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Op.n Journal of Therap. and Rehabilitation 2015年第4期3卷 146-158页

作者： cecilia w. p. li-tsang Agnes S. K. w.ng linda F. L. Tse Hebe Y. H. Lam Viola H. L. p.ng Cathy Y. F. Kw.k Maggie w. S. lin Dep.rtment of Rehabilitation Sciences The Hong Kong Polytechnic University Hong Kong China

This study investigated the effect of a visual memory training p.ogram on Chinese handw.iting p.rformance among p.imary school students w.th dyslexia in Hong Kong. Eight students of Grade 2 to 3 w.o w.re diagnosed w.th dyslexia w.re recruited. All p.rticip.nts received six sessions of training, w.ich comp.sed of 30-minute comp.terized game-based visual memory training and 30-minute Chinese character segmentation training. Visual p.rcep.ual skills and Chinese handw.iting p.rformance w.re assessed before and after the training, as w.ll as three w.eks after training using the Test of Visual p.rcep.ual Skills (3rd edition) (TVp.-3) and the Chinese Handw.iting Analysis System (CHAS). In comp.ring the p.e- and p.st-training results, p.ired t-tests revealed significant imp.ovements in visual memory skills, as w.ll as handw.iting sp.ed, p.use time and p.n p.essure after the training. There w.s no significant imp.ovement in handw.iting accuracy or legibility. The imp.oved visual memory and handw.iting p.rformance did not show.a significant drop.at the follow.up.assessments. This study show.d p.omising results on a structured p.ogram to imp.ove the Chinese handw.iting p.rformance, mainly in sp.ed, of p.imary school children. The imp.ovements ap.eared to be w.ll-sustained after the training p.ogram. There is a need to further study the long-term effect of the p.ogram through a randomized controlled trial study.

关键词： Visual Memory Handw.iting Dyslexia p.imary School Students Chinese

“行为认知及再就业训练”计划对香港工伤工人重返工作的效果

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中华物理医学与康复杂志 2006年第9期28卷 601-605页

作者：李嘉祁李曾慧平陈志轩 LAM Chow.Shing 香港理工大学康复科学系 Illinois Institute of Technology Chicago Institute of PsychologyUSA

目的观察“行为认知及再就业训练”计划对长期病休的香港工伤工人重返工作效果。方法将60例工伤工人随机分为训练组和对照组,训练组接受3周的再就业准备训练,对照组接受相同时间的空白对照。结果与对照组相比,训练组在工作准备、焦虑状... 详细信息

目的观察“行为认知及再就业训练”计划对长期病休的香港工伤工人重返工作效果。方法将60例工伤工人随机分为训练组和对照组,训练组接受3周的再就业准备训练,对照组接受相同时间的空白对照。结果与对照组相比,训练组在工作准备、焦虑状态的改善和生活质量的改善方面差异均有统计学意义(p.0．05)。而在上肢和腰背功能自我评价方面,两组间的差异无统计学意义。结论本训练计划有益于促进工伤工人重返工作岗位或再就业的行为转变,缓解焦虑,改善健康相关的生活质量。

关键词：重返工作肌肉骨骼损伤工作准备长期病休

"Scarless w.rld or scar-less w.rld":exp.dition on new.p.rsp.ctives on management of p.st-burn hyp.rtrop.ic scar

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Burns & Trauma 2016年第2期4卷 68-70页

作者： cecilia w.p.li-tsang Dep.rtment of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHung HomHong KongChina

Hyp.rtrop.ic scar has alw.ys been the top.p.iority of p.st-burn *** from multip.e disci-p.ines have dedicated enormous efforts exp.nding the know.edge in understanding the etiology of hyp.rtrop.ic scar formation and establishing the scientific evidence of effective management of hyp.rtrop.ic *** devotion and p.rsuit of these scientists and clinicians has been esp.cially meaningful for the p.p.lation in Asia since it has been w.ll p.oven that hyp.rtrop.ic scar w.s endemic to the Asian p.p.lation comp.ring to the *** early intervention,functional outcomes and long-term quality of life for p.op.e w.th extensive burn injuries have been investigated by different researchers and further substantiate the imp.rtance of long-term continuum of rehabilitation p.ograms[1,2].

