Medicine and Health Sciences Commons^™

Effect Of Kinesio Taping On Knee Symptoms In Patients With Hemophilia: A Prospective Study, Yen-Liang Ke, Cih-En Huang, Sheng-Lung Hsu, Chih-Cheng Chen, Yi-Hsuan Lai, Chih-Ying Wu, Chien-Min Chen

Rehabilitation Practice and Science

Background: Kinesio Taping is effective for treating knee symptoms in various diseases. However, the outcome of using this method in hemophilia patients with knee symptoms has not been previously studied. Objective: To evaluate the therapeutic effects of Kinesio Taping on the knee symptoms in patients with hemophilia who had knee symptoms in the previous year. Methods: Kinesio Tape was applied on the anterior thigh and knee in all subjects. To measure the outcome, we collected the visual analogue scale (VAS) score of the knee during walking, knee-flexion and knee-extension muscle strength, active knee-flexion and knee-extension range of motion, Hemophilia Joint …

The Effects Of The Rewalk^(Tm) Robotic System On Walking Capability In Paraplegic Spinal Cord Injury Patients In Taiwan, Alice Cw Tang, Shao An Lee, Albert Ck Chen, Ching Yu Wang, Wan Yu Chou, Show Chun Chen, Chih Lin Wu, Simon Fuk Tan Tang

Rehabilitation Practice and Science

Background: The ReWalk^(TM) system is an exoskeleton robotic device developed for ambulation assistance in patients with paraplegic spinal cord injury (SCI). The purpose of this study is to evaluate the safety and walking capability of the ReWalk^(TM) system for patients with paraplegic spinal cord injury in Taiwan. Methods: Eight patients with SCI and paraplegia were recruited for the study in a period from April 2015 to April 2016. The level of injuries ranged from T4 to T11. Assessments included the continuous walking time, the continuous walking distance, 6-minute walking test and 10-meter walking test after training for forty hours. Results: …

Evaluation Of Clinical Morbidities And Their Influence On Quality Of Life In Patients With Oral Cavity Cancer After Radiotherapy, Hao-Wei Tang, Tung-Hao Chang, Kuan-Lin Chen, Kuo-Yang Tsai, Su-Fen Liao, Wei-Te Wang

Rehabilitation Practice and Science

Background: Oral cavity cancer is the most common cancer in middle-aged men in Taiwan. Radiation fibrosis syndrome and lymphedema are the leading side effects in patients with oral cavity cancer, and can deteriorate their quality of life (QOL). The aim of this study was to prospectively evaluate common morbidities and their influences on QOL in patients with oral cavity cancer. Methods: 27 patients with oral cavity cancer who received surgery and radiotherapy (RT) were recruited. Clinical evaluations of each patient included the VAS pain scale, the lymphedema scale, facial distance measurement for lymphedema, maximal interincisal distance (MID), range of motion …

A Pilot Study Of Group-Based Computer-Assisted Cognitive Rehabilitation For Patients With Cognitive Impairment, Wan-Ling Hsu, Tzu-Wei Liao, Yi-Chun Lu, Hsin-Man Chien, I-Shiang Tzeng

Rehabilitation Practice and Science

Objective: This study attempted to investigate effects of group-based computer-assisted cognitive rehabilitation for patients with cognitive impairment. Methods: A total of 11 patients with cognitive impairment were included in the study. Cognitive impairment and activities of daily living were assessed using Mini Mental State Exam (MMSE), Montreal Cognitive Assessment (MoCA), Cognitive Abilities. Screening Instrument (CASI C-2.0), Digit Span subtest (DS), Trail Making Test part A (TMT-A), Color Trail Making Test (CTT), Functional Independence Measure (FIM), and Instrumental Activities of Daily Living scale (IADLs) at the beginning of the study, soon after receiving the intervention. Treatment was scheduled for 2 hours …

Closed Mallet Finger Injury Conservative Treatment - The Experience In Plastic And Reconstructive Surgery Department Of Chang Gung Memorial Hospital At Linkou, Shwu-Huei Lien, Yu-Te Lin

