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Low back pain (LBP) is one of the most common types of disability affecting individuals in Western countries, and the as-sessment of LBP-related disabilities represents a significant challenge. The disability assessment scales in LBP are commonly used in clini-cal diagnosis and treatment as well as evaluation system for clinical research, such as Oswestry Disability Index (ODI), Roland Morris Dis-ability Questionnaire (RMDQ), and Quebec Back Pain Disability Scale (QBPDS). This article focused on the clinical applications, reliability and validity, strength and limitations of these scales, to help the clinical application and scientific research for the LBP disability scale.
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BACKGROUND:In rehabilitation therapy teaching, it is crucial to cultivate professional knowledge and clinical skil s of rehabilitation therapy for students. SOAP (Subjective, Objective, Assessment, Plan) is the international most commonly used and accepted in the medical records of problem oriented method. SOAP is used to develop clinical thinking ability, improve analysis, judgment and the ability of solving clinical problem for students. OBJECTIVE:To retrospectively analyze the composition, teaching benefit and problems of SOAP in China. METHODS:Published articles about SOAP note were searched from PubMed, Web of Science and China National Knowledge Infrastructure, and the articles were retrieved from database building to September 2014. The key words were“SOAP note, rehabilitation, teaching”in Chinese and English. We excluded the repetitive researches. RESULTS AND CONCLUSION:After screening, we included 20 articles in the review. SOAP note was helpful to promote students’ independent thinking, strengthened the standardization of the records, rehabilitation treatment, and developed the students’ clinical thinking and the ability to deal with the problem. SOAP note has several chal enges in the rehabilitation teaching, however, with the popularity of SOAP teaching concept, and deep research and gradual generalization of SOAP teaching methods, SOAP has a wide application prospect for the rehabilitation education in China.
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@#Objective To determine the concept of functional evaluation for children with congenital heart disease in the views of International Classification of Functioning, Disability and Health (Children and Youth Version) (ICF-CY). Methods Clinical researches on children and adolescents with congenital heart disease nearly a decade were recalled from MEDLINE/PubMed and EMBASE. The concepts extracted were linked with ICF-CY. Results 224 researches were recalled. The oncepts linked with ICF-CY in 12 first categories, 28 second categories, of which 17 items were of body function, 2 of body structure, 6 of activities and participation, and 3 of environmental factors.Conclusion ICF-CY is a useful framework for functional assessment for children with congenital heart disease. It is important to make the measurement uniformity for comparability of the researches.
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Objective To investigate the effect of the synthetic rehabilitation treatment using the assistive devices for children with cerebral palsy.Methods 60 outpatients (male 31,female 29) diagnosed as cerebral palsy in our hospital from June 2009 to June 2010 were divided into trial group (n =30) and control group (n =30).Both of the two groups received our rehabilitation treatment three times a week.Compared with the daily family rehabilitation training of the control group,trial group still received a daily rehabilitation treatment by their parents using the assistive devices under the guidance of the therapist.They were assessed with Gross Motor Function Measure 66 items version (GMFM-66)and 88 items version (GMFM-88) before and after 6 months treatment.Results The total score of GMFM-66 and each dimension score of GMFM-88 improved in both group after 6 months treatment,except the centrol group Lying & Rolling dimension.Trial group 51 ± 13 vs.44 ± 15,control group 42 ± 17 vs.38 ± 16 (t =-3.580,P =0.001).There was significant difference on the total score of GMFM-66 and the three dimensions score (Lying & Rolling,Sitting and Walking,Running & Jumping) of GMFM-88 between two group.Lying & Rolling:F =4.59,P =0.036; Sitting:F =6.40,P =0.014 ; Walking,Running & Jumping:F =4.35,P =0.041.Conclusion The synthetic rehabilitation treatment in Medical institutions associate with family rehabilitation treatment using the assistive devices can effectively improve the recovery of gross motor function in children with cerebral palsy.
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Objective To establish an equation of oxygen consumption in obese children and adolescents by multilevel linear model analytical method. Methods Sixty obese children and adolescents aged 11-16 years were randomly divided into the formula group(n=40) and back substitution verification group(n=20), with equal male and female. Subjects in formula group started exercise in the speed of 2km/h, increased lKm/h every 2.5 minutes till 8km/h, without gradient in treadmill and 80% HRmax was set as standard of exercise termination. Gaseous metabolism parameter and heart rate were measured for the set up of multiple linear regression equation of oxygen consumption. Back substitution verification was also made. Results Males' R~2 was 0.795 and females' R~2 was 0.75 in regression equation; oxygen consumption had a linear relationship (P0.001) with HR and LBM; The significance of variation coefficient and constants were obvious. The regression equation were set up as male:oxygen consumption(ml/min)=20.098xheart rate(bmp)+25.160×LBM(kg)-2935.835 and female: oxygen consumption(ml/min)=19.863xheart rate(bmp)+26.551×LBM(kg)-2675.676. The predictive value of oxygen consumption of the average relative error was 6.84%～8.72% in male, and 6.53%～8.23% in female. Conclusion The multiple regression equation of oxygen consumption with heart rate and body weight as independent variables might be applied in the calculation of the oxygen consumption of physical activity in obese children and adolescents.
