根据年代型进行时间康复:一个被忽视的变量?
Aslı Çalışkan Uçkun1, Özlem Yener2, Ömer Faruk Demir3
1Department of Physical Medicine and Rehabilitation, University of Health Sciences, İzmir City Hospital, Izmir, Türkiye.
Chronobiology international
|February 19, 2026
概括
患者的时刻型影响手伤康复. 早晨和中间类型在早晨的功能测试中表现更好,而晚上类型在下午显示出更高的疼痛. 围绕时间型安排治疗可能会改善结果.
科学领域:
- 康复医学 康复医学 康复医学
- 时间生物学 时间生物学
- 整形外科 整形外科 整形外科
背景情况:
- 手部受伤显著损害功能,患者的参与对康复成功至关重要.
- 时型,一个人的自然日常活动偏好,影响身体和认知表现,但其在手部康复中的作用是不充分研究的.
- 了解时间型的影响可以优化康复时间和患者的结果.
研究的目的:
- 根据患者的时间型,调查功能表现,疼痛,和参与手部康复的情况在早上和下午的会议之间是否有所不同.
- 探索时刻型和手部受伤后的特定结果措施之间的关系.
主要方法:
- 对46名接受手部康复治疗的患者进行前性观察性研究.
- 时代型通过早上-晚上调查问卷进行评估.
- 患者参加了两次会议 (上午/下午),测量包括握力,九孔测试 (NHPT),疼痛 (VAS),胀和参与 (物理治疗师评级的VAS).
主要成果:
- 早晨和中间时间型在早晨会议中显示出明显更好的NHPT表现 (p <0.05).
- 中期和晚间的时间类型在下午会议中报告了明显更高的疼痛VAS得分 (p < 0.01).
- 在握力,胀或参与方面没有观察到显著的时间型差异.
结论:
- 年代型可能会影响手部康复期间的功能表现和疼痛感知.
- 调整康复会的时间与患者的时间型相匹配,可能会提高功能恢复.
- 需要对更大样本和更长的随访进行进一步的研究,以确认这些发现并探索认知影响.
相关概念视频
Biological Clocks and Seasonal Responses
36.0K
The circadian—or biological—clock is an intrinsic, timekeeping, molecular mechanism that allows plants to coordinate physiological activities over 24-hour cycles called circadian rhythms. Photoperiodism is a collective term for the biological responses of plants to variations in the relative lengths of dark and light periods. The period of light-exposure is called the photoperiod.
36.0K
Circadian Rhythms and Gene Regulation
3.4K
The biological clock is involved in many aspects of regulating complex physiology in all animals. It was in 1935 when German zoologists, Hans Kalmus and Erwin Bünning, discovered the existence of circadian rhythm in Drosophila melanogaster. However, the internal molecular mechanisms behind the circadian clock remained a mystery until 1984, when Jeffrey C. Hall, Michael Rosbash, and Michael W. Young discovered the expression of the Per gene oscillating over a 24-hour cycle. In subsequent...
3.4K
Management of Insomnia
788
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
788
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
501
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
501
Chronopharmacokinetics: Time-Dependent Pharmacokinetics
514
Chronopharmacokinetics studies the temporal change in drug absorption and elimination. These changes can be cyclical or non-cyclical. Cyclical changes occur over a regular interval, while non-cyclical changes occur over a longer, irregular period.
Time-dependent pharmacokinetics refers to non-cyclical changes in drug rate processes over a period of time. It can lead to nonlinear pharmacokinetics, where the relationship between drug concentration and time is not proportional. Non-cyclical...
Time-dependent pharmacokinetics refers to non-cyclical changes in drug rate processes over a period of time. It can lead to nonlinear pharmacokinetics, where the relationship between drug concentration and time is not proportional. Non-cyclical...
514
Timing and Consequences on Behavior
948
In operant conditioning, the timing of reinforcement is crucial. For animals like rats and cats, immediate reinforcement (within a few seconds) is much more effective than delayed reinforcement. For example, a food reward for a rat needs to follow within 30 seconds of pressing a bar to be effective.
Humans, however, can respond to delayed reinforcers. We often make decisions between immediate small rewards and delayed larger rewards. This ability to delay gratification is a significant...
Humans, however, can respond to delayed reinforcers. We often make decisions between immediate small rewards and delayed larger rewards. This ability to delay gratification is a significant...
948


