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1.
Jiayan Liu Li Zhao Xue Yang Congjin Liu Ning Kong Yiyun Yu Dandan Xuan Weiguo Wan Yu Xue 《Journal of clinical laboratory analysis》2022,36(2)
ObjectiveTo investigate bone mineral density (BMD), bone metabolism‐related factors, and microRNA‐218 in Chinese ankylosing spondylitis (AS) patients and to identify their correlation with disease activities and the treatment with TNF‐α inhibitors.MethodsA total of 89 AS patients were enrolled in the study. Patients’ information and laboratory examination results were collected. BMD of the anteroposterior lumbar spine (L2‐L4), left femoral neck, and whole body were measured and T‐scores were calculated. MicroRNA‐218 was extracted from PBMCs of AS patients and detected by RT‐PCR. Bone metabolism‐related factors were detected using protein chips and flow cytometer.ResultsOut of 86 patients undergoing whole‐body BMD measurement, 14 had osteopenia and 72 had normal BMD without osteoporosis or high BMD. Compared with short‐ (disease duration ≤3 years) and long‐term groups (disease duration ≥10 years), medium‐term group (disease duration ranges from 3 to 10 years) showed lowest BMD. Patients with onset age ≤20 years old had significantly lower BMD than the other groups (p < 0.05). The BMD of femoral neck had negative correlation with CRP (p < 0.05) and no correlation with BASDAI or ESR. Both whole‐body BMD and femoral neck BMD were negatively correlated with BASMI (p < 0.05). Dickkopf‐1 (DKK‐1), platelet‐derived growth factor‐BB (PDGF‐BB), and receptor activator of NF‐κB ligand (RANKL)/osteoprotegerin (OPG) were significantly increased, while Osteopontin (OPN) was significantly decreased in AS patients. Expression of microRNA‐218 in PBMC of AS patients was low and was positively correlated with BASMI (p < 0.05), but it was not correlated with the duration of disease, age of onset, BASDAI, ESR, or BMD.ConclusionLoss of bone mass mainly occurred at the inflammatory sites in AS patients, depending on the severity of inflammation. The alleviation of inflammation can improve loss of bone mass and bone metabolism disorders. Anti‐inflammatory treatment is critical for the treatment of secondary osteoporosis caused by AS. 相似文献
2.
Yasser Ibrahim Seada Reda Nofel Hayam Mahmoud Sayed 《Journal of Physical Therapy Science》2013,25(8):911-914
[Purpose] To determine which of the transcranial electromagnetic stimulation or low
level laser therapy is more effective in the treatment of trigeminal neuralgia of multiple
sclerosis patients. [Methods] Thirty multiple sclerosis patients of both sexes
participated in this study. The age of the subjects ranged from 40 to 60 years and their
mean age was (56.4–6.6). Participants were randomly selected from Dental and Neurology
Outpatient Clinics at King Khalid Hospital, Najran University, Saudi Arabia. Patients were
randomly divided into two equal groups of 15. The Laser group received a low level laser
therapy, 830 nm wavelength, 10 Hz and 15 min duration, while the Electromagnetic group
received repetitive transcranial electromagnetic stimulation at a frequency of 10 Hz,
intensity of 50 mA and duration of 20 minutes. Patients were assessed pre and post
treatment for degree of pain using a numerical rating scale, maximal oral mouth opening
using a digital calibrated caliper, masseter muscle tension using a tensiometer and a
compound action potentials of masseter and temporalis muscles. [Results] There were
significant improvements after treatment in both groups, with a significant difference
between the Electromagnetic and Laser groups, in favor of the Electromagnetic group.
[Conclusion] Repetitive transcranial electromagnetic stimulation at 10 Hz, 50 mA, and 20
minutes duration is more effective than low level laser therapy at reducing trigeminal
pain, increasing maximum oral mouth opening, masseter and temporalis muscle tension in
multiple sclerosis patients.Key words: Trigeminal neuralgia, Low level laser, Trans-cranial electromagnetic stimulation 相似文献
3.
