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简介：Background:Althoughcurrentresearchsupportstheuseofactivevideogames(AVGs)inrehabilitation,theevidencehasyettobesystematicallyreviewedorsynthesized.Thecurrentprojectsystematicallyreviewedliterature,summarizedfindings,andevaluatedtheeffectivenessofAVGsasatherapeutictoolinimprovingphysical,psychological,andcognitiverehabilitativeoutcomesamongolderadultswithchronicdiseases.Methods:Sevendatabases(AcademicSearchComplete,Communication&MassMediaComplete,ERIC,PsycINFO,PubMed,SPORTDiscus,andMedline)weresearchedforstudiesthatevaluatedtheeffectivenessofAVG-basedrehabilitationamongolderpatients.Theinitialsearchyielded946articles;afterevaluatingagainstinclusioncriteriaandremovingduplicates,19studiesofAVG-basedrehabilitationremained.Results:Moststudieswerequasi-experimentalindesign,withphysicalfunctioningtheprimaryoutcomeinvestigatedwithregardtotheuseofAVGsinrehabilitation.Overall,9studiesfoundsignificantimprovementsforallstudyoutcomes,whereas9studiesweremixed,withsignificantimprovementsonseveralstudyoutcomesbutnoeffectsobservedonotheroutcomesafterAVG-basedtreatments.OnestudyfailedtofindanybenefitsofAVG-basedrehabilitation.Conclusion:FindingsindicateAVGshavepotentialinrehabilitationforolderpatients,withseveralrandomizedclinicaltrialsreportingpositiveeffectsonrehabilitativeoutcomes.However,existingevidenceisinsufficienttosupporttheadvantagesofAVGsoverstandardtherapy.Giventhelimitednumberofstudiesandconcernswithstudydesignquality,moreresearchiswarrantedtomakemoredefinitiveconclusionsregardingtheabilityofAVGstoimproverehabilitativeoutcomesinolderpatients.

简介：<正>Background:Centralsensitizationhasbeenassociatedwithchronicpaininwhiplashpatients.Methods:Consecutivewhiplashpatientswereassessedat3monthspost-whiplashinjurywiththebrachialplexusprovocationtest(BPPT)asasignofcentralsensitization.Self-reportedrecoverywasassessedbytheresponsetothequestion’Doyoufeelyouhaverecoveredfullyfromyouraccidentinjuries?’Results:Sixty-ninesubjects(32males,37females,age37.5±13.0years(mean±SD),range18—71)wereincluded.Ofthese,34reportedalackofrecovery,and35reportedrecoveryat3monthspost-injury.ThemeanBPPTelbowextension(from180°)was41.5±23.0°,andthemeanVASscorefortheBPPTwas2.2±1.2(outof10).ThosewhoreportedrecoveryhadameanBPPTelbowextensionangleof25.1±15.8whilethosewhodidnotreportrecoveryhadameanBPPTangleof58.4±15.9(P<0.05).Thevisualanaloguescale(VAS)scoreforrecoveredsubjectswas1.8±1.1and2.7±1.1(P<0.05)fornon-recovered.Therewasamoderatecorrelationbetweenself-reportedrecoveryandBPPTelbowextensionangle(—0.44)andalowercorrelationbetweenself-reportedrecoveryandVASscore(-0.30).Conclusion:Self-reportedrecoverycorrelateswellwithalowerlikelihoodofsignsofcentralsensitization.

简介：Background:NostudieshavecomparedeffectivenessofresistancetrainingandTaiJiexerciseonrelievingsymptomsofkneeosteoarthritis(OA).Thepurposeofthestudywastoevaluateeffectsofa10-weekTaiJiandresistancetraininginterventiononimprovingOAsymptomsandmobilityinseniorswithkneeOA.Methods:Thirty-oneseniors(60-85years)wererandomlyassignedtoaTaiJiprogram(n=12),aresistancetrainingprogram(n=13),andacontrolgroup(n=6).AllparticipantscompletedtheWesternOntarioandMcMaster(WOMAC)OsteoarthritisIndexandperformedthreephysicalperformancetests(6-minwalk,timed-up-and-go,andtimedstairclimbanddescent)beforeandafterthe10-weekintervention.Results:Theparticipantsintheresistancetraininggroupsignificantlyimprovedonthetimed-up-and-gotest(p<0.001),theWOMACpainsubscore(p=0.006),WOMACstiffnesssub-score(p<0.001),andWOMACphysicalfunctionsub-score(p=0.011).TheTaiJigroupsignificantlyimprovedonthetimed-up-and-gotest(p<0.001),butnotontheWOMACscores.Conclusion:ResistancetrainingwaseffectiveforimprovingmobilityandimprovingthesymptomsofkneeOA.TaiJiwasalsoeffectiveforimprovingmobility,butdidnotimprovekneeOAsymptoms.

简介：目的:研究损伤严重程度感知(ISP)评分法在测试急性挥鞭样损伤患者中的复测可重复性。方法:在基层保健中心连续对急性阶段患急性挥鞭样损伤患者采用ISP评分。ISP是一种通过数字等级进行评分,其测量范围从0到10,受试者被要求指出他们自认为的受伤严重程度。0代表'无损伤',10代表'严重且永久性损伤'。利用ISP问卷对同一批受试者在招募完成时及7天后进行评分。复测可重复性由一致百分率和在两个时间点进行的Kappa分析进行计算。锚定两端分别标记为'没有损伤'(0)和'严重损伤,可能是永久性损伤'(10)。结果:实验包括94名研究对象(34名男性,60名女性,平均年龄为40.6±10.0岁,范围19-60岁),在刚招募时JSP平均得分为4.9±1.7(评分在2-9之间),一周后ISP平均得分为5.1±2.1(评分在2-9之间)。在ISP的两次重复测量中百分比一致率为86%,Kappa系数为0.79。结论:这项研究表明ISP复测可重复性在预后研究中偏倚风险较低。ISP评分法在急性挥鞭样损伤患者的流行病学研究中具有相当高的可靠性。