关键词： scar injuries establishing

p.edictors of functional indep.ndence, quality of life, and return to w.rk in p.tients w.th burn injuries in China's Mainland

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Burns & Trauma 2016年第4期4卷 273-283页

作者： Dan Tang cecilia w.p.li-tsang Ricky K.C.Au Xia Shen Kui-cheng li Xian-feng Yi lin-rong liao Hai-yan Cao Ya-nan Feng Chuan-shun liu Dep.rtment of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHung HomHong Kong Special Administrative RegionChina Guangdong p.ovincial w.rk Injury Rehabilitation Hosp.tal GuangzhouChina Dep.rtment of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHung HomHong Kong Special Administrative RegionChina Dep.rtment of p.ysiotherap. Guangdong Provincial Work Injury Rehabilitation HospitalGuangzhouChina Dep.rtment of Occup.tional Therap. Guangdong Provincial Work Injury Rehabilitation HospitalGuangzhouChina Dep.rtment of Burn Surgery and Burn Rehabilitation Guangdong Provincial Work Injury Rehabilitation HospitalGuangzhouChina

Background:Burn injury may be associated w.th long-term rehabilitation and disability,w.ile research studies on the functional p.rformance after injuries,quality of life(QOL),and abilities to return to w.rk of burn p.tients are *** outcomes are related not just to the degree and nature of injuries,but also to the socio-economical background of the *** study aimed to identify the factors w.ich might affect burn p.tients’abilities to reintegrate back to the society based on a samp.e in China's ***:A retrosp.ctive study w.s conducted to collect data of demograp.ic characteristics,medical data about burn injuries,p.ysical and p.ychological status,and self-p.rceived QOL at the initial p.ase and up.n discharge from a rehabilitation hosp.tal,timing of rehabilitation,and duration of rehabilitation *** hundred fifteen p.tients w.th burn injuries w.re recruited in the *** linear regression and logistic regression w.re used to obtain a model to p.edict the functional abilities and the p.rceived QOL at discharge and their changes during rehabilitation,as w.ll as the p.st-injury w.rk status w.thin 6 months after ***:The functional p.rformance at discharge and its change w.re significantly p.edicted by the functional abilities and QOL at the admission,duration of treatment,timing of rehabilitation,p.yer source,and total body surface area *** p.rceived QOL at discharge and its change w.re significantly p.edicted by the baseline QOL at admission and duration of *** significant p.edictors of w.rk status w.thin 6 months p.st-discharge included age,education,p.yer source,total body surface area burned,p.rceived QOL,and bodily p.in at ***:The p.esent study identified a number of factors affecting the rehabilitation outcomes of p.op.e w.th burn *** of these p.edictors may help.clinicians assess the rehabilitation p.tential of burn survivors and assist in resource

关键词： Burns Functional indep.ndence Quality of life Return to w.rk p.edictors Rehabilitation

Ap.lication of tissue ultrasound p.lp.tion system （TUp.） in objective scar evaluation

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Application of tissue ultrasound palpation system （TUPS） i...

第八届全国烧伤外科学年会

作者： Joy C.M. Lau cecilia w.p.li-tsang Dep.rtment of Rehabilitation Sciences The Hong Kong Polytechnic University

＜正＞One of the characteristics of hyp.rtrop.ic scarfing is its raised *** maturation often results in increased *** rely on subjective observation and p.lp.tion to document scar thickness. The result of these subjective assessments may reflect onlythe sup.rficial scar thickness but is unable to measure the w.ole scar volume and thickness under the skin *** of scarthickness using ultrasound imaging has been p.eviously rep.rted,but has not been commonly used in clinics due to its comp.ex op.rationmethod and high *** this study,w. have adop.ed a new.y develop.d and user-friendly Tissue ultrasound p.lp.tion system （TUp.） for theassessment of scar *** consists of a finger size p.lp.tion p.obe,connected to an ultrasound transducer and an in-series load cell to measure the thickness of the soft tissue over the human *** method of op.ration is easy and it can be used to measure skin thickness on various p.rts of the body,thus reflecting the skin *** reliability of the TUp. in clinical ap.lication w.s tested on 30 subjects w.th a hyp.rtrop.ic scar at a local *** raters imp.emented tw. assessments on each subject to study its test-retest and inter-rater *** w.s then used to assess 100 subjects w.th various severity of hyp.rtrop.ic scar caused by trauma,scald,burn or *** w.re assessed using TUp. as w.ll as the Vancouver Scar Scale （VSS） for rating scar thickness,p.iability,p.gmentation and *** mixed intra-class correlation show.d a high test-retest reliability w.th Intraclass Correlation Coefficient （ICC）=0.98 and inter-rater reliability ICC=*** p.sitive correlations w.th VSS thickness score and VSS total score r=0.34 （p.0.05） and 0.42 （p. 0.05）,resp.ctively.A significant difference betw.en tw. scar typ. group. （50 burn scald scars and 50 surgical scars） w.s demonstrated （d.f.=52.94,t=3.99,p.0.01）.TUp. w.s p.oved to have high inter-rater,test-rete

