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Exersise and behevior therapy

Exercise and behavioral therapy include the reaseach of Yoga, Gymnastics, Tai Chi, Baduan jin exercise, channel stimulating system and other Chinese or foreign exercise. 
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A review of the treatment of cerebral palsy in children
Wang Hai-Jing, Yan Qian
9TMR Non-Drug Therapy    2018, 1 (4): 151-158.   https://doi.org/10.12032/TMRND201801022
Abstract HTML PDF (1422KB)  

Highlights

The present article analyzes the main treatments used in the therapy of cerebral palsy in children and compares the advantages and disadvantages of various treatments.

Editor’s Summary

Comprehensive treatment strategy containing rehabilitation treatment, drug therapy, stem cell therapy, etc., provides a reference for children with cerebral palsy.

Abstract

Childhood cerebral palsy (CP) is one of the most serious and common diseases of the central nervous system. It results in high morbidity and treatment cost, and cannot be cured. It has a detrimental effect on families of children with CP, seriously affects the quality of life, causes significant mental stress, and places a great economic burden on society. At present, physical training and drug therapy are mainly used to treat CP in children at home and abroad. However, plentiful evidence has shown that the efficacy of drugs, surgery, and therapies used over the previous decades is limited. The use of more appropriate comprehensive treatment that involves improving the quality of life to social participation is helpful and meaningful for children with CP and their carers. Based on the literature and guidelines from home and abroad, this article analyzes the main treatments used, including rehabilitation treatment, drug therapy, stem cell therapy, surgical treatment, and the treatment of complications, and compares the advantages and disadvantages of various treatments. It provides a reference for patients with CP to help choose treatment methods and a new idea for research on the treatment of CP.

Efficacy of Liuzijue respiratory exercise in patients with chronic obstructive pulmonary disease: a meta-analysis
Liu Ting-Ting, Lei Meng-Jie, Wang Hui-Ping, Huang Yan-Qiu, Jin Chang-De
9TMR Non-Drug Therapy    2018, 1 (3): 75-86.   https://doi.org/10.12032/TMRND201801012
Abstract HTML PDF (1495KB)  

Highlights

Liuzijue respiratory exercise can better improve lung function, functional capacity, and life quality of COPD patients compared with conventional care. Compared with the whole body respiratory exercise, Liuzijue only improves the functional capacity of COPD.

Editor’s Summary

As early as Qin and Han dynasties, the treatment of pulmonary diseases with guided breathing has already been recorded in the ancient book of Lüshichunqiu (B.C. 239, Warring States).

Abstract

Objective: To evaluate the effects of Liuzijue respiratory exercise in patients with chronic obstructive pulmonary disease (COPD). Method: Randomly controlled trials of Liuzijue respiratory exercise in the treatment of COPD were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM, and VIP. Study screening, data extraction, and quality assessment were conducted by two researchers independently. Data were analyzed using RevMan 5.3 software. Results: 11 studies with 915 COPD patients were included. Results of meta-analysis showed that compared with conventional care, Liuzijue respiratory exercise had shown better effects on FEV1 (Forced expiratory volume in 1 second) [MD = 0.18, 95% CI (0.06, 0.30), P = 0.004], FEV1% pred [MD = 10.21, 95% CI (7.25, 13.18), P < 0.001], FEV1 / FVC% (Forced vital capacity) [MD = 8.32, 95% CI (3.23, 13.40), P < 0.001], 6-minute walk distance [MD = 10.97, 95% CI (5.81, 16.12), P < 0.001] and life quality [MD = -10.07, 95% CI (-12.84, -7.30), P < 0.001]. However, no difference was observed in the effective rate between these two groups. Compared with whole body respiratory exercise, except for the better effects on 6-minute walk distance [MD = 37.82, 95% CI (6.51, 69.13), P = 0.02], no difference in FEV1, FEV1% pred, FEV1 / FVC% and life quality were observed between these two groups. Conclusion: Liuzijue respiratory exercise can better improve lung function, functional capacity, and life quality of COPD patients compared with conventional care. Compared with the whole body respiratory exercise, Liuzijue could improve the functional capacity of COPD patients significantly and showed similar effcets on lung function and life quality.

Prone-positioned upside-done arch exercise, a kind of lumbodorsal muscles training, curbs the progression of lumbar disc bulge
Gao Zeng-Jie, Chen Jiu-Yi, Liu Yang
TMR Non-Drug Therapy    2018, 1 (1): 9-15.   https://doi.org/10.12032/TMRND201801003
Abstract HTML PDF (964KB)  

Highlights

The comprehensive therapy containing prone- positioned upside-done arch exercise showed beneficial effects in patients with lumbar disc bulge in the terms of visual analogue score, bulge size and straight leg raise test.

Editor’s Summary

As a nonoperative treatment for lumbar disc herniation, lumbodorsal muscle training has the potentials to provide better prevention measures for lumbar disc bulge.