目的 研究 AS 患者中25(OH)VitaminD3水平以及疾病活动性指标(ESR、CRP)与 BMD 的关系及维生素D 的营养状况。方法 46例确诊的 AS 患者,按照 BMD 的检测结果分成三组:骨量正常组、骨量减少组、骨质疏松组,分别检测三组人群中25(OH)VitaminD3、CRP、ESR 的水平。同时对所有受试对象进行 BMD 的测量,检测部位包括腰椎后前位(L1-L4)、股骨颈(neck)、大转子(troch)。结果 三组人群的25(OH)VitaminD3水平无显著性差异(P>0.05)。CRP 与大转子处的骨密度呈负相关(r=-0.330,P <0.05)。骨质疏松组的 ESR、CRP 的水平与骨量正常、骨量减少组比较差异有统计学意义(P <0.05),骨质疏松组的 AS 患者 ESR、CRP 水平显著增加。结论 AS 继发骨质疏松的发生可能与疾病的活动性相关。绝大多数的 AS 患者存在 VD 的缺乏和不足,并且随着骨量丢失的增加, VD 缺乏率有逐渐增加的趋势,但是维生素 D 是否参与其发病还有待进一步研究。 相似文献
4.
Mehmet Demir Turgay Ulas Ahmet Tutoglu Ahmet Boyaci Emel Yigit Karakas Hatice Sezen Murat Ustunel Hasan Bilinc Mehmet Gencer Hakan Buyukhatipoglu 《Journal of Physical Therapy Science》2014,26(9):1405-1409
[Purpose] To evaluate the oxidative stress parameters and urinary deoxypyridinoline
levels in geriatric patients with osteoporosis. [Subjects and Methods] Eighty geriatric
patients aged over 65 years were recruited. Patients were divided into two groups: Group 1
(n=40) consisted of patients with osteoporosis, and Group 2 (n=40) consisted of patients
without osteoporosis. Bone mineral density measurements were performed for all patients
using DEXA. Oxidative stress parameters were analyzed in blood samples, and
deoxypyridinoline levels were analyzed in 24-hour urinary samples. [Results] Compared to
Group 2, the total antioxidant status and oxidative stress index levels of Group 1 were
not significantly different; however, total oxidant status and 24-hour urinary
deoxypyridinoline levels were significantly higher. Pearson correlation coefficients
indicated that OSI and urinary deoxypyridinoline levels were not correlated with any
biochemical parameters. ROC-curve analysis revealed that urinary deoxypyridinoline levels
over 30.80 mg/ml predicted osteoporosis with 67% sensitivity and 68% specificity (area
under the curve = 0.734; %95 CI: 0.624–0.844). [Conclusion] Our results indicate that
oxidative stress would play a role in the pathogenesis of osteoporosis, and that urinary
deoxypyridinoline levels may be a useful screening test for osteoporosis.Key words: Osteoporosis, Oxidative stress index, Deoxypyridinoline 相似文献
5.
[Purpose] This study assessed the advantages and shortcomings of methods for hemostasis
in patients who had received angiography after femoral arterial puncture using manual,
compression device, or a combination of manual compression and a compression device. In
addition, the success rates, complications, etc, were analyzed. [Subjects and Methods] One
hundred and eighty patients who had undergone angiography after femoral arterial puncture
were divided into three groups according to the method of hemostasis. For group A,
immediately after angiography, an Angio-Seal device was placed in the puncture area and
compressed using a compression device. For group B, after angiography, the puncture area
was compressed with the hands directly. For group C, the puncture area was compressed
using a compression device for approximately 10 min, and the puncture area was then
compressed with the hands. In each group, the following correlations were analyzed: the
time to hemostasis after angiography and gender, the time to hemostasis of each generation
and the hemoglobin value, and platelet value and the time to hemostasis. [Results] The
results showed a similar time to hemostasis regardless of gender or generation. The
correlation between the hemoglobin value, platelet value, and the time to hemostasis were
not significant. Group A showed the shortest mean time to hemostasis of the three groups
(20.37 ± 8.23 min). No complications caused by the hemostasis method were detected in
group B. Group A showed the highest incidence of complications caused by hemostasis.
