Medicine and Health Sciences Commons^™

Organizational Behavior Of Rehabilitation Residents In Taiwan: A Cross-Sectional Correlation Study, Kuancheng Chen, Yujen Chen, Chiayi Shen, Chengming Chiu, Yitien Su

Rehabilitation Practice and Science

Most studies on organizational behavior in Taiwan have focused on nurses and general medical staff; however, few studies have focused on rehabilitation residents. We conducted a cross-sectional correlation study on the organizational behavior of 30 rehabilitation residents in Taiwan by administering anonymous questionnaires through mail. The results revealed low continuance commitment scores (p＜.05) among female residents, whereas senior residents showed a high tendency to quit their current jobs. In addition, 19 residents presented type A personality and 11 residents presented type B personality.

Relationship Between Perioperative Risk And Cardio-Respiratory Fitness After Coronary Artery Bypass Grafting, Cheng-Ming Chiu, Kuan-Cheng Chen, Chia-To Wang, Chen-Liang Chou

Rehabilitation Practice and Science

Introduction and objectives: The European System for Cardiac Operative Risk Evaluation II (euroSCORE II) is a validated model for predicting perioperative mortality after cardiac surgery. The role of cardio-respiratory fitness (CRF), expressed as peak metabolic equivalents (METs), as a predictor of long-term survival in patients who have previously undergone coronary artery bypass grafting (CABG) is well established. However, the correlation between perioperative risk and CRF has not been evaluated. The aim of this study was to investigate the relationship between perioperative risk and CRF in patients after CABG. Methods: Patients who underwent CABG from January 2012 through December 2013 at …

The Effect Of Outpatient Physiotherapy After Stroke On Cardiopulmonary Training Goals: The Current Situation In A Single Medical Center, Yichun Lu, Chiachi Huang, Chenliang Chou

Rehabilitation Practice and Science

Study background and objectives: Reduced cardiopulmonary function after stroke has drawn increasing attention. Cardiovascular function and muscle fiber composition change after stroke, leading to a decline in physical fitness. Some studies have also reported decreased maximum oxygen uptake after stroke, which would further reduce patient ability to perform daily life functions, inducing a circle of disability and reduced mobility. Cardiopulmonary rehabilitation after early or late strokes has been found to improve cardiopulmonary function; these improvements are especially noticeable in patients with lower levels of physical activity before their stroke onset. However, traditional rehabilitation programs mostly focus on recovery of limb …

Developed An Interactive Visual Dashboard To Assess The Fall Risk Among Community-Dwelling Elderly, Weichiao Lu, Shuchuan Wu, Hsihsun Su, Chingjen Cang, Tienlung Sun, Chienhua Huang

Rehabilitation Practice and Science

The main purpose of data visualization is to provide an overview of data characteristics. In this study, a data visualization-based interactive exploration environment was developed to assess the risk of falling among community-dwelling elderly adults. The research goal was to enable clinicians to apply their expert knowledge to quickly derive information from the data and analyze the risk of falling. By visualizing the data to derive information, the clinicians were able to analyze preliminary screening results to identify elderly adults at a high risk of falling and subsequently advise them to return to hospital for a comprehensive geriatric assessment. In …

Effect Of Individualized Bladder Rehabilitation Program In Patients With Neurogenic Lower Urinary Tract Dysfunction, A Pilot Study, Peir-Renn Wang, Wei-Che Wang, Sung-Lang Chen, Yu-Hui Huang, Yu-Fen Lai, Hsiu-Chun Yang

Rehabilitation Practice and Science

Objectives: Neurogenic lower urinary tract dysfunction (NLUTD) is one of the major sequelae after spinal cord injury (SCI) and a cause of increased morbidity and mortality in SCI patients. Current treatment strategies for NLUTD include medication, non-invasive conservative management, minimally invasive therapy, and surgical intervention. However, there are no studies regarding non-invasive conservative management that combines pelvic floor muscle (PFM) exercises and electrical stimulation (ES). This study was designed to evaluate the efficacy of individualized bladder rehabilitation programs, which included education on voiding behavior, PFM exercise training combined with electromyography (EMG) biofeedback, and ES (for bladder inhibition or PFM strengthening), …