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Objective Through this meta analysis of controlled clinical trials of the effect of aerobic exercise on the maximal oxygen uptake(VO_2max)in sedentary healthy adults,we attempt to provide evidence for exercise prescription.Methods MEDLINE search for controlled trials that involved in the effect of aerobic exercise on the VO_2max from 1976 to 2008 was conducted.The literatures were selected according to inclusion criteria and exclusion criteria.Review Manager 5.0 software provided a systematic evaluation for calculating VO_2 max Weighted Mean Difference with random effects model.Assessment of the sub-group of aerobic exercise intensity and literature publication bias were conducted.Results(1)Thirty five literatures were included in this review;involving 889 adults met the inclusion criteria.VO_2max Weighted Mean Difference is 3.61ml/kg/min,95%confidence interval 2.96～4.25ml/kg/min,with an increase of 13.2%,comparing with the average VO_2max values(27.26 ml/kg/min)before aerobic exercise.(2)The most effective exercise intensity was 70～80%VO_2max,71～80%HRmax and 61～70% HRR according to the sub.group of aerobic exercise intensity meta analysis.Conclusion VO_2max increased significantly due to participating in aerobic exercise in sedentary healthy adults.The results will provide a theoretical basis for me development of aerobic exercise prescription with appropriate intensity.
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The purpose of the present study is to establish the physical fitness service network for Shanghai citizens aged 20～69 years,based on the national physical fitness monitoring system and lab testing techniques.The established physical fitness testing network now is ready for use through internet in Shanghai to promote the Shanghai as a "Healthy City".
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Objective The purpose of this study was to compare the correlations of air displacement plethysmography (ADP, BOD-POD) with the bioelectrical impedance analysis (BIA, including TANITA and OMRON methods) and skinfold thickness (ST). Methods Six hundred and ninety-seven healthy Shanghai adults (471 male and 226 female), aged 20-to 59 year, were enrolled in this study. Measurement of body composition derived from ADP was used as the reference method. The validity of all of the other methods was assessed by comparison against the reference by one-way anova and bivariate correlations. Results Estimation of body fat percentage by BIA were highly correlated with that by ADP in both male and female subjects (r=0.702 to 0.760, P
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Objective To explore the exercise induced immunity changes during incremental load training from the view of the expression of helper T cells (Th) mRNA. Methods Using the technique of real-time quantified PCR to observe T-helper-special cytokine mRNA of peripheral blood mononuclear cell dynamically in healthy young male who have been trained with incremental exercise for five weeks. Results There was no obvious change in IL-2 mRNA during five weeks training. Meanwhile IL-4 mRNA increased greatly in the second, third and fourth week. IFN-? mRNA as well as IFN-? mRNA/IL-4 mRNA increased remarkably in the third, fourth and fifth week . Conclusion The expression of T-helper1/ T-helper2 cytokine mRNA were up-regulated after five weeks and the subjects were gradually adapt to the increased load which indicated the enhancement of immunity function .
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0.05). Conclusion Treadmill running with low load for 1 week can enhance neurogenesis in the dentate gyrus of young SD rats.
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Objective To develop a method for quantitative real-time detection of perforin(PFR) using polymerase chain reaction(PCR).Methods Gene expression of PFR in peripheral blood mononuclear cell(PBMC) from 25 healthy individuals was detected by PCR.An endogenous"housekeeping" gene GAPDH was used to normalize the results.Results and Conclusion The spontaneous PFR mRNA expression in PBMC in a given sample could be measured by PCR with relativity correlation coefficient of r=1.
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Objective Through this meta analysis of controlled clinical trials of the effect of aerobic exercise on the maximal oxygen uptake(VO2max) in sedentary healthy adults,we attempt to provide evidence for exercise prescription.Methods MEDLINE search for controlled trials that involved in the effect of aerobic exercise on the VO2max from 1976 to 2008 was conducted.The literatures were selected according to inclusion criteria and exclusion criteria.Review Manager 5.0 software provided a systematic evaluation for calculating VO2max Weighted Mean Difference with random effects model.Assessment of the sub-group of aerobic exercise intensity and literature publication bias were conducted.Results(1)Thirty five literatures were included in this review;involving 889 adults met the inclusion criteria.VO2max Weighted Mean Difference is 3.61ml/kg/min,95% confidence interval 2.96 ～ 4.25ml/kg/min,with an increase of 13.2%,comparing with the average VO2max values(27.26 ml/kg/min) before aerobic exercise.(2) The most effective exercise intensity was 70～80%VO2max,71～80% HRmax and 61～70% HRR according to the sub-group of aerobic exercise intensity meta analysis.Conclusion VO2max increased significantly due to participating in aerobic exercise in sedentary healthy adults.The results will provide a theoretical basis for the development of aerobic exercise prescription with appropriate intensity.
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0.05). With prolonged of the training period, all the above indexes reverted gradually. Conclusion There might exist an inner correlation between the protective function of myocardium and the expression of myocardial HSP72 mRNA after training.
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Objective To research the possible relati onship between exercise-induced HSP72mRNA and ultrastructure of myocardium in rats. Methods 36 SD rats were randomly divided into four groups:control group,one week training group(T1),two weeks training group(T2),three weeks train ing group(T3).The rats in T1,T2 and T3 were trained on treadmill with 75%VO 2ma x intensity for 1 week,2 weeks and 3 weeks respectively.All rats were sacrificed within 24 hours after training and HSP72 mRNA expression of cardiac myocytes we re detected by reverse transcription-polymerase chain reaction(RT-PCR).The chang es of ultrastructure of myocardium in rats were also analyzed by electron micros cope.Results (1)HSP72 mRNA expression in T1 and T2 group were si gnificant higher than controls and T3 group.(2)According to electron microscope results of cardiac myocyte in rats,the sequence of damage degree from slight to severe was T3