[Conclusion] Overall, hemostasis performed mutually is safe and effective for patients
according to their condition.Key words: Femoral arterial puncture, Hemostasis, Compression device 相似文献
6.
Takako Tanaka Naomi Miyamoto Ryo Kozu Kazuhiko Satomi Sumihisa Honda Hideaki Senjyu 《Journal of Physical Therapy Science》2014,26(10):1605-1608
[Purpose] To examine the long-term effects of air pollution on the physical functioning
of a group of officially acknowledged victims of pollution-related illnesses (Victims
group) who were exposed to air pollution more than 50 years ago, we compared them with
age-matched patients with chronic obstructive pulmonary disease (COPD group). [Subjects
and Methods] The Victims group comprised 34 subjects and the COPD group 24, all of whom
were aged over 65 years. Respiratory function, muscle strength, exercise capacity and
physical activity were measured and compared between the groups. [Results] The Victims
group had significantly higher forced expiratory volume in the first second
(FEV1), proportion of predicted FEV1, proportion of predicted
vital capacity (VC), and ratio of FEV1 to forced VC than the COPD group.
Surprisingly, the muscle strength of the Victims group was significantly weaker, their
incremental shuttle walking test distance was significantly shorter, and their physical
activity was significantly less than those of the COPD group. [Conclusion] Although the
pulmonary function of Victims was better than that of the COPD group, their physical
functioning was worse. Exposure to air pollution 50 years ago appears to continue to
adversely affect their physical function. It is particularly important to offer Victims
rehabilitation to improve their exercise performance and physical activity.Key words: Pollution-related disease, Exercise capacity, Physical activity 相似文献
7.
Han Suk Lee 《Journal of Physical Therapy Science》2014,26(7):1107-1111
[Purpose] We assessed the effects of aerobic exercise and strengthening exercise on pain
pressure thresholds (PPTs) over time. [Subjects and Methods] Fifteen healthy participants
were recruited and randomly divided into 3 groups: aerobic exercise, strengthening
exercise, and control. The subjects in the aerobic group walked on a treadmill for 40 min
at 6.5 km/h. The subjects in the strength group performed circuit training that included
bench press, lat pull down, biceps curl, triceps extension, and shoulder press based on
the perceived exertion for 40 min. The subjects in the control group rested without any
exercise in a quiet room for 40 min. The PPTs of 5 potential muscle trigger points before
exercise, and immediately after 10 and 40 min of exercise or rest were measured using an
electronic algometer (JTECH Medical, USA). The Friedman’s, Kruskal-Wallis, and
Mann-Whitney tests were performed using SPSS 18.0 (IBM, Korea). [Results] The PPTs of all
subjects decreased after 10 min of exercise, but the difference was not statistically
significant. The PPTs of the control group decreased after 40 min. Furthermore, the PPTs
of 3 muscles increased after 40 min of aerobic exercise and of 6 muscles after 40 min of
strengthening exercise. No significant difference in PPTs was noted among the groups.
[Conclusion] The results show that 40 min is a more appropriate exercise time, although
the efficacy of controlling pain did not differ between strengthening exercise and aerobic
exercise.Key words: Aerobic exercise, Strengthening exercise, Pain pressure thresholds 相似文献
8.
Katsushi Kuniyasu 《Journal of Physical Therapy Science》2014,26(5):785-787
[Purpose] Many patients receive intermittent cervical traction in a daily treatment
setting. However, unified settings for traction force, duration, and direction have yet to
be determined. Therefore, an objective index is required to determine changes in traction
conditions or to indicate its effectiveness. [Subjects] Fifteen healthy males volunteers
participated in this study. [Methods] The thickness of the trapezius and splenius capitis
muscles before and during traction were measured using ultrasonography at three traction
forces: 5, 8 and 11 kg. [Results] Significant differences in muscle thickness were
observed at 11 kg in the trapezius, and at 8 kg and 11 kg in the splenius capitis muscles.
