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中華民國復健醫學會會章, N/A Dec 1989

中華民國復健醫學會會章, N/A

Rehabilitation Practice and Science

No abstract provided.


Biomechanics And Rehabilitation Of Interlocking Nailing, Linr-Yue Lin, Jin-Sheng Lin, Chorng-Sonq Chou, Jin-Fu Tsai, Tu-Sheng Lee, Tao-Chang Hsu Dec 1989

Biomechanics And Rehabilitation Of Interlocking Nailing, Linr-Yue Lin, Jin-Sheng Lin, Chorng-Sonq Chou, Jin-Fu Tsai, Tu-Sheng Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

Twenty five comminuted unstable fractures of femur or tibia were treated with the Grosse-Kempf interlocking nail. The biomechanical properties of interlicking nail are quiet different from the intramedullary nail The osteosynthesis material assumes the full load in static interlicking nail, though in Kuntscher nail, the osseous cylinder itself can vear the weight. Partial weight-bearing is permitted in early stage. Full weight-bearing is allowed after the dynamization while the bridging callus are formed. Too early weight-bearing will produce bending or fracture of the nail. Excellent or good result were obtained in 88.9% of the patients of femoral fractures, and 81.3% of …


Clinical Application Of Growth Factor In Poor Healing Wounds: Preliminary Report, Pong-Yuen Wong, May-Kuen Wong, Chia-Chen Chen Dec 1989

Clinical Application Of Growth Factor In Poor Healing Wounds: Preliminary Report, Pong-Yuen Wong, May-Kuen Wong, Chia-Chen Chen

Rehabilitation Practice and Science

Growth factor was reported to be effective in promoting wound healing, possibly through the mechanisms of stimulating DNA synthesis, chemotaxis of fibroblasts, embryogenesis, angiogenesis and enhancement of epithelialization. For investigation of the clinical result, 8 cases with poor healing wounds were treated by our own product of ointment with growth factor. They were admitted to Chang Gung Memorial Hospital from Feb. to December 1988. Among them, three were DM foot complicated with peripheral vascular disease and received below- knee amputation, three were sacrum pressure sore, and two were traumatic injury with extensive skin defect. All of these patients had received …


Traumatic Bone Fracture In Cva Patients, Yin-Chung Lau, May-Kuen Wong Dec 1989

Traumatic Bone Fracture In Cva Patients, Yin-Chung Lau, May-Kuen Wong

Rehabilitation Practice and Science

CVA patients with traumatic bone fracture admitted to Chang Gung Memorial Hospital from September 1982 to September 1988 were analysed. There were 45 patients. Among them, 29 cases were female (64.4%), 16 cases were male (35.6%). The age ranged from 49 to 90 year old. The age distributions of them were old in majority, 31 cases were over 65 year old (68.8%). Fracture happened after stroke for 2 months to 20 years. There were no significant difference at side of lesion. Most of them were hemiplegic patients. The fractures usually occurred on the weakness side (77.8%), with femoral fracture in …


復健醫學會雜誌Submission_Guideline, N/A Dec 1989

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.


專科醫師分科及甄審辦法, N/A Dec 1989

專科醫師分科及甄審辦法, N/A

Rehabilitation Practice and Science

No abstract provided.


Nerve Root Stimulation In The Diagnosis Of Lumbosacral Radiculopathy, Chein-Wei Chang, I-Nan Lien Dec 1989

Nerve Root Stimulation In The Diagnosis Of Lumbosacral Radiculopathy, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Direct nerve root stimulation was compared with needle electromyography (EMG) in 40 patients suspected with L5 or S1 radiculopathy. Monopolar needle inserted into deep paraspinal muscles was used for the nerve root stimulation. The minimal latency, amplitude and area of negative phase of compound muscle action potential from myotomal muscles were recorded with an assistance of a computer program. Significant abnormality was considered in patients more than 2SD from control mean values. In 17 patients with a clinical evidence of radiculopathy, needle EMG wes abnormal in 10(58.8%)but nerve stimulation test showed an abnormal amplitude difference in 16(94.1%)and an abnormal area …


A Study Of Spinal Rotational Manipulation For Low Back Pain, Chorng-Sonq Chou, Li-Ming Lin, Tao-Chang Hsu Dec 1989

A Study Of Spinal Rotational Manipulation For Low Back Pain, Chorng-Sonq Chou, Li-Ming Lin, Tao-Chang Hsu

Rehabilitation Practice and Science

Twenty low back pain patients and sixteen not suffering from low back pain were taken several flexility and asymmetry tests by two different examiners. Several possible quasi-objective measures of low back pain were investigateed, eleven subjective reported relief of pain immediately following rotational manipulations of lumbar spine as described by Cyriax.The objective tests of pre-and post-manipulation were analyzied, hamstring tightness test was not particular high due to the sensivity of different examiner, but active or passive straight leg raising can be strongly recommended for assement of spinal manipulation.


