悬吊运动训练在颈腰痛康复中的应用研究进展

［摘要］　悬吊运动疗法是在不稳定状态下对身体核心肌群进行控制训练的方法。近些年,悬吊运动疗法在现代临床康复和竞技运动训练中的应用越来越普及,该文就悬吊运动疗法在改善颈痛和腰痛方面的作用机制及其在临床应用方面的研究进展进行综述。     

运动康复疗法在糖尿病治疗中的临床应用

目的 分析探讨运动康复疗法在糖尿病治疗中的临床应用。方法 随机收集2017年9月—2019年9月该院66例糖尿病患者为研究对象,按照动态随机分组法分为对照组和观察组,每组33例。对照组采用常规干预,观察组在常规干预的基础上采用运动康复疗法干预。两组患者的血糖指标、血脂指标、体质指标对比。结果干预后,观察组患者的空腹血糖、餐后2 h血糖水平及糖化血红蛋白水平均低于对照组,差异有统计学意义(P<0.05);观察组患者的三酰甘油低于对照组,高密度脂蛋白胆固醇高于对照组,总胆固醇低于对照组,差异有统计学意义(P<0.05);观察组患者的体质指数、腰臀比、静态心率、收缩压及舒张压均低于对照组,肺活量、左握力、右握力及坐位体前屈均高于对照组,差异有统计学意义(P<0.05)。结论 糖尿病治疗中,采用运动康复疗法具有显著的临床效果,不仅能够改善患者的血糖指标,还能够改善患者的血脂指标和体质指标,改善患者的临床指标,适合在临床进行实施和开展。     

心脏运动康复的现状与展望

本文综述了现代心脏运动康复发展的概念、基本理论和趋势,介绍了心脏运动康复研究与应用的现状,对心脏运动康复研究和应用中需重视的问题进行了讨论。     

太极拳运动在老年患者康复治疗中的应用

<正>太极拳具有改善机体代谢,调理肠道菌群,改善血脂,增强肌力,改善平衡能力,改善骨质疏松,调节血糖,调整气体代谢与能量消耗,促进脑卒中康复等功效,并具有安全、有效、便利、易学、经济的特点,对于老年患者尤为适用,现就近年来研究状况进行综述。1太极拳运动对老年人血压的影响高血压是多种心、脑血管疾病发生的重要病因和危险因素,可通过改变血管壁的弹性及通透性,影响组织脏器的血液供应〔1〕,最终导致多脏器衰竭。因高血压导致的脑卒中等情况     

运动康复对儿童支气管哮喘控制的影响

目的探讨运动对缓解期哮喘患儿病情的影响。方法回顾性分析2016年1月至2018年12月随访缓解期支气管哮喘患儿63例,对照组予以吸入治疗为主的哮喘规范化防治,治疗组在此基础上予以运动康复治疗。评估两组患儿病情控制情况、哮喘急性发作情况、肺功能、一氧化氮呼气试验及与哮喘相关的因病缺课和呼吸道感染情况。结果①两组患儿在随访的3个月、6个月、12个月及高发季节病情控制情况比较差异无统计学意义。②两组患儿随访1年时肺功能(FEV_1/FVC)比较,差异无统计学意义。③而随访1年FeNO检测结果及哮喘急性发作情况比较治疗组优于对照组,差异具有统计学意义。因病旷课天数及年呼吸道感染次数治疗组明显少于对照组,差异具有统计学意义。结论运动康复治疗不会诱发哮喘的急性发作,却有助于增强体质、减轻哮喘患儿气道慢性变应性炎症及改善哮喘相关的生活质量。     

初发高血压病3个月运动康复治疗

目的：观察高血压病运动康复治疗的疗效。方法：将新发现的轻、中度高血压病人均分为运动和对照两组,运动组进行运动康复治疗。结果：治疗3个月后运动组收缩压、舒张压及平均心率均有明显下降（P＜0．05）,对照组各值无明显差异（P＞0．05）,两组比较有显差异（P＜0．05）。结论：运动康复疗法适用于轻－中度原发性高血压病人。     

心肺运动试验在冠心病治疗及康复中的研究进展

从心肺运动试验在冠心病诊断筛查、指导治疗、康复指导等方面进行综述,为临床诊治冠心病提供新思路。     

运动康复疗法在老年肌少症患者临床治疗中的应用进展

随着年龄增长,肌肉开始出现衰老及萎缩等症状。骨骼肌作为人体运动系统的重要动力部分,一旦出现肌力减退及肌肉质量下降等衰退症状,会对人体的运动能力造成直接影响。适当运动能提升肌力及肌量,有利于延缓及改善肌肉衰老症状,恢复运动能力。本文就运动康复疗法在老年肌少症患者临床治疗中应用的研究进展进行综述,为老年肌少症的临床治疗提供参考依据。     

儿童急性淋巴细胞白血病的运动康复研究进展

急性淋巴细胞白血病(ALL)患儿受疾病和肿瘤治疗的影响导致身体素质下降.过去多建议卧床休息,尽可能地放松.最近研究表明过于少动反而会导致身体功能的进一步下降.运动康复已在治疗期和治疗后的ALL患儿中应用并发现对患儿骨骼、骨骼肌、神经肌肉、心肺和心血系统损伤,以及对疲劳、身体平衡障碍和代谢改变的治疗效果显著.该文就当前A...     