Rehabilitation Practice and Science

Objective: Mallet finger injury is a common injury in hand therapy. Orthoses are used as the standard method to conservatively treat simple tendon mallet finger injuries worldwide. Different types of orthoses have advantages and disadvantages. We explored the clinical outcomes of treating mallet fingers by using a series of casereports from the plastic department of Linkou Chang Gung Memorial Hospital, and we analyzed how these outcomes differed across patient characteristics, injured fingers, and clinical problems. We also compared our findings with findings from previous research. Methods: Medical records were reviewarticleed to collect the treatment results of adult patients who were …

Using A Towel For Resistance Training In Non-Exercising Elderly Women: A Cluster Controlled Trial, Yu-Hsuan Tseng, Hsiu-Hui Chen, Wen-Chi Wu, Fang-Ping Chen, Jung-Fu Chen, Jen-Wen Hung

Rehabilitation Practice and Science

Background: Aging results in deterioration of physical performance, including muscle strength, gait, and balance. Resistance training has been shown to be effective in enhancing physical function in elderlypeople. For people, who do not have regular exercise before, an easily available tool might increase their motivation to do exercise training. A towel is available for any person and it could be used in low intensity resistance training. The purpose of this study was to evaluate the effects of resistance training with a towel in community-dwelling elderly women who did not have regular exercise before. Methods: This was a cluster controlled study. …

Implemented Evidence-Based Treatment Of Parent-Esdm Enhances The Social-Communication Ability Of The Toddler, Parenting Functions And Flexibility Of Personal Phenotype: A Casereport, Sheng-Fen Fan, Sung-Hui Tseng

Rehabilitation Practice and Science

Clinically, individuals with the autism spectrum disorder display difficulties with social communication and restricted, repetitive behaviors. The parent-implemented version of the Early Start Denver Model (P-ESDM) has proven to be an effective intervention. However, there is yet to be research on whether it is suitable for Taiwanese culture. This study aimed to increase the application of P-ESDM techniques to daily life through a case therapy report and observed whether parents can reduce their parenting stress through learning and change the way they interact with their autistic child so as to provide him or her with more learning opportunities in communication. …

The Roles Of Videofluoroscopic Swallowing Study (Vfss) And Fiberoptic Endoscopic Evaluation Of Swallowing (Fees) In The Assessment Of Dysphagia, Yi-Hsiang Chiu, Wen-Hsuan Tseng, Tyng-Guey Wang

Rehabilitation Practice and Science

Dysphagia is a prevailing complication of various central nervous diseases and oral pharyngeal cancer. Once dysphagia occurred, it may affect a patient's physical and psychological condition and thus their quality of daily activities. Therefore, early detection and the application of appropriate treatments for patients with dysphagia is essential. Videofluoroscopic swallowing study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES) are two common instrument modalities used to evaluate swallowing function. VFSS has been acknowledged as the gold standard for the diagnosis of dysphagia by most scholars. Nevertheless, there is debate that FEES is superior to VFSS as it provides additional information …

A Systematic Reviewarticle On Discharge Destinations For Patients With Stroke, Lin-Fu Lee, Wen-Chih Lin, Willy Chou

Rehabilitation Practice and Science

Introduction: Complex and diverse factors affect the placement of patients with stroke after they are discharged from hospitals. In this study, a systematic reviewarticle of relevant literature was performed to compile related research data and explore the importance of individuals factors and the overall predictive power of multiple variables. Methods: Electronic resources from PubMed and the Cochrane Library were used along with keywords such as ＂stroke＂ and ＂discharge destination＂ to search for relevant articles published between 2005 and 2018. Only original research articles written in English were selected. Results: A total of 19 articles were selected to compile 10 factors, …

Effects Of An Anterior Ankle-Foot Orthosis On Static Standing Balance Control In Patients With Chronic Stroke Wearing The Orthosis For A Long Time, Min-Yuan Yu, Yu-Hsuan Tseng, Po-Chih Chen, Jen-Wen Hung