The muscle thickness ratio of the trapezius muscle showed a significant difference between
11 kg and 5 and 8 kg, and between 5 kg and 8 and 11 kg, as well as between 8 kg and 11 kg
for the splenius capitis muscles. [Conclusion] Differences in muscle direction between the
trapezius and splenius capitis muscles may account for the contrasting results obtained at
the 8 kg traction force. This finding suggests that cervical traction must be performed
considering the effects on different neck regions.Key words: Intermittent cervical traction, Muscle thickness, Ultrasonography 相似文献
9.
Sa?a Panteli? Marija Popovi? Vladimir Miloradovi? Radmila Kosti? Zoran Milanovi? Milovan Brati? 《Journal of Physical Therapy Science》2013,25(8):929-935
[Purpose] The purpose of this study was to determine the effects of short-term exercise
training on the cardiorespiratory fitness (CRF) of individuals suffering from myocardial
infarction. [Subjects] A total of 60 participants were divided into experimental (EXP;
n=30, mean age 56.7 ± 2.8 years, body mass 80.7 ± 10.7 kg, body height 171.9 ± 7.2 cm) and
control (CON; n=30, mean age 56.5 ± 3.1 years, body mass 84.4 ± 12.4 kg, body height 171.5
± 12.4 cm) groups. [Methods] The members of the EXP group took part in an organized daily
physical exercise program (Monday through Sunday), for a period of 3 weeks. The exercise
program consisted of 60 min daily specialized fitness exercises with an intensity ranging
from 55–70% of the maximum heart rate, which was determined by test on a bicycle
ergometer. The effects of the exercise were monitored by means of the following
parameters: maximum oxygen uptake (VO2peak), resting heart rate, systolic blood pressure
and diastolic blood pressure. [Results] The results indicate statistically significant
post-exercise improvements in heart rate, relative oxygen uptake and systolic blood
pressure, among the members of the EXP group. The results indicate that at the initial
measurement of cardiorespiratory fitness no statistically significant differences were
found between the groups at the multivariate level (Wilk''s λ=0.83), while statistically
significant differences in the cardiorespiratory fitness were found at the final
measurement (Wil''s λ=0.430). [Conclusion] The obtained results indicate that the exercise
program, which lasted for a period of 21 days, though shorter in duration than other
programs still led to statistically significant changes in the CRF of individuals
suffering from MI.Key words: Blood pressure, Functional capacity, Aerobic training 相似文献
10.
Hyung-Woo Koh Sung-Hyoun Cho Cheol-Yong Kim Byung-Jun Cho Jin-Woo Kim Kak Hwang Bo 《Journal of Physical Therapy Science》2013,25(9):1093-1095
[Purpose] The aim of this study was to investigate the effect of vibratory stimulation
on maximal voluntary isometric contraction (MVIC) from delayed onset muscle soreness
(DOMS). [Subjects] Sixty healthy adults participated in this study. The exclusion criteria
were orthopedic or neurologic disease. [Methods] The researchers induced DOMS in the
musculus extensor carpi radialis longus of each participant. Subjects in the control group
received no treatment. The ultrasound group received ultrasound treatment (intensity,
1.0 W/cm2; frequency 1 MHz; time, 10 minutes). The vibration group received
vibration stimulation (frequency, 20 MHz; time, 10 minutes). Maximal voluntary isometric
contraction (MVIC) was recorded at baseline, immediately after exercise, and 24, 48, and
72 hours after exercise. [Results] MVIC measurements showed statistically significant
differences in the vibration group compared with the control group. [Conclusion] Vibratory
stimulation had a positive effect on recovery of muscle function from DOMS.Key words: Vibratory stimulation, Ultrasound, Isometric contraction 相似文献
11.
