Dialogue with Mr. Li Jianhua, Shao Yifu Hospital: Development and Opportunities of Rehabilitation Medicine
Li Jianhua, born in November 1970, master's degree, master's tutor, chief physician, is currently the director of the Rehabilitation Medical Center of Shao Yifu Hospital affiliated to Zhejiang University School of Medicine. He has been engaged in rehabilitation medicine for 23 years, specializing in bone and joint injury rehabilitation, in limb muscles. The botulinum toxin injection therapy and clinical features of muscle function surface electromyography have been studied in depth. He has obtained more than 10 provincial and ministerial research projects, and published more than 20 academic papers in domestic core journals, including 5 SCI articles, and edited or participated in 7 rehabilitation medical textbooks.
He is currently a member of the Branch of Physical Medicine and Rehabilitation of the Chinese Medical Association, a member of the Standing Committee of the Rehabilitation Physician Branch of the Chinese Medical Association, a member of the Chinese Rehabilitation Medical Association, a deputy director of the Sports Therapy Committee of the Chinese Rehabilitation Medical Association, and a member of the Physical Medicine and Rehabilitation Branch of the Zhejiang Medical Association. Chairman, member of the Zhejiang Association of Rehabilitation Physicians, editor of the "Chinese Journal of Physical Medicine and Rehabilitation", editor of the "Chinese Journal of Rehabilitation Medicine", and editor of the "Chinese Journal of Sports Medicine".
Question 1: What is the main target of rehabilitation medicine? What is the problem that needs to be solved?
Director Li: Rehabilitation Medicine is a medical application discipline that studies the rehabilitation of disabled people and patients. Its purpose is to make sick and disabled people as soon as possible through physical therapy, exercise therapy, life training, skill training, speech training and psychological counseling. The maximum recovery is achieved, so that the function of the residual part of the body can be fully utilized to achieve the maximum possible self-care, labor and work ability, and lay the foundation for the return of the sick and disabled to society.
Rehabilitation medical research is mainly targeted at people with dysfunction caused by injuries and those with limited ability and those with limited mobility. At present, the urgent problems to be solved in the hospital are mainly focused on the treatment of dysfunction rehabilitation. The dysfunctions mentioned here are generally associated with the recovery of nerves and muscle damage, rather than the recovery of the internal organs. It is generally divided into the rehabilitation of bone and joint diseases, the rehabilitation of nervous system diseases and the rehabilitation of children.
Of course, visceral system diseases can also be recovered, such as coronary heart disease, diabetes, and other types of visceral diseases involving aerobic training, which are the scope of rehabilitation medicine. For example, if the patient has stomach cancer, he/she does not have obvious dysfunction. From the performance point of view, the patient just can't eat, but the joint activities of the limbs are normal. Examples like this are not in the discussion of rehabilitation medicine.
In addition, the recent years of cancer rehabilitation have also been mentioned, but I always think that the related to physical dysfunction is called rehabilitation medicine, can not be confused with other disciplines. For example, shoulder joint dysfunction caused by breast cancer resection, which is related to rehabilitation medicine.
Question 2: What are the main advances in rehabilitation medicine in recent years?
Director Li: The main progress of rehabilitation medicine in recent years is the improvement of the concept of clinicians and patients.
First of all, clinicians have made great changes in the concept of rehabilitation medicine, and began to receive education related to rehabilitation medicine. Secondly, the number of practitioners engaged in rehabilitation medicine is also increasing, which is inseparable from the national policy guidance. The industry is showing a booming trend; in the end, ordinary people have a certain understanding of rehabilitation medicine, which has a greater relationship with the improvement of quality of life.
Rehabilitation is one of the important contents of rehabilitation medicine. It is an important means to rehabilitate sick, injured and disabled people. It is often combined with clinical treatments such as drug treatment and surgical treatment. Rehabilitation assessment should be carried out on patients with illness, injury and disability before rehabilitation, and then a rehabilitation treatment plan should be developed, which is carried out by a rehabilitation treatment group composed of rehabilitation doctors and rehabilitation medical therapists. During the implementation process, it is continuously summarized, assessed, and adjusted until the end of treatment.
Rehabilitation treatment may currently involve new areas of research. For example, rehabilitation medicine currently involves the field of brain cognition. Rehabilitation treatment relies on the progress of brain science research and the development of new technologies such as EEG and brain function imaging.
In addition, the technology of rehabilitation is changing with each passing day. Some new evaluation and treatment techniques have emerged in traditional physical therapy, acupuncture and moxibustion, occupational therapy, speech therapy and exercise therapy. For example, functional motion detection technology (FMS), functional electrical stimulation technology (FES), and surface electromyography (sEMG) have emerged in exercise therapy. In the occupational therapy, automation and intelligent improvement based on sensor technology.
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