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131.
闫斌 《长春中医药大学学报》2015,(4):794-795
目的 观察承山穴按压联合针灸治疗急性腰扭伤的临床疗效.方法 选取收治的急性腰扭伤患者100例,随机分为观察组与对照组,各50例,观察组采用承山穴按压联合针刺眉间3穴治疗,对照组仅采用常规针刺法治疗,对比2组治疗前及治疗1疗程后视觉模拟评分(VAS)、腰痛功能障碍评分(RDQ)、腰椎活动度(ROM)变化情况及临床疗效.结果 2组治疗后各项指标较治疗前显著改善(P＜0.05);观察组治疗后各项指标改善显著优于对照组(P＜0.05);观察组治疗总有效率为100％,对照组为86.0％(P＜0.05);且观察组1次治愈率显著高于对照组(P＜0.05).结论 承山穴按压联合针灸可有效缓解急性腰扭伤患者临床疼痛症状,改善患者活动功能,是治疗急性腰扭伤的有效治疗方案. 相似文献
132.
腰椎间盘突出症的发病机制为在肾气亏虚的基础上受到外力损害,或风寒湿等外邪侵袭,经络受到闭阻,气血在瘀血阻滞的作用下运行不畅,筋骨得不到有效的濡养,疼痛在不同的情况下产生,造成脊柱内外阴阳失衡,最终导致腰椎间盘突出症的发生.辨证多与脾肾精血亏虚、督脉失养有关.疼痛部位多位于督脉及膀胱经循行部位,针灸取穴多取此两经的穴位及夹脊分布的夹脊穴,此外兼取脾经、肾经、任脉等补元固本之穴或治疗腰痛的特定穴等,使经络气血得以宣通则其痛自止. 相似文献
133.
李丽 《长春中医药大学学报》2015,(6)
目的：采用常规康复训练与足部穴位按摩相结合的治疗方案在产后早期对初产妇进行康复治疗,探讨中医参与产妇产后盆底肌力康复的临床疗效。方法将400例产后纤维肌力异常的产妇随机分为治疗组200例,对照组200例。对照组进行常规的康复治疗法（Kegel 训练法）,治疗组采用 Kegel 训练并配合穴位按摩进行盘底肌力的康复治疗,通过对2组肌电压及自身满意度的统计,总结临床疗效。结果在经过康复治疗后,所有产妇Ⅰ、Ⅱ类型肌纤维肌电压均得到提升,与治疗前相比具有统计学意义（P ＜0.01）,且治疗组与对照组相比提升更高,差异有统计学意义（P ＜0.05）;整体满意率对照组达80.5％,治疗组达90.0％,2组比较,P ＜0.05。结论穴位按摩联合康复训练能帮助产妇提高Ⅰ、Ⅱ类型肌纤维的肌电压,对产妇盆底肌力功能的康复具有较好的疗效。 相似文献
134.
Gabriela Lopes Santos Thiago Luiz Russo Angela Nieuwenhuys Davide Monari Kaat Desloovere 《Archives of physical medicine and rehabilitation》2018,99(3):501-511.e4
Objective
To compare sitting posture and movement strategies between chronic hemiparetic and healthy subjects while performing a drinking task, using statistical parametric mapping (SPM) and feature analysis.Design
Cross-sectional study.Setting
A university physical therapy department.Participants
Participants (N=26) consisted of chronic hemiparetic (n=13) and healthy individuals (n=13) matched for sex and age.Interventions
Not applicable.Main Outcome Measures
The drinking task was divided into phases: reaching, transporting the glass to mouth, transporting the glass to table, and returning to initial position. An SPM 2-sample t test was used to compare the entire kinematic waveforms of different joint angles (trunk, scapulothoracic, humerothoracic, elbow). Joint angles at the beginning and end of the motion, movement time, peak velocity timing, trajectory deviation, normalized integrated jerk, and range of motion were extracted from the motion data. Group differences for these parameters were analyzed using independent t tests.Results
At the static posture and beginning of the reaching phase, patients showed a shoulder position more deviated from the midline and externally rotated with increased scapula protraction, medial rotation, anterior tilting, trunk anterior flexion and inclination to the paretic side. Altered spatiotemporal variables throughout the task were found in all phases, except for the returning phase. Patients returned to a similar posture as the task onset, except for the scapula, which was normalized after the reaching phase.Conclusions
Chronic hemiparetic subjects showed more deviations in the proximal joints during seated posture and reaching. However, the scapular movement drew nearer to the healthy individuals' patterns after the first phase, showing an interesting point to consider in rehabilitation programs. 相似文献135.
Lin Liu Qiang-Min Huang Qing-Guang Liu Nguyen Thitham Li-Hui Li Yan-Tao Ma Jia-Min Zhao 《Archives of physical medicine and rehabilitation》2018,99(1):144-152.e2
Objective
To evaluate the current evidence of the effectiveness of dry needling of myofascial trigger points (MTrPs) associated with low back pain (LBP).Data Sources
PubMed, Ovid, EBSCO, ScienceDirect, Web of Science, Cochrane Library, CINAHL, and China National Knowledge Infrastructure databases were searched until January 2017.Study Selection
Randomized controlled trials (RCTs) that used dry needling as the main treatment and included participants diagnosed with LBP with the presence of MTrPs were included.Data Extraction
Two reviewers independently screened articles, scored methodologic quality, and extracted data. The primary outcomes were pain intensity and functional disability at postintervention and follow-up.Data Synthesis
A total of 11 RCTs involving 802 patients were included in the meta-analysis. Results suggested that compared with other treatments, dry needling of MTrPs was more effective in alleviating the intensity of LBP (standardized mean difference [SMD], ?1.06; 95% confidence interval [CI], ?1.77 to ?0.36; P=.003) and functional disability (SMD, ?0.76; 95% CI, ?1.46 to ?0.06; P=.03); however, the significant effects of dry needling plus other treatments on pain intensity could be superior to dry needling alone for LBP at postintervention (SMD, 0.83; 95% CI, 0.55–1.11; P<.00001).Conclusions
Moderate evidence showed that dry needling of MTrPs, especially if associated with other therapies, could be recommended to relieve the intensity of LBP at postintervention; however, the clinical superiority of dry needling in improving functional disability and its follow-up effects still remains unclear. 相似文献136.
137.
Novel Use of Ultrasound to Teach Reproductive System Physical Examination Skills and Pelvic Anatomy 
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下载免费PDF全文 138.
John Bates McCutcheon MD Pascha Schaffer MD Matthew Lyon MD Richard Gordon MD 《Journal of ultrasound in medicine》2018,37(10):2433-2437
Bedside ultrasound is often used as a part of the evaluation of patients who are critically ill. The McConnell sign is an important echocardiographic finding in some critically ill patients with pulmonary embolism and an acute right ventricular infarct. We present 3 critically ill patients with confirmed acute chest syndrome who showed the McConnell sign on echocardiography. In patients with sickle cell disease presenting with chest pain and shortness of breath, the presence of the McConnell sign does not narrow the differential diagnosis between pulmonary embolism, an acute right ventricular infarct, and acute chest syndrome. 相似文献
139.
140.