Sun-Hyung Joo Min-Tae Kim Jae-Hwan Cho Hae-Kag Lee Jae-Ouk Ahn 《Journal of Physical Therapy Science》2015,27(4):1117-1120
[Purpose] The purpose of this study was to investigate the blood levels related to the
bone mineral density by using the dual energy X-ray absorption for females before
menopause and males younger than 50 years old. [Subjects and Methods] Between August 1,
and September 15, 2013, the Z-score was measured in females before menopause and males
younger than 50 years old using a bone mineral density measuring instrument. After the
measurement, the subjects were classified into two groups, that is, the below expectations
and within expectations groups. Next, we analyzed and compared the differences in age,
body mass index, and blood levels between the 2 groups. [Results] The results showed a
correlation of 0.212 for total protein, −0.317 for alanine aminotransferase, −0.199 for
gamma-glutamyl transferase, −0.358 for alkaline phosphatase, 0.266 for uric acid, −0.313
for lactate dehydrogenase, 0.244 for creatinine, −0.234 for the red blood cell count, and
−0.230 for the red cell distribution width in patients with less than expected level for
their age. [Conclusion] In conclusion, osteoporosis may occur in females before menopause
and males younger than 50 years old, and aggressive attention is required for prevention
and treatment. 相似文献
12.
Thapanee Roengrit Panakaporn Wannanon Piyapong Prasertsri Yupaporn Kanpetta Bung-orn Sripanidkulchai Jintanaporn Wattanathorn Naruemon Leelayuwat 《Journal of Physical Therapy Science》2015,27(4):1181-1186
[Purpose] We aimed to evaluate the effects of Phyllanthus amarus (PA) on
oxidative stress and damage, inflammation, and soreness in muscle after a single session
of moderate-intensity exercise. [Subjects and Methods] Twelve men randomly participated in
2, three-day phases with a one-week washout period. On the first day, participants
consumed two capsules of PA or placebo control (CTL) before 20 min of cycling. They then
consumed four capsules on the same day after exercise and six capsules/day for the next
two days. Blood samples were obtained before, immediately after exercise and 24 h and 48 h
after exercise. The pain tolerance was measured at both legs. [Results] Plasma vitamin C
levels in the PA group were higher than those in the CTL group after exercise. At 48 h
after exercise, vitamin C levels were higher in the PA group, but those in the CTL group
were lower than the pre-exercise levels. However, plasma levels of creatine kinase were
increased in both groups after exercise compared with the pre-exercise levels. The
neutrophil count was higher immediately after exercise than the pre-exercise levels in the
CTL group. [Conclusion] Acute supplementation with PA improves antioxidant status after a
single session of moderate-intensity exercise. 相似文献
13.
Camilo Corbellini Cristiane Brenner Eilert Trevisan Jorge Hugo Villafa?e Alexandre Doval da Costa Silvia Regina Rios Vieira 《Journal of Physical Therapy Science》2015,27(6):1945-1950
[Purpose] To evaluate pre-extubation variables and check the discriminative validity of
age as well as its correlation with weaning failure in elderly patients. [Subjects and
Methods] Two hundred thirty-nine consecutive patients (48% female) who were on mechanical
ventilation and had undergone orotracheal intubation were divided into four subgroups
according to their age: <59 years, 60–69 years, 70–79 years, and >80 years old. The
expiratory volume (VE), respiratory frequency (f), tidal volume
(VT), and respiratory frequency/tidal volume ratio (f/VT) were used
to examine differences in weaning parameters between the four subgroups, and age was
correlated with weaning failure. [Results] The rate of weaning failure was 27.8% in
patients aged >80 years and 22.1% in patients aged <60 years old. Elderly patients
presented higher f/VT and f values and lower VT values. The areas
under the receiver operating characteristic curves for f/VT ratio were smaller
than those published previously. [Conclusion] Our results indicate that aging influences
weaning criteria without causing an increase in weaning failure.Key words: Weaning, Mechanical ventilation, Aging 相似文献
14.
