Medicine and Health Sciences Commons^™

Investigation Of The Optimal Load-Bearing Characteristics Of Patellar Tendon Bearing (Ptb) Prostheses, Rahamim Seliktar, Theerasakdi Vachranukunkiet, Marcus P. Besser, Denise Kuenzig, A. Esquenazi

Department of Physical Therapy Faculty Papers

The long-term goal of the research team is to automate the construction of lower limb prostheses using computer integrated manufacturing (CIM) techniques.

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 …

中華民國復健醫學會會章, N/A

Rehabilitation Practice and Science

No abstract provided.

專科醫師分科及甄審辦法, N/A

Rehabilitation Practice and Science

No abstract provided.

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 …

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

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 …

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.

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 …

Leisure Satisfaction Of Alcoholics And Cocaine Addicts, Tamera F. Stanback

Masters Theses

A role for occupational therapists is to help substance abuse clients achieve a healthy balance across occupational performance areas, including leisure. The literature suggests that alcoholics have deficits in leisure, but cocaine addicts have not yet been studied systematically in terms of leisure. This study compared twenty alcoholics from two Midwestern in-patient treatments centers to fourteen unmatched cocaine addicts at the same centers in terms of their leisure satisfaction. Then, nine male subjects from each group were matched in terms of age and family status, and t-test comparisons were made once again. The Leisure Satisfaction Scale was used as a …

Continuous Passive Motion After Knee Arthroscopy, Lisa Bauman

Masters Theses

The purpose of the study was to investigate the effect of continuous passive motion (CPM) after arthroscopy. A CPM machine was used one hour following knee surgery. Statistical analysis was performed to determine differences in knee range of motion (ROM), strength and circumference, at time intervals preoperatively, one, seven, and twenty-eight days following surgery. The analysis of variance revealed no significant difference between the CPM and control groups for any parameter. A significant interaction effect between treatment and time was demonstrated one day after surgery for extension, joint line circumference, and midthigh circumference; and 28 days after surgery for the …

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.

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

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. …

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 …

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 …

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 …

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.

The Effects Of Added Purpose On Fine Motor Performance In Learning Disabled Children, Sarah Lynn Austin

Masters Theses

The idea that occupations which offer added levels of purpose elicit a high quality of performance is widely accepted within occupational therapy. In this experiment involving fine motor performance, fifty-three learning disabled children were randomly assigned to two groups. It was hypothesized that children cutting out a circle, presented as a wheel which would complete a paper truck, would cut more accurately than those who cut out the same circle without the suggestion of it being used as a wheel. Accuracy was assessed by measuring the area of the children's cutting errors. The experimental design included the use of a …

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

Rehabilitation Practice and Science

No abstract provided.

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 …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

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 …

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 …

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 …

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 …

Occupational Therapy In Early Intervention: A Family-Centered Approach., Roseann C. Schaaf, L L. Mulrooney

Department of Occupational Therapy Faculty Papers

This article describes a framework for occupational therapy service provision in early intervention settings and presents pilot data aimed at examining the framework's effectiveness. The Family-Centered Framework for Early Intervention is a synthesis of concepts from the Model of Human Occupation (Kielhofner & Burke, 1980) and from the literature on play. It encompasses a systematic, holistic approach that considers the child and the family within the context of their life environments. In this framework, play is used both as an evaluative tool and as an intervention modality that addresses the volition, habituation, and performance of the child and family as …

Reliability And Validity Of The Body Mechanics Obstacle Course Evaluation, Louise Sinclair-Eastman

Masters Theses

A review of the literature suggests that the way in which an individual performs activities, or body mechanics, can affect the amount of stress placed on the low back. Several clinical programs treat patients with low back pain by teaching proper body mechanics. Although body mechanics obstacle course evaluations are used by occupational therapists to assess patients, there has been no published information regarding the reliability and validity of these evaluations. The purpose of this study was to establish the validity and reliability of one version, the Body Mechanics Obstacle Course (BMOC).

Content validity was established by reviewing the literature …

Brags And Baggage, Mary Margaret (Peggy) Wright

DLPS Faculty Publications

Report on setting up three libraries in Belize during the summer of 1989. Includes photos of Stella Maris Home/School for the Mentally and Physically Handicapped.