As a kind of extracorporeal shock wave therapy, radial extracorporeal shock wave therapy (rESWT) has been gradually applied to the rehabilitation treatment of diseases in various clinical systems and has become an important physiotherapy method in the department of rehabilitation medicine due to its benefits of high-efficiency, non-invasive, simple and safe, etc. Radial extracorporeal shock wave has unique biological and physical characteristics, and can play the role of anti-inflammatory, analgesia and neovascularization, etc. In this paper, the excellent efficacy of rESWT in orthopedic diseases, spastic paralysis, peripheral nerve injury, refractory wound and andrology diseases was described. This article aims to provide guidance for the clinical application of rESWT in the field of rehabilitation medicine.
Objective To explore the current status of digital health literacy among elderly orthopedic perioperative patients and its influencing factors, and to provide a basis for optimizing perioperative management and improving patients’ health management level. Methods Utilizing convenience sampling, elderly orthopedic perioperative patients from China-Japan Union Hospital of Jilin University were chosen as the subjects between January and April 2024. For the purpose of the questionnaire investigation, the orthopedic patient functional exercise compliance scale, eHealth Literacy Scale, Social Support Rating Scale, and general information questionnaire were utilized. We employed univariate analysis and multiple linear stratified regression to investigate the factors influencing digital health literacy. Pearson correlation analysis was utilized to explore the interrelationships among variables. Results A total of 143 patients were investigated. Among them, there were 53 males and 90 females. The average age was (69.91±6.35) years old. The average score of the eHealth Literacy Scale was (18.25±9.45) points, the average score of the Social Support Rating Scale was (38.44±7.76) points, and the average score of the orthopedic patient functional exercise compliance scale was (55.16±14.28) points. The determinants of digital health literacy in older orthopedic perioperative patients were social support and educational attainment (P<0.05). Social support and functional exercise adherence were mediated, in part, by digital health literacy (P<0.001). Conclusions The digital health literacy in elderly orthopedic perioperative is generally at a low level. Healthcare professionals need to pay particular attention to patients with lower levels of education. Meanwhile, efforts should be made to enhance patients’ social support from multiple dimensions, in order to improve their digital health literacy and lay a solid foundation for the precise implementation of digital health management during the perioperative.
Objective To document the effect of surgical steps, including penile degloving, plate transection, dorsal plication, and fasciocutaneous coverage, in primary hypospadias repair on penile length. Methods A consecutive series of 209 prepubertal boys with primary hypospadias repair was included with the age ranged from 10 to 97 months (mean, 31.7 months). Intraoperative stretched penile length (SPL) was measured before operation (n=209), and after each step, namely penile degloving (n=152), plate transection (n=139), dorsal plication (n=170), and fasciocutaneous coverage (n=209). SPLs before and after each steps or the entire operation were analyzed. The SPL was compared between plate transection group and plate preservation group, dorsal plication group and non-plication group, and plate preservation with plication group and plate preservation without plication group, respectively. Differences of SPL between before and after each steps were analyzed with factors including neourethra length, rest dorsal penile length, rest ventral penile length, preoperative SPL, and the degree of penile curvature after penile degloving, with multivariate linear regression analysis. ResultsAll the four steps resulted in SPL difference. The SPL increased after penile degloving and plate transection (P<0.05), and decreased after dorsal plication and fasciocutaneous coverage (P<0.05). The SPL increased after all steps were completed (P<0.05). In patients with plate transection, postoperative SPL increased when compared with that before operation (P<0.05). No significant difference was noted in patients without plate transection (P>0.05). And there was significant difference in the increased length of SPL between patients with and without plate transection (P<0.05). In patients with dorsal plication, a significant increase of postoperative SPL (P<0.05) was noted. No significant difference was noted in patients without dorsal plication (P>0.05). And there was no significant difference in increased length between patients with and without dorsal plication (P>0.05). When patients with plate transection were excluded, dorsal plication resulted in no significant difference on postoperative SPL (P>0.05). The increased length of SPL after penile degloving, dorsal plication, or cutanofascial coverage was not related to the neourethra length, the rest dorsal penile length, the rest ventral penile length, the preoperative SPL, and the degree of penile curvature (P>0.05). However, the neourethra length and preoperative SPL were the influencing factors for the increased length of SPL after plate transection (P<0.05). ConclusionThe main steps in primary hypospadias repair can change SPL. The lengthening effect of plate transection would not be counteracted by dorsal plication. Dorsal plication makes no significant difference on postoperative SPL.