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| 1 | The Current Status of Physical Therapy in China显示文摘The current health system in China has evolved by embracing both traditional Chinese medicine and Western medicine. China is the only country in the world where the number of doctors is larger than the number of nurses but education programmes for other health professions like physical therapy have been slow to develop. In the case of physical therapy it was not until China won the bid for the Olympic Games that permission to establish the first physical therapy programme was granted. Since then China has undergone a period of rapid economic growth enabling many people to have a higher standard of living and improved health, but at the same time the country is faced with massive urbanization, industrialization, increasing environmental health threats, increased health disparities and an aging population. With the support of the Chinese Association of Rehabilitation Medicine, an increased investment by the Government in public health and rehabilitation and engagement of international education experts, entry-level education programmes for physical therapy have started to develop and there are now nine which are modeled, at least to some extent, on the World Confederation for Physical Therapy's international guidelines. The paper explores the development of physical therapy education in China and discusses possible options for the way forward so that as the demand for physical therapy to service 1.4 billion people grows, the profession is prepared and the standards expected of the entrylevel physical therapist will not be compromised. | Alice Jones | 2013 | 中国康复医学杂志2013，28，6： | 15 |
| 2 | 新型冠状病毒肺炎出院患者居家康复治疗指导和建议显示文摘在社会各界的共同努力下,新型冠状病毒肺炎疫情防控形势逐渐好转。截止目前,大部分患者已治愈出院。但出院患者仍然可能存在身心功能,日常生活活动能力、社会参与方面的障碍。为更好的帮助患者重返家庭与社会,本文综合了康复团队的建议,从生理,心理,社会层面为患者提供居家康复治疗指导和建议,旨在改善出院患者的心肺功能,增强体能,保持心理健康,提高其生活质量,早日重返社会。 | 孟繁媛 王聪 唐欣 王钰宏 莫晓艳 王蕾 Alice Jones 敖丽娟 | 2020 | 中国康复2020，35，3： | 7 |
| 3 | 新加坡成人慢性呼吸系统疾病患者6分钟步行距离的最小临床重要差异值研究(英文)显示文摘目的:6 min步行距离(6MWD)是临床上常见的功能性运动能力测试,特别是对于慢性呼吸系统疾病患者。一些文献记载了关于白种人的6MWD的最小临床重要差异(MCID),但对亚洲人群的相关信息未见记载。本研究旨在建立亚洲成人慢性呼吸道疾病患者6MWD的最小临床重要差异。方法:采用'锚定'法和'分布'法对新加坡中央医院肺康复计划登记处的资料进行了分析。'锚定'法收集确诊为慢性呼吸道疾病的患者50例,其中男38例,女12例;平均年龄(64.2±12.3)岁,通过电话采访及使用整体变化评估量表(GROC)评价患者肺康复计划后的自觉改善程度,再将患者在肺康复计划中6MWD的改变数值与相对应的患者自觉改善程度进行比较,这种关系用操作特征曲线(ROC)统计表示。通过'分布'法确定6MWD的MCID,从门诊和住院的肺康复计划(PRP)参与者中检索医疗记录136例,其中男103例,女33例;平均年龄(60.1±14.1)岁。结果 :ROC曲线表明6MWD出现临床显著性变化的最佳临界值为17.4 m,其对应的敏感性为79.4%,特异性为81.3%,阳性似然比为4.23。由'分布'法确定6MWD的最小临床重要差异值为18.6 m。结论:18.6 m为新加坡华人6MWD的最小临床重要差异的估计值。 | Meredith T L YEUNG Alan W P WONG Katherine S L HUANG Alice Y M JONES | 2015 | 康复学报2015，25，1： | 3 |
