Traditional Rehabilitation Treatment Research Articles

A005: Progress in Sports Rehabilitation for Adolescent Idiopathic Scoliosis

Background: Adolescent idiopathic scoliosis has become the third leading "killer" of the health of Chinese adolescents, following obesity and myopia. Scoliosis is a three-dimensional deformity of the spine, usually characterized by a lateral curvature of the spine accompanied by rotation. The diagnostic criterion is a Cobb angle greater than 10 degrees on X-ray. With the promotion of the concept of "exercise is good medicine" and the Healthy China strategy, exercise therapy has received attention and development. Purpose: To summarize different sports rehabilitation methods for adolescents with idiopathic scoliosis worldwide with the hope to raise awareness of adolescent idiopathic scoliosis and explore sports rehabilitation methods. This will facilitate physical therapists in incorporating effective methods into their practice to improve the new sports rehabilitation methods for adolescents with idiopathic scoliosis. Methods: Comparative analysis of current exercise rehabilitation methods for scoliosis using literature review and logical analysis. Results: The main sports rehabilitation treatment for idiopathic scoliosis in China is the traditional rehabilitation treatment of Chinese medicine (including Chinese massage, Chinese bone-setting technique, and traditional health exercises), the scoliosis specific exercise therapy recognized by the SOSORT (Germany Schroth therapy, Spain BSPTS therapy, Poland DoboMed therapy, UK Side shift therapy, France Lyon therapy, Italy SEAS therapy, Poland FITS therapy); There are also methods that are not classified but play a positive role in the treatment of scoliosis, such as yoga, traction therapy, core stability training and other exercise therapy methods. Different exercise therapies have their own advantages and disadvantages and indications in the treatment of scoliosis. It is probable that exercise therapy has positive effects on the treatment of adolescent idiopathic scoliosis. Conclusion: Although currently there are multiple sports rehabilitation methods, no single exercise can completely correct scoliosis. At present, multiple exercise therapy is used in the clinical treatment of scoliosis, but there’s insufficient medical evidence for the correlation, principle and efficacy of the method. In the future, with the development of sports medicine and technological advancements, exercise therapy may be more widely applied in the treatment of scoliosis, aiming to improve the rehabilitation effect and patient quality of life. It is necessary for relevant scientific research institutions and personnel to increase the research investment and innovation of relevant treatment methods, and more studies are needed to further explore the mechanism of effect of exercise.

Analysis of rehabilitation effect of electroacupuncture for patients after total knee arthroplasty

Purpose To investigate the effect of electroacupuncture on the rehabilitation of patients after total knee arthroplasty (TKA). Materials and methods Eighty patients with knee osteoarthritis who underwent total knee arthroplasty randomly divided into two groups, with 40 patients in each group. The control group was treated with traditional rehabilitation methods. In addition to traditional rehabilitation treatment, patients in the experimental group received electroacupuncture after operation, while patients in the control group received fake electroacupuncture. Both groups started electroacupuncture treatment and fake electroacupuncture treatment on the third day after operation for 10 consecutive days Data of patients in both groups were collected before surgery, three days after surgery, two weeks after surgery and one month after surgery, including the visual analogue scale(VAS), Knee Society Score (KSS) and range of motion (ROM) Results Compared with before treatment, after the treatment cycle, the VAS, KSS and ROM of both groups were significantly improved (p = 0.001, p = 0.001). Compared with the control group, the ROM and KSS of the experimental group were significantly improved at two weeks after surgery and one month after surgery, and the VAS was significantly decreased, with statistical significance (p < 0.05). Conclusions Electroacupuncture therapy has a positive effect on the recovery of patients after total knee arthroplasty, which can alleviate the pain after total knee arthroplasty, promote the recovery of knee function, which is worthy of clinical promotion.

Brain regulation training improves emotional competences in patients with alcohol use disorder.

