ObjectiveThis research aimed to study the effect of early application of continuous passive motion (CPM) on the drainage volume of knee joints post total knee arthroplasty (TKA). MethodsThe drainage volume was measure...ObjectiveThis research aimed to study the effect of early application of continuous passive motion (CPM) on the drainage volume of knee joints post total knee arthroplasty (TKA). MethodsThe drainage volume was measured 1 h before,during and after CPM on the day and next day of the operation. ResultsThere was no significant difference in the drainage volume before,during and after CPM(P >0.05). ConclusionEarly application of CPM is safe for TKA patients.展开更多
The evolution of temperature field of the continual motion induction cladding and the depth of heat affected zone are studied in this study.A three-dimensional finite element model for the point type continual inducti...The evolution of temperature field of the continual motion induction cladding and the depth of heat affected zone are studied in this study.A three-dimensional finite element model for the point type continual induction cladding is established to investigate temperature distributions of fixed and motion induction cladding modes.The novel inductor is designed for cladding of curved surfaces.The modeling reliability is verified by the temperature measurements.The influence of process parameters on the maximum temperature and the generation and transfer of heat are studied.Quantitative calculation is performed to its melting rate to verify the temperature distribution and microstructures.The results show that a good metallurgical bond can be formed between the cladding layer and substrate.The melting rate gradually falls from the top of the cladding layer to the substrate,and the grain size in the substrate gradually rises.The heat affected zone is relatively small compared to integral heating.展开更多
Objective:To observe the clinical efficacy of filiform fire-needling plus continuous passive motion(CPM)therapy for frozen shoulder.Methods:A total of 72 patients were randomized into an observation group and a contro...Objective:To observe the clinical efficacy of filiform fire-needling plus continuous passive motion(CPM)therapy for frozen shoulder.Methods:A total of 72 patients were randomized into an observation group and a control group by the random number table method,with 36 cases in each group.Patients in the control group received celecoxib capsule plus CPM,while those in the observation group received filiform fire-needling plus CPM.The whole course of treatment lasted for 2 weeks in both groups.The visual analog scale(VAS),Constant-Murley score(CMS)and range of motion of shoulder joint were measured for therapeutic efficacy evaluation.Results:The total effective rate was 91.7%in the observation group,higher than 72.2%in the control group,and the between-group comparison showed statistical significance(P<0.05).After treatment,the VAS scores in the two groups dropped significantly,the CMS as well as the range of motion including abduction,forward flexion and extension were all increased significantly,and the intra-group comparisons showed statistical significance(all P<0.05).The betweengroup comparisons showed the improvements in these items in the observation group were more significant than those in the control group(all P<0.05).Conclusion:Filiform fire-needling plus CPM can produce more significant efficacy than celecoxib capsule plus CPM for frozen shoulder;it can alleviate pain,improve shoulder function and restore joint range of motion in such patients.展开更多
Objectives To explore whether active physical exercise(APE)is more effective than conventional continuous passive motion(CPM)in improving functional knee recovery and quality of life without increasing the risk of com...Objectives To explore whether active physical exercise(APE)is more effective than conventional continuous passive motion(CPM)in improving functional knee recovery and quality of life without increasing the risk of complication in patients with endoprosthetic knee replacement for bone tumor.Methods Six hundred and fourteen patients were enrolled and allocated to either APE or CPM for 6 months.APE was spe-cific for patients with bone tumors on the distal femur(APE-F)and proximal tibia(APE-T),whereas CPM was similar to both types of patients(CPM-F and CPM-T).APE for both APE-F and APE-T patients was started on the second post-operation day,and CPM was initiated on the second post-procedure day in CPM-F patients,and in the seventh post-procedure week in CPM-T patients.The 6-month APE training consisted of three stages with training intensity progressively increasing though limited within a range of metabolic equivalent(MET)on each stage.Training intensity was individualized based on personal basic MET.The patients were followed up for 5 years for regular assessments of functional knee recovery,quality of life,and rate of complications.Results APE-F and APE-T patients presented with significantly better results in functional knee recovery and quality of life in comparison with CPM-F and CPM-T patients,respectively.In addition,APE-T patients reached a similar level of qual-ity of life as APE-F patients 6-month post-operation,whereas CPM-T patients reached a similar level of quality of life as CPM-F patients 3 years after the procedure.Nevertheless,APE training did not induce a higher incidence of complications than CPM training.Conclusions APE training was more effective in improving functional knee recovery and quality of life without increasing the risk of complications than CPM training,thus,being strongly recommended to the patients for post-operation rehabilitation.Trial registration:ChiCTR2200061774.展开更多
文摘ObjectiveThis research aimed to study the effect of early application of continuous passive motion (CPM) on the drainage volume of knee joints post total knee arthroplasty (TKA). MethodsThe drainage volume was measured 1 h before,during and after CPM on the day and next day of the operation. ResultsThere was no significant difference in the drainage volume before,during and after CPM(P >0.05). ConclusionEarly application of CPM is safe for TKA patients.