| 4 | 应用超短波治疗COVID-19患者需考虑的风险显示文摘2020年初,新型冠状病毒疾病(COVID-19)占据了全球政府公共卫生防控最重要的位置。我国正在做出巨大的努力以应对COVID-19构成的公共卫生威胁,并积极探索治疗该疾病的方法。康复同仁为此也付出了辛苦的工作,并提议使用超短波疗法(USWD)为患者提供康复治疗。回顾了国内外相关超短波疗法的研究报道,拟阐明将其用于干预急性期COVID-19患者可能潜在的风险。在管理COVID-19患者时,必须首先考虑避免医务人员和患者之间的交叉感染风险;此外,在应用任何电疗为患者提供治疗之前,必须评估电疗仪器输出量的可靠性和进行患者正常皮肤感觉的测试程序。由于COVID-19患者的心脏功能可能会受病毒影响,必须考虑电流靠近心脏区域的风险。并通过检索已有的国内外关于USWD的研究发现,在过去的20年中,物理因子的可用性和使用量呈急剧下降趋势;也没有证据表明物理因子疗法可以治疗肺部疾病。英语文献中完全没有关于USWD治疗肺炎的临床试验报告。尽管在中国有一些关于使用USWD治疗肺炎的报道,但仍缺乏描述适当的随机化方法、详细的治疗过程以及安全防范措施程序,或考虑对肺功能的长期影响的报道。所以,在使用USWD对COVID-19患者进行康复治疗建议前,需要系统化的数据收集及研究USWD对急性和慢性肺损伤的作用机制和安全性。 | 喻鹏铭 ALICE Y M Jones E-LIISA Laakso | 2020 | 康复学报2020，30，2： | 3 |
| 5 | 中国大陆居民对中风的危险因素、征兆、应急处理及信息获取等相关认知的调查研究(英文)显示文摘目的:以中国大陆居民为受访对象,就中风的认知和预防进行问卷调查,以推进预防中风的健康教育活动。方法:选择大陆两个主要城市(武汉和成都)公园、商场及其他公共场所的居民为对象,进行一项有关中风知识标准化的横截面问卷调查,内容包括风险因素、征兆、应急救援和信息获取。结果:846人参与问卷调查,其中55%为男性,45%为女性,平均年龄45.7岁。收集数据表明,28%的受调查居民认为高血压是主要的危险因素,头晕(29%)和麻木(20.2%)是中风常见的征兆。所有数据都显示,当中风时人们采取急救措施是有必要的。家庭/朋友(21%)及媒体(电视占19.5%,报纸占17.7%)是中风信息传播的主要途径。结论:应重视推广中国大陆地区有关中风预防的低成本高效率的教育项目,尤其是中风危险因素、征兆、应急处理和信息获取途径的相关项目。开拓多元化的途径,包括开展促进公众健康的活动,通过医疗专家和医疗设施开展健康教育活动向广大民众宣传中风常识和预防措施。 | Zhenyi LI Peng WANG Alice Y M JONES Elizabeth DEAN | 2015 | 康复学报2015，0，2： | 3 |
| 6 | 通过模拟学习最大限度地提高物理治疗的临床实习成效(英文)显示文摘本文描述物理治疗专业和物理治疗入门级教育在中国康复医学教育中的演变,提倡以模拟学习技术(simulation-based learning,SBL)为临床实习生积累经验。与医学专业的学生一样,物理治疗专业学生的教育需要一个结构化的临床教育方案,以确保毕业时具备一定的临床专业能力。SBL多年以来一直是医学、工程以及航空专业的首选教学模式。在物理治疗专业培养方案中,SBL培养临床技能的教学模式已经出现。本文亦论述SBL在物理治疗专业入门级教育中的优势,尤其是使用模拟标准化患者作为核心临床教育内容,为学生进入临床实习做好准备。我们建议中国可以将SBL应用在物理治疗专业人才培养方案中,这能够最大限度地提高学生的临床实习经验。 | Alice Y M JONES Margot A SKINNER Elizabeth DEAN | 2015 | 康复学报2015，25，1： | 2 |
| 7 | 冠心病经皮冠状动脉介入术后体力活动阻碍量表的研发与应用显示文摘目的编制国内首个冠心病患者经皮冠状动脉介入术(PCI)后体力活动阻碍量表,对其信、效度进行检验,并使用本量表探究PCI后患者体力活动阻碍的影响因素。方法基于生物-心理-社会模型,通过国内外多学科专家讨论设计形成量表。经预测调整后,在上海交通大学医学院附属新华医院随机选取45例接受过PCI治疗的冠心病患者,采用Cronbach’sα系数对量表条目进行内部一致性检验,使用组内相关系数(ICC)评估量表重测信度;在此基础上纳入189例接受过PCI治疗的冠心病患者进行量表效度分析,并采用Spearman相关分析和单因素方差分析考察合并症数量是否为影响体力活动参与的因素。结果本量表共20个条目,从生物、心理、社会3个维度体现患者体力活动阻碍情况。信度研究纳入42例患者,量表总体Cronbach’sα系数为0.915,生物、心理、社会维度Cronbach’sα系数分别为0.825、0.881和0.833;量表总体ICC为0.877(95%CI 0.782~0.932),生物、心理、社会维度ICC分别为0.710(95%CI 0.521~0.833)、0.798(95%CI 0.654~0.886)、0.821(95%CI 0.691~0.900)。效度研究纳入189例患者,探索性因子分析结果显示累积方差贡献率为52%;验证性因子分析结果表明模型拟合效果良好,区分效度理想。189例患者年龄为(66.69±8.70)岁,生物、心理和社会维度得分分别为(18.95±4.34)、(24.63±6.38)和(11.49±3.65)分,总得分为(55.07±11.68)分,Spearman相关分析结果显示PCI后患者的合并症数量与其体力活动阻碍量表得分呈正相关(r_(s)=0.189,P<0.01),单因素方差分析结果显示有3个及以上合并症的PCI后患者体力活动阻碍得分高于无合并症、有1个或2个合并症的患者(P=0.01、0.03、0.05)。结论冠心病PCI后体力活动阻碍量表具有良好的信度和效度,可作为评价PCI后人群体力活动阻碍的测量工具,为临床开展具有针对性的教育干预提供依据。合并症数量越多的患者体力活动阻碍越大,存在3个及以上合并症的PCI后患者的体力活动阻碍程度最高,是临床宣教的重点干预群体。 | 王政 李佳佳 焦昆立 严健华 Alice Ym JONES 韩甲 孟舒 | 2022 | 海军军医大学学报2022，43，10： | 2 |
| 8 | Development of a Questionnaire to Measure the Level of Reflective Thinking显示文摘 | David Kember Doris Y. P. Leung Alice Jones Alice Yuen Loke Jan McKay Kit Sinclair Harrison Tse Celia Webb Frances Kam Yuet Wong Marian Wong Ella Yeung | 2000 | Assessment & Evaluation in Higher Education2000，，4： | 2 |