Alcohol use disorder (AUD) is defined as the impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences and still represents one of the biggest challenges for society regarding health conditions, social consequences, and financial costs, including the high relapse rates after traditional alcohol rehabilitation treatment. Especially, the deficient emotional competence in AUD is said to play a key role in the development of AUD and hinders the interruption of substance compulsion, often leading to a viscous circle of relapse. Although the empirical evidence of a neurophysiological basis of AUD is solid and increases even further, clinical interventions based on neurophysiology are still rare for individuals with AUD. This randomized controlled trial investigates changes in emotional competences, alcohol-related cognitions, and drinking behavior before and after an established alcohol rehabilitation treatment (control group: nCG = 29) compared to before and after an optimized, add-on neurofeedback (NF) training (experimental group: nEG = 27). Improvements on the clinical-psychological level, i.e. increases in emotional competences as well as life satisfaction, were found after the experimental electroencephalography (EEG) NF training. Neurophysiological measurements via resting-state EEG indicate decreases in low beta frequency band, while alpha and theta bands remained unaffected.

Traditional and Modern Rehabilitation Therapies of Ankle Sprains

The ankle joint is one of the main weight-bearing joints of the body. In the joint sprains, ankle sprains are the most familiar type. The ankle sprain is a damage to the ligaments surrounding the ankle joint and is commonly seen in athletes, paratroopers, sports enthusiasts and other groups. In the last few years, many researchers have executed studies on the treatment of ankle sprains, but there are still relatively few studies that summarize the discussion of ankle sprain treatment methods. This article presents the efficacy of traditional and modern rehabilitation therapy in ankle sprains by summarizing previous studies, aiming to promote the development of ankle sprain treatment research. Traditional rehabilitation treatment for ankle sprains includes tuina, acupuncture, fire pot and Chinese herbs-related treatment. Tuina therapy is conducive to peeling off adhesions, regenerating tendons and promoting the repair of damaged muscle tissues. Acupuncture can promote metabolism, accelerate absorption, and relieve the stimulation of various metabolic products on the sprained area. Modern rehabilitation therapies include physiotherapy, exercise, manual, and orthopedic therapy. Physiotherapy is the action of artificially generated or naturally available physical factors on the human body to prevent or treat diseases. Exercise therapy can promote joint fluid flow, facilitate local blood flow, and accelerate the absorption of inflammatory factors and the metabolism of cartilage.

The effectiveness of hypo-hyperoxic training in the medical rehabilitation of patients who have undergone COVID-19

BACKGROUND: Interval hypo-hyperoxic training is a new promising technology in medical rehabilitation, including the rehabilitation of patients with post-COVID syndrome. However, the mechanisms of therapeutic action of interval hypo-hyperoxic training in the recovery period after suffering COVID-19 have not been fully studied. The effectiveness of interval hypo-hyperoxic training largely depends on the method of interval hypo-hyperoxic training.&#x0D; AIM: to develop modes and study the effectiveness of the use of interval hypoxic training in patients with post-COVID syndrome.&#x0D; MATERIALS AND METHODS: The performed open randomized comparative study involved patients with a diagnosis of post-COVID syndrome ― "Condition after COVID-19" according to the ICD (code U09.9). Patients of the main group, against the background of a course of traditional rehabilitation treatment, received interval hypo-hyperoxic therapy from the OXYTERRA device. In the comparison group, patients received only a traditional course of rehabilitation treatment. The study was conducted for 4 months. To assess the effectiveness of interval hypo-hyperoxic training before and after the course of rehabilitation, we studied the dynamics of the parameters of the circulatory system and the function of external respiration.&#x0D; RESULTS: 50 patients (19 women, 31 men, mean age 61.77.7 years) were randomly divided into the main group (n=30) and the comparison group (n=20). All patients completed a full course of rehabilitation. It was established that the course of training with interval hypo-hyperoxic training contributed to an increase in the oxygen capacity of the blood, an increase in the oxygen content in arterial blood, a decrease in heart rate, normalization of the level of systolic and diastolic pressure, restoration of stroke and minute blood volume parameters in patients of the main group. Interval hypo-hyperoxic training caused an improvement in the functional state of the bronchopulmonary system (p 0.049). There was an improvement in the activity of the central ergotropic and humoral-metabolic mechanisms of heart rhythm regulation, correction of the activity of the sympathetic link of regulation and the modulating effect of the parasympathetic division on the heart rhythm, normalization of the vagosympathetic balance coefficient.&#x0D; CONCLUSION: The use of interval hypo-hyperoxic training in the recovery period in patients with post-COVID syndrome according to the developed method caused a stable improvement in the clinical condition, which lasted from 3 to 6 months after the completion of complex rehabilitation.

