without any adverse reaction. Three groups exhibited improvement in terms of the FMA score and the log WMFT time at the end of the treatment and 3 months later. Better improvement was found in the LF-HF rTMS group than in the LF-rTMS and sham groups. The results indicated that both LF- and LF-HF rTMS were effective in promoting upper limb motor recovery in patients with acute stroke. Combining HF- and LF-rTMS protocol in the present study is tolerable and more beneficial for motor improvement than the unilateral use of LF-rTMS alone.

Effect of individualized intervention on social function rehabilitation in patients with schizophrenia

Objective To investigate the promoting effect of individualized intervention on social function rehabilitation in patients with schizophrenia. Methods Total of 200 hospitalized patients with schizophrenia in a tertiary psychiatrichospital were selected as the research object and were randomly assigned to the study group (n=100) and the control group (n=100). Patients in control group were treated with routine treatment and nursing, whilepatients in study group were given individualized intervention combined with routine treatment and nursing. Brief psychiatric rating scale (BPRS) was used to assess the severity of the psychotic symptoms.Insight and treatment attitude questionnaire (ITAQ) was used to assess the treatment compliance of patients. Activity of daily living scale (ADL) and personal and social performance scale(PSP) were used to assess their social function. Then, we compared the results of two groups that before and after the intervention. Results Before the intervention, there was no significant difference in BPRS, ITAQ and ADL scores between two groups (P>0.05). The PSP scores of the study group were lower than those of the control group (P 0.05). The ADL scores of the study group were significantly lower than those of the control group, and the PSP scores were significantly higher than those of the control group (P<0.05). Conclusions Personalized intervention enhances the patient′s self-care ability, daily activities ability and social competence, and promotes the recovery of social function. Key words: Schizophrenia; Individualized intervention; Social function

Resting-state Functional Magnetic Resonance Imaging in Application of the Motor Function Rehabilitation in Patients with Acute Cerebral Infarction

Resting-state Functional Magnetic Resonance Imaging in Application of the Motor Function Rehabilitation in Patients with Acute Cerebral Infarction

Human Motion Video Analysis in Clinical Practice (Review)

doi: 10.17691/stm2015.7.4.26 Received January 28, 2015V.V. Borzikov, Junior Researcher, Scientific and Clinical department;N.N. Rukina, md, Phd, Senior Researcher, department of Functional diagnosis;O.V. Vorobyova, Junior Researcher, department of Functional diagnosis;A.N. Kuznetsov, Junior Researcher, department of Functional diagnosis;A.N. Belova, md, dSc, Professor, Head of the department of Functional diagnosisPrivolzhsky Federal Research medical Center, ministry of Health of the Russian Federation, 18 Verkhne-Volzhskaya naberezhnaya, Nizhny Novgorod, 603155, Russian FederationThe development of new rehabilitation approaches to neurological and traumatological patients requires understanding of normal and pathological movement patterns. Biomechanical analysis of video images is the most accurate method of investigation and quantitative assessment of human normal and pathological locomotion. The review of currently available methods and systems of optical human motion analysis used in clinical practice is presented here. Short historical background is provided. Locomotion kinematics analysis using passive marker based systems is reviewed with special attention to the gait analysis. Clinical application of optical motion capture and analysis systems in the diagnosis of locomotion impairment, in Parkinson’s disease with movement control disorders, stroke sequelae, monitoring of motor function rehabilitation in patients with infantile cerebral paralysis, limb joint endo- and exoprosthetics and some other disorders is described.Key words: biomechanics; video analysis; optical human motion; rehabilitation medicine.For contacts: Rukina Nataliya Nikolaevna, e-mail: rukinann@mail.ru

Clinical research of staging nursing combined and motion guidance in postoperative function rehabilitation of patients with total knee replacement

Objective To explore the application effect of staging nursing combined and motion guidance in patients with total knee replacement.Methods In our hospital from 2008 January to 2013 January 156 patients with total knee replacement were randomly divided into the observation group and the control group, the control group was received routine nursing care, the observation group was given staging nursing combined with exercise guidance based on the control group, and two groups were compared with self management ability, compliance with rehabilitation, the function of knee joint and nursing satisfaction.Results Diet management, psychological management, symptoms ability and other aspects of self-management in the observation group were higher than those in the control group, compliance with rehabilitation was higher than that in the control group, with statistical significance （P〈0.05） .Nursing satisfaction in the observation group was higher than that in the control group, the score of the function of knee joint, the scores of walking and stairs after 6 weeks were higher than those in the control group, with statistical significance （P〈0.05） .Conclusions The staging nursing combined with exercise guid-ance can improve rehabilitation compliance and disease management ability of the patients total knee replacement, and improve the function of knee joint. Key words: Staging nursing; Motion guidance; Total knee replacement; Function rehabilitation

A retrospective 3- to 5-year study of the reconstruction of oral function using implant-supported prostheses in patients with hypohidrotic ectodermal dysplasia.

