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1.
Tomoko Ohura Tsutomu Tsuyama Takeo Nakayama 《Journal of Physical Therapy Science》2015,27(6):1705-1708
[Purpose] This study aimed to clarify differences between home-visit rehabilitation users
and providers in their understanding of the content and subjective effects of this
practice. [Subjects] The subjects of this study were home-visit rehabilitation users and
providers. [Methods] Home-visit rehabilitation users and providers were given
self-administered questionnaires regarding home-visit rehabilitation, such as the content
and subjective effects. The McNemar’s test was used for statistical analysis. [Results]
Responses of 34 pairs meeting the inclusion criteria were analyzed. Mean user age was 75.2
± 9.2 years, and 58.8% (20/34) of respondents were female. In terms of home-visit
rehabilitation content, users believed that the following 3 items had been “implemented”
to a greater extent than that estimated by providers: paralysis improvement exercise,
floor sitting and standing, and self-care activities. No significant differences in
awareness were identified between users and providers regarding the
maintenance/improvement effects of home-visit rehabilitation. [Conclusion] Users tend to
consider that programs aimed at relieving symptoms and pain and improving mobility are
being implemented to a greater extent than that considered by providers. Providers need to
explain the aims of home-visit rehabilitation programs in a way that can be understood by
users.Key words: Home-visit rehabilitation, Subjective effects, Rehabilitation program 相似文献
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Payne S Sheldon F Jarrett N Large S Smith P Davis CL Turner P George S 《Palliative medicine》2002,16(5):395-402
This paper describes a study that sought to identify service providers' and commissioners' understanding of specialist palliative care within the context of changing service provision in one area of South London. Using a formative evaluation framework, we examined the views of 44 providers and commissioners from statutory and voluntary health and social care services about their understanding of specialist palliative care services and, in particular, the remit of current service provision delivered by a Marie Curie Centre. Face-to-face audiotaped semi-structured interviews were conducted. A qualitative thematic analysis highlighted a number of issues including a lack of consensus about definitions of palliative care, ambivalence about referral procedures, and a lack of role clarity between specialist and generalist palliative care providers. The study took place within the real world context of changing services and economic pressures. This raises methodological issues about how services are evaluated and what terminology is used to describe end-of-life care. The study findings confirm that confusion about terminology and referral criteria remain major issues for clinical workers and organizations seeking to access services. 相似文献
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[Purpose] The purpose of this study was to investigate the use of smartphones by
university students in selected areas, their musculoskeletal symptoms, and the associated
hazard ratio. [Subjects and Methods] This involved the completion of a self-administered
questionnaire by dental hygiene students in Seoul, Gyeonggido, and Gyeongsangbukdo. The
292 completed copies of the questionnaire were then analyzed. [Results] The most painful
body regions after the use of smartphones were found to be the shoulders and neck. In the
musculoskeletal system, back pain was found to have a positive correlation with the size
of the smartphone’s liquid crystal display (LCD) screen, and pain in legs and feet were
found to have a negative correlation with the length of time that the smartphone was used.
As a result, it was revealed that the use of a smartphone was correlated with
musculoskeletal symptoms. [Conclusion] Therefore, in today’s environment, where the use of
smartphones is on the rise, it is necessary to improve the ways that they are used and to
develop a preventive program to alleviate the symptoms of musculoskeletal damage.Key words: Smartphone, Musculoskeletal symptoms, Prevent 相似文献
6.
目的:探究抑郁症患者主客观睡眠质量之间的差异以及此差异的相关因素.方法:采用美国精神障碍诊断与统计手册第四版(DSM-Ⅳ)诊断标准,共收录30例以失眠为主诉的抑郁症患者,汉密尔顿抑郁量表17项版本(HAMD-17)总分≥17分.对照组共14例,均排除严重躯体器质性疾病、精神疾病史及家族史.采用匹茨堡睡眠质量指数量表(PSQI)评定主观睡眠质量.采用多导睡眠监测仪(PSG)评定客观睡眠质量.结果:与对照组比较,抑郁症组的主客观睡眠时间、睡眠潜伏期及睡眠效率差异均有统计学意义(P< 0.001).抑郁症组的主客观睡眠质量差异与PSQI及HAMD-17分数均存在相关性(P<0.05).结论:抑郁症患者缺乏主观睡眠满足感,存在夸大主观失眠严重程度的倾向,其主客观睡眠质量存在明显差异,且此差异与HAMD-17睡眠障碍因子分存在相关性,提示抑郁症状在抑郁症患者的主客观睡眠质量差异中起到重要作用. 相似文献
7.