Neuropsychological Rehabilitation With Prospective Memory Process Training In A Patient With Severe Amnesia After Traumatic Brain Injury: A Casereport, Pin-Hsiu Chen, Ya-Fang Hsu, Wen-Chih Lin, Tai-Ching Wu

Rehabilitation Practice and Science

Patients with severe amnesia frequently experience difficulty in storing and retrieving new information, resulting in prospective memory impairment, one of the main reasons for sustained loss of functioning in daily life. Currently, little literature on the neuropsychological interventions for severe amnesia patients has been published. The present study applied prospective memory process training (PROMPT) in neuropsychological intervention to a patient with severe amnesia caused by traumatic brain injury, and investigated the efficacy of this method. The intervention was administered for 12 months long to a 23-year-old male participant with severe amnesia caused by traumatic brain injury. The intervention was administered …

Deep Vein Thrombosis In An Ambulatory Hemiparetic Stroke Patient Probably Due To Exercise-Related Repetitive Impact: A Casereport, Kun-Chang Lee, Chien-Ting Liu, Pi-Wei Wang, An-Fang Hsiao, Yi-Shiung Horng

Rehabilitation Practice and Science

Deep vein thrombosis (DVT) of the lower extremity is a multifactorial and potentially fatal complication following stroke. However, repetitive impact on the lower extremity is a relatively uncommon risk factor for DVT. We report an ambulatory hemiparetic stroke patient who, without classic DVT risk factors, developed a lower extremity DVT probably due to repetitive impact on the popliteal fossa after the inappropriate use of a seated leg flexion machine. This case can remind physiatrists and therapists of the importance of preventing patients from using non-ergonomic postures during training sessions.

Factors Associated With Nasogastric Tube Removal In Patients With Post-Stroke Dysphagia Following Acute/Subacute Stroke, Hsin-Chiao Wen, Hao-Wei Tang, Chang-Ren Peng, Kuan-Lin Chen, Ching-Min Hsiao, Chung-Che Lin

Rehabilitation Practice and Science

Purpose: Stroke is a common cause of dysphagia, and persistent post-stroke dysphagia is associated with a poor outcome and an increased mortality rate. Nasogastric tubes (NGTs) are frequently the recommended method for the safe administration of nutrition and hydration in stroke patients. However, prolonged use of NGTs can lead to complications, such as gastro-esophageal reflux and aspiration pneumonia. The purpose of this study was to determine the factors associated with NGT removal in patients with post-stroke dysphagia. Method: This was a retrospective study. We recruited patients with post-stroke dysphagia who had received feeding either partially or totally via NGT and …

Correlation Between Sternocleidomastoid Muscle Stiffness After Radiation Therapy And Quality Of Life In Patients With Head And Neck Cancer, Shih-Chung Chang, Peir-Renn Wang, Hsien-Chun Tseng, Su-Ju Tsai, Yu-Li Cheng

Rehabilitation Practice and Science

Objective: Radiation-induced fibrosis after radiation treatment frequently results in neck and shoulder pain/dysfunction, trismus, dysphagia, muscle stiffness and lower health-related quality of life (HRQOL) in patients with head and neck (H&N) cancer. Here, we access the correlation between neck muscle stiffness after radiation therapy and HRQOL, and the effect of rehabilitation on muscle stiffness and HRQOL. Method: We used real-time sonoelastography to evaluate sternocleidomastoid muscle (SCM) stiffness after radiation therapy. We used the EORTC QLQ-30 and EORTCQLQ H&N35 to evaluate the HRQOL of H&N cancer patients. Each participant received real-time sonoelastography and an HRQOL evaluation twice with the course of …

Combining Eldercare Technology With Interactive Arts Environment, Alice M. K. Wong, Chung-Chih Lin, Su-Chu Hsu, Chia-Ying Chung, Yin-Chou Lin, Pei-Chi Huang, Chih-Kuang Chen

