Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are effective methods for the treatment of end-stage osteoarthritis. Furthermore, rehabilitation training and psychological interventions play significant roles in the recovery of hip and knee joint function after THA and TKA. A total of 46 patients who received hip replacement and knee replacement are equally divided into two groups, with the control group being prescribed routine rehabilitation intervention and the observation group prescribed an early rehabilitation pathway with Morita therapy intervention. According to the results, the observation group displayed a significantly decreased incidence of deep venous thrombosis, while simultaneously reducing the recovery time of lower limb function ( P < 0.05 ), including straight leg raising time, walking time, and vertical knee flexion time. In addition, the treatment program demonstrates a significant ability to improve the joint function score, pain score, quality of life score, and range of motion score ( P < 0.05 ). Moreover, serum D-dimer, fibrin degradation products (FDP), and femoral vein blood flow peak also are significantly reduced ( P < 0.05 ). Therefore, we have determined that an early rehabilitation pathway combined with Morita therapy can effectively reduce stress pain, improve the recovery process of joint motor function, and reduce the incidence of thrombosis. However, an increased sample size would facilitate the confirmation of the safety and efficacy of the program. In addition, the overall financial expenditure and feasibility of the treatment need to be considered.

In dementia, cognitive abilities like language, memory, and judgement are compromised, making it challenging to carry out daily tasks. In contrast, mild cognitive impairment (MCI), a pre-dementia stage, is charac-

Objective: To investigate the effectiveness of joint mobilization (JM) combined with acupuncture (AC) for treatment pain, physical function and depression in poststroke patients. Methods: A total of 69 poststroke patients were randomly assigned to the JM+AC group (n = 23), the JM group (n = 23), and the control group (n = 23). Patients in the JM+AC group and the JM group received JM for 30 minutes, twice a week for 12 weeks, and the JM+AC group received AC for 30 minutes separately once a week. The control group did not receive JM or AC. Pain (visual analog scale, shoulder pain and disability index, Western Ontario and McMaster universities osteoarthritis index), physical function (range of motion, 10-m walking speed test, functional gait assessment, manual function test, activities of daily living scale, instrumental activities of daily living scale), and depression (center for epidemiologic studies depression scale, Beck depression inventory) were assessed for each patient before and after the 12 weeks of intervention. Results: Pain and physical function were improved significantly in the JM+AC group compared with the JM and control groups. Physical function and depression were improved significantly in the JM+AC and JM groups compared with the control group. Conclusion: The treatment of JM combined with AC improved pain, depression, and physical function of poststroke patients with chronic neuropathic pain in this study. This valuable finding provides empirical evidence for the designing therapeutic interventions and identifying potential therapeutic targets.

PURPOSE: This study aimed to determine the effects of bilateral and unilateral eccentric exercises on muscle damage and muscular physiological indices in healthy men.METHODS: Using a randomized crossover design, nine adult males without musculoskeletal disorders were divided into a bilateral eccentric exercise group (BEG, n=9) and a unilateral eccentric exercise group (UEG, n=9). Bilateral and unilateral eccentric exercises involved five sets of six repetitions of the rhythm metronome speed eccentric contraction 3 seconds at 110% one repetition maximum (1RM) using bilateral of BEG and the dominant and non-dominant of UEG separated by four weeks, respectively. Muscle damage (flexed and extended ROM, CIR, and VAS) and muscular physiological indices (muscle activity, muscle fatigue, and muscle tone) were measured before, immediately after (0 hour), 24, 48, 72, and 96 hours following bilateral and unilateral eccentric exercises.RESULTS: The flexed ROM, CIR, VAS, muscle activity, and muscle tone were significantly increased after both bilateral and unilateral eccentric exercises (p<.05, respectively). Extended ROM and muscle activity significantly decreased after both bilateral and unilateral eccentric exercises (p<.05, respectively). However, there was no significant interaction between side (S) and time and side (T×S).CONCLUSIONS: These results showed that there was no difference in muscle damage and physiological indices after measuring and setting the 1RM muscle strength separated by bilateral and unilateral eccentric exercises.

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