中国康复理论与实践杂志
Chinese Journal of Rehabilitation Theory and Practice 중국강복리론여실천
- 主管单位： 中国康复研究中心院刊；中国康复研究中心学刊
- 主办单位： 中国残疾人联合会
- 影响因子： 1.35
- 审稿时间： 1-3个月
- 国际刊号： 11-3759/R
- 国内刊号： 张爱民
- 论文标题 期刊级别 审稿状态
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应用中医和心理学理论编制特勤人员社会适应度量表的初步探讨
目的 运用中医和心理学理论编制特勤人员的社会适应度量表并对其进行信、效度检验.方法 通过文献研究、工作分析、问卷调查和专题访谈法构建量表的理论模型,依据理论模型确立量表的理论维度,编制条目形成条目池.结果 通过专家重要分析和对调查资料运用Cronbaeh α系数内部一致性分析、分辨率系数、相关性分析、验证性因子分析等对条目进行分析和筛选.后形成6个维度14个因子40个条目的量表,各维度分别为心理特征、体能状况、智力水平、人际关系、环境因素和道德品质,各因子分别为自控性、自尊性、性格倾向性、自信心、生理机能、学习智力、创造智力、领导智力、乐群性、合作性、信任感、自然环境、社会环境和道德品质.结论 该量表按照国际通用的方法编制,具有较好的信度和效度,达到中医和心理学测量标准,为特勤人员的社会适应情况评价提供了一个有效而实用的工具.
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温针灸结合关节松动术治疗肩周炎的临床研究
目的 比较温针灸结合关节松动术与单纯温针灸治疗肩周炎的疗效和镇痛作用.方法 按随机数字表法,将126例肩周炎患者随机分为两组,分别采用温针灸结合关节松动术(观察组)和单纯温针灸(对照组)治疗.采用简化McGill疼痛问卷进行评定.结果 观察组总有效率为98.4％,对照组为95.2％,疗效比较无显著性差异(P＞0.05)；但在视觉模拟评分、现有疼痛强度、疼痛分级指数上,观察组均优于对照组(P＜0.05).结论 温针灸结合关节松动术和单纯温针灸治疗肩周炎均有良好的疗效,但前者更有利于肩周炎的疼痛缓解.
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肌电生物反馈电刺激治疗偏瘫型脑瘫下肢运动功能障碍的疗效观察
目的 观察肌电生物反馈电刺激疗法治疗痉挛型偏瘫型脑瘫患儿下肢运动功能障碍的疗效.方法 60例痉挛型偏瘫型脑瘫患儿按照监护人的治疗意愿分为治疗组和对照组各30例,两组均进行运动训练、物理疗法及配戴矫形器等,治疗组在此基础上应用肌电生物反馈电刺激治疗仪对偏瘫侧下肢进行肌电生物反馈刺激.在治疗前与治疗12周后,分别用综合痉挛评分量表(CSS)评定患侧下肢肌张力、关节量角器法测量患侧下肢踝关节被动背屈角度、粗大运动功能量表(GMFM-88)之D区(站立)、E区(走跑跳)分值以比较观察疗效.结果 治疗后两组上述指标均较治疗前有改善(P＜0.05).治疗组12周后下肢CSS评分及踝关节被动背屈角度、GMFM之D区和E区评分均比对照组改善(P＜0.05).结论 肌电生物反馈电刺激疗法配合康复功能训练能降低痉挛型偏瘫型脑瘫患儿的下肢肌张力,改善踝关节活动范围,提高下肢运动功能.
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尼可地尔对慢性充血性心力衰竭患者心脏功能及血糖的影响
目的 观察尼可地尔对慢性充血性心力衰竭患者心脏功能及血糖的影响.方法 64例慢性心衰患者随机分为对照组(n=32)和治疗组(n=32),对照组使用常规抗心衰及基础疾病治疗药物,治疗组在使用上述药物的基础上口服ATP敏感钾离子(KATP)通道开放剂尼可地尔(nicorandil,NCR),5mg/次,每日3次,疗程12周.观察治疗前后6分钟步行距离实验(6MWT)、血浆氨基末端脑钠肽前体(NT-proBNP)、空腹血浆血糖(FPG)、餐后2小时血糖(P2hPG)、糖化血红蛋白Alc (GHbAIc)的变化.结果 治疗后,两组患者6分钟步行距离及血浆NT-proBNP水平均改善(P＜0.01),治疗组优于对照组(P＜0.05)；FPG、P2hPG、GHbAlc在组间比较均无显著性差异(P＞0.05).结论 尼可地尔能提高慢性充血性心力衰竭患者运动耐量,降低血浆NT-proBNP水平,且对血糖水平无明显影响.