| 9 | Multi-Informant Predictors of Social Inclusion for Students with Autism Spectrum Disorders Attending Mainstream School显示文摘 | Alice P. Jones Norah Frederickson | 2010 | Journal of Autism and Developmental Disorders2010，，9： | 1 |
| 10 | Multi-Informant Predictors of Social Inclusion for Students with Autism Spectrum Disorders Attending Mainstream School显示文摘 | Alice P. Jones Norah Frederickson | 2010 | Journal of Autism and Developmental Disorders2010，，9： | 1 |
| 11 | Developing Curricula to Encourage Students to Write Reflective Journals显示文摘 | David Kember Alice Jones Alice Loke Jan McKay Kit Sinclair Harrison Tse Celia Webb Frances Wong Marian Wong Po Wa Yan Ella Yeung | 1996 | Educational Action Research1996，，3： | 1 |
| 12 | Effectiveness of a community-based Tai Chi program and implications for public health initiatives显示文摘 | Alice Y. Jones Elizabeth Dean Rhonda J. Scudds | 2005 | Archives of Physical Medicine and Rehabilitation2005，，4： | 1 |
| 13 | Skin Impedance at Acupuncture Point Dingchuan in Subjects with and without Asthma显示文摘Objective:Asthma can be a disabling disease and despite advances in pharmacology,the prevalence of this condition globally remains high and accounts for a significant proportion of public health care costs.While pharmacology is the mainstay of asthma management,drug side effects have promoted alternative therapeutic interventions,such as acupuncture.Acupuncture points have a lower skin impedance compared to non-acupuncture points.Health impairment is associated with changes in skin impedance at system-specific acupuncture points.Detection of skin impedance changes may assist in the early diagnosis of asthma and monitoring the effectiveness of therapeutic interventions for this condition.Method:This study compared skin impedance at acupuncture point Dingchuan(EX-B1),in 92 subjects with normal health(47 subjects,age 32.6 ±1.67yr) and those diagnosed with asthma(45 subjects,age 42.4 ±1.80 yr).Skin impedance was measured using a 2-electrode impedance meter bilaterally at EX-B1,0.5 'cun' lateral to the lower border of 7th cervical vertebra.Result:The study showed that skin impedance was significantly higher at acupuncture point EX-B1 in subjects with asthma(29.4 ± 21 kΩ) compared to subjects with normal health(13.8±7.9 kΩ)(P=0.013).Skin impedance was negatively correlated to forced expiratory volume in 1 second(FEV1,r=-0.59,P=0.012 in females;and r=-0.68,P=0.015 in males).A receiver operator characteristic(ROC) curve revealed an optimum cut-off point of 35 kΩ for male and 10 kΩ for female subjects.Conclusion:We conclude that EX-B1 skin impedance is higher in patients with asthma and skin impedance might be a possible adjunctive parameter for assisting diagnosis and monitoring asthmatic status. | Ngai Shirley Pui-ching Jones Alice Yee-men | 2009 | 中国康复医学杂志2009，24，6： | 0 |