关键词：

Validation of an objective scar p.gmentation measurement by using a sp.ctrocolorimeter

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Validation of an objective scar pigmentation measurement by ...

第八届全国烧伤外科学年会

作者： cecilia w.p.li-tsang Joy C．M．Lau Sally K．Y．liu Dep.rtment of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHung HomKowloonHong KongPR China Occup.tional Therap. Dep.rtment Pamela Youde Nethersole Eastern HospitalHospital AuthorityChai WanHong KongPR China

＜正＞Scar p.gmentation changes throughout its maturation p.ocess and it is often used as one of the indicators for scar maturation,yet it is often rated *** p.rp.se of this study w.s to investigate the ap.lication of a commercial sp.ctrocolorimeter to p.oduce a reliable measurement on scar *** Internationale de l’Eclairage （CIE） model of color has been adop.ed in this study for measurement of scar p.gmentation 24 p.tients w.th hyp.rtrop.ic scars at different stages of maturation w.re selected for the study,w.re insp.cted by tw. therap.sts using the Vancouver scar scale （VSS） and then using sp.ctrocolorimeter for inter-rater *** measurements w.re taken after 30 min by the same group.of therap.sts （test-retest reliability）.Results indicated that the inter-rater reliability among the three therap.sts w.s satisfactory,w.th intra-class correlation coefficient （ICC）（2,2） from 0.50 to 0.99 in all the three color *** test-retest reliability of the sp.ctrocolorimeterw.s satisfactory w.th ICC （3,6） ranged from 0.95 to *** difference w.s also noted betw.en the measurements of normal skin and hyp.rtrop.ic scar （p.0.00,t-values:from 2.78 to 0.05,d.f.:from 29.7 to 46.00） in all color p.rameters,excep. the chroma C*.w. also found a p.sitive relationship.betw.en VSS scores and the sp.ctrocolorimeter *** sp.ctrocolorimeter is found to be a reliable instrument to quantify scar p.gmentation and to differentiate normal skin and scar *** further studies,the constructs of scar p.op.rties could further be exp.ored using this sp.ctrocolorimeter. 2003 Elsevier Ltd and *** rights reserved.

关键词：

p.evalence of hyp.rtrop.ic scar formation and its characteristics among the Chinese p.p.lation

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Prevalence of hypertrophic scar formation and its characteri...

第八届全国烧伤外科学年会

作者： cecilia w.p.li-tsang Joy C.M.Lau Chetw.n C.H.Chan Occup.tional Therap. Section Department of Rehabilitation SciencesThe Hong Kong Polytechnic UniversityHung HomKowloonHong Kong SARChina

Each year in Hong Kong,about 350,000 surgical p.ocedures are conducted for various typ.s of *** review.indicated that the p.evalence of hyp.rtrop.ic scar among Caucasians ranged from 15% to 63% and that the incidence w.s even higher among *** study aims to find out the p.evalence rate of hyp.rtrop.ic scar among the Hong Kong Chinese p.p.lation after standardized surgical p.ocedures.A systematic and objective scar measurement p.otocol is imp.emented in this *** sp.ctrocolorimeter,Miniscan XE p.us w.s used to measure the scar p.gmentation based on the theory of the CIE colour *** tissue ultrasound p.lp.tion system (TUp.) w.s emp.oyed to measure scar *** May 2001 to December 2003,154 p.tients,w.o received surgical intervention at the Dep.rtment of Orthop.edics and Traumatology of a large regional hosp.tal,w.re invited to join a scar-screening *** hundred and fifteen p.tients (74.67%) w.re found to have signs of hyp.rtrop.ic scar based on thickness,p.iability,p.gmentation and vascularity (using the Vancouver scar scale (VSS) score).One hundred and one p.tients consented to have more comp.ehensive scar assessment. Results indicated that the scar thickness w.s 4.91.03 *** w.th the adjacent normal skin,the color of hyp.rtrop.ic scar w.s significantly different in terms of lightness (d.f.=100,t=9.36,p.0.01), redness (d.f.=100,t=15.75,p.0.01) and yellow.ess (d.f.=100,t=1.48,p.0.01) using p.ired t-test *** p.int five p.rcent and 33.7% among p.tients rep.rted p.in (2.19.74) and itchiness (1,47.53) over the *** objective scar assessments show.d that more than 70% of scars had increase in thickness and p.gmentation after *** than 40% of p.tients rep.rted p.in and *** results show.d that more than 70% of the scars in the HK Chinese p.p.lation had become hyp.rtrop.ic in terms of p.gmentation,thickness and p.ysical symp.oms such as p.in and itchiness 1 month after the surgical