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大学生体力活动水平对脊柱胸腰椎矢状面曲度和活动度的影响
目的 为指导大学生进行对脊柱健康有益的体力活动提供依据.方法 采用现况调查和病例对照研究的方法对583位大学生进行脊柱胸腰段矢状面曲度和活动度的测量以及相关的问卷调查,在确定正常参考范围的基础上,根据体力活动水平进行分组比较.结果 除女高组T12～S1曲度异常率与女中组比较无显著性差异(P＞0.05)外,其他均高体力活动组T1～S1的阳性率均低于中等体力活动组(P＜0.05)；高体力活动组T12～S1腰椎关节活动度异常率均高于中等体力活动组(P＜0.05).结论 就一般大学生的体力活动方式而言,高体力活动水平有助于使脊柱胸腰椎矢状面的曲度保持在正常范围内,防止出现姿势不良以及进一步发生的腰背痛和脊柱畸形.
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脑卒中住院康复患者尿路感染病原菌的分布及其耐药性
目的 了解脑卒中住院康复患者尿路感染病原菌的分布及其耐药情况.方法 收集2009年3月～2011年3月本科脑卒中住院康复患者尿路感染病原学资料,并采用WHONET耐药分析软件对结果进行统计分析.结果 洁尿标本分离出203株病原菌,主要分别为大肠埃希氏菌72株(35.5％)、肠球菌属55株(27.1％)、肺炎克雷伯氏菌18株(8.9％)和真菌22株(10.8％).主要革兰阴性杆菌对氨苄西林、左氧氟沙星、头孢噻肟的耐药率较高；大肠埃希氏菌产超广谱β内酰胺酶(ESBLs)占38.9％,肺炎克雷伯氏菌产ESBLs占44.4％.肠球菌属对大多数常用抗菌药物表现出较高度耐药.真菌对药物敏感性很高.结论 革兰阴性菌是脑卒中住院康复患者尿路感染的主要病原菌；耐药菌株特别是多重耐药菌株增加较快.
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感觉系统障碍对脑卒中平衡能力的影响
目的 探讨感觉系统调节功能障碍对脑卒中后偏瘫患者平衡能力的影响.方法 20例脑卒中偏瘫患者作为实验组,20例正常人为对照组.两组对象分别利用动态姿势平衡仪系统进行感觉组织测试,对受试者的平衡指数和感觉分析指数进行分析.结果 实验组的平衡指数在EC、SV、EOSS、ECSS、SVSS 5种状态下低于对照组(P＜0.05)；实验组的本体觉、视觉、前庭觉分数低于对照组(P＜0.05),以前庭觉分数降低明显(P＜0.01).结论 脑卒中后患者利用3大感觉信息调节平衡的能力均有不同程度的下降,导致平衡功能障碍.
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针康法对局灶性脑缺血大鼠前肢运动功能及缺血区突触素和生长相关蛋白-43表达的影响
目的 观察针康法对局灶性脑缺血大鼠前肢运动功能及缺血区周围皮质突触素和相关蛋白-43(GAP-43)表达的影响.方法 采用内皮素-1(ET-1)诱导局灶性脑缺血大鼠前肢损伤模型.将大鼠随机分为5组:假手术组、模型组、康复组、针刺组、针康组,每组又分为3d、7d、14d、21d4个亚组.造模后24 h对针康组进行头穴丛刺结合前肢抓取训练,康复组给予前肢抓取训练,针刺组仅头穴丛刺法,模型组不给予任何干预.分析前肢抓取成功率及应用免疫组化方法观察各组不同时间点缺血灶周围皮质突触素和GAP-43表达.结果 造模后各时间点,针康组大鼠前肢抓取成功率优于模型组、康复组和针刺组(P＜0.05).针康组缺血区周围皮质突触素平均光密度在造模后14d和21 d优于模型组、康复组和针刺组(P＜0.05)；针康组缺血区周围皮质GAP-43阳性细胞数量在造模后7d和14d优于模型组、康复组和针刺组(P＜0.05).结论 针康法可促进局灶性脑缺血大鼠前肢运动功能的恢复,其机制可能与增强脑缺血区周围皮质突触素和GAP-43的表达有关.
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脊髓损伤专业方向研究生的文献阅读教学
脊髓损伤专业方向研究生需要阅读医学、神经科学、生物学多学科和技术方面的文献,本文简述作者在脊髓损伤专业方向研究生文献阅读教学中的方法和实践体会.
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Assistive Technology:Bridging End-users and Technology
One of the basic aspects that determines the success or failure in the use of assistive technologies on the part of people with disabilities is constituted by the ability that provide a disabled person with the technology that corresponds effectively to his needs and to his capabilities,thus to interpret correctly the problems and to find the right ways of transferring this technological "knowledge".If the aids answer the effective needs and capabilities of the person he can achieve significant improvement to reach the goals of his individual rehabilitative project.The article highlights the key factors of success.