[Purpose] The purpose of this study is to investigate the effects of a Korean
computer-based cognitive rehabilitation program (CBCR) on the cognitive function and
visual perception ability of patients with acute stroke. [Subjects] The subjects were 30
patients with acute stroke. [Methods] The subjects were randomly assigned to either the
experimental group (EG) or the control group (CG). The EG subjects received CBCR with the
CoTras program. The CG subjects received conventional cognitive rehabilitation. All
subjects participated in a standard rehabilitation program according to a daily inpatient
treatment schedule. In addition to standard rehabilitation, the subjects received 20
sessions (5 days a week for 4 weeks) of CBCR or conventional cognitive rehabilitation for
30 min. To compare the two groups, the Lowenstein Occupational Therapy Cognitive
Assessment (LOTCA) and Motor-free Visual Perception Test-3 (MVPT-3) were performed.
[Results] Both groups showed significant improvement in LOTCA and MVPT-3. Furthermore,
there were significant differences in LOTCA and MVPT-3 between the two groups.
[Conclusion] CBCR with CoTras may contribute toward the recovery of cognitive function and
visual perception in patients with acute stroke.Key words: Cognitive function, Korean computer-based cognitive rehabilitation program, Visual perception 相似文献
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Nurses are increasingly being called upon to be the conveyers of important statistical information to patients. This trend is particularly evident in the domains of genetics and cancer screening. These new roles, however, demand new competencies, such as the ability to solve statistical problems, and the skill to communicate the answers effectively, as effective communication is an important ingredient in shared decision making. Genetic testing, perhaps more than other medical domains, relies heavily on the use of statistics. Being able to convey statistical information effectively is vital. In this paper, we illustrate the problems health care professionals have had in tackling and communicating statistical information. We introduce the natural frequencies method of solving Bayesian inference problems and review empirical evidence that shows the superiority of this format. Being able to transform probabilities into natural frequencies facilitates correct Bayesian inferences. It is argued that the conventional approach to educating nurses in Bayesian problem solving should be reconsidered and their statistical curriculum should be supplemented with instruction in using the natural frequency format. 相似文献
10.
Differences in the total hip rotation range of motion between sides in
healthy young Japanese adults
Heonsoo Han Akira Kubo Masahiro Ishizaka Hitoshi Maruyama 《Journal of Physical Therapy Science》2021,33(1):57
[Purpose] To investigate the difference by degrees in total hip rotation range of motion (ROM) between sides and with regard to gender in healthy young Japanese adults. [Participants and Methods] Data from previously published studies were used. We utilized the left and right hip rotation ROM of 205 Japanese participants aged 18 to 25 years, who satisfied the inclusion criteria and were randomly measured three times in the prone position by the double-blind method. The average value of the three measurements was used to calculate the left–right difference of the hip total rotation ROM in the hip joints, which is the sum of the hip internal and external rotation ROM. We investigated the distribution of the total hip rotation considering the flexibility factor and its relationship with gender. [Results] We confirmed that there were seven participants with 2 SD or more and two with 3 SD or more. No significant difference was found in the left–right difference in the total hip rotation ROM, regardless of gender. [Conclusion] The distribution of left–right differences in the total hip rotation ROM in healthy young adults showed the existence of a significant left–right difference of 2 SD or more.Key words: Total hip rotation, Range of motion, Laterality 相似文献
11.
Kang Hoon Kim Sung-Hak Cho Bong-Oh Goo Il-Hun Baek 《Journal of Physical Therapy Science》2013,25(7):861-863
The purpose of the present study was to compare the contraction ability at maximum
expiration of the transversus abdominis (TrA) in patients with chronic low-back pain
(CLBP) with that of healthy individuals. [Subjects] We studied 15 patients with CLBP and
15 healthy subjects. The subjects were informed of the study''s aim and methods, and the
experiment was performed after obtaining the consent of the subjects. [Methods] The
thickness of the abdominal muscles was measured using a LOGIQ Book XP (GE, USA). The main
outcome variable was the ratio of TrA thickness at maximum expiration versus in the
relaxed position (TrA activation ratio). [Results] There was a difference between the
healthy subjects and the back pain subjects with regard to the thickness of the TrA at
rest and the thickness of the muscle during contraction. However, there was no difference
in the rate of change in the muscle activity. [Conclusion] In conclusion, CLBP patients
exhibited atrophy of the TrA muscle, but voluntary TrA muscle activation was similar to
that of the normal subjects.Key words: Low back pain, Transversus abdominis, Maximum expiration 相似文献
12.