Does Interferential Current Benefit To Pain Relief After Back Surgery, Mei-Yun Liaw, May-Kuen Wong, Wen-Ling Cheng Dec 1989

Does Interferential Current Benefit To Pain Relief After Back Surgery, Mei-Yun Liaw, May-Kuen Wong, Wen-Ling Cheng

Rehabilitation Practice and Science

The purpose of this study was to evaluate the effectiveness of interferential therapy for pain control of severe back or leg pain after back surgery.Twenty six patients were studied (17 males, 9 females) with mean age of 46.5 + 11.7 years. Three different groups of patients based on the time of receipt of interferential therapy after surgery were analysed. The acute group received therapy within one week, while subacute group between the second week and half an year after operation, chronic group was consisted of all other cases. Herniation of intervertebral disc was the most common cause of back pain …


Effect Of Partial Weight Bearing In Lower Extremities By Tilting Table Elevation, Shiu-Ching Lee, Chau-Peng Leong, May-Kuen Wong, Yin-Chung Lau Dec 1989

Effect Of Partial Weight Bearing In Lower Extremities By Tilting Table Elevation, Shiu-Ching Lee, Chau-Peng Leong, May-Kuen Wong, Yin-Chung Lau

Rehabilitation Practice and Science

In order to evaluate the effect of partial weight bearing in lower extremities by tilt table elevation, 15 healthy young men had been tested.This clinical study was divided into two parts: fitst, two electronic weight scales from the weight bearing machine were put on the standing broad of the tilt table, then changed the tilting angle from 15° ,30°,45°,60°,75° to 90°, recorded the weight distribution of right and left extrernities;second, elevated one extremities by wood pieces, then changed the tilting angle, recorded the different weight bearing of right and left lower extremities. The result of the first study showed that …


中華民國復健醫學會復健科專科醫師甄審規則, N/A Dec 1989

中華民國復健醫學會復健科專科醫師甄審規則, N/A

Rehabilitation Practice and Science

No abstract provided.


專科醫師分科及甄審辦法, N/A Dec 1989

專科醫師分科及甄審辦法, N/A

Rehabilitation Practice and Science

No abstract provided.


中華民國復健醫學會會章, N/A Dec 1989

中華民國復健醫學會會章, N/A

Rehabilitation Practice and Science

No abstract provided.


中華民國復健醫學會復健科專科醫師甄審規則, N/A Dec 1989

中華民國復健醫學會復健科專科醫師甄審規則, N/A

Rehabilitation Practice and Science

No abstract provided.


The Traction Angle And Intervertebral Separation, Chau-Peng Leong, May-Kuen Wong, Chin-Ming Chen, Tzong-Shin Yang, Chun-Chung Lui Dec 1989

The Traction Angle And Intervertebral Separation, Chau-Peng Leong, May-Kuen Wong, Chin-Ming Chen, Tzong-Shin Yang, Chun-Chung Lui

Rehabilitation Practice and Science

This study was performed to evaluate the effects of intervertebral separation under different cervical traction angles. 17 healthy young adults of under 30, 7 male and 10 females, were tested. All of them denied neck trauma or pain history. In this study, we used Digit-Trac E 60 KS cervical traction machine. Intermittent cervical traction supine position, with 30 pound traction force under 0∘, flexion 30∘and 15∘between head and trunk. Force lasting for 8 seconds followed by unloading for 6 seconds alternately, total traction for 20 minutes were given. X-ray for cervical spine lateral view were taken before and after traction. …


Cardiopulmonary Function Changes After Swimming Training In Subjects With Sequela Of Poliomyelitis, Chen-Liang Chou, Chen-Ming Chiu, Tcho-Jen Liu, Tao-Chang Hsu, Guang-Ming Shiao, Cheng-Yen Chang Dec 1989

Cardiopulmonary Function Changes After Swimming Training In Subjects With Sequela Of Poliomyelitis, Chen-Liang Chou, Chen-Ming Chiu, Tcho-Jen Liu, Tao-Chang Hsu, Guang-Ming Shiao, Cheng-Yen Chang

Rehabilitation Practice and Science

Swimming is one of the best' exercises for poliomyelitis patients. 31 members-in YMCA swimming training program participated in this study. We used the paired-t test to analize the changes of cardiopulmonary function changes.After 3 months training course, there was increase in pulse rate, systolic blood pressure and rate-pressure product at arm-crank rate of both 60rpm and 90rpm. The maximal insipiratory pressure (Pi max) and maximal expiratory pressure (Pi max) were significantly increased. The decrease in resting pulse rate and vital capacity were statistically insignificant (P:0.05). The severity of the scoliosis in polimomyelitis could affect the result of swimming training, but …


Functional Outcome Of Finger Flexor Tebdon Repair, Fuk-Tan Tang, May-Kuen Wong Dec 1989

Functional Outcome Of Finger Flexor Tebdon Repair, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

In order to achieve good results following primary flexor tendon repair, detailed attention to post-operative rehabilitation program is essential. From February 1986 to July 1988,fifty-nine digits of thirty-one cases received primary flexor tendon repair. Among them, 25 were men, 6 were women. Ages were from 3 to 54 years old. There were 14 digits injuried at zone 2 (group A) and 45 digits injuried at zone 1, 3, 4 and 5 (gronp B). The results were evaluated by Buck-Gramacko method. It got excellent results in both groups with 71.4% in group A and 82.2% in group B. There were no …


