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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.

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OBJECTIVE: To evaluate the efficacy of continuous passive motion (CPM) after total knee arthroplasty (TKA) and whether the use of CPM is related to improved clinical and functional outcomes. DATA SOURCES: A systematic MEDLINE search via Web of Science, Cochrane Library, and PubMed databases was conducted. STUDY SELECTION: English-language articles published between January 2000 and May 2018 reporting the related clinical outcomes of CPM after TKA were included. A total of 3334 titles and abstracts were preliminarily reviewed, of which 16 studies were included according to the eligibility criteria. DATA EXTRACTION: Two different reviewers were selected to perform the study extraction, independent of each other. If there were any disagreements regarding the final list of studies, the third reviewer reviewed the list as an arbitrator for completeness. DATA SYNTHESIS: A total of 16 trials with 1224 patients were included. The pooled results revealed that use of CPM did not show a statistically significant improvement of postoperative knee range of motion (ROM) except for middle-term passive knee extension and long-term active knee flexion ROM. Also, CPM therapy did not show a significant positive effect on the functional outcomes. No significant reduction in length of stay (LOS) and incidence of adverse events (AEs) was identified. CONCLUSION: Among patients undergoing TKA, neither the ROM nor the functional outcomes could be improved by CPM therapy. Moreover, the risk of AEs and LOS could not be reduced by application of CPM. The current available evidence suggested that this intervention was insufficient to be used routinely in clinical practice.

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Objective To investigate the effect of upper limb rehabilitation robot assisted training on the event-related potential P300, upper limb function and quality of life in stroke patients. Methods A total of 90 stroke patients admitted to Yuyao People＇s Hospital from May 2017 to January 2018 were randomly divided into control group(45 cases) and observation group(45 cases) according to the digital table.The control group received conventional rehabilitation exercise, and the observation group was supplemented by Motorika ReoGo upper limb rehabilitation robot on the basis of the control group. The P300 latency, P300 amplitude, upper limb function and quality of life of the two groups were compared before and after treatment.Results Before training,the latency of P300,amplitude of P300, upper limb function and quality of life score had no statistically significant differences between the two groups(all P>0.05).After training,the latency of P300,amplitude of P300 in the control group were (389.54 ± 28.19)ms,(2.79 ± 0.23) μV,respectively,which in the observation group were (356.25 ± 24.54)ms, (3.06 ± 0.19) μV,respectively.The latency of P300 in both two groups was significantly shorter than those before training(t=4.490,12.342,all P <0.05),and the amplitude of P300 were significantly higher than those before training(t= -3.476,-10.061,all P<0.05),which of the observation group were significantly better than those of the control group(t= -5.975,6.071,all P<0.05).After training,the Fugl-Meyer scale(FMA) and Barthel scale (MBI) scores of the control group were (35.62 ± 9.72) points,(81.35 ± 10.96) points,respectively,which of the observation group were (44.65 ± 11.23) points,(89.63 ± 11.59) points,respectively.The FMA and MBI scores in the two groups were significantly higher than those before training(t= -5.107,-8.595,-9.039,-11.417,all P<0.05),which of the observation group were significantly higher than those of the control group(t=4.078,3.482, all P<0.05).Conclusion Motorika ReoGo assisted upper limb rehabilitation robot can significantly improve P300 latency,amplitude,upper limb function and quality of life in stroke patients.

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Objective@#To investigate the effect of upper limb rehabilitation robot assisted training on the event-related potential P300, upper limb function and quality of life in stroke patients.@*Methods@#A total of 90 stroke patients admitted to Yuyao People's Hospital from May 2017 to January 2018 were randomly divided into control group(45 cases) and observation group(45 cases) according to the digital table.The control group received conventional rehabilitation exercise, and the observation group was supplemented by Motorika ReoGo upper limb rehabilitation robot on the basis of the control group.The P300 latency, P300 amplitude, upper limb function and quality of life of the two groups were compared before and after treatment.@*Results@#Before training, the latency of P300, amplitude of P300, upper limb function and quality of life score had no statistically significant differences between the two groups(all P>0.05). After training, the latency of P300, amplitude of P300 in the control group were (389.54±28.19)ms, (2.79±0.23)μV, respectively, which in the observation group were (356.25±24.54)ms, (3.06±0.19)μV, respectively.The latency of P300 in both two groups was significantly shorter than those before training(t=4.490, 12.342, all P<0.05), and the amplitude of P300 were significantly higher than those before training(t=-3.476, -10.061, all P<0.05), which of the observation group were significantly better than those of the control group(t=-5.975, 6.071, all P<0.05). After training, the Fugl-Meyer scale(FMA) and Barthel scale(MBI) scores of the control group were (35.62±9.72)points, (81.35±10.96)points, respectively, which of the observation group were (44.65±11.23)points, (89.63±11.59)points, respectively.The FMA and MBI scores in the two groups were significantly higher than those before training(t=-5.107, -8.595, -9.039, -11.417, all P<0.05), which of the observation group were significantly higher than those of the control group(t=4.078, 3.482, all P<0.05).@*Conclusion@#Motorika ReoGo assisted upper limb rehabilitation robot can significantly improve P300 latency, amplitude, upper limb function and quality of life in stroke patients.

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In the treatment of mandibular condyle fracture, conservative treatment using closed reduction or surgical treatment using open reduction can be used. Management of mandibular condylar fractures remains a source of ongoing controversy in oral and maxillofacial trauma. For each type of condylar fracture,the treatment method must be chosen taking into consideration the presence of teeth, fracture height, patient'sadaptation, patient's masticatory system, disturbance of occlusal function, and deviation of the mandible. In the past, closed reduction with concomitant active physical therapy conducted after intermaxillary fixation during the recovery period had been mainly used, but in recent years, open treatment of condylar fractures with rigid internal fixation has become more common. The objective of this review was to evaluate the main variables that determine the choice of an open or closed method for treatment of condylar fractures, identifying their indications, advantages, and disadvantages, and to appraise the current evidence regarding the effectiveness of interventions that are used in the management of fractures of the mandibular condyle.

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In the treatment of mandibular condyle fracture, conservative treatment using closed reduction or surgical treatment using open reduction can be used. Management of mandibular condylar fractures remains a source of ongoing controversy in oral and maxillofacial trauma. For each type of condylar fracture,the treatment method must be chosen taking into consideration the presence of teeth, fracture height, patient'sadaptation, patient's masticatory system, disturbance of occlusal function, and deviation of the mandible. In the past, closed reduction with concomitant active physical therapy conducted after intermaxillary fixation during the recovery period had been mainly used, but in recent years, open treatment of condylar fractures with rigid internal fixation has become more common. The objective of this review was to evaluate the main variables that determine the choice of an open or closed method for treatment of condylar fractures, identifying their indications, advantages, and disadvantages, and to appraise the current evidence regarding the effectiveness of interventions that are used in the management of fractures of the mandibular condyle.

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