Prevention and Treatment of Sports Injuries and Rehabilitative Physical Training of Wushu Athletes.

This paper is aimed at exploring the characteristics of research on prevention and treatment of sports injuries and rehabilitation physical training of Wushu athletes. It also considers the application of rehabilitation physical training in the rehabilitation of Wushu athletes. By searching literature, conducting questionnaires, and combining mathematical statistics, it studies the injury prevention and rehabilitation training of Wushu athletes. This paper chooses the level of first class and above of sports, and a total of 50 elite male and female Wushu athletes were systematically trained as subjects of study. Athletes, aged 15 to 20 years, were trained for 2 to 5 years, 35 male athletes and 15 female athletes. Different from traditional rehabilitation therapy, athletes' physical rehabilitation training is also different from traditional sports rehabilitation treatment. By evaluating the physical condition of athletes, the causes of sports injuries were analyzed, to formulate special rehabilitation training programs and carry out athletes' rehabilitation training targeted and purposeful. Record the experimental data and analyze the experimental results. The experimental results show that physical rehabilitation training can make athletes avoid the influence of unsafe factors of sports injury, improve the safety of training, and effectively prevent sports injury. The experimental results show that physical rehabilitation training combined with rehabilitation medicine has obvious advantages, which can make Wushu athletes recover quickly without sequelae.

Low-intensity laser irradiation in the rehabilitation of patients after radical surgical or combined treatment for head and neck tumors

Purpose: to evaluate the effectiveness of low-level laser radiation in the complex rehabilitation of patients with head and neck tumors after radical surgical treatment as well as to assess the influence of the discussed treatment on the quality of their life.Material and methods. 134 patients with head and neck cancer aged 23–78 years (mean age – 54.24 ± 12.7 years ) were taken into the study. There were 39 (29.1 %) men and 95 (70.9 %) women. All patients were divided into three groups. In Group 1 (n = 45), patients received traditional rehabilitation treatment (physical exercises, massage, medication); in Group 2 (n = 45), patients had a course of traditional rehabilitation plus low-level laser therapy (LLLT); in Group 3 (n = 44), patients had only several LLLT courses as rehabilitation therapy. For laser therapy, laser device “Azor 2K-02” (laser hazard of class II, GOST 12.1.040-83) was used.Results. During the treatment, most of the patients noted early disappearance or noticeable decrease in pain and numbness intensity at the site of the surgical; skin sensitivity and increase of the muscular tone in the shoulder girdle and upper limb at the site of the surgical were restored as well. The most pronounced regression of complaints after rehabilitation therapy was observed in patients who had LLLT in combination with other rehabilitative measures.Conclusion. Radical surgical or combined treatment of patients with malignant tumors of head and neck causes functional disorders of tissues and organs at the site of treatment. Rehabilitation therapy with LLLT in red and/or infrared spectrum range ensures adequate restoration of impaired functions what improves the quality of life of such patients.

Rehabilitation Evaluation of Hemiplegic Patients with Anterior Circulation Cerebral Infarction Based on Cranial Magnetic Stimulation.

Cerebral infarction is a common cerebrovascular disease in clinical medicine. Cerebral infarction in the anterior circulation accounts for about 90% of cerebral infarction. Its treatment and rehabilitation has always been a research hotspot in the medical field. Functional retraining can enhance the afferent impulses received by receptors, make the plasticity development of cerebral cortex function, and improve the loss of function. Based on the patient's individual condition, exercise therapy carries out the corresponding comprehensive functional training plan, which also includes the training of patients' daily living ability, turning over, bridge exercise, trunk rotation, etc., in order to improve the motor function of patients. The other is psychotherapy, which can cause emotional fluctuations, depression, anxiety, and other negative emotions due to the occurrence of diseases. In the rehabilitation treatment, relevant personnel can conduct psychological counseling for patients through timely and effective communication, so as to better establish patients' confidence in rehabilitation and improve the effect of rehabilitation treatment. The third is acupuncture treatment. Acupuncture is a traditional rehabilitation treatment in China. The rehabilitation effect of stroke has been proved by a large number of clinical practice. Acupuncture at Hegu, Quchi, Zusanli, and Taichong points can dredge channels and improve blood circulation. This paper mainly studies and analyzes the effect of behavior rehabilitation of hemiplegic patients with cerebral anterior circulation infarction treated by cranial magnetic stimulation. The rehabilitation treatment status of hemiplegic patients with anterior circulation cerebral infarction in a hospital was selected, and 100 cases were studied. Among them, 50 cases were treated with conventional rehabilitation therapy, and the other 50 cases were treated with cranial magnetic stimulation. The motor function, activities of daily living, and language expression ability of the two groups were compared for statistical analysis. After transcranial magnetic stimulation treatment, the abilities of the study group were better than those of the control group, P < 0.05, with statistical significance. Based on the reliable experimental data, we can draw a conclusion that the treatment of cranial magnetic stimulation has a significant effect on the rehabilitation of hemiplegic patients with cerebral anterior circulation infarction, which is higher than the conventional treatment and rehabilitation methods, and can be popularized in clinical application.