Woo-Il Kim Yong-Kyu Choi Jung-Ho Lee Young-Han Park 《Journal of Physical Therapy Science》2014,26(11):1831-1834
[Purpose] The aim of this study was to evaluate the changes in function and balance after
Kinesio Taping application in stroke patients. [Subjects and Methods] Thirty subjects were
randomly divided into an experimental group and control group. The experimental group was
applied taping before therapeutic exercise, and the control group received only
therapeutic exercise. Functional gait was measured using the straight line walking test,
and dynamic balance ability was measured using the Berg Balance Scale. Walking velocity
was measured with the 10 m walking test. [Results] There were statistically significant
differences between the results of the straight line walking and 10 m walking tests in the
pre-post analysis for the experimental group. There were a statistically significant
difference in the Berg Balance Scale and 10 m walking test between the two groups.
[Conclusion] Application of taping to the paralyzed parts of a stroke patient has a
positive effect on improvement of typical asymmetric gait and walking speed.Key words: Kinesio taping, Stroke, Gait 相似文献
15.
Sam-Sik Park Bo-Kyung Kim Ok-Kon Moon Wan-Suk Choi 《Journal of Physical Therapy Science》2015,27(10):3279-3281
[Purpose] The study investigated the effects of joint position on the distraction
distance during Grade III glenohumeral joint distraction in healthy individuals. [Subjects
and Methods] Twenty adults in their forties without shoulder disease were randomly divided
into neutral position group (NPG; n = 7), resting position group (RPG; n = 7), and end
range position group (ERPG; n = 6). After Kaltenborn Grade III distraction for 40s, the
distance between glenoid fossa and humeral head was measured by ultrasound. [Results] The
average distances between the humeral head and glenoid fossa before distraction were 2.86
± 0.81, 3.21 ± 0.47, and 3.55 ± 0.59 mm for the NP, RP, and ERP groups. The distances
after applying distraction were 3.12 ± 0.51, 3.86 ± 0.55, and 4.35 ± 0.32 mm.
Between-group comparison after applying distraction revealed no significant differences
between the NP and RP groups, while there was a statistically significant difference
between the NP and RP groups, as well as between the NP and ERP groups. [Conclusion] Joint
space was largest in ERP individuals when performing manual distraction.Key words: Joint position, Manual distraction, Glenohumeral joint 相似文献
16.
Zun Wang Lei Wang Hongjuan Fan Wenjun Jiang Sheng Wang Zhaohua Gu Tong Wang 《Journal of Physical Therapy Science》2014,26(9):1449-1454
[Purpose] To evaluate the feasibility and efficacy of adapted low intensity ergometer
aerobic training for early and severely impaired stroke survivors. [Subjects] The subjects
were forty-eight early stroke survivors. [Methods] Eligible subjects were recruited and
randomly assigned to an experimental group and a control group. Both groups participated
in comprehensive rehabilitation training. Low intensity aerobic training was only
performed by the experimental group. Outcome measures were the Fugl-Meyer motor score,
Barthel index, exercise test time, peak heart rate, plasma glucose level and serum lipid
profiles. [Results] Patients in the experimental group finished 88.6% of the total aerobic
training sessions prescribed. In compliant participants (adherence≥80%), aerobic training
significantly improved the Barthel index (from 40.1±21.1 to 79.2±14.2), Fugl-Meyer motor
score (from 26.4±19.4 to 45.4±12.7), exercise test time (from 12.2±3.62 min to
13.9±3.6 min), 2-hour glucose level (from 9.22±1.16 mmol/L to 7.21±1.36 mmol/L) and
homeostasis model of assessment for insulin resistence index (from 1.72±1.01 to
1.28±0.88). [Conclusion] Preliminary findings suggest that early and severely impaired
stroke patients may benefit from low intensity ergometer aerobic training.Key words: Aerobic training, Early and severely impaired stroke hemiplegia, Feasibility and efficacy 相似文献
17.