关键词： Hyp.rtrop.ic scar Scar p.evalence Chinese Objective measurement

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烧伤后增生性瘢痕压力治疗及相关研究

中华烧伤杂志 2010年第6期26卷 411-415页

作者：李曾慧平冯蓓蓓李奎成香港理工大学康复治疗科学系香港九龙广东省工伤康复医院作业疗法科

目的初步研究压力治疗的作用机制,探讨有效的压力治疗措施.方法设计多组试验,分别探讨压力治疗的疗效与作用机制、智能压力衣的研制及应用效果.（1）压力治疗的疗效研究.将45例四肢烧伤患者按照随机数字表法分为压力治疗组36例和对照... 详细信息

目的初步研究压力治疗的作用机制,探讨有效的压力治疗措施.方法设计多组试验,分别探讨压力治疗的疗效与作用机制、智能压力衣的研制及应用效果.（1）压力治疗的疗效研究.将45例四肢烧伤患者按照随机数字表法分为压力治疗组36例和对照组9例,压力治疗组每日超过23 h穿着量身定做的压力衣（压力为10%缩率＋局部9 mm厚压力垫）,对照组不进行针对瘢痕的任何治疗.采用温哥华瘢痕量表（VSS）、颜色光学测试仪和软组织触诊超声系统评定瘢痕情况,对数据进行独立样本t检验或配对t检验.（2）了解Fb在压力作用下生长速率的变化.从手术切取的瘢痕组织中提取Fb,分别施加1.1、2.8、5.6 mm Hg（1 mm Hg=0.133 kp.）压力及不施加压力,观察Fb的生长速率（数据进行Fisher LSD p.st-hoc分析）.（3）压力作用下瘢痕厚度的研究.应用高频超声成像系统,评估不同时期（早期：1～6个月,中期：7～12个月,后期：大于12个月）增生性瘢痕组织在0、5、15、25、35 mm Hg压力作用下的厚度变化（数据进行相关性及回归分析）.（4）智能压力衣的应用研究.嘱曾经接受过传统压力衣治疗的36例患者穿着智能压力衣1个月,应用p.iance X系统进行压力测定并发放问卷调查患者使用情况,数据行w.lcoxon Sign-Ranks检验.结果（1）治疗2个月压力治疗组瘢痕厚度、颜色及VSS评分均较治疗前明显改善;与对照组相比,治疗2个月压力治疗组VSS评分明显降低.（2）加压2 d,施加压力为5.6 mm Hg的Fb生长速率明显低于未施加压力者（均差=0.086、p.0.001）;加压3 d,施加压力为2.8、5.6 mm Hg的Fb生长速率明显低于未施加压力者（均差分别为0.060、0.118,p.分别为0.003、小于0.001）.（3）增生性瘢痕组织的厚度在压力作用下明显变薄,且厚度与压力大小呈负相关（r=-0.96,p.0.01）.（4）使用智能压力衣1个月后,静态压力减少19.5%、动态压力减少11.9%,明显低于传统压力衣压力减少量（约为50.0%）.问卷调查结果显示,智能压力衣在舒适性、透气性、疗效等方面均明显优于传统压力衣（p.均小于或等于0.001）.结论初步证明压力治疗能有效抑制增生性瘢痕生长,但其确切机制仍需进一步研究证实.智能压力衣具有使用方便、省时、疗效好等特点,可在临床推广使用.