Rehabilitation Practice and Science

Aims: To investigate the effects of anterior ankle-foot orthosis (A-AFO) on static standing postural control in patients with chronic stroke wearing the A-AFO for a long time. Methods: We recruited patients with chronic stroke wearing an A-AFO for at least 5 months. Static standing balance control was evaluated using the Tetrax Balance System in eight positions: (1) eyes open on a solid surface [NO];(2) eyes closed on a solid surface [NC];(3) eyes open on a foam surface [PO];(4) eyes closed on a foam surface [PC];and head turned at 30° to (5) right [HR], (6) left [HL], (7) up [HB], and …

Rehabilitation Is Associated With Lower Mortality In Patients With Dengue Fever In Intensive Care Units: A Retrospective Study, Hsin-Han Cheng, Chin-Ming Chen, Willy Chou

Rehabilitation Practice and Science

Objective: The study aimed to examine the effect of rehabilitation on mortality in patients with dengue in intensive care units (ICUs). Design: This was a retrospective cohort study. In this study, 142 patients with dengue from ICUs were enrolled from August to December, 2015. They were divided into two groups: patients with or without rehabilitation. The relationship between rehabilitative therapy and the risk of dengue-related mortality was assessed using a multivariate Cox regression model after adjustment for related variables. Results: Of the 142 patients, 70 (49.3%) were men, and the mean age was 69.97 ± 15.93 years. The average length …

Inter-Rater Reliability Of The Barthel Index Scoring Between Nurses And Doctors, Ying-Chao Lin, Yu-Tzu Dai, Tyng-Guey Wang

Rehabilitation Practice and Science

The Barthel Index is not only used to assess the status of activities of daily living and the planning of rehabilitation program but also to hire foreign health aids as a qualification standard for patients in Taiwan. However, studies on the inter-rater reliability of the Barthel Index are lacking between nurses and doctors, who are common specialties in evaluating the Barthel Index in Taiwan. The present study evaluates the inter-rater reliability of the Barthel Index and related influential factors of assessment. This study was conducted in a rehabilitation ward of a medical center in the northern part of Taiwan from …

Increased Risk Of Arrhythmia In Patients With Cervical Spinal Cord Injury: A Nationwide Population-Based Matched Cohort Study, Chia-Hsuan Lin, Yan-Yuh Lee, Chun-En Kuo, Po-Cheng Chen

Rehabilitation Practice and Science

Objective: To investigate the risk of cardiac arrhythmias among adults with spinal cord injury (SCI). Methods: This is a retrospective population-based matched cohort study. Data were derived from the National Health Insurance Research Database. This study identified all patients diagnosed with SCI from January 1, 2000 to December 31, 2013. Patients with SCI were categorized into the cervical SCI (C-SCI) and other SCI (O-SCI) groups according to the level of injury. The cumulative incidence of cardiac arrhythmias was compared between patients with C-SCI, those with O-SCI, and those without SCI. Cox proportional hazards regression model was used to assess the …

Secondary Syringomyelia After Subarachnoid Hemorrhage: A Casereport, Shih-Shin Huang, Yen-Liang Ke, Wei-Chi Hsieh, Hung-Chih Hsu, Chien-Min Chen

Rehabilitation Practice and Science

Background: Cerebral artery aneurysm rupture is one of the common causes of subarachnoid hemorrhage. Patients with subarachnoid hemorrhage may have some degree of neurological defects and impairment on activity of daily living. Syringomyelia refer to the cavity formation in spinal cord. Possible etiologies may include congenital and acquired types. Patients with syringomyelia may suffer from limb pain and paresthesia. According to previous studies, secondary syringomyelia due to subarachnoid hemorrhage was not common. Hence, a case with syringomyelia secondary to subarachnoid hemorrhage was presented by introducing the clinical signs and image findings. Moreover, current literatures about syringomyelia secondary to subarachnoid hemorrhage …

Role Of High Intensity Laser Therapy On A Child With Atlantoaxial Rotatory Fixation-Casereport, Li-Yun Teng, Ko-Long Lin, Sheng-Hui Tuan, Shu-Fen Sun, Min-Hui Li, I-Hsiu Liou

