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Association Between rectus abdominis Denervation and Ventilation Dysfunction in Patients with Amyotrophic Lateral Sclerosis

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Chinese Medical Journal 2016年第17期129卷 2063-2066页

作者： Hua-Gang Zhang Shuo Zhang Ying-Sheng Xu Nan Zhang Dong-Sheng Fan Department of Neurology Peking University Third Hospital Beijing 100191 China

Background： Spontaneous potentials in electromyography （EMG） ofparaspinal muscles are associated with diaphragm denervation and, therefore, poor respiratory timction in amyotrophic lateral sclerosis （ALS） is understandable. EMG changes in the rectus abdominis （RA） display an effect similar to those in paraspinal muscles with respect to the function of lower motor neurons in the thoracic spinal cord. The RA denervation was examined to determine its association with ventilation dysfunction in ALS. Methods： We collected the clinical data of 128 patients with sporadic ALS in Department of Neurology of Peking University Third Hospital from 2009 to 2013. EMG, Revised ALS Functional Rating Scale （ALSFRS-R） and forced vital capacity （FVC） were perIbrmed in all patients and the differences in the EMG changes in RA between those with and without FVC 〉 80% were analysed. Results： The mean FVC value was 83.4% ~ 17.1% （range： 45%-I 31%） of the predicted value. A total of 79 patients displayed FVC _〉80%, and 49 patients displayed FVC 〈80%, Compared with the patients displaying a normal FVC （60/79, 75.9%）, spontaneous activity in RA was significantly different among those patients displaying an FVC 〈80% （47/49, 95.9%）. In addition, spontaneous potentials in RA were more frequently detected in patients exhibiting dyspnea （32/33, 97.0%） than in patients without dyspnea （75/95, 78.9%）. Conclusion： Spontaneous potentials in RA are associated with ventilation dysfunction and dyspnea in ALS patients.

关键词： Denervation Dyspnea Forced Vital Capacity rectus abdominis Ventilation Dysfunction

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Functional Reconstruction of the Tongue with Reinnervated rectus abdominis Musculoperitoneal Flaps after Hemiglossectomy

Functional Reconstruction of the Tongue with Reinnervated Re...

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2004年中国口腔颌面修复重建外科学术会议

作者： LIAO Gui - qing, SU Yu - xiong, ZHANG Jin - ming HOU Jin - song , CHEN Yi - yang , MA Li Department of Oral and Maxillofacial Surgery, Guanghua College of Stomatology, Sun Yat - sen University, Guangzhou, China Department of Plastic Surgery , the Second Affiliated Hospital, Sun Yat - sen University, Guangzhou, China . Department of Oral Pathology, Guanghua College of Stomatology, Sun Yat - sen University, Guangzhou, China

＜正＞OBJECTIVE To investigate the outcome of surgical reconstruction of the tongue and deglutition muscles at the floor of the mouth after hemiglossectomy with reinnervated rectus abdominis musculoperitoneal flaps in... 详细信息

关键词： rectus abdominis peritoneum reconstructive surgical procedure cancer of the tongue glossectomy

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Treatment of postpartum depression with integrated traditional Chinese and Western medicine nursing and electrical stimulation

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World Journal of Clinical Cases 2023年第33期11卷 7980-7986页

作者： Wen-Hui Zhai Mei-Jiao Wang Yi-Jing Zhao Shuang-Ling Hu Jin-Man Zhou Psychiatric Intensive Care Unit 2 Wudong HospitalWuhan 430084Hubei ProvinceChina Department of Nursing Wuchang Hospital Affiliated to Wuhan University of Science and TechnologyWuhan 430063Hubei ProvinceChina

BACKGROUND Postpartum depression(PPD)is a common psychological disease among puerperal women,and postpartum pelvic floor dysfunction is a common disease among pregnant *** occurrence of postpartum pelvic floor dysfunction will increase the incidence of *** To explore the therapeutic effect of integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis on *** From April 2020 to January 2022,100 parturients with a rectus abdominis muscle separation distance>2.0 cm who underwent reexamination 6 wk after delivery at our hospital were selected as the research *** to the random number table method,the patients were divided into either an observation group(n=50)or a control group(n=50).There was no significant difference in the general data between the two groups(P>0.05).Both groups were treated by electrical *** observation group was additionally treated by integrated traditional Chinese and Western medicine nursing.A self-designed Depression Knowledge Questionnaire was used to evaluate the awareness of knowledge on depression in all patients 3 wk after *** Hamilton Depression Scale(HAMD)was used to evaluate the depression before intervention and 1 wk and 3 wk after intervention,and the Morisky Medication Adherence Scale(MMAS-8)was used to evaluate the medication ***19.0 was used for statistical *** The rate of awareness of knowledge on depression in the observation group was significantly higher than that of the control group(P0.05),but were significantly higher in the observation group than in the control group at 1 wk and 3 wk after intervention(P0.05),but were significantly lower in the observation group than in the control group at

关键词： Integrated traditional Chinese and Western medicine nursing Pelvic floor muscles rectus abdominis Electrical stimulation Postpartum depression

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Conventional kinesiotherapy or Pilates mat exercises,what is more efficient for abdominal weakness?A feasibility study

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Journal of Biomedical Science and Engineering 2013年第12期6卷 1171-1177页

作者： Renan Lima Monteiro Laio Braga de Oliveira Luiz Armando Vidal Ramos Mauricio Oliveira Magalhaes Marília Maniglia de Resende Bianca Callegari Department of Physical Speech and Occupational TherapySchool of Medicine of University of Sao PauloSao PauloBrazil Educational Association of Amazonia—SEAMA AmapáBrazil Department of Physical Therapy and Occupational Therapy Institute of Health SciencesUniversity Federal of ParáBelémBrazil

The aim of this feasibility study was to contrast rectus abdominis (RA) muscle strength and electrical activity after two abdominal training protocols, conventional kinesiotherapy (CK) and Pilates mat exercises (PME). 13 participants were randomized to one of two groups: CK and PME, and were trained accordingly. The upper rectus abdominis (URA) and lower rectus abdominis (LRA) were independently examined and intra-group and inter-group comparison were done. Findings demonstrate a significant increase in RA strength after both protocols, relative to baseline. Significantly increased electrical activation was seen in the URA after CK. Training with PME, although as efficient as CK in strength improvement, produced decreased activation level of muscles. CK training induced an opposite result. The differences after training suggest that CK and PME training programmers may strength RA, but the neuromuscular activation strategies for that are not the same. PME can be incorporated into protocols to improve abdominals strength, and trunk stabilization.

关键词： rectus abdominis Pilates Mat Exercise Surface Electromyography

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