Ji-Woong Noh Byoung-Sun Park Mee-Young Kim Lim-Kyu Lee Seung-Min Yang Won-Deok Lee Yong-Sub Shin Ji-Hye Kang Ju-Hyun Kim Jeong-Uk Lee Taek-Yong Kwak Tae-Hyun Lee Ju-Young Kim Junghwan Kim 《Journal of Physical Therapy Science》2015,27(6):1919-1922
[Purpose] This study investigated two-point discrimination (TPD) and the electrical
sensory threshold of the blind to define the effect of using Braille on the tactile and
electrical senses. [Subjects and Methods] Twenty-eight blind participants were divided
equally into a text-reading and a Braille-reading group. We measured tactile sensory and
electrical thresholds using the TPD method and a transcutaneous electrical nerve
stimulator. [Results] The left palm TPD values were significantly different between the
groups. The values of the electrical sensory threshold in the left hand, the electrical
pain threshold in the left hand, and the electrical pain threshold in the right hand were
significantly lower in the Braille group than in the text group. [Conclusion] These
findings make it difficult to explain the difference in tactility between groups,
excluding both palms. However, our data show that using Braille can enhance development of
the sensory median nerve in the blind, particularly in terms of the electrical sensory and
pain thresholds.Key words: Electrical sensory threshold, Pain threshold, The blind 相似文献
13.
Won-Deok Lee Ju-Hyun Kim Jeong-Uk Lee Mee-Young Kim Lim-Kyu Lee Seung-Min Yang Hye-Joo Jeon Tae-Hyun Lee Junghwan Kim 《Journal of Physical Therapy Science》2013,25(6):717-719
[Purpose] Rheobase and chronaxie are used to confirm muscle degeneration. For stroke
patients, however, the uses of rheobase and chronaxie in determining paretic side muscle
degeneration is not yet fully understood. Thus, in this study, we examined the electrical
properties of the quadriceps muscles of stroke patients’ paretic side and compared them
with their respective values on the non-paretic side. [Method] The subjects were six
stroke patients (three females, three males). The pad of an electrical stimulator was
applied to the vastus lateralis and vastus medialis regions to measure rheobase and
chronaxie until the contractive muscle response to electrical stimulation became visible.
[Result] Rheobase was significantly increased on the paretic side compared to that of the
non-paretic side of hemiplegic stroke patients. Furthermore, chronaxie was significantly
increased on the paretic side compared to the non-paretic side of hemiplegic stroke
patients. [Conclusion] These results suggest that stroke affects the sensitivity of
skeletal muscle contraction. Therefore, this data may contribute to our understanding of
the muscle status of stroke patients.Key words: Rheobase, Chronaxie, Hemiplegic stroke patients 相似文献
14.
Twenty-seven health care providers from three nursing homes were interviewed about the autonomy of stroke patients in rehabilitation wards. Data were analysed using the grounded theory method for concept development recommended by Strauss and Corbin. The core category 'changing autonomy' was developed, which identifies the process of stroke patients regaining their autonomy (dimensions: self-determination, independence and self-care), and the factors affecting this process (conditions (i.e. circumstances) and strategies of patients; strategies of care providers and families; and the nursing home). Teamwork on increasing patient autonomy is recommended, which can be stimulated by multidisciplinary guidelines and education, and by co-ordination of the process of changing autonomy. 相似文献
15.