Rehabilitation Practice and Science

After wearing a hairpin for the entire evening during her sleep, 8-year-old girl experienced acute onset of torticollis and neck pain after walking up the next morning. She was brought to our outpatient department. Her head was tilted to the left, with tenderness over the left neck region. Imaging studies revealed atlantoaxial rotatory fixation. She initially received a combination of soft neck collar and medications with muscle relaxants as well as anti-inflammatory agents. However, these treatments had limited effects. Then, she received high-intensity laser therapy on the left posterior deep neck muscles, which greatly improved the range of motion of …

Kienböck's Disease In A Patient With Hemiparetic Stroke: A Casereport, Pao-Sheng Wu, Yen-Ting Cho

Rehabilitation Practice and Science

Kienböck's disease of the wrist is a multifactorial, progressive osteonecrosis of the lunate bone. Patients with this disease often complain of dorsal wrist pain and other wrist dysfunctions. Image studies are usually required for definite diagnosis; however, careful history taking and physical examination are also necessary. Treatment varies according to the stage of the disease; although surgery is needed in most of the cases, rehabilitation after the surgery seems helpful as well. Kienböck's disease is rarely seen in our daily practice, and even though we do recognize the disease, diagnosing it correctly in patients with comorbidities such as stroke is …

A Rare Presentation Of Myelopathy In Novice Surfers: A Casereport And Literature Reviewarticle, Ming-Hsuan Huang, Shu-Fen Sun, Min-Hui Li, Ping-Hong Lai

Rehabilitation Practice and Science

Introduction: Surfer's myelopathy is a nontraumatic, ischemic spinal cord injury that predominantly affects the lower thoracic cord. Owing to its clinical rarity, its pathophysiology and treatment protocol remain controversial. Frequently discussed hypotheses regarding its cause include ischemic change due to trunk hyperextension and the Valsalva maneuver, leading to back pain, weakness in the lower extremities, and bowel and bladder dysfunction. The prognosis varies widely, ranging from full recovery to paraplegia. casereport: We report the case of a 22-year-old female patient experiencing progressive loss of strength in the lower extremities and soreness in her lower back while surfing for the first …

Plantar Fasciopathy At Unusual Location: A Report Of Two Cases, Chia-Hua Lee, Feng-Cheng Tang, Yao-Jen Chen, Long-Wei Dai, Su-Ju Tsai, Chi-Chung Ho

Rehabilitation Practice and Science

Plantar fasciopathy is a common problem in the general population involving the proximal area of the central cord of the plantar aponeurosis. Few studies have discussed plantar fasciopathy distal to the calcaneus. In article reviewarticles, plantar fasciopathy distal to the calcaneus occurred in only 12% of the cases. In the casereport, including two cases in which fasciopathy were involved in the central part of the plantar fascia, the incidence was obviously less than that mentioned above. These two cases were atypical diseases of plantar fasciopathy over the plantar arch. They both received one to several sessions of prolotherapy, but no …

Coinstantaneous Brachial Plexus Injuries In A 55-Year-Old Man With Traumatic Spinal Cord Injury: A Casereport And Literature Reviewarticle, Hong-Yi Lin, Jia-Yin Guo, Su-Ju Tsai

Rehabilitation Practice and Science

脊髓損傷合併臂神經叢損傷臨床上少見且不易診斷與處置。過去研究的報告發生率約為0.6％到1.8％。在脊髓損傷的病人處置時，通常優先處理危及生命的傷害，且臂神經叢損傷的臨床表現也可能歸因於脊髓損傷而被忽略。本文報告一名55歲因車禍意外導致第四節脊髓損傷的男性病人，根據病人的身體檢查、神經學檢查發現右上肢深肌腱反射無反應，以及明顯不對稱的右上肢與左上肢肌力，經過神經傳導檢查及肌電圖檢查，確定該名病人為脊髓損傷合併臂神經叢損傷。同時罹患脊髓損傷及臂神經叢損傷的病人數量可能被低估，治療計畫及復健也更為複雜，早期診斷與適當治療是此類病人上肢功能恢復的重要關鍵。除了詳細探查脊髓損傷病人的臨床症狀、身體檢查、神經學檢查之外，電學診斷對於合併臂神經叢損傷的確診最有效益。