Study Of Onset Time In Infarction Stroke, Chee-Hiang Pang, Chein-Wei Chang, I-Nan Lien Dec 1989

Study Of Onset Time In Infarction Stroke, Chee-Hiang Pang, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

511 patients who were admitted to NTUH between January 1981 and June 1988 with nonprogressive cerebral infarction were studied retrospectively. They had a known time of onset, the type of activity performed, the age group, sex and anatomical location from the computed tomography.302(59.ll%)patients suffesed cesebral infarction between 6 am and 6 pm.Only 209(40.89%) patients had their infarct between 6 pm and 6 am. Besides, most of the patients were performed their daily usual activity at the time of onset of the disease. The number of male patient who surferred from cerebral infarction was slightly higher than the number of the …


Surface Temperature, Nerve Conduction And Electromyography Studies In Hemiplegia, Chinn-Dong Chung, Chorng-Song Chou, Tao-Chang Hsu Dec 1989

Surface Temperature, Nerve Conduction And Electromyography Studies In Hemiplegia, Chinn-Dong Chung, Chorng-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

In 30 hemiplegic patients due to cerebrovascular accident, surface, motor nerve conduction velocity (MNCV), distal latency and amplitude of median and ulnar nerves were determined. After computer analysis, the data revealed that the surface temperatures of the affected side are lower than those of the unaffected side (32.2 ±0.6℃ ,33.8 ±0.9℃,P< 0.05), the MNCV is significantly lower in the affected side than in the unaffected side (Median:53.3±5.4m/sec,55.16.1 m/sec, P< 0.038.Ulnar:53.7±4.9 m/sec.56.65.6 m/sec, P< 0.007),both motor and sensory amplitudes of median and ulnar nerves are lower in the affected side than in the unaffected side but no significant difference in sensory …


Sexual Activities Of Stroke Patients: A Clinical Study, Long-Sang Au, May-Kuen Wong Dec 1989

Sexual Activities Of Stroke Patients: A Clinical Study, Long-Sang Au, May-Kuen Wong

Rehabilitation Practice and Science

The clinical features of sexual activity of stroke patients were studies and reported in 55patients(38 males.17 females) through interview at out-patient service/The mean age of all patients was 58.6± 9.6 years. Duration after stroke ranged from 6 months to 11 years. Among them,35 patients(63.6%) reported no sexual activity while20 patients (36.4%) still had sexual activity. In the sexually inactive group (24 males, 11 females), the mean age was 61.4 ± 7.2 years. The major cause for sexual inactivity was fear of further harm to their health in 20 patients (57.1%).In the sexually active group (14 males,6 females),their mean age was …


Clinical Experience Of A New Antispasticity Drug-Baclofen, I-Nan Lien, Su-Ching Lee Dec 1989

Clinical Experience Of A New Antispasticity Drug-Baclofen, I-Nan Lien, Su-Ching Lee

Rehabilitation Practice and Science

Baclofen,a derivative of gamma-aminobutyric acid, was introduced in 1966 as a possible treatment for spasticity due to cortico-spinal tract lesions. The previous reports suggested that it may be more effective than other spasmolytic agents, currently available. This report presents our experience with baclofen in the management of spasticity in 45 hospitalized patients of department of rehabilitation in NTUH. Among them, 25 cases were cerebral lesion (3 head injured, 22 cerebral vascular diceased),20 cases were spinal cord lesion (11 quadriplegic,9 paraplegic). 36 cases were males and 9 cases were females. The age distribution was from 13 years old to 74 years …


Evaluation Of Effects On Undergraduate Instruction In Physical Medicine And Rehabilitation, Choon-Khim Chong, May-Kuen Wong, Chau-Peng Leong Dec 1989

Evaluation Of Effects On Undergraduate Instruction In Physical Medicine And Rehabilitation, Choon-Khim Chong, May-Kuen Wong, Chau-Peng Leong

Rehabilitation Practice and Science

A total of 118 undergraduate medical students were evaluated from July 1987 to June 1988. They were divided into three groups, Group A:84 sixth year students who enrolled the training program in Physical Medicine and Rehabilitation; Group B:22 seventh year students who elected the training program and Group C:12 seventh year students who did not elect the program. Students were evaluated, by written examination, before and after the course completion. The written examination consisted of basic understanding and clinical application in Physical Medicine and Rehabilitation field. Grading was on scoring basis with 100 in full score. The results of pretest …


Manipulation Therapy In Treating Upper Back Pain: A Casereport & Introducting The Manipulation Therapy Of James Cyriax, Wen-Hong Pan, Chorng-Sonq Chou Dec 1989

Manipulation Therapy In Treating Upper Back Pain: A Casereport & Introducting The Manipulation Therapy Of James Cyriax, Wen-Hong Pan, Chorng-Sonq Chou

Rehabilitation Practice and Science

A 31 y/o male adult with recurrent upper back pain was examined & diagnosed as a case of slipped disc syndrome of the upper thoracic spine. After manipulation therapy, there were both subjective & objective improvements. author also attempted to introduce to manipulation therapy to a certain extent.