The aim of this study was to evaluate oral function rehabilitation in patients with hypohidrotic ectodermal dysplasia (HED) using implant-supported prostheses based on bone augmentation. From September 2005 and March 2009, 25 HED patients were chosen for clinical data analysis in this study. The criteria for patient selection included the following: the display of clinical features of HED, the number of congenitally missing teeth (>5), the patient age (>16 years), the patient's willingness, and the patient's tolerance for bone graft surgery and implant placement. Follow-up evaluations were initiated from the time of implant prosthetic placement and scheduled annually for 3-5 years. The effects of oral function reconstruction were assessed based on the cumulative survival and success rates of implants, the health of the peri-implant area, and the degree of patient satisfaction. Twenty-five HED patients received 169 conventional implants and 10 zygomatic implants (179 total implants). During 3-5 years of post-loading evaluations, 5 of the 179 implants failed and 3 implants were removed. The 3-year success and cumulative survival rates were 97.2% and 98.3%, respectively. Furthermore, periodontal probing and radiographic assessments showed that the 3-year incidence of peri-implantitis was 4.5%. Finally, HED patients expressed high degrees of satisfaction with their facial contours, masticatory function, pronunciation ability, and comfort with the implant-supported prostheses. The results of this 3- to 5-year retrospective study indicate that the oral function of HED patients can be effectively reconstructed using bone augmentation and implant-supported prostheses; however, longer term results are warranted in the future.

Effect of early nursing intervention on cognitive and compliance of cognitive function rehabilitation in patients with lacunar infarction

Objective To investigate the effect of early nursing intervention on cognitive and compliance of cognitive function rehabilitation in patients with lacunar infarction.Methods 61 patients with lacunar infarction were chosen and Montreal cognitive assessment (MoCA) was used to evaluate their cognitive dysfunction.Those who scored less than 26 were randomly divided into the experimental group and the control group.The control group was given conventional cognitive rehabilitation nursing,while the experimental group was given early nursing intervention for 3 months in addition,which included developing individual rehabilitation exercise and finger operation training according to patients' conditions.Two weeks after intervention,cognitive function rehabilitation effect was compared between two groups,and one,two and three months later,two groups'compliance of cognitive function rehabilitation was investigated.Results Before nursing intervention,scores of cognitive function rehabilitation in two groups were (4.8 ±0.68) and (4.8 ±0.54),and there was no statistically significant difference (P ＞ 0.01).Two groups after intervention,score of cognitive function rehabilitation was (15.7 ±2.65) in the experimental group and (11.5 ± 1.87) in the control group,and the difference was statistically significant (t =7.088,P ＜ 0.01).3 months later,patients' compliance of cognitive function rehabilitation in the first,second and third month was all higher in the experimental group than in the control group,and the differences were statistically significant (P ＜ 0.01).Conclusions Early nursing intervention for patients with lacunar infarction can obviously improve their compliance of cognitive function rehabilitation. Key words: Lacunar infarction; Cognitive dysfunction; Early nursing intervention; Compliance

A retrospective 3-to-5 year study of the reconstruction of oral function using implant-supported prostheses in patients with hypohidrotic ectodermal dysplasia

Abstract ABSTRACTThe aim of this study was to evaluate oral function rehabilitation in patients with hypohidrotic ectodermal dysplasia (HED) using implant-supported prostheses base on bone augmentation. From September 2005 and March 2009, twenty-five HED patients were chose to analyze clinical data in this study. The criteria for patient selection was including the patient displayed clinical features of HED, the number of congenitally missing teeth (>5), the age of patient (>16 years), the will of patient, and the tolerance of patient for bone graft surgery and implant placement. Follow-up evaluations was initiated from the time of prosthetic placement of implants and scheduled annually for 3-5 years. The effects of oral function reconstruction were assessed based on the cumulative survival and success rates of implants, the health of the peri-implant area, and the degree of patient satisfaction. Twenty-five HED patients received 169 conventional implants and 10 zygomatic implants (179 total implants). During 3-5 years of post-loading evaluations, five of the 179 implants failed and three implants were removed. The 3-year success and cumulative survival rates were 97.2% and 98.3%, respectively. Furthermore, periodontal probing and radiographic assessments showed that the 3-year incidence of peri-implantitis was 4.5%. Finally, HED patients expressed high degrees of satisfaction with their facial contours, comfort with the implant-supported prostheses, masticatory function, and pronunciation ability. The results of this 3-5 year retrospective study indicate that the oral function of HED patients can be effectively reconstructed using bone augmentation and implant-supported prostheses. However, longer-term results are warranted in the future.

Study on the application of clinical pathway in sphincter- saving surgery of lower position rectal carcinoma

Objective To study the effects of the application of clinic pathway in sphincter - saving sur-gery of lower position rectal carcinoma. Methods Sixty - three cases with sphincter - saving surgery of lower po-sition rectal carcinoma were divided into experimental group and control group randomly. The experimental group was given nursing, diagnosis and treatment, and healing according to the clinic pathway management. Control group was given the traditional holistic nursing care. We observed and compared five items of two groups: the. days of hospitalization, medical cost, function rehabilitation quality, awareness of disease and degree of patients' sat-isfaction. Results Compared with the control group, days of hospitalization of experimental group shortened 3. 44 days (P <0. 05), the average medical cost decreased 2224RMB (P <0. 05), the excellent function rehabilita-tion reached 81.25% (P <0. 05), the awareness of disease and the satisfactory degree were much higher (P <0. 05) . Conclusion Application of clinic pathway can shorten days of hospitalization, decrease medical coat,promote activity of patients taking part in nursing and treatment, and accelerate the function rehabilitation of pa-tients. Key words: Lower position rectal carcinoma; Sphincter- saving surgery; Clinic pathway; Nursingpattern