Kazuo Saito Yumiko Saito Kyoko Hirota Hirotaka Matui Kimitaka Hase 《Journal of Physical Therapy Science》2021,33(3):307
[Purpose] We report our experience with a patient with a central spinal cord injury who showed improved finger and upper limb functions after long-term treatment with a combination of rehabilitation and botulinum toxin type A. [Participants and Methods] The patient had spasms and pain that gradually became more profound and was given botulinum toxin type A at 1 year 3 months after sustaining a spinal cord injury. We administered 14 botulinum toxin type A injections periodically for 7 years 4 months after the injury. We administered the injections at an average interval of 5.6 months. Splints that allowed extension and improved finger muscle tone and contracture were made for the patient. [Results] The patient experienced gradual alleviation of the spasms in the proximal upper limb muscles and improved range of motion after receiving five doses of botulinum toxin type A. The spasms and range of motion in the fingers gradually improved around 4 years after the injury through splint therapy and a combination of botulinum toxin type A administration and rehabilitation. [Conclusion] The combination of botulinum toxin type A, splint, and rehabilitation therapies can lead to positive improvements in finger spasticity and range of motion and is recommended for hypertonia cases with severe contractures.Key words: Carry-over effect, Concomitant use of splint, Restoration of hand function 相似文献
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Clark MS Smith DS 《International journal of rehabilitation research. Internationale Zeitschrift für Rehabilitationsforschung. Revue internationale de recherches de réadaptation》1999,22(3):171-179
This study charted changes over time in the family functioning of a group of stroke rehabilitation patients and their families. Participants were 60 12-month stroke survivors who had undergone an inpatient rehabilitation programme, 46 spouses, and 25 other family members. Participants were assessed at the time of admission to and discharge from rehabilitation, and 6 and 12 months after discharge. The study was undertaken in the rehabilitation unit at Repatriation General Hospital, in Adelaide, South Australia. Family functioning was assessed using the McMaster Family Assessment Device, and functional outcome was monitored with the competence scale of the Australian ADL Index. Longitudinal change in family functioning was observed in problem solving, family communication, role definition, behaviour control, and affective involvement. There were no significant differences between the family functioning ratings provided by patients and their spouses. It is important that consideration be given to means by which the increase in family dysfunction following stroke can be addressed. 相似文献
19.
Katariina Hinkka Sirkka-Liisa Karppi Timo Pohjolainen Taina Rantanen Pauli Puukka Reijo Tilvis 《Journal of rehabilitation medicine》2007,39(6):473-478
OBJECTIVE: To study the feasibility and 1-year effects on subjective health and symptoms of a network-based geriatric rehabilitation intervention for frail elderly people. DESIGN: A randomized, controlled trial. SUBJECTS: A total of 741 frail elderly people who lived at home, aged > 65 years, without severe cognitive impairment (Mini Mental State Examination < 18), and eligible to receive Pensioners' Care Allowance (a benefit that is independent of personal income or insurance). The setting included 41 municipalities and 7 rehabilitation centres in Finland. METHODS: Over a period of 8 months the intervention group received network-based rehabilitation for 3 in-patient periods (totalling 21 days) at rehabilitation centres and a home visit by a professional. Both groups received standard social and health services locally. Functional Independence Measure, subjective health, common symptoms and pain were assessed at baseline and 1-year follow-up. RESULTS: After baseline measurements, 33 of those allocated to rehabilitation withdrew from the study. Of the 343 intervention subjects, 276 attended all 3 in-patient periods. At one year, there were no differences in symptoms between the groups. Subjective health was improved in the intervention group and impaired in the control group (p < 0.01). CONCLUSION: The network-based geriatric rehabilitation programme was feasible for use among the frail elderly people and improved their subjective health. 相似文献
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目的:了解康复期精神分裂症和双相情感障碍患者自知力的差异及其影响因素。方法:对40例精神分裂症患者、30例精神病性双相障碍患者及32例非精神病性双相障碍患者的自知力及其影响因素进行评估,并作Logistic回归分析。结果:精神分裂症患者的自知力与精神病性双相障碍患者的自知力差异无显著性(χ2=0.038,P=0.812),但两者的自知力均低于非精神病性双相障碍患者,差异有显著性意义(P<0.05)。在康复期,虽然患者的精神症状基本缓解,但仍有36%的精神分裂症、38%的精神病性双相障碍以及10%的非精神病性双相障碍患者存在自知力损害。精神分裂症组患者的自知力损害是非精神病性双相障碍组患者的4.65倍(95%CI=1.02~20.80),而精神病性双相障碍患者的自知力损害为非精神病性双相障碍组的5.72倍(95%CI=1.30~24.76)。并且,患者的性别、年龄、病程和住院次数均与自知力均分无关。结论:康复期大多数精神病患者的自知力恢复良好,但仍有少数患者存在自知力损害,影响患者自知力恢复的主要因素为精神病性症状。 相似文献