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國立臺灣大學 物理治療學研究所 黃正雅所指導 許晨星的 姿勢注意力聚焦策略對雙重作業行走訓練之影響:以具凍凝步態之巴金森患者為例 (2019),提出BBS rg -F關鍵因素是什麼,來自於雙重作業訓練、注意力聚焦、巴金森、凍凝步態、腦波圖。

而第二篇論文國立臺灣大學 臨床牙醫學研究所 蔡宜玲所指導 鄭博元的 侵襲性齒頸部吸收 - 分布狀況、可能致病因子與臨床特徵 (2019),提出因為有 牙齒外傷、副甲狀腺機能亢進、侵襲性齒頸部吸收、矯正治療、牙周治療、牙根吸收的重點而找出了 BBS rg -F的解答。

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姿勢注意力聚焦策略對雙重作業行走訓練之影響:以具凍凝步態之巴金森患者為例

為了解決BBS rg -F的問題,作者許晨星 這樣論述:

研究背景與目的:凍凝步態是巴金森患者特有的行走異常問題,尤其於雙重作業情境下更容易誘發凍凝步態。大腦注意力資源分布能力不佳為導致具凍凝步態之巴金森患者雙重作業行走困難的關鍵因素。注意力聚焦包含「內聚焦」與「外聚焦」,是影響動作控制與學習的重要因子。研究顯示外聚焦策略可促進動作自動化控制;而內聚焦策略則可增加動作的意識控制。然而,注意力策略對於凍凝步態之巴金森患者的雙重作業行走效果尚未被探討。因此,本研究目的為探討雙重作業訓練時,以內聚焦或外聚焦策略訓練姿勢作業,何者會有較佳的雙重作業行走控制,同時也配合腦波圖量測,探討注意力聚焦策略對大腦神經可塑性的影響。研究方法:本研究招募34位具凍凝步態

巴金森氏症患者,隨機分配至內聚焦組及外聚焦組(每組各17位受試者),進行雙重作業行走訓練。訓練時,內聚焦組將注意力放置在動作本身,即注意動作的肢體或關節。外聚焦組則是將注意力放置在動作效應,即以外在環境物體為目標。訓練為一週2次,連續6週。於訓練前一週進行前測、訓練結束後一週進行後測,且於有藥效與無藥效情況皆進行評估。評估項目包括動作雙重作業行走、認知雙重作業行走、雙重作業行走時之腦波相對頻帶強度、臨床評估量表(新版世界動作障礙學會巴金森病綜合評量表第三部分、伯格氏平衡量表、雙重作業坐站起走、特定活動平衡信心量表、新式凍凝步態量表)、並紀錄訓練前2週與訓練後2週患者發生凍凝步態與跌倒之次數。結

果:經6週訓練後,內聚焦組與外聚焦組在有藥效情況下之動作雙重作業行走、認知雙重作業行走速度均有顯著增加,然內聚焦組主要是以增大步伐長度來增進速度、而外聚焦組則以增加步伐長度與步頻來增進速度。但無藥效情況下,僅內聚焦組可改善動作雙重作業行走步態(速度增加、步伐長度增加)。在腦波相對頻帶強度改變上,經訓練後在有藥效情況下,內聚焦組與外聚焦組均出現delta頻帶強度降低。在無藥效情況下執行動作雙重作業時,經訓練後內聚焦組顯著增加前額葉區alpha頻帶強度、但外聚焦組則增加前額葉與額葉區theta頻帶強度。臨床量表評估除無藥效雙重作業坐站起走僅有內聚焦組可顯著降低執行時間,其餘評估經訓練後皆有進步,但

在兩組間並無顯著差異。結論與臨床應用:本篇研究探討注意力聚焦策略對雙重作業行走訓練的影響,以及不同的注意力聚焦策略應用於雙重作業訓練的神經可塑性。研究結果顯示經6週雙重作業行走訓練,無論使用何種注意力策略,皆可有效提升有藥效下雙重作業行走速度,但考量凍凝步態患者步伐距離較短,外聚焦策略伴隨之步頻增加並非最佳行走模式。以內聚焦行走訓練策略不僅可有效增加步伐長度,且其效果也可轉移至無藥效情況下之雙重作業行走表現。臨床上,建議可以行走內聚焦方式對有凍凝步態巴金森患者進行雙重作業行走訓練,以有效提升行走安全並降低跌倒與凍凝步態發生率。

侵襲性齒頸部吸收 - 分布狀況、可能致病因子與臨床特徵

為了解決BBS rg -F的問題,作者鄭博元 這樣論述:

Introduction: Invasive cervical resorption (ICR) is a relatively rare dental disease. It may cause irreversible destruction to the cervical area of the tooth. If left untreated, the tooth has to be extracted eventually. The demographic and tooth distribution of ICR had not been investigated in a

ny Asian populations. Its etiopathology and predisposing factors are also unclear. Furthermore, the clinical and radiographic features of ICR have not been investigated in a systematic way.Objective: To investigate the distribution, predisposing factors, and clinical characteristics of invasive cerv

ical resorption (ICR).Materials and methods: Cases with ICR from 2009 to 2019 were collected in National Taiwan University Hospital. Clinical records and radiographs were reviewed. Descriptive analysis was performed in combination with univariate analysis and Fisher’s exact test.Results: A total of

63 ICR teeth from 31 patients (14 males and 17 females) were found. The patients’ ages ranged from 18 to 81 years, with a mean age of 45.77. Most patients had a single ICR lesion. Among the 63 ICR teeth, maxillary anterior teeth (47.62%) were the most commonly affected, followed by maxillary premola

rs (20.63%). Maxillary teeth (76.19%) were more prone to ICR than mandibular teeth (23.81%). Most patients denied all major systemic diseases. The most common dental-related factors were dental/orofacial trauma (33.33%), periodontal treatment (26.98%), restoration/crown (17.46%), and orthodontic tre

atment (15.87%). Most teeth showed no percussion/palpation pain, probing depth > 3 mm, abscess formation, sinus tracts, or periapical lesions. The pulp status was mainly vital (73.02%). The presence of percussion pain and probing depth differed significantly among Heithersay ICR classification group

s.Conclusion: ICR showed no difference in sex or age group. Maxillary anterior teeth were the most affected in a Taiwanese population. Traumatic injury, periodontal treatment, and orthodontic treatment were the significant predisposing factors. The influence of endocrine imbalance may be related to

ICR. Furthermore, affected teeth typically lacked clinical signs and symptoms. Radiographic examination is critical for early diagnosis. In advanced cases, deep pockets and abscess formation were seen.Clinical significance: Up to our knowledge, this study is the first epidemiological study of ICR a

mong Asian populations. In different countries and races, the distribution of affected teeth may vary according to the type of predisposing factors. In agreement with previous studies, we support the hypothesis that traumatic injury and other dental treatments may be related to the development of IC

R. We have also highlighted the potential role of thyroid or parathyroid disorders in the etiopathogenesis of ICR. In addition, given that ICR-affected teeth are mainly asymptomatic and vital, clinicians should stay alerted to any possible anomalies in routine dental practice. Although most of our p

atients only presented one tooth affected by ICR during their observation period in National Taiwan University Hospital, few patients presented multiple teeth affected by ICR. Whether these single-ICR cases would suffer from ICR in other teeth in the future is still unknown. Literatures have shown t

hat ICR can appear successively in different teeth of the same patients. We recommend that clinicians should take routine radiographic check-ups for these patients, to diagnosis the problem earlier, to treat earlier and to increase the success rate.