Rehabilitation Practice and Science

Background and Purpose: People who age successfully should exhibit healthy function in physiological, psychological, and social domains. They should demonstrate independence in daily living, proper cognitive function without depression, and the ability to participate in community activities, as well as maintain favorable interpersonal relationships with others to enjoy living. Material and Methods: In this study, for promoting the successful aging of elderly residents of Chang Gung Silver Village, we developed six smart devices that involve combining an interactive art environment with exergames and health administration: ＂Interactive Wall with Life Memories＂, ＂Interactive Floor Kick and Play＂, ＂Interactive Table with Musical Pots＂, …

Developing And Validating A Screening Scale For Assessing Preschool Children's Motor Development: A Preliminary Study, Chia-Chi Wang, Chien-Ju Chang, Po-Hsi Chen, Wen-Yu Liu, Chia-Ling Chen, Chih-Chien Tsai, Ren-Huei Fu, Li-Tuan Chou, Shih-Ming Chu

Rehabilitation Practice and Science

Background: Questionnaires available for screening the motor development of preschool children in Taiwan are few. Therefore, this study developed a Developmental Motor Screening Scale for Preschool Children (DMSSPC), and it exhibits high reliability and validity. Methods: The DMSSPC was developed on the basis of an expert meeting and a literature reviewarticle of assessment tools and questionnaires for screening motor development. After the meeting, subscales of the fine and gross motor scales of the DMSSPC were determined. The fine motor scale comprised grasp, manipulation, and visual motor integration subscales, whereas the gross motor scale contained stationary, locomotion, and body coordination subscales. …

The Effect Of Low Level Laser Therapy With Cluster Probe On Myofascial Trigger Spots In A Rabbit Model: A Case-Controlled Trial, Yi-Hsuan Lai, He-Yu Tsai, Shih-Yang Huang, Wei-Chi Hsieh, Chien-Min Chen, Chang-Zern Hong, Hung-Chih Hsu, Kai-Hua Chen

Rehabilitation Practice and Science

Objective: This study investigated the effect of cluster probe low level laser therapy (LLLT) with a continuous wavelength of 830 nm or 980 nm on the myofascial trigger spot (MTrS) in rabbit skeletal muscle, an animal model of myofascial pain syndrome (MPS). Methods: Thirty-seven New Zealand rabbits with MTrSs in the thigh muscle were divided into three groups and were given placebo treatment (0 J/leg/day), 830 nm LLLT (6 J/leg/day), and 980 nm LLLT (6 J/leg/day), respectively, for 5 days. Electromyographic studies were used to evaluate the endplate noise (EPN) prevalence in each MTrS before treatment, on the first and …

Simultaneous Bilateral Intracerebral Hemorrhage In A Case Of Wegener's Granulomatosis: A Casereport And Literature Reviewarticle, Yu-Jen Chen, Ho-Fai Wong, Chih-Chi Chen, Chia-Ling Chen, Chia-Ying Chung

Rehabilitation Practice and Science

Background: Simultaneous multiple intracerebral hemorrhages (ICHs) are rare and their underlying mechanisms are unknown. Reported etiologies include hypertension, vasculitis, cerebral amyloid angiopathy, venous sinus thrombosis, coagulopathy, and intracranial vascular anomalies. Granulomatosis with polyangiitis (GPA; Wegener's granulomatosis) is a necrotizing granulomatous vasculitis affecting small- and medium-sized vessels of the respiratory tract and kidneys. The reported frequency of central nervous system (CNS) involvement in GPA is 0%-16.4%. Case presentation: A 34-year-old man with hypertension presented with a sudden loss of consciousness and weakness in the right limbs. Brain computed tomography (CT) showed a left basal ganglion hemorrhage and right basal ganglion infarction …

The Utility Of Semmes-Weinstein Monofilament Test In Detecting Carpal Tunnel Syndrome With Clinical Stage, Nerve Conduction Study, And Sonography Correlations, Lin-Yi Wang, Jyun-Ying Li, Yu-Chi Huang, Mei-Yun Liaw, Tsung-Hsun Yang, Yi-Jung Hsin, Willie Lee, Jui-Kun Chang, Ya-Ping Pong

