Non-drug treatment of hypertension has become a research hotspot, which might overcome the heavy economic burden and side effects of drug treatment for the patients. Because of the good treatment effect and convenient operation, a new treatment based on slow breathing training is increasingly becoming a kind of physical therapy for hypertension. This paper explains the principle of hypertension treatment based on slow breathing training method, and introduces the overall structure of the portable blood pressure controlling instrument, including breathing detection circuit, the core control module, audio module, memory module and man-machine interaction module. We give a brief introduction to the instrument and the software in this paper. The prototype testing results showed that the treatment had a significant effect on controlling the blood pressure.
目的:研究呼吸操改善慢性阻塞性肺疾病(COPD)患者肺功能的机制。方法:对本院46例COPD 患者随机分成对照组和治疗组,按常规内科治疗并对其有计划地进行健康知识教育。治疗组在常规内科治疗加康复指导基础上,增加呼吸操训练。测定治疗前后6分钟步行距离、血清白三烯、呼出气中一氧化氮浓度(fractional exhaled nitric oxide, FENO)。结果:治疗组较对照组6分钟步行能力改善,血清白三烯水平下降(Plt;0.05)、呼气NO含量下降(Plt;0.05)。结论:加强COPD患者的健康指导及呼吸操训练可改善患者肺功能状况,明显提高生活质量
Exercise intervention is an important non-pharmacological intervention for various diseases, and establishing precise exercise load assessment techniques can improve the quality of exercise intervention and the efficiency of disease prevention and control. Based on data collection from wearable devices, this study conducts nonlinear optimization and empirical verification of the original "Fitness-Fatigue Model". By constructing a time-varying attenuation function and specific coefficients, this study develops an optimized mathematical model that reflects the nonlinear characteristics of training responses. Thirteen participants underwent 12 weeks of moderate-intensity continuous cycling, three times per week. For each training session, external load (actual work done) and internal load (heart rate variability index) data were collected for each individual to conduct a performance comparison between the optimized model and the original model. The results show that the optimized model demonstrates a significantly improved overall goodness of fit and superior predictive ability. In summary, the findings of this study can support dynamic adjustments to participants' training programs and aid in the prevention and control of chronic diseases.
ObjectiveTo explore the effect of dynamic neuromuscular stabilization technique for chronic non-specific low back pain. MethodsFrom July 2019 to June 2020, 60 patients with chronic non-specific low back pain who underwent rehabilitation at the outpatient clinic of Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine were prospectively selected. All patients were divided into trial group and control group by random number table method. There were 30 cases in each group. The control group used rehabilitation education and core muscle strength training. The trial group used dynamic neuromuscular stabilization of chest and abdomen combined with breathing control training on the basis of the treatment plan of the control group. The Visual Analogue Scale (VAS) score, Oswestry Dability Index (ODI), abdominal pressure stability, xiphoid level thoracic mobility and axillary level thoracic mobility were compared between the two groups of patients. ResultsAll the 60 patients in this study completed the trial, and there was no recurrent case during treatment, after treatment or during follow-up. There was no statistically significant difference in age, gender, height, weight, body mass index, or course of disease between the two groups (P>0.05). Taking VAS score as the dependent variable, the result of generalized estimating equations showed that the difference in VAS score between the trial group and the control group was statistically significant (χ2=4.132, P=0.042), and the VAS scores at 12 weeks of follow-up and at 8 weeks of treatment differed significantly from that before treatment (χ2=1618.814, P<0.001; χ2=1573.419, P<0.001); the between-group comparisons at different time points showed that the difference in VAS score between the two groups at 12 weeks of follow-up was statistically significant (P<0.001), and the remaining between-group differences were not statistically significant (P>0.05). Taking ODI score as the dependent variable, the result of generalized estimating equations showed that the difference in total ODI score between the two groups was statistically significant (χ2=11.063, P=0.001), and the ODI scores at 12 weeks of follow-up and at 8 weeks of treatment differed significantly from that before treatment (χ2=524.694, P<0.001; χ2=717.236, P<0.001); the between-group comparisons at different time points showed that there were statistically significant differences between the two groups at 8 weeks of treatment and at 12 weeks of follow-up (P<0.001). After treatment, the improvement of stability value of abdominal pressure [(−4.93±8.14) vs. (−1.33±4.78) mm Hg (1 mm Hg=0.133 kPa)], the improvement of xiphoid level thoracic mobility [(1.87±0.62) vs. (1.52±0.70) cm] and the improvement of axillary level thoracic mobility [(1.78±0.62) vs. (0.92±0.45) cm] in the trial group were better than those in the control group (P<0.05).ConclusionThe dynamic neuromuscular stabilization technique can improve the dysfunction and relieve the symptoms of patients with chronic non-specific low back pain, and it is worthy of promotion.
