[Rehabilitation potentials and limits with schizophrenic patients].
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This article considers some current issues regarding rehabilitation of patients after a stroke during out-patient stage. It presents the key principles of post-stroke rehabilitation: functional approach, frequency and intensity of the training. The main methods of rehabilitation include exercise therapy, physiotherapy, pharmaceutical therapy, etc. The optimal intensity and duration of the training was determined. The article presents the features of physical rehabilitation of the paretic arm. It shows the effectiveness of complex rehabilitation using physical and pharmaceutical methods in restoring lost functions. The use of Vasobral in the process of rehabilitation of patients after a stroke is discussed.
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Previous studies have reported that movement-based computer gaming is more effective than conventional intervention in enhancing upper limb rehabilitation.To evaluate whether the use of bilateral movement-based computer games could augment the effects of conventional intervention in improving the upper limb motor function, grip strength and health-related quality of life of subacute stroke survivors.A total of 93 subjects with subacute stroke were randomized into 2 groups receiving one of two 3.5-h interventions for 2 days per week over 8 weeks: (i) "bilateral movement-based computer games + conventional rehabilitation"; and (ii) "video-directed exercise + conventional rehabilitation" (control group).A total of 83 subjects completed the interventions and follow-up assessments. Compared with video-directed exercise + conventional rehabilitation, bilateral movement-based computer games + conventional rehabilitation produced greater improvements in upper limb motor impairment from midtreatment to follow-up 1 month post-intervention, greater improvements in upper limb function from post-intervention to 1 month follow-up, and earlier improvements in grip strength (paretic) from midintervention to follow-up 1 month post-intervention. Subjects who received bilateral movement-based computer games + conventional rehabilitation also continued to improve in motor function from postintervention to 1 month post-intervention.Bilateral movement-based computer games may serve as an adjuvant therapy to conventional rehabilitation programmes for improving upper limb recovery among stroke survivors.
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To investigate changes in arm hand skilled performance during and after active rehabilitation in (sub)groups of subjects with cervical spinal cord injuries.Longitudinal multi-centre cohort study.Persons with cervical spinal cord injuries during (n?=?57) and after (n?=?35) rehabilitation.Patients from 8 Dutch rehabilitation centres received therapy as usual. At 3 time-points during active rehabilitation and one year after discharge arm hand skilled performance was measured using the Van Lieshout hand function test, the Grasp Release Test (for basic activities) and the Functional Independence Measure and the Quadriplegia Index of Function (for complex activities).Arm hand skilled performance continues to improve over the entire rehabilitation period, mostly in the first stage of active rehabilitation, and especially in persons with a motor incomplete lesion. Persons with a motor incomplete lesion achieve higher arm hand skilled performance outcome than those with a motor complete lesion. After rehabilitation arm hand skilled performance does not decline.Monitoring the outcome of arm hand skilled performance at the level of basic and complex activities during the whole rehabilitation phase may guide therapists in further optimizing therapy.
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Knee osteoarthritis (OA) is one the common degenerative joint disease and major cause of disabilities in elder groups. Physical rehabilitation exercise is one of the common non-drug therapies for OA. Typically, knee OA patient is asked to perform rehabilitation exercise continuously in home environment after 6 weeks in the clinic. However, there are some issues should be tackled while OA patients perform rehabilitation exercise without supervision of physical therapist, such as improper postures in rehabilitation exercise, low adherence, suffers the problems of manual errors and individual variance between different raters. In this paper, we propose a quantitative assessment approach based on kinematic-based parameter groups for knee osteoarthritis rehabilitation exercise analysis. The results show the utilized indices could reflect the rehabilitation exercise performance during program.
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After patients receiving total knee reoplacement, the rehabilitation exercises of their knee joint function should include active movement,passive movement, use of CPM,walking position exercise,physical factor,precaution and therapy of comlications.After one month of exercises after the operation,the range of the affected joint movement can reach 90°and fewer complications occur.We think it is very necessary that patients receive active and allaround rehabilitation exercises after the operation of knee joint replacement.
Total Knee Replacement
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Background and Objectives: Gait and balance disturbances are challenging conditions in patients with Diabetic Peripheral Neuropathy (DPN). The overall literary consensus is that rehabilitation interventions are effective in improving gait performance in this patient group. This review sought to highlight and assess the literature and provide a scoping review on the current knowledge gaps in the rehabilitation interventions for the gait problems of patients with DPN. Methods: An electronic databases search was done between 2001 and May 2020. Besides, a hand-search method was used for grey literature. Two experts reviewed the results and screened them based on the subject’s diagnosis with DPN and gait problems. Results: Of 87 studies obtained, nine met the inclusion criteria. The frequent components of the rehabilitation interventions included exercise therapy, dual-task intervention, and the use of assistive devices. The outcomes utilized most frequently included changes in balance and stability, muscle strength, proprioception, function, and gait parameters. Conclusion: Evidence was formed as a scoping review to guide rehabilitation for DPN patients with gait problems. Rigorous comparative studies with clearly defined interventions are needed.
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Objective:To explore the importance of community rehabilitation therapy on patients with stroke induced hemiplegia.Methods:Divide 37 patients with stroke induced hemiplegia into two groups—rehabilitation group and control group.We took community rehabilitation therapy on the 17 patients in rehabilitation group,but not on the 20 patients in control group.The Fugl Meyer scale and Barthel index were employed for the assessment of the functional status.Results:In rehabilitation group,the motor function and ADL were obviously improved after treatment.Compared with control group the scores were significantly higher(P 0.01). Conclusion :If they don't have the condition to receive treatment in the rehabilitation center ,the patients with stroke induced hemiplegia should receive community rehabilitation key therapy on their own places.
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Barthel index
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