运动康复治疗在老年高血压中应用的研究进展

目前临床上除了采用药物治疗控制高血压的发生发展外,运动康复疗法已逐渐成为研究的热点。本文较系统地总结了高血压的多种运动康复治疗方法,分析其优势及存在的问题,展望运动疗法在老年高血压治疗中的发展趋势,为高血压治疗的研究提供参考。     

Current status and prospects for gene therapy

Gene therapy is a new and exciting therapeutic concept that offers the promise of cure for an array of inherited, malignant and infectious disorders. After years of failure, substantial progress in the efficiency of gene-transfer technology has recently resulted in impressive clinical success in infants with immunodeficiency. Two of these children have, however, subsequently developed leukaemia as a result of insertional mutagenesis, raising concerns about the safety of genetic therapeutics. The purpose of this article is to review the current status of gene therapy in light of recent successes and tragedies, and to consider the challenges faced by this relatively new field.     

Gallstone dissolution therapy. Current status and future prospects

Findings by several groups of investigators have provided a reliable data base that supports a nonoperative approach toward the management of so-called silent gallstones. Considerable progress has been made in the medical dissolution treatment of selected patients with cholesterol gallstones. Ursodeoxycholic acid, and, more recently, a combination of ursodeoxycholic and chenodeoxycholic acids have been shown to be both effective and safe in dissolving gallstones that are predominantly composed of cholesterol. A drawback of the bile acid dissolution therapy lies in a significant recurrence rate after treatment is discontinued. Currently, several new methods of gallstone treatment are under study, which involve either the injection of a cholelitholytic solution, such as methyl tert-butyl ether, into the gallbladder or the use of mechanical means, such as excorporeally induced shock waves, to disintegrate gallstones. These treatments, however, are effective only if the stones are composed mainly of cholesterol without significant admixtures of calcium salts, pigment, or mucus. Most of the treatment failures are probably related to the presence of calcifications that are not visible on conventional radiographs. Future improvements of gallstone dissolution therapy can be expected from the following possible developments: improvement in ability to predict gallstone composition; dissolution of calcium salt-, pigment-, and mucus-containing stones; early treatment, before calcifications occur; combination of chemical and mechanical methods of treatment; stimulation of gallbladder contraction; prevention of stone recurrence after dissolution; and synthesis of new cholelitholytic agents.     

Current status and prospects of androgen depletion therapy for prostate cancer

The old concept of androgen depletion therapy (ADT) for prostate cancer, which had been established on the basis of clinical experiences essentially on the far advanced disease, should be changed. The recent major increase in the diagnosis of localized and locally advanced prostate cancer due to prostate-specific antigen (PSA) screening prompts us to make clear the role of ADT for such an early stage of prostate cancer. Recent literature has proved that combination therapy of castration (medical or surgical) and non-steroidal anti-androgens (maximal androgen blockade, MAB, or combined androgen blockade, CAB) is markedly effective on non-metastatic prostate cancer. It is important to promote basic and clinical research based on the understanding that cure of prostate cancer is almost always possible with ADT if progression to the hormone-independent prostate cancer which accompanies metastatic disease can be avoided.     

悬吊技术联合Mulligan手法对膝骨关节炎老年人群运动后疼痛的康复效果

目的 探究悬吊技术联合Mulligan手法用于膝骨关节炎老年人运动后膝关节疼痛康复的效果.方法 选取84例单侧膝关节运动后疼痛的膝骨关节炎老年患者,依据随机数字表法分为观察组和对照组,各42例.对照组给予常规物理治疗与悬吊训练治疗,观察组在对照组基础上给予Mulligan技术治疗.比较两组治疗开始前与治疗后视觉模拟评分(VAS)疼痛评分、QOL-BREF评分、LEFS下肢功能评分、膝关节功能评分、关节活动度、四头肌与腘绳肌肌力.结果 两组治疗后VAS评分明显降低(P<0.05),且观察组VAS评分明显低于对照组(P<0.05).两组治疗后QOL-BREF评分/LEFS评分、膝关节功能评分、关节活动度、四头肌与腘绳肌肌力较治疗前明显提高(P<0.05),且治疗后观察组QOL-BREF评分/LEFS评分、膝关节功能评分、关节活动度、四头肌与腘绳肌肌力明显高于对照组(P<0.05).结论 对于膝关节运动后疼痛的膝骨关节炎老年患者,悬吊技术联合Mulligan手法,能有效缓解膝关节疼痛、促进膝关节功能恢复,提高患者生活质量.