Objective To explore the application effect of recumbent rehabilitation exercise combined with oscillatory positive expiratory pressure training in pulmonary rehabilitation of patients with moderate to severe inhalation injury. Methods Fifty-seven patients with moderate-to-severe inhalation injuries admitted to the Department of Burns and Plastic Surgery of the People’s Hospital of North Jiangsu Province from January 2021 to March 2023 were selected by convenience sampling. The patients were randomly divided into Group A, Group B, and Group C. Group A received conventional treatment, Group B received the recumbent rehabilitation exercise on the basis of Group A, and Group C received the concussive expiratory pressure training on the basis of Group B. The three groups were compared before and after the intervention with respect to forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), sputum properties, sputum difficulty, sputum viscosity, average daily sputum output, Borg shortness of breath score, and 1-minute sitting and standing test. Results The improvement values of FEV1, FVC, sputum viscosity, average daily sputum discharge, Borg shortness of breath score, and 1-minute sit-to-stand test were compared among the three groups after intervention, and the differences were statistically significant (all P<0.05). The improvement values of Borg shortness of breath score, and 1-minute sit-to-stand test in group B were significantly better than those in group A (all P<0.05). The improvement values of FEV1, FVC, and sputum properties in group C were significantly better than those in group A (all P<0.05), Coughing difficulty, sputum viscosity, total average daily sputum expectoration, Borg shortness of breath score, and 1-minute sit-to-stand test improvement values were significantly better than those of group A (all P<0.05). Improvement values of FEV1, average daily sputum expectoration, and Borg shortness of breath score in group C were significantly better than those of group B (all P<0.05). Conclusion For pulmonary rehabilitation of patients with moderate-to-severe inhalation injuries, prone rehabilitation exercises combined with oscillatory positive expiratory pressure training can effectively improved the patients’ exercise capacity and respiratory function, and improve their quality of life.
目的:观察中药水疗配合功能训练对痉挛型脑瘫患儿临床痉挛指数的影响。方法:采用随机对照方法,在功能训练的基础上,进行中药水疗与传统水疗治疗痉挛型脑瘫患儿,并以临床痉挛指数评价其疗效。结果:两个疗程的治疗后,对照组和治疗组均能降低痉挛型脑瘫患儿的临床痉挛指数,与治疗前相比均有统计学意义(Plt;0.05),其中治疗组的差值为1.79±1.06较对照组1.23±0.84大,具有统计学意义(Plt;0.05)。结论:在综合功能训练的基础上进行水疗治疗痉挛型脑瘫患儿,具有较好的临床疗效,且中药水疗治疗痉挛型脑瘫优于传统水疗。
This article presents the design of a motion control system for seated lower-limb rehabilitation training. The system is composed of lower limb exoskeleton, motor drive circuit, program of motion control, and so forth. The power of lower limbs joints is provided by six motors. The PCI-1240 motion control card is used as the core. This study achieved repetitive rotation training and gait trajectory training of lower limbs joints, of which the velocity, angle and time can be accurately controlled and adjusted. The experimental results showed that the motion control system can meet the requirement of repetitive rehabilitation training for patients with lower limb dysfunction. This article provides a new method to the research of motion control system in rehabilitation training, which can promote industrial automation technique to be used for health care, and conducive to the further study of the rehabilitation robot.