Pengaruh Cold Water Immersion Terhadap Laktat, Nyeri Otot, Fleksibilitas Dan Tingkat Stres Pasca Latihan Intensitas Sub Maksimal, Moh Nanang Himawan Kusuma, Muh. Syafei, Saryono Saryono, Wildan Qohhar

Jurnal Keolahragaan

Weight Training adalah metode latihan untuk meningkatkan kekuatan dan kinerja neuromuskular melalui proses hyperthropy, namun juga meningkatkan produksi Laktat, menyebabkan inflamasi otot, meng-gangu metabolisme tubuh sehingga menurunkan performa. Stimulus dingin pada Cold water Immersion dapat mengurangi laju metabolisme, menyerap suhu jaringan lokal, menurunkan kepekaan saraf dan mengu-rangi rasa nyeri sehingga menurunkan resiko terjadinya cidera musculoskeletal dan kelainan metabolisme. Penelitian ini bertujuan untuk menguji pengaruh cold water Immersion 5°C (CWI5°C) terhadap Laktat pada darah, nyeri otot, fleksibilitas dan tingkat stress pasca latihan berbeban intensitas sub maksimal. Pre- dan Post-test dalam penelitian ini menggunakan kelompok kontrol dengan pendekatan cross sectional. Sebanyak 15 …

Pengaruh Teknik Effleurage Dan Petrissage Terhadap Penurunan Perasaan Lelah Pasca Latihan Pencak Silat, Jeane Betty Kurnia Jusuf, Andri Tria Raharja, Nanda Alfian Mahardhika, Rifqi Festiawan

Jurnal Keolahragaan

Tujuan dari penelitian ini difokuskan pada pengkajian berikut: (1) untuk menurunkan perasaan lelah pasca latihan mahasiswa UKM pencak silat Tapak Suci di UMKT, (2) melakukan analisis dan uji coba teknik efflurage dan pettrisage terhadap penurunan perasaan lelah. Jenis pendekatan penelitian ini merupakan jenis pendekatan deskriptif kuantitatif. Subjek penelitian ini adalah mahasiswa yang aktif di UKM Tapak Suci di Universitas Muhammadiyah Kalimantan Timur. Analisis data yang digunakan dalam penelitian ini menggunakan teknik analisis deskriptif kuantitatif. Setelah data terkumpul, data dianalisis menggunakan analisis regresi. Hasil data yang diperoleh ada pengaruh teknik efflurage terhadap perasaan lelah pada UKM Pencak Silat Tapak Suci di …

Innovative Movement Strategies For Adolescents With Autism Spectrum Disorder: A Review Of Dance And Exergaming Interventions, Alexandra Garcia, Alison Bode, Sarah Camillone, Asha Rao

Student Journal of Occupational Therapy

Background: Given the types of symptoms present in individuals with autism spectrum disorder (ASD), interventions should address deficits in motor control, social interactions, and emotional intelligence. Alternative interventions, such as exercise video gaming (exergaming) and dance movement therapy, may address these deficits in an engaging, age-appropriate manner, thus meeting the unique needs of adolescents with ASD.

Objectives: The purpose of this paper was first, to review the current literature on ASD for innovative movement strategies feasible to address emotional, social, cognitive, and physical outcomes for adolescents ages 11-18; and second, to determine the effectiveness of these interventions.

Methods …

Biomechanical Properties Of Land Based And Shallow Water Wait: A Comparative Review Of Literature, Mostafa Yaghoubi, Philip Fink, Wyatt H. Page, Sarah P. Shultz

International Journal of Aquatic Research and Education

Aquatic locomotion exercises are frequently used in rehabilitation and cross-training for land-based athletes. Hydrostatic pressure, thermal conductivity and drag force affect a person's ability to move; therefore, it is important to understand differences of biomechanical gait in water vs land. This review investigated biomechanical differences between shallow water and land-based exercises. PubMed, Google Scholar, SPORTDiscus and Scopus were searched; 33 studies included walking forward (27), backward (6) and running (6). Electromyographic amplitude was similar or less in submaximal intensity during aquatic gait, in comparison to on land. At maximal intensities, however, the amplitude was similar (n=5) or higher (n=4) in …

Master's Degrees With A Mission

Scientia

DePaul's College of Science and Health has added three new master's degree programs: community psychology, speech-language pathology and occupational therapy. The directors of these programs discuss particulars of each field and what study entails.