Acupuncture Therapy on the Recovery of Badminton Players' Knee Joint Muscle Injury

At present, a large number of data or research results have proved that after a cycle of electroacupuncture at specific acupoints and hand acupuncture at specific acupoints, etc., not only can increase the muscle strength on the acupuncture side, but also improve the non-acupuncture or The strength of the muscles on the untrained side. This is the cross migration of muscle strength training. This phenomenon can occur in the upper limb muscles of the human body, and it can also occur in the lower limb muscles. With the deepening of various studies, this phenomenon has been used in the clinical practice of rehabilitation treatment and has achieved good results. In this context, acupuncture therapy provides new rehabilitation ideas for the recovery of related muscle damage and strengthening of muscle strength in badminton, and it can also enrich traditional resistance training or drug rehabilitation treatment methods.

Applied COP-Based MMSE Method and Modular Interactive Tiles on Postural Stability Enhance in Patients with Chronic Stroke: A Pilot Study

The ability to maintain postural stability is essential in our daily lives. Relatedly, hemiparetic stroke patients have a very high risk of falls. This study aimed to improve the traditional rehabilitation treatment for stroke patients with hemiparesis by providing a virtual reality (VR) feedback system with modular interactive tiles (MITs) to enhance their postural stability and thus prevent falls. The data collected included pre-test and post-test Berg Balance Scale (BBS) values, and complexity index (CI) values for center of pressure (COP) data based on multiscale entropy (MSE) and multivariate multiscale entropy (MMSE) at the 12-week exercise program. Higher BBS and CI values indicate better postural stability, and the results showed that the exercise program yielded significant improvements in postural stability. The mean pre-test BBS value of 51.67 ± 3.12 increased to 53.83 ± 2.17 (p &lt; 0.05), and the mean CI of MMSE value increased by 14.8% (p &lt; 0.01). We confirmed that this training program including MITs is beneficial to the rehabilitation of stroke patients. More specifically, the MITs training program positively affected the CI of MMSE values, and the affected result similar to the BBS values of the patients, indicating their improved balance and ability to avoid falls.

Conceptual Design for Ankle Rehabilitation Robot by Using Morphological Chart and Pugh Method

Lateral ankle sprains are among the most common injuries in competitive sports and recreational activities according to studies. Ankle sprains accounted for 70% or more of all reported ankle injuries in high risks sports. However, ankle sprains often only partially treated and there are more than 40% of ankle sprains are recurrent. Even though the ankle rehabilitation treatment exists, but there are some limitations that relates to the current situations. Firstly, the cost for ankle rehabilitation treatments are high and may be a burden to the patients while the traditional rehabilitation treatment performance highly relies on a physiotherapist’s experience and the manual training method makes physiotherapist exhausted. Therefore, ankle rehabilitation robot can help to solve these problems. Morphological Chart are used to generate the concept design while Pugh Method are used to choose the best design. Concept design A (4 DOF Pulley Driven Cable Based Parallel Mechanism Ankle Rehabilitation Robot) are chosen as the best design among 5 concept design due to its advantages in aspect of low cost, easy to use, high portability, high back drivability and fulfilment of ankle rehabilitation exercises.