| 14 | Acupuncture transcutaneous electrical nerve stimulation reduces discomfort associated with barostat-induced rectal distension:A randomized-controlled study显示文摘AIM:To explore the effectiveness of acupuncture transcutaneous electrical nerve stimulation(Acu-TENS), a non-invasive modality in reduction of rectal discomfort during barostat-induced rectal distension. METHODS:Forty healthy subjects were randomized to receive 45 min of either Acu-TENS or placebo-TENS(no electrical output)over acupuncture points Hegu(largeintestine 4),Neiguan(pericardium 6)and Zusanli(stomach 36).A balloon catheter attached to a dual-drive barostat machine was then inserted into the subjects'rectum.A step-wise(4 mmHg)increase in balloon pressure was induced until maximal tolerable or 48 mmHg.Visual analogue scale and a 5-point subjective discomfort scale(no perception,first per-ception of distension,urge to defecate,discomfort/ pain and extreme pain)were used to assess rectal discomfort at each distension pressure.Blood beta-endorphin levels were measured before,immediately after intervention,at 24 mmHg and at maximal toler- able distension pressure. RESULTS:There was no difference in the demographic data and baseline plasma beta-endorphin levels between the two groups.Perception threshold levels were higher in the Acu-TENS group when compared to the placebo group,but the difference reached statistical significance only at the sensations'urge to defecate'and'pain'.The distension pressures recorded at the'urge to defecate'sensation for the Acu-TENS and placebo-TENS groups were 28.0±4.5 mmHg and 24.6±5.7 mmHg,respectively(P=0.043);and the pressures recorded for the'pain'sensation for these two groups were 36.0±4.2 mmHg and 30.5± 4.3 mmHg respectively(P=0.002).Compared to the placebo group,a higher number of participants in the Acu-TENS group tolerated higher distension pressures (>40 mmHg)(65%in Acu-TENS vs 25%in placebo, P=0.02).The plasma beta-endorphin levels of the Acu-TENS group were significantly higher than that of the placebo group at barostat inflation pressure of 24 mmHg(1.31±0.40 ng/mL vs 1.04±0.43 ng/mL,P= 0.044)and at maximal inflation pressure(1.46±0.53 ng/mL vs 0.95±0.38 ng/mL,P=0.003). CONCLUSION:Acu-TENS reduced rectal discomfort during barostat-induced rectal distension and concur-rently associated with a rise in beta-endorphin level. | Wing-Wa Leung Alice YM Jones Simon SM Ng Cherry YN Wong Janet FY Lee | 2013 | World Journal of Gastroenterology2013，19，3： | 0 |
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