基金Project(51575415)supported by the National Natural Science Foundation of ChinaProject(2016CFA077)supported by the Natural Science Foundation of Hubei Province of ChinaProject(2018-YS-026)supported by the Excellent Dissertation Cultivation Funds of Wuhan University of Technology,China。
文摘The evolution of temperature field of the continual motion induction cladding and the depth of heat affected zone are studied in this study.A three-dimensional finite element model for the point type continual induction cladding is established to investigate temperature distributions of fixed and motion induction cladding modes.The novel inductor is designed for cladding of curved surfaces.The modeling reliability is verified by the temperature measurements.The influence of process parameters on the maximum temperature and the generation and transfer of heat are studied.Quantitative calculation is performed to its melting rate to verify the temperature distribution and microstructures.The results show that a good metallurgical bond can be formed between the cladding layer and substrate.The melting rate gradually falls from the top of the cladding layer to the substrate,and the grain size in the substrate gradually rises.The heat affected zone is relatively small compared to integral heating.
文摘Objective:To observe the clinical efficacy of filiform fire-needling plus continuous passive motion(CPM)therapy for frozen shoulder.Methods:A total of 72 patients were randomized into an observation group and a control group by the random number table method,with 36 cases in each group.Patients in the control group received celecoxib capsule plus CPM,while those in the observation group received filiform fire-needling plus CPM.The whole course of treatment lasted for 2 weeks in both groups.The visual analog scale(VAS),Constant-Murley score(CMS)and range of motion of shoulder joint were measured for therapeutic efficacy evaluation.Results:The total effective rate was 91.7%in the observation group,higher than 72.2%in the control group,and the between-group comparison showed statistical significance(P<0.05).After treatment,the VAS scores in the two groups dropped significantly,the CMS as well as the range of motion including abduction,forward flexion and extension were all increased significantly,and the intra-group comparisons showed statistical significance(all P<0.05).The betweengroup comparisons showed the improvements in these items in the observation group were more significant than those in the control group(all P<0.05).Conclusion:Filiform fire-needling plus CPM can produce more significant efficacy than celecoxib capsule plus CPM for frozen shoulder;it can alleviate pain,improve shoulder function and restore joint range of motion in such patients.
基金supported by The National Natural Science Foundation of China to YF Song(H0911-82071413).
文摘Objectives To explore whether active physical exercise(APE)is more effective than conventional continuous passive motion(CPM)in improving functional knee recovery and quality of life without increasing the risk of complication in patients with endoprosthetic knee replacement for bone tumor.Methods Six hundred and fourteen patients were enrolled and allocated to either APE or CPM for 6 months.APE was spe-cific for patients with bone tumors on the distal femur(APE-F)and proximal tibia(APE-T),whereas CPM was similar to both types of patients(CPM-F and CPM-T).APE for both APE-F and APE-T patients was started on the second post-operation day,and CPM was initiated on the second post-procedure day in CPM-F patients,and in the seventh post-procedure week in CPM-T patients.The 6-month APE training consisted of three stages with training intensity progressively increasing though limited within a range of metabolic equivalent(MET)on each stage.Training intensity was individualized based on personal basic MET.The patients were followed up for 5 years for regular assessments of functional knee recovery,quality of life,and rate of complications.Results APE-F and APE-T patients presented with significantly better results in functional knee recovery and quality of life in comparison with CPM-F and CPM-T patients,respectively.In addition,APE-T patients reached a similar level of qual-ity of life as APE-F patients 6-month post-operation,whereas CPM-T patients reached a similar level of quality of life as CPM-F patients 3 years after the procedure.Nevertheless,APE training did not induce a higher incidence of complications than CPM training.Conclusions APE training was more effective in improving functional knee recovery and quality of life without increasing the risk of complications than CPM training,thus,being strongly recommended to the patients for post-operation rehabilitation.Trial registration:ChiCTR2200061774.
