Objective To compare the performance of ChatGPT-4.5 and DeepSeek-V3 across five key domains of physical therapy for knee osteoarthritis (KOA), evaluating the accuracy, completeness, reliability, and readability of their responses and exploring their clinical application potential. Methods Twenty-one core questions were extracted from 10 authoritative KOA rehabilitation guidelines published between September 2011 and January 2024, covering five task categories: rehabilitation assessment, physical agent modalities, exercise therapy, assistive device use, and patient education. Responses were generated using both the ChatGPT-4.5 and DeepSeek-V3 models and evaluated by four physical therapists with over five years of clinical experience using Likert scales (accuracy and completeness: 5 points; reliability: 7 points). The scale scores were compared between the two large language models. Additional assessment included language style clustering. Results Most of the scale scores did not follow a normal distribution, and were presented as median (lower quartile, upper quartile). ChatGPT-4.5 outperformed DeepSeek-V3 with higher scores in accuracy [4.75 (4.75, 4.75) vs. 4.75 (4.50, 5.00), P=0.018], completeness [4.75 (4.50, 5.00) vs. 4.25 (4.00, 4.50), P=0.006], and reliability [5.75 (5.50, 6.00) vs. 5.50 (5.50, 5.50), P=0.015]. Clustering analysis of language styles revealed that ChatGPT-4.5 demonstrated a more diverse linguistic style, whereas DeepSeek-V3 responses were more standardized. ChatGPT-4.5 achieved higher scores than DeepSeek-V3 in lexical richness [4.792 (4.720, 4.912) vs. 4.564 (4.409, 4.653), P<0.001], but lower than DeepSeek-V3 in syntactic richness [2.133 (2.072, 2.154) vs. 2.187 (2.154, 2.206), P=0.003]. Conclusions ChatGPT-4.5 demonstrates superior performance in accuracy, completeness, and reliability, indicating a stronger capacity for task execution. It uses more diverse words and has stronger flexibility in language generation. DeepSeek-V3 exhibited greater syntactic richness and is more normative in language. ChatGPT-4.5 is better suited for content-rich tasks that require detailed explanation, while DeepSeek-V3 is more appropriate for standardized question-answering applications.
【摘要】目的探讨腹腔镜联合盆腔理疗对输卵管性不孕症的治疗效果,旨在提高术后的受孕率。方法将2007年1月2008年12月进行诊治的不孕者86例随机分为干预组与对照组,每组43例。干预组腹腔镜手术治疗,术后进行理疗;对照组不进行理疗。调查并比较两组的治疗效果和患者满意度。结果干预组43例中13例再次宫内妊娠,受孕率为30.23%;对照组再次宫内妊娠,8例(18.60%)两组比较差异具有统计学意义(Plt;0.05)。干预组总有效率86.05%,明显优于对照组67.44%,且差异亦具有统计学意义(Plt;0.05)。患者满意率干预组为90.67%(39/43),对照组为76.74%(33/43)。两组差异具有统计学意义(Plt;0.05)。结论腹腔镜联合盆腔理疗可以有效改善治疗效果,提高再次受孕率,值得在临床实践中推广应用。
As an innovative training method, blood flow restrictive exercise has gradually received extensive attention and application in rehabilitation medicine in recent years. Blood flow restrictive exercise can be combined with low-load, low-intensity training to promote individual muscle hypertrophy and enhance muscle strength to prevent muscle atrophy, which provides an alternative for those who cannot perform high-load, high-intensity training. However, the clinical use strategy and clinical application effect of blood flow restriction exercise are still unclear. This article will mainly introduce the operation methods, use risks, and application methods of blood flow restrictive exercise, in order to provide a reference for the clinical application and research of blood flow restrictive exercise.