Rehabilitation Practice and Science

Background and purpose: Nerve conduction study (NCS) and ultrasonography (US) are used to support the diagnosis of carpal tunnel syndrome (CTS). The ability of the Semmes-Weinstein monofilament test (SWMT), a sensibility threshold test, to detect CTS, and its relationship to clinical severity, NCS, and US, remain controversial. We conducted this study to address this controversy. Method: Thirty-three patients presenting with typical symptoms and signs of CTS and 20 normal subjects were enrolled. SWMT on the index finger, NCS, and US of the cross-sectional area of the median nerve at the pisiform level (PCSA) were performed. Receiver operating characteristic (ROC) curves …

Early Intervention For A Baby With Syndactyly: A Casereport, Chi-Min Yang, Shu-Yu Yang, Yu-Pei Tsai, Yu-Tin Tseng, Yu-Tin Tseng

Rehabilitation Practice and Science

Syndactyly is the most common congenital malformation of the limbs. Syndactyly refers to the clinical appearance of fingers or toes that have not undergone the normal process of separation and can be classified as simple, complex, complete or incomplete according to clinical severity and involvement. Clinically, syndactyly has primarily been treated with surgery. However, few studies have investigated relevant postsurgical rehabilitation interventions. This study reported a case involving an infant with severe syndactyly. After surgery, the infant received early rehabilitation intervention. We provided health education to caregivers to instruct them scar treatment on the hands, joint range of motion exercise, …

The Utility Of The Perceived Environmental Barriers In Community For The Community-Dwelling Elderly In Taiwan, Weichih Lien, Tashen Kuan, Jerhao Chang, Naiwen Guo

Rehabilitation Practice and Science

Background and Purpose: The purpose of this study was to find out the cut-off point of the Perceived Environmental Barriers in Community according to basic activity of daily living (BADL) and instrumental activity of daily living (IADL) independence in community-dwelling elderly in Taiwan. Methods: In this study, 200 community-dwelling elderly were sampled and administered with the Perceived Environmental Barriers in Community and Hierarchy of the Care Required (HCR). Receiver operating characteristic curves were used to find out the cut-off points of the Perceived Environmental Barriers in Community. Results: We found that the Physical/Structural domain and total score of the Perceived …

Comparison Of The Effects Of Prolotherapy And Traditional Physical Therapy In Low Back Pain Patients With Lumbosacral Transitional Vertebra, Weihan Chang, Shihwei Chou, Chienhung Chen, Chihkuan Wu, Katie P. Wu, Yinchou Lin

Rehabilitation Practice and Science

A lumbosacral transitional vertebra (LSTV) is a congenital musculoskeletal abnormality with a higher incidence in patients with low back pain as to the normal population. Such finding implicates that an altered mechanics caused by a transitional vertebra may contribute to pain generation. In cadavers with an LSTV, the iliolumbar ligament at the level immediately above the transitional vertebra was thinner and weaker than it was for cadavers without an LSTV. This ligament of LSTV is vulnerable to sprains in terms of structural and biomechanical alterations and may be the target of treatment. Twenty-two patients with chronic low back pain in …

Applying The Pzb Model In Evaluating The Service Quality Of Pediatric Rehabilitation, I-Hsiu Liou, Shu-Fen Sun, Chiao-Wen Hwang, Yin-Han Chen, Yu-Hsuan Lin, Min-Hui Li, Jue-Long Wang

