Physiotherapy for Myotonic Dystrophy

The aim of this paper is to provide clinical physiotherapists with an understanding of myotonic dystrophy. This knowledge has been integrated into guidelines for treating patients with myotonic dystrophy when encountered in various clinical situations. Such patients may be treated after surgery, or for respiratory dysfunction, or need remedial or preventive exercise programmes. Choice of mobility aids is also addressed. An holistic approach to management of patients with myotonic dystrophy is encouraged.     

物理疗法对颈椎间盘突出症的疗效观察

目的观察物理疗法对颈椎间盘突出症的疗效。方法对３１例颈椎间盘突出症行交变电磁、电脑中频电、颈椎牵引综合治疗，每天１次，每次各２０分钟，１２次为１个疗程，并进行了病程与疗效、病情与疗效、疗程与疗效的观察，统计学用χ２处理。结果３１例治愈３例（９．６８％）、显效１２例（３８．７１％）、好转１５例（４８．３９％）、无效１例（３．２２％）。不同病程的疗效比较显示，病程小于１年的疗效明显高于病程多于１年的病例（Ｐ＜０．０５）；病情轻的疗效明显高于病情重的（Ｐ＜０．０５）；治疗２个疗程以上的疗效明显高于１个疗程（Ｐ＜０．０１）。结论物理疗法对颈椎间盘突出症中神经根受压和脊髓受压较轻的可取得较满意的疗效     

Association between generalized joint laxity and knee joint movement in female university students

[Purpose] This study investigated the association between generalized joint laxity and knee joint movement in female university students. [Participants and Methods] The study included 21 female university students. Generalized joint laxity was measured using the Beighton criteria for joint hypermobility. Acceleration and angular velocities of the tibia during knee extension were measured along three axes using a triaxial accelerometer. Sampling data were expressed as root mean squares. The Mann–Whitney U test was used to determine differences in the acceleration and angular velocities along each axis between the generalized joint laxity and non-generalized joint laxity groups. Spearman’s rank correlations were used to confirm the association between these parameters. [Results] The rotational angular velocity was greater in the generalized joint laxity than in the non-generalized joint laxity group, and we observed a significant correlation between Beighton scores and the X-axis angular velocity. Furthermore, rotational angular velocity was positively correlated with anterior–posterior acceleration and extension angular velocity. [Conclusion] These findings suggest that rotational angular velocity of the tibia during knee extension is associated with generalized joint laxity in female university students.     

Physiotherapy for Male Continence Problems

A survey was sent to the total (531) membership of two British organisations of physiotherapists who treat patients with urinary continence problems. They were asked about aspects of current physiotherapy treatment of male urinary incontinence. Replies were received from 319, giving a response rate of 60%. Twenty-six physiotherapists did not treat continence patients. Female continence problems were treated by 293 respondents; of these only 81 treated male continence problems. In the 12 months prior to the survey, the respondents had treated only 390 male patients. Most post-prostatectomy out patients (70%) were taught pelvic floor exercises. Many (50% of all patients) were given bladder training, few (20% in the department and 8% at home) received electrical stimulation and even fewer (7%) received biofeedback. Most patients were given advice on fluid intake (68%), caffeine products (69%), alcohol intake (55%) and bulbar massage (32%). The main problems identified were lack of referrals and lack of training.     

多动症儿童的心理护理

通过对20例多动症儿童的心理护理的效果评价,提示:对于多动症儿童的心理护理强调医务人员、老师、家长及儿童的密切配合,才能起到良好的效果。     

运动疗法对膝骨关节炎的疗效观察

目的探讨运动疗法对膝骨关节炎治疗效果的影响。方法 40例膝骨关节炎患者分为对照组(n=20)和治疗组(n=20),对照组采用常规理疗、针灸、熏洗、按摩等治疗,治疗组在常规治疗基础上加入运动疗法,包括肌力训练、关节活动度训练。治疗前后采用Lysholm膝关节评分量表和视觉模拟评分法(VAS)进行评定。结果两组患者VAS和Lysholm膝关节量表评分均改善,治疗组较对照组改善更明显(P<0.01)。结论运用运动疗法能进一步改善膝骨关节炎患者膝关节功能,缓解疼痛。     

Lennox-Gastaut综合征患儿的护理

总结60例Lennox-Gastant 综合征患儿的护理要点.认为通过建立良好的护患关系,针对患儿的疾病特点做好心理护理;根据患儿的不同发作形式做好预见性的护理,确保脑电图检查的准确性;做好患儿癫(癎)发作及持续状态时的护理;关注药物不良反应,对症护理;做好疾病知识、用药、生活方面的出院指导,对促进患儿康复非常重要.本组患儿出院时25例临床治愈,28例明显好转,7例未愈,均无并发症发生,随访依从性好.     

Dutch Physiotherapy Guidelines for Low Back Pain

Many guidelines for the management of low back pain in primary care have been published during recent years, but guidelines for physiotherapy do not yet exist. Therefore, physiotherapy guidelines have been developed, reflecting the consequences of the current state of knowledge of effective and appropriate physiotherapy for low back pain. They aim to improve the efficiency and effectiveness of physiotherapeutic care for patients with low back pain.The guidelines were constructed on the basis of the phases of the physiotherapy process, using the Dutch method of developing physiotherapy guidelines. Scientific evidence of systematic reviews was used as the basis for the recommendations. A computerised literature search of Medline, Cinahl, the Cochrane Database of Systematic Reviews and the Database of the Dutch National Institute of Allied Health Professions was conducted to identify relevant systematic reviews. If no evidence was available, consensus between experts was obtained.The guidelines were pilot tested among one hundred physiotherapists and reviewed by an external multi-disciplinary panel.The guidelines recommend that the diagnostic process should focus on disability and participation problems resulting from back pain. The treatment should consist of an active approach, in which the patients learn to take control over their back pain. For patients with a normal course, where activities and participation gradually increase, reassurance, adequate information and advice to stay active are the most important recommendations. For patients with an abnormal course, where activities and participation do not increase, exercise therapy should also be provided, with a behavioural approach if necessary.These are the first national physiotherapy guidelines for low back pain. The recommendations are largely in line with other primary care guidelines for low back pain. Implementation will be a major challenge for the near future.