目的:探讨急性胰腺炎(AP)并发胰腺假性囊肿(PPC)的早期诊断、早期治疗方法及疗效观察。方法:急性胰腺炎患者给予常规治疗,每周复查B型超声,必要时复查上腹部CT,一旦检查诊断为胰腺假性囊肿形成,即给予TDP(CQ型特定电磁波治疗器)烤腹部相应囊肿部位皮肤,烤后再以适量黄冰解毒消肿软膏外敷腹部相应囊肿部位皮肤,每周复查B超1次,直致囊肿消失。结果: 63例胰腺假性囊肿56例胰腺假性囊肿经保守治疗后完全消失,有效率8889%(56/63),平均68周时间,最短时间2周,最长时间12周。7例囊肿未消失,其中2例囊肿有缩小,5例无效。结论: 胰腺假性囊肿形成早期诊断,早期联合物理治疗和中药外敷疗效显著,不失为一种安全、有效、经济的治疗方法。
Objective Peri pheral nerve injury is a common cl inical disease, to study the effects of the physical therapy on the regeneration of the injured sciatic nerve, and provide a reference for cl inical treatment. Methods Sixty-four female adult Wistar rats (weighing 252-365 g) were chosen and randomly divided into 4 groups (n=16): group A, group B, groupC, and group D. The experimental model of sciatic nerve defect was establ ished by crushing the right sciatic nerve in groups B, C, and D; group A served as the control group without crushing. At 2 days after injury, no treatment was given in group B, electrical stimulation in group C, and combined physical therapies (decimeter and infrared ray) in group D. At 0, 7, 14, and 30 days after treatment, the sciatic nerve function index (SFI) and the motor nerve conduction velocity (MNCV) were measured, and morphological and transmission electron microscopy (TEM) examinations were done; at 30 days after treatment, the morphological evaluation analysis of axons was performed. Results At 0 and 7 days after treatment, the SFI values of groups B, C, and D were significantly higher than that of group A (P lt; 0.05); at 14 and 30 days after treatment, the SFI value of group D decreased significantly, no significant difference was observed between group D and group A (P gt; 0.05) at 30 days; whereas the SFI values of groups B and C decreased, showing significant difference when compared with the value of group A (P lt; 0.05). At 0, 7, and 14 days after treatment, the MNCV values of groups B, C, and D were significantly lower than that of group A (P lt; 0.05), and there were significantly differences between group B and groups C, D (P lt; 0.05); at 14 days, the MNCV value of group D was significantly higher than that of group C (P lt; 0.05); and at 30 days, the MNCV values of groups B and C were significantly lower than that of group A (P lt; 0.05), but there was no significant difference between group D and group A (P gt; 0.05). At 0 and 7 days, only collagen and l i pid were observed by TEM; at 14 and 30 days, many Schwann cells and perineurial cells in regeneration axon were observed in groups B, C, and D, especially in group D. Automated image analysis of axons showed that there was no significant difference in the number of myelinated nerve fibers, axon diameter, and myelin sheath thickness between group D and group A (P gt; 0.05), and the number of myelinated nerve fibers and axon diameter of group D were significantly higher than those of groups B and C (P lt; 0.05). Conclusion Physical therapy can improve the regeneration of the injured sciatic nerve of rats.
目的：探讨物理治疗在新生儿经会阴肛门形成术中的治疗效果，提高护理质量。方法：将103例新生儿肛门直肠畸形患儿，随机分为实验组和对照组，对照组实施常规护理治疗。实验组在常规护理治疗基础上，实施物理治疗。结果：物理治疗实验组患儿肛周的局部红肿情况明显低于对照组（P＜0.05），实验组患儿的平均住院日较对照组明显缩短（P＜0.05）。结论：物理治疗能降低新生儿经会阴肛门成形术术后并发症的发生率，缩短住院天数，降低医疗费用，提高护理质量。
ObjectiveTo systematically review the effect of Schroth therapy on adolescent idiopathic scoliosis. MethodsThe PubMed, EBSCO, Embase, Cochrane Library, Web of Science, CNKI and WanFang Data databases were electronically searched to collect randomized controlled trials (RCTs) related to the objectives from inception to November 2024. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Meta-analysis was then performed by using RevMan 5.3 software. ResultsA total of 14 RCTs involving 589 patients were included. The results of meta-analysis showed that Schroth therapy significantly reduced patients' Cobb angle (MD=−3.21, 95%CI −3.87 to −2.55, P<0.01) and angle of trunk rotation (ATR) (MD=−2.39, 95%CI −3.07 to −1.71, P<0.01), and improved SRS-22 quality of life score (MD=0.16, 95%CI 0.01 to 0.30, P=0.04) compared with the control group. Subgroup analysis results showed that Schroth therapy had a better effect on improving the quality of life in moderate patients. Schroth therapy for 1.5-3 months, 5-7 times therapy a week, and a single 30 minute and 40-60 minutes therapy showed better improvement in patients' quality of life. Conclusion Current evidence shows that Schroth therapy can effectively improve Cobb angle, ATR, and quality of life in adolescents with idiopathic scoliosis. The improvement effect on quality of life is influenced by the intervention period, frequency, and duration of each intervention.
Meibomian gland dysfunction (MGD) is a common ocular surface disease, and the pathogenesis of MGD is closely related to the alteration of meibomian gland morphology and (or) function. At present, the treatment strategy for MGD consists of physical therapy, artificial lubricants, topical and systemic antibiotics and anti-inflammatory agents, topical steroids and Ω-3 dietary supplementation. Recently, the thermal pulsation system (LipiFlow) has been used clinically, which allows heat to be applied to the palpebral surfaces of the upper and lower eyelids directly over the meibomian glands, while simultaneously applying pulsatile pressure to the outer eyelid surfaces. Due to its specific design, the cornea and eyeball can successfully avoid the potential damage from overheating and improper expression, which will greatly improve the safety during the clinical application and patients’ compliance. Studies have showed that the effectiveness of LipiFlow when treating MGD is at least as well as twice-daily lid warming and massage for 3 months, which displays a broad application prospect. At present, the application of LipiFlow in China has not been fully developed, and only some hospitals have experimental applications. This paper summarizes the research progress of LipiFlow treatment in MGD.