Rehabilitation Practice and Science

背景：在兒童復健領域的文獻，鮮少有醫療品質之研究。除了接受復健醫療的兒童，家長參與復健因而會介入影響醫療服務提供者，家長的觀感與需求值得受到重視。目的：本研究以PZB服務品質缺口模式為基礎來分析病患對所接受醫療服務的期望與滿意度之落差，此落差即為醫療服務品質。方法：本研究工具為一結構式問卷，共25題，具有良好之信效度，改編自22題的SERVQUAL量表，內容包括五個構面，分別為（1）有形性（2）可靠性（3）反應性（4）確實性（5）關懷性。此研究共74位家長及10位治療師參與。治療師與家長的期望認知以單因子變異數分析進行，家長的期望分數與滿意度落差以配對-t檢定進行。結果：問卷回收率為100%。量表內容效度指標（contentvali dityindex）為0.93，量表的Cronbach's α係數為0.96，具高信度。本研究結果顯示治療師與家長在五個構面的整體期望與滿意度並無顯著組間差異，但組內整體期望與滿意度間均有顯著落差。家長特質分析顯示年齡與教育程度會影響期望與滿意度間之落差。家長重視的面向是治療室環境清潔、希望能在承諾時間內進行復健治療、治療師有足夠專業知識與經驗、可以了解兒童個別需求。本院目前迫切需改善的項目為充實治療室設備並維持環境清潔，在排定治療時間內根據病患需求提供個別化的復健課程，以提升本院兒童復健醫療品質。結論：此研究提供小兒復健醫療品質一個可以利用的評估方式。未來定期運用SERVQUAL可以作為醫療品質之監測。亦可在不同醫院以此工具評估比較醫院間醫療品質之差異。

Social Support Status In Informal Caregivers Of Stroke Patients, Yanyuh Lee, Yeehwa Wu, Ihsuan Chen, Kuchou Chang, Yuching Huang, Jenwen Hung

Rehabilitation Practice and Science

Objective: Informal caregivers play an important role in post-stroke care. In the present study, we aimed to investigate the social support status over an 18-month duration; the relationship between health status and social support level; and the predictors of low social support status in informal caregivers of stroke patients. Methods: We recruited eligible inpatients with first-ever ischemic stroke and their informal caregivers from a tertiary referral teaching hospital. The social support rating scale (SSRS) of the caregivers was determined at 3, 16, and 18 months after stroke onset. Beck depression inventory (BDI) as well as the physical and mental composite …

Pengembangan Model Latihan Relaksasi Yochiho Bagi Penderita Diabetes Mellitus Tipe 2, Ratna Endi Yanuita, Bm. Wara Kushartanti

Jurnal Keolahragaan

Penelitian ini bertujuan untuk menghasilkan model latihan relaksasi gabungan dari latihan Yoga, Tai Chi, dan Makko Ho (YOCHIHO) bagi penderita diabetes mellitus tipe 2. Diharapkan latihan relaksasi ini dapat menaikkan relaksasi otot, memperbaiki kapasitas fisik, dan mengelola kadar glukosa darah pada penderita diabetes mellitus tipe 2. Penelitian pengembangan ini mengadaptasi langkah-langkah Borg & Gall, sebagai berikut: (1) studi pendahuluan, (2) perencanaan, (3) mengembangkan produk awal (draf produk), (4) validasi ahli, (5) revisi produk I, (6) uji coba skala kecil, (7) revisi produk II, (8) uji coba skala besar, (9) revisi produk final, dan (10) Produk hasil pengembangan. Dalam …

The Effects Of Chin-Tuck Position In Stroke Patient With Dysphagia Evaluated By Fiberoptic Endoscopy, Yuyu Chen, Tienwen Chen, Maohsiung Huang

Rehabilitation Practice and Science

Background and Purpose: Dysphagia is a frequent symptom after stroke. Dysphagia increases the risk of aspiration pneumonia, malnutrition, and is associated with poor prognosis. Fiberoptic endoscopic evaluation of swallowing (FEES) is a suitable method for dysphagia assessment after acute stroke. Chin-tuck position has been used in dysphagia patients to prevent aspiration during swallowing. But the combined application of these promising modalities has rarely been studied. We aimed to evaluate the effects of chin-tuck position in stroke patient with dysphagia evaluated by fiberoptic endoscopy. Methods: A total of 34 consecutive patients with first stroke were enrolled. FEES after swallowing was done …

Building A Clinical Decision Support System For Prescription Of Assistive Technology: An Example Of Wheelchair Prescription, Pei-Chin Chou, Wen-Chou Chi, Hsin-Shui Chen, Wen-Yih Hsieh, Wang-Che Li