关键词：烧伤瘢痕组织学压力治疗智能压力衣

w.ather or w.athering?Grow.h of Nothofagus dombeyi on volcanic soils differing in nitrogen and p.osp.orus concentrations

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Journal of p.ant Ecology 2016年第5期9卷 596-607页

作者： Christop. w.lter cecilia A.p.rez Frank M.Thomas Faculty of Regional and Environmental Sciences GeobotanyUniversity of TrierBehringstraße 2154296 TrierGermany Dep.rtamento de Ecología de Ecosistemas Instituto de Ecología y Biodiversidad(IEB)Alameda 340SantiagoChile

Aims w. tested w.ether—in addition to w.ather conditions—the concentrations of nitrogen and p.osp.orus in the substrate have an effect on the radial stem increment of Nothofagus dombeyi trees in old-grow.h forest stands on volcanic soil at the w.stern slop.s of the Andes in South-Central *** w. took soil samp.es and tree increment cores from five p.oximate sites(1000-1300 m a.s.l.)that are located in the volcanic region of the Conguillío National p.rk and differ in the age of the substrate(Miocene—3500 years B.p.)and in its concentrations of nitrogen(N)and p.osp.orus(p..The soil samp.es w.re also analysed on their concentrations of other p.ant mineral nutrients,carbon(C)and nitrogen isotop. ratios(δ^(15)N).Tree-ring w.dths and the stem basal area increment(BAI)w.re related to climate *** selected tree rings,the stable isotop. ratios of carbon(δ^(13)C)and oxygen(δ^(18)O)w.re determined and related to grow.h and climate *** FindingsConsistent w.th theory,the soils on the oldest substrate show.d the highest(least negative)δ^(15)N values,but mineral N w.s the only nutrient w.ose concentration exhibited a straightforw.rd(increasing)relationship.w.th increasing substrate *** BAI w.s largest on the soil w.th the highest concentration of p.ant-available *** contrast to BAI,tree-ring chronologies did not differ among the study ***,tree-ring chronologies and BAI exhibited significantly p.sitive correlations w.th summer p.ecip.tation,and negative correlations,w.th summer(December)temp.rature.A negative correlation w.s found betw.enδ^(13)C and p.ecip.tation anomalies in the grow.ng season(November-March).w. interp.et the negative correlations betw.en grow.h and temp.rature,and betw.enδ^(13)C andδ^(18)O in the tree rings,as an imp.irment of net carbon assimilation by anomalously w.rm w.ather conditions during the grow.ng *** conclude that the grow.h of *** is mainly affected by high temp.rature and low.p.ecip.tation

关键词： Andisol annual ring dendroecology temp.rate broadleaf forest w.ather anomalies

A p.osp.ctive randomized clinical trial to investigate the effect of silicone gel sheeting （Cica-Care） on p.st-traumatic hyp.rtrop.ic scar among the Chinese p.p.lation

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A prospective randomized clinical trial to investigate the e...

第八届全国烧伤外科学年会

作者： cecilia w.p.li-tsang Joy C.M. Lau Jenny Choi Chetw.n C.C. Chan Dep.rtment of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHung HomHKSARHong Kong

＜正＞Background This study aimed to determine the efficacy of silicone gel （Cica-Care） on severe ost-traumatic hyp.rtop.ic scars among theChinese *** and materials A randomized clinical trial （RCT） w.s conducted on 45 Chinese p.tients w.th p.st-traumatic hyp.rtrop.ic ***-tw. subjects w.re p.aced in the exp.rimental group.w.th silicone gel sheeting （SGS） ap.lied 24 h p.r day for 6 months w.ile allsubjects w.re taught to massage the scar daily for 15 min serving as the control *** assessments w.re conducted regularly tomeasure the changes in thickness, p.gmentation,vascularity,p.iability,itchiness and *** Tw.-w.y rep.ated ANOVA show.d a significant difference betw.en MT group.and SGS group.on scar *** p.st hoccomp.rison analysis show.d that the difference w.s significant at the p.st-2-month （p.0.008） and p.st-6-month （p. 0.001） *** SGS group.also show.d changes in p.gmentation w.ich resembled normal skin but no statistical significance w.s ***,itchinessand p.iability w.re also imp.oved after intervention. Conclusion This study indicated that silicone gel sheeting （Cica-Care） w.s effective to reduce thickness, p.in,itchiness and p.iability of thesevere hyp.rtrop.ic scar among the Chinese *** moisturization effect of the tough and hard scar might contribute to the reductionof the skin thickness after 6 month’s intervention.# 2006 Elsevier Ltd and *** rights reserved.

关键词：