Utilising Co-Design To Improve Outpatient Neurological Care In A Rural Setting, Andrew J. Butler, Sarah J. Prior, Sajina Mathew, David Carter, Brad F. Ellem

Patient Experience Journal

It has been identified that the physiotherapy needs of patients with central neurological conditions are specific and that this cohort are generally under-serviced in rural and remote areas in Australia. A quality improvement project was undertaken to improve patient experience in outpatient physiotherapy services in Tasmania, facilitating increased self-efficacy and quality of life, in patients with central chronic neurological conditions.. An experience-based co-design approach was utilised, involving past and current patients as well as physiotherapy staff in the project design, data collection, analysis and evaluation phases. The results suggest that timely access to care and goal achievement are common areas …

Patient Reported Experience Of Inpatient Rehabilitation In Australia, Jacquelin T. Capell, Tara Alexander, Julie Pryor, Murray Fisher

Patient Experience Journal

While the value of patient reported experience is increasingly acknowledged, the measurement of rehabilitation-specific patient reported experiences is an area that is yet to attract a lot of attention. The aim of this study was to examine the patient-reported experience of person-centred inpatient rehabilitation. The study consisted of a multi-site cross sectional survey using the 33-item modified Client Centred Rehabilitation Questionnaire (CCRQ). A total of 408 participants were recruited from 20 inpatient rehabilitation facilities across Australia. Participants were in the final days of their inpatient rehabilitation episode when approached to complete the paper based modified CCRQ. Nineteen of the 33 …

From The Editors, Natasha Menard, Kelsie Fournier

Student Journal of Occupational Therapy

This welcome letter from the editors of the Student Journal of Occupational Therapy introduces the inaugural issue of the journal and outlines its mission to engage student researchers at all levels of the research publication process and its commitment to ethical, open-access publication.

The Relationship Between Standing For Long Times And Appearance Of Varicose Vein Among Barber In Northern Districts / West Bank, Ziad Nasrallah

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

The aim of this study was to identify the relationship between standing for long time and physical ap-pearance of varicose vein among barbers, as well as the medical problems associated with long standing. A descriptive analytical design was used to test many demographic variables, namely age, weight, height, period of activity, and daily hours of standing. This was done with the help of a questionnaire that in-volved four domains with 32 questions. The samples included 195 barbers chosen from different cities (Jenin, Nablus and Tollkaram) in Northern West bank. We found that those who stand for long time are 75 …

A Critical Review Of The Abductor Pollicis Longus Electromyographic Activity, Hisham Arabkabeya

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

The aim of this study was to review the current evidence of the abductor pollicis longus electromyographic activity during thumb movements. The author performed an electronic thorough search for EMBASE, MEDLINE, CINAHL, and Web of Knowledge articles. Nine pieces in particular were found to explore the electromyographic activity of the abductor pollicis longus during thumb functional and non-functional movements. Consistent results were noticed, all emphasizing the key role of abductor pollicis longus in stabilizing the thumb's carpometacarpal joint. All target studies provided useful information about the abductor pollicis longus electromyographic activity. However, none of them examined the relationship between abductor …

Clinical And Surface Electromyography Evaluation Pre And Post Orofacial Myology Therapy, Luiza Junqeira Ferrer, Adriana Tessitore, Almiro J. Machado Júnior, Eulalia Sakano

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: The objective of this study is to observe the efficacy of orofacial myofunctional therapy in children who breathe through their mouths “mouth breathers” using a clinical assessment and surface electromyography. Method: 30 nasal breath (control group) and 30 mouth breathers (study group) were evaluated initially, and the study group was re-evaluated after 12 sessions of orofacial myofunctional therapy. Assessments involved the MBGR protocol and surface electromyography. Results: The control group had significantly better scores on all nasal breathing tests compared to mouth breathers both before and after therapy. However, mouth breathers demonstrated statistically significant improvements over time with therapy. …