Rehabilitation Practice and Science

Background and Purpose: The application of assistive technology has recently been paid attention to with the benefit of social welfare. However, less systematic and comprehensive consideration has been given to the prescription of assistive devices. Moreover, the efficacy of assistive devices has not been systematically examined yet due to the lack of integration of related information. Methods: This study firstly interviewed clinical assessors for assistive technology by field research. As users participated periodically, object-oriented systems development methodology and case diagram were used as a design tool to build a prototype system. Finally, web applications were built in Oracle database by …

Recovery Of Oral Intake Function In Elderly Patients With First-Ever Acute Ischemic Stroke, Ya-Fang Hsu, Wen-Chih Lin, Ching-I Hu, Mei-Ju Ko, Chia-Yu Chang, Hing-Man Wu, Willy Chou

Rehabilitation Practice and Science

Introduction and Objective: The effects of aging on swallowing are particularly evident in elderly adults who are ill. Previous studies have reported that prolonged nasogastric tube (NGT) feeding in patients who have had a stroke increases the risk of pneumonia and mortality. However, few studies have investigated the recovery of oral intake function and the factors regarding NGT removal in patients with poststroke dysphagia. In the present study, we investigated the differences in oral intake function between elderly (age: ≥65 y) and nonelderly patients with first-ever acute ischemic stroke. Methods: In this retrospective study, we reviewarticleed the medical charts of …

The Treatment Of A Large And Deeply Seated Left Cerebral Cavernous Malformation: A Casereport, Chui-Lee Wong, Jin-Shan Huang

Rehabilitation Practice and Science

Cerebral cavernous malformations (CCMs) are congenital vascular anomalies that are not visualized on angiography. However, computed tomography (CT) and magnetic resonance imaging (MRI) scans have highly increased the detection rate and the understanding of these lesions. CCMs have characteristic MRI findings, which facilitate differential diagnosis radiologically. CCMs are classified into 4 categories, according to their MRI and pathological characteristics. In addition, the nature history and the bleeding risk of each category of CCMs are different and critical in decision making regarding treatment. We report the case of a 73 years old female patient who presented with a history of mild …

Rehabilitation Effect Analysis Of Subacute Traumatic Brain Injury, Pao Huang, Jenhung Wang, Chihcheng Fan, Chungchao Liang, Shuman Lin, Clement Shihhsien Yang

Rehabilitation Practice and Science

Objective: Traumatic brain injury generally occurs when external force brings about damage to the tissues of the brain and is commonly accompanied by changes in the physical, cognitive, behavioral, and emotional domains of the affected person; such changes can result in social adaptation problems. Issues involving finance and/or family caregiver human resources also occur due to the fact that the survivor's disabilities linger. The primary goals of the present study are (1) to obtain an initial understanding of the rehabilitation services available to traumatic brain injury patients and (2) to analyze the effects of such rehabilitation on traumatic brain injury …

A Preliminary Evaluation On The Correlation Between Severity Of Hand Spasticity And Functional Recovery In Chronic Stroke Patients, Wan-Ling Hsu, Yi-Chieh Lien, Wei-Hsiu Chang, Chi-Tzu Feng, Kuei-Yu Chou, An-Fang Hsiao

Rehabilitation Practice and Science

Objective: This study is a secondary analysis of data from a previous project that attempts to analyze the correlation between severity of hand spasticity and functional recovery in chronic stroke patients. Methods: A total of 21 chronic stroke patients who received hand-stretching device or functional training were analyzed. The evaluation of outcomes included the Modified Ashworth Scale (MAS) for assessing hand spasticity; Fugl-Meyer Assessment (FMA), the Action Research Arm Test (ARAT), the Functional Independence Measure (FIM), and Stoke Impact Scale (SIS) for evaluating functional recovery. Results: Correlation was found between MAS and FIM scores (p=.029), but due to bias on …

Assessment Of Visual Dysfunction In A Patient With Right Occipital Infarct, Li-Ting