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Rehabilitation and Aids during the Developing Years in Italy
The rehabilitation of children with disabilities should be initiated as early as possible,as soon as problems or disorders are diagnosed in the development,to prevent or promptly counteract the consolidation of disability.In Italy the institutes involved in the rehabilitation of children with serious disability must be by law highly specialized.The devices have a key part in rehabilitation courses in developmental age.They are often planned and designed in the same rehabilitation center."La Nostra Famiglia" has been in Italy one of the first specialized rehabilitation centers for children and adolescents.By "La Nostra Famiglia" have been designed aids for children which later became a model throughout Europe.Our National Health System provides free aids for children and adolescents and describes in detail the characteristics of great adaptability that aids for children and adolescents should have.The "pressure mapping" allows you to test the effects of adapted aids versus aids not properly adapted to the size and needs.
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Aids to Overcome Architectural Barriers:Normatives,Contributions and Concessions:Government contribution in removing physical barriers to improve inte
In previous articles we described how the Italian system of aid for people with disabilities also provides a system of incentives and subsidies for devices that are very useful,in addition to the provision of aids that are granted free of charge as required under an individual rehabilitation plan.We have also seen as aids for overcoming architectural barriers are (rightly!) in the first place among those who are essential for people with disabilities to lead an independent life and to be able to access public and private places,in particular workplaces.Without removing of architectural barriers it is impossible to achieve many of the rights decreed by the Italian law n.104 and n.68 (work integration of disabled people).Here you can find the incentives provided by Italian law and the features of the two most common systems:stairlifts and platform lifts.
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Italian Legislative Framework and Policies of Disability
The most important reference in Italian legislation concerning interventions in favour of people with disabilities came about with Law 104 from February 5th 1992 in which the most important fights for disabled people were established.This law led to a new vision,the person with disabilities is no longer seen only a subject needing help but as a person who has the right to live his life in the best possible way that his condition allows him to and thus,it is society's duty and that of the Government,to do everything possible to remove invalidating causes,to promote a disabled person's autonomy and to realise his best social integration possible.To implement what is foreseen by this law it was necessary to activate different important interventions,two of which are very significant:the realisation of Guidelines from the Ministry of Health on rehabilitation activities in which the aims are defined on how rehabilitation should be implemented and how it should be organised on a national level and at a community level.Law 68 from March 12th 1999 decreed the full rights of people with disability to be integrated into the workplace.In the article we will also report some significant data concerning the results of the applications of the law.
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Disability,Driving Licence and Driving Technology:the Italian Experience
Through norms,concessions,assessment and training,the article shows the importance of the rehabilitation approach to identify the ways in which to help the disabled person achieve his driving licence and,therefore drive a vehicle.It shows the number of variants that exist for each system allowing the adaptation of various automobile functions to the needs of disabled people and in this way we can understand how even seriously disabled people with very complex situations can drive when the correct adaptations are identified.
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The Italian System of Free Aids Provision for People with Disability:Future Developments
The Italian care situation with regards to prostheses and aids is satisfying.The norm which establishes the ways in which aids can be supplied to disabled people goes back to 1999 and,even though it is based on correct principles and even though it has produced positive effects in the improvement of the life of disabled people,it must be updated in the light of the more recent technological and scientific innovations and of the new information instruments such as the diffusion of information and communication systems.
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The Italian System of Free Aids Provision for People with Disability
Aids are only one of the instruments with which the disabled person can often reach a good level of autonomy,he can improve his conditions of life and prevent the aggravating of his situation.Aids serve also to facilitate care on the part of the family.The rights confirmed by Law 104 can also be achieved through the use of aids.The Italian state has planned a system of care with regards to aids so that some of them can be purchased with different tax concessions but essential aids,those necessary for the reaching of autonomy goals and prevention defined by an individual rehabilitative project,are supplied free of charge.In Italy essential aids are part therefore of a rehabilitation plan that is identified for each person with disabilities by a team made up of different professionals.
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Introduction to Special Issue
This special issue presents the Italian approach to planned interventions by the Government and public institutions to counteract disability and handicap.Analysis of the provisions and laws which have followed on in time highlight the diversity between two types of approach:one that only considers physical or mental disability and one that also takes into consideration,besides these limitations,aspects linked to the social participation and integration of people with disabilities.
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脊髓损伤神经学分类国际标准(2011年修订)
第7版前言本手册内容为脊髓损伤神经学分类国际标准(ISNCSCI)第7版,该标准描述了脊髓损伤的查体方法(即国际标准查体方法)及美国脊髓损伤协会(ASIA)残损分级.基于世界各国脊髓损伤治疗和研究领域的临床医师和研究人员的意见、问题和建议,本标准列一些概念和表达进行了澄清和修订.关于ISNCSCI某些问题的澄清已经在近发表的一些论文中进行详细阐述[13].另外,所做出的修订也尽可能与InSTeP培训项目保持一致[15].委员会对修订采取了审慎的态度,主要是考虑到重大修订应有循证学基础.
| 年 | 期数 |
| 2019 | 02 03 |
| 2018 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2017 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2016 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2015 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2014 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2013 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2012 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2011 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2010 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2009 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2008 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2007 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2006 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2005 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2004 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2003 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2002 | 01 02 03 04 05 06 07 08 09 10 11 12 |
| 2001 | 01 02 03 04 |
| 2000 | 01 02 03 04 |