Robotic mechanotherapy in the prevention of contractures in patients after minimally invasive knee surgery

The active introduction of minimally invasive operations into medical practice has caused the need to improve rehabilitation approaches. We observed patients aged 18–62 years in the early and late postoperative period after minimally invasive knee operations. In addition to traditional rehabilitation treatment, including therapeutic gymnastics, lower limb and lower back massage, and electrical stimulation of the quadriceps femoris, patients in the main group received robotic mechanotherapy. The eff ectiveness of treatment and rehabilitation measures was evaluated by clinical method, electrothermometry, using algofunctional indices (VAS) and the degree of disability (Leken scale). As a result of these measures, the increase in the bending angle in the main group averaged 38,7 ± 4,3° per course of treatment. The average number of robotic mechanotherapy procedures per treatment course was 7,9. In the comparison group, the increase in the bending angle was signifi cantly less (14,1 ± 0,5°) over 10 days of treatment and rehabilitation activities. Pain in the lower extremities at the end of the course of treatment signifi cantly decreased to 2,8 ± 0,09 in the comparison group and 1,8 ± 0,08 in the main group and was rated as mild pain. However, in the main group, its decline was signifi cantly lower. According to the Leken scale, as a result of 10-day course of treatment, patients in the comparison group maintained a moderate degree of disability (6,9 ± 1,7), and patients in the main group — light (4,5 ± 1,78). Analysis of electrothermometry results showed that robotic mechanical therapy procedures increase thermal radiation by an average of 0,6 ± 0,22 °C for 20 minutes of mechanical therapy on the fi rst day and by 1,1 ± 0,2 °C for 30 minutes on the last day. Thus, treatment and rehabilitation measures using robotic mechanotherapy have signifi cantly reduced the pain syndrome, reduced the degree of disability due to earlier normalization of the function of the operated joint, improved blood circulation and neuro-vascular regulation and, as a result, trophic and regenerative processes.

Justifi cation of the use of osteopathic correction in the complex rehabilitation of patients with consolidated fractures of the large tubercle of the humerus

Introduction.Fractures of the proximal humerus occur in 4–5 % of all fractures and 50–80 % of all fractures of the humerus. The treatment of this type of fracture is a relevant issue. This is due, on the one hand, to a rather high frequency of occurrence of such fractures, and, on the other hand, to a signifi cant probability of the development of persistent functional disorders. The use of osteopathic techniques is possible both in acute (without alteration of the integrity of bone structures) and in chronic injuries of the musculoskeletal system. Their use during the rehabilitation process is especially valuable. Currently, there are few works in the scientifi c literature exploring the effectiveness of osteopathic treatment as part of the comprehensive rehabilitation of this group of patients. The foregoing has predetermined the purpose of this work. The goal of research — to substantiate the possibility of using osteopathic correction in the comprehensive rehabilitation of patients with consolidated fractures of the large tubercle of the humerus after conservative treatment.Materials and methods.From January 2016 to December 2018, in the Arbatsky consultative diagnostic centre at the Pirogov National Medical and Surgical Center a prospective, controlled randomized trial was conducted. The study included 30 patients with consolidated fractures of the large tubercle of the humerus. Patient selection and sampling was carried out by the continuous method. Patients were divided into two groups of 15 people by the method of simple randomization with the use of a random number generator. In the main group, therapy consisted of rehabilitation treatment (physiotherapy, exercise therapy) and osteopathic correction, including 3 sessions with an interval of 1 week. Patients in the control group received only rehabilitation treatment. Before and after treatment, all patients underwent an assessment of the severity of pain in accordance with the visual analogue scale, measurement of the volume of active movements in the shoulder joint with the use of a goniometer, assessement of the timing of recovery of shoulder function using the OSS questionnaire, as well as osteopathic examination according to the approved protocol.Results.Most often, patients with a fracture of the large tubercle of the humerus presented somatic dysfunctions of the thoracic region (both structural and visceral components), as well as chronic local dysfunctions of the sternoclavicular joint, the fi rst rib, individual vertebral motor segments. In patients of both groups receiving both isolated traditional rehabilitation treatment and traditional rehabilitation treatment in combination with osteopathic correction, there was a decrease in the severity of pain and an increase in the volume of active movements in the shoulder joint. Moreover, in the group that additionally received osteopathic correction, lower pain indicators and higher range of motion were noted compared with the control group. Also, the functions of the shoulder joint in patients of the main group were restored faster.Conclusion.The obtained results confi rm the advisability of including osteopathic correction in the program of comprehensive rehabilitation of patients with fractures of the large tubercle of the humerus.