[Purpose] Afferent input caused by electrical stimulation of a peripheral nerve or a
muscle modulates corticospinal excitability. However, a long duration of stimulation is
required to induce these effects. The purpose of this study was to investigate the effect
of short-duration high-frequency electrical muscle stimulation (EMS) on corticospinal
excitability through the measurement of motor evoked potentials (MEP) in young healthy
subjects. [Subjects] Eleven healthy right-handed subjects participated in this study.
[Methods] EMS was applied to the abductor pollicis brevis (APB) muscle at 100 Hz with a
pulse width of 100 μs for 120 s. The intensity of stimulation was just below the motor
threshold. Transcranial magnetic stimulation was applied over the motor cortex, and MEP
were recorded from the APB before, and immediately, 10, and 20 min after EMS. [Results] In
the APB muscle, the MEP amplitude significantly decreased after EMS, and this effect
lasted for 20 min. [Conclusion] The excitability of the corticospinal tract decreased
after short-duration high-frequency EMS, and the effect lasted for 20 min. These results
suggest that even short duration EMS can change the excitability of the corticospinal
tract.Key words: Electrical muscle stimulation, Transcranial magnetic stimulation, Corticospinal excitability 相似文献
18.
[Purpose] The aim of this study was to assess patients’ health-related quality of life,
compare it with a healthy age-matched population, and examine associations between
functional ability and quality of life among juvenile rheumatoid arthritis (JRA) patients.
[Subjects and Methods] The study participants were 26 JRA patients and 25 controls. The
Childhood Health Assessment Questionnaire and the Pediatric Quality of Life Inventory 4.0
Generic Core Scales were used to evaluate functional ability and health-related quality of
life, respectively. [Results] Functional ability scores averaged 0.37 in the JRA group and
0.08 in the control group. There were significant between-group differences in functional
ability scores in the overall cohort and in the subgroup of participants aged 14–16 years.
Health-related quality of life scores were significantly lower in the JRA group than in
the control group (68.39 vs. 85.17). In the JRA group, functional ability was
statistically positively correlated with health-related quality of life. [Conclusion] We
conclude that the mental state of adolescents with JRA affects their particular functional
abilities. Subjects in the 14–16 age group who had a longer disease duration and higher
difficulty scores showed a lower health-related quality of life than children in the other
age groups.Key words: Juvenile rheumatoid arthritis, Functional ability, Health-related quality of life 相似文献
19.
Hiroaki Sakurai Yoshikiyo Kanada Yoshito Sugiura Ikuo Motoya Yosuke Wada Masayuki Yamada Masao Tomita Shigeo Tanabe Toshio Teranishi Toru Tsujimura Syunji Sawa Tetsuo Okanishi 《Journal of Physical Therapy Science》2014,26(9):1387-1397
[Purpose] The aim of this study was to examine the applicability of the Objective
Structured Clinical Examination (OSCE) to postgraduate education systems for novice and
mid-career therapists in workplaces. [Subjects] Physical and occupational therapists with
1 to 5 years of clinical experience took the OSCE to assess their learning, with a
physical or occupational therapy faculty member and a clinical supervisor as examiners.
Another clinical supervisor acted as a simulated patient. [Methods] A Wilcoxon signed-rank
test was performed to compare skills between before and after OSCE-based learning, and a
Mann-Whitney U test was used to compare them between therapists with 1 to 2 years (novice)
and 3 to 5 years (mid-career) of clinical experience. [Results] While no
experience-related differences were observed in behavioral aspects, mid-career therapists
exhibited markedly higher scores compared with novices in technical aspects, such as
skills to guide patients for standing up, transfer, and dressing. [Conclusion] The OSCE
may be sufficiently applicable to postgraduate education systems in workplaces.Key words: OSCE, Clinical skill, Physical and occupational therapists 相似文献