Abstract

Objective: To study the effects of prone-positioned upside-done arch exercise, a kind of lumbodorsal muscles training originated from Yoga, on curbing the progression of lumbar disc bulge. Methods: A total of 120 out-patients, diagnosed with lumbar disc bulge by CT and/or MRI, were randomly divided into the observation group and the control group, with 60 patients in each group. Patients in the observation group received the prone-positioned upside-done arch exercise combined with traction and acupuncture for two months and followed with a two-year treatment with prone-positioned upside-done arch exercise while the patients in the control group only received traction and acupuncture for two months. After two years, patients in both groups were investigated for the visual analogue score, MR image and straight leg raise tests. Results: Compared to the control group, prone-positioned upside-done arch exercise combined with traction and acupuncture showed significant decrease in patients’ visual analogue score, bulge size and the positive ratio of straight leg raise test (P = 0.001, P = 0.001 and P = 0.02 respectively), suggesting the inhibitory effect on the progression of lumber disc bulge. Conclusion: Prone-positioned upside-done arch has the potentials to protect patients with lumbar disc bulge from nerve root compression syndrome.

Effects of core stability exercise on rehabilitation in stroke patients with hemiplegia: a meta-analysis
Liu Ting-Ting, Lei Meng-Jie, Liu Ya-Qian, Meng Li-Na, Jin Chang-De
TMR Non-Drug Therapy    2018, 1 (2): 41-52.   https://doi.org/10.12032/TMRND201801007
Abstract HTML PDF (11744KB)  

Highlights

Core stability training on the basis of conventional rehabilitation therapy can improve the trunk control ability, balance ability, walking function and activity of daily living in patients with stroke hemiplegia.

Editor’s Summary

Core stability exercise, as one of the non-drug therapies, combined with conventional rehabilitation therapy has better effects on rehabilitation in stroke patients with hemiplegia.

Abstract

Objective: To evaluate the effects of core stability exercise (CST) on rehabilitation in stroke patients with hemiplegia. Methods: Randomly controlled trials about the effects of CST on rehabilitation in stroke patients with hemiplegia were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM and VIP. Search terms include “core stability training / core stability exercise / core stabilization training / core stabilization exercise / core strength training / core strength exercise” and “stroke / brain ischemia / cerebral infarction / cerebral hemorrhage / intracranial thrombosis / brain hemorrhage / cerebrovascular disorder / cerebrovascular accident, cerebrovascular disease / hemiplegia / hemiparesis / stroke rehabilitation”. Study screening, data extraction and quality assessment were conducted by two researchers independently. Data was analyzed using RevMan 5.3 software. Results: Totally 11 studies and 704 patients were included with 352 patients in experiment group and 352 in control group.Results of meta-analysis showed that combination of CST and conventional rehabilitation had better effects on trunk control [MD = 10.44, 95% CI (8.83-12.04), P < 0.001], banlace [MD = 5.6, 95% CI (4.81-6.39), P < 0.001], activities of daily living [MD = 12.06, 95% CI (7.65-16.46), P < 0.001], ambulation functional [MD = 0.72, 95% CI (0.32-1.12), P < 0.001] and walking speed [MD = 3.39, 95% CI (2.03-4.76), P < 0.001] than conventional rehabilitation, but there is no clear difference on walking stride [MD = 2.52, 95% CI (-0.25-5.29), P = 0.07] between two groups. Conclusion: CST together with conventional rehabilitation can better improve trunk control, banlace, activities of daily living, ambulation functional and walking speed in stroke patients compared with conventional rehabilitation, but can not make the walking stride better significantly. However, since the conclusion of this meta-analysis was drawn based on middle quality RCTs, future high quality researchs should be conducted to confirm its positive intervention effects.

Randomized control study in the influence of different training methods of Tai Chi on Chinese medicine constitution of international students with depression or depression tendency
Chen Ming-Jun, Fang Fan-Fu
9TMR Non-Drug Therapy    2018, 1 (2): 59-66.   https://doi.org/10.12032/TMRND201801009
Abstract HTML PDF (7815KB)  

Highlights

When combines with the deep breathing method, Tai Chi training achieves better therapeutic effect on international students with depression or depression tendency.

Editor’s Summary

Taijiquankaoxinlu (2006, A.D.) pointed out that practitioners who combined Qi (the flow of internal energy) and Yi (thought) was getting better. It means that Tai Chi can integrate deep breathing with body movements to achieve the better effects in treatment of psychological diseases.

Abstract

Objective:To evaluate the effect of different training methods of Tai Chi on Chinese medicine constitution of international students with depression or depression tendency. Methods: Thirty-eight Africa international students were randomly divided into the physical exercise group who receiving the simple physical exercise of simplified 24-form Tai Chi (physical exercise group) and the breathing group who receiving both deep breathing method plus simple physical exercise (breathing group). The average scores of Chinese medicine gentleness and various biased constitutional types in the two groups were compared. Results: The average score of thirty-eight students with biased constitution in both groups decreased significantly compared with that before training (P < 0.05). Compared with that before training, the average scores of biased constitutional types in the breathing group, including Qi deficiency, Yang deficiency, phlegm-dampness and Qi stagnation, were significantly decreased (P < 0.05). The average scores of Yang deficiency, blood stasis and Qi stagnation constitutional types of students in simple physical group after training were also significantly decreased after training (P < 0.05). Moreover, the average scores of biased constitutional types, including Qi deficiency, Yang deficiency, Yin deficiency, phlegm and dampness, Qi-stagnation, in the breathing group were significantly lower than those of the simple exercise group, suggesting the superior therapeutic effect of breathing training method (P < 0.01). Conclusion: When combines with the deep breathing method, Tai Chi training achieves better effect on improving the biased constitutional types which may be related to depression or depression tendency, including Qi deficiency, Yang deficiency, Yin deficiency, phlegm and dampness, Qi-stagnation.

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