Effects of iliopsoas tensile vibration training on the walking ability of stroke survivors

Objective To observe the effect of iliopsoas tensile vibration training on the walking ability of stroke survivors. Methods Thirty stroke survivors were randomly divided into an observation group and a control group, each of 15. Both groups were given traditional rehabilitation treatment, while the observation group was additionally provided with iliopsoas tensile vibration training. Both groups were evaluated in terms of the root mean square (RMS) of iliopsoas, active range of motion (A-ROM) of the hip joint, the kinematic parameters of gait and Berg balance scale (BBS) scores before and after the 4-week treatment. Results Before the treatment there were no significant differences between the two groups in any of the measurements. After the treatment improvement in all of the measurements was observed in both groups, with the average RMS iliopsoas, A-ROM, step length, step velocity and BBS score of the observation group significantly better than those of the control group. Conclusions Tensile vibration training of the iliopsoas can significantly improve the muscle excitability of the affected iliopsoas in stroke survivors, and improve their balance and walking ability. Key words: Vibration training; Stroke; Iliopsoas; Lower limb function

Early Short-Term Recovery of Single-Leg Heel Rise and ATRS After Achilles Tenorrhaphy: Cluster Analysis

Background: An early recovery of Achilles Tendon Rupture Score (ATRS) and single-leg heel raises after Achilles rupture is a desirable aim to favor the sport return, but is unknown if the patient’ outcomes could be defined only by the kind of treatment. Objectives: To determine the number of clusters obtained based on ATRS and number of repetitions of single-leg heel rises after 12-weeks of Achilles tenorrhaphy in patients treated with either immediate or traditional rehabilitation treatment, compare the identified clusters of short-term recovery of single-leg by heel rise repetitions and ATRS, compare the proportion of treatment and heel rise ability contained into the clusters, and compare the dimension of the ATRS between clusters. Methods: Twenty-four patients (43.1 ± 8.2 years-old, BMI 29.2 ± 3.9 kg/m2) treated with immediate or traditional rehabilitation were included. The single-leg heel rise repetitions, the single-leg heel rise ability/disability and ATRS patient-reported outcomes were evaluated 12 weeks after Achilles tenorrhaphy. Results: The first cluster had high repetitions in heel rise and ATRS, principally treated by immediate rehabilitation. The second cluster had low repetitions in heel rise and ATRS, principally treated by traditional rehabilitation. The third cluster had the highest repetitions in heel rise but lower ATRS, treated only by immediate rehabilitation. Conclusions: An early recovery of the heel rise capacity could be achieved after Achilles tenorrhaphy and it is more probable to achieve an faster treatment.

Motor imagery training induces changes in brain neural networks in stroke patients

Motor imagery is the mental representation of an action without overt movement or muscle activation. However, the effects of motor imagery on stroke-induced hand dysfunction and brain neural networks are still unknown. We conducted a randomized controlled trial in the China Rehabilitation Research Center. Twenty stroke patients, including 13 males and 7 females, 32-51 years old, were recruited and randomly assigned to the traditional rehabilitation treatment group (PP group, n = 10) or the motor imagery training combined with traditional rehabilitation treatment group (MP group, n = 10). All patients received rehabilitation training once a day, 45 minutes per session, five times per week, for 4 consecutive weeks. In the MP group, motor imagery training was performed for 45 minutes after traditional rehabilitation training, daily. Action Research Arm Test and the Fugl-Meyer Assessment of the upper extremity were used to evaluate hand functions before and after treatment. Transcranial magnetic stimulation was used to analyze motor evoked potentials in the affected extremity. Diffusion tensor imaging was used to assess changes in brain neural networks. Compared with the PP group, the MP group showed better recovery of hand function, higher amplitude of the motor evoked potential in the abductor pollicis brevis, greater fractional anisotropy of the right dorsal pathway, and an increase in the fractional anisotropy of the bilateral dorsal pathway. Our findings indicate that 4 weeks of motor imagery training combined with traditional rehabilitation treatment improves hand function in stroke patients by enhancing the dorsal pathway. This trial has been registered with the Chinese Clinical Trial Registry (registration number: ChiCTR-OCH-12002238).

Responsiveness of people with moderate and significant intellectual disability to physical stimulation.

The aim of the research was to verify whether intellectually disabled people are responsive to motor stimulation, and whether the specific physical exercises, besides traditional rehabilitation and occupational therapy, would result in physical fitness enhancement. The research was carried out on 259 persons with moderate and significant intellectual disability, participants of occupational therapy workshops. They were divided into two groups: a control group that underwent traditional rehabilitation treatment and occupational therapy, and an experimental group that additionally performed feasible physical exercises for 10 months. Participants' body mass and height were measured to calculate their body mass index (BMI). Physical fitness was assessed with the Eurofit Special test and additional balance tests, at the beginning and at the end of the experiment. The results showed that the body mass of both men and women increased in the control group, and was reduced in the experimental group. The results of the physical fitness tests were more varied, in which the control group obtained similar results in the repeated measurements, and the experimental group significantly improved the initial results after 10 months of performing the feasible physical exercises. The applied physical exercises performed in the experimental group were effective because they caused body mass loss and significant improvement in physical fitness.

Group intelligence-based decision making and its applications to traditional chinese medical dysphagia rehabilitation treatment

Group intelligence-based decision making and its applications to traditional chinese medical dysphagia rehabilitation treatment

The Impact of Short-Term Video Games on Performance among Children with Developmental Delays: A Randomized Controlled Trial.

This prospective, randomized controlled study investigated the effects of short-term interactive video game playing among children with developmental delays participating in traditional rehabilitation treatment at a rehabilitation clinic. One hundred and one boys and 46 girls with a mean age of 5.8 years (range: 3 to 12 years) were enrolled in this study. All patients were confirmed to suffer from developmental delays, and were participating in traditional rehabilitation treatment. Children participated in two periods of 4 weeks each, group A being offered intervention of eight 30-minute sessions of interactive video games in the first period, and group B in the second, in addition to the traditional rehabilitation treatment. The physical, psychosocial, and total health of the children was periodically assessed using the parent-reported Pediatric Quality of Life Inventory-Generic Core Scales (PedsQL); and the children’s upper extremity and physical function, transfer and basic mobility, sports and physical functioning, and global functioning were assessed using the Pediatric Outcomes Data Collection Instrument. Parental impact was evaluated using the PedsQL-Family Impact Module for family function, PedsQL-Health Satisfaction questionnaire for parents’ satisfaction with their children’s care and World Health Organization-Quality of Life-Brief Version for quality of life. Compared with the baseline, significant improvements of physical function were observed in both groups (5.6 ± 19.5, p = 0.013; 4.7 ± 13.8, p = 0.009) during the intervention periods. No significant improvement of psychosocial health, functional performance, or family impact was observed in children with developmental delays. Short-term interactive video game play in conjunction with traditional rehabilitation treatment improved the physical health of children with developmental delays.Trial Registration: ClinicalTrials.gov NCT02184715

Effects of proprioceptive neuromuscular facilitation neck pattern exercise on the ability to control the trunk and maintain balance in chronic stroke patients.

[Purpose] The aim of this study was to investigate the effects of proprioceptive neuromuscular facilitation neck pattern exercise on the ability to control the trunk and balance in chronic stroke patients. [Subjects and Methods] A total of 30 study subjects were selected and randomly divided into an experimental group of 15 subjects, who received the proprioceptive neuromuscular facilitation neck pattern exercise, and a control group of 15 subjects, who received a traditional rehabilitation treatment. [Results] Statistically significant changes in all the items of the Trunk Impairment Scale, the Trunk Impairment Scale total score, and the Berg Balance Scale were observed in both the experimental group and the control group. significant between-group differences were found in all items among the subitems of the Trunk Impairment Scale except the static sitting balance. [Conclusion] Proprioceptive neuromuscular facilitation neck pattern exercise was shown to have a positive effect on increasing the ability to control the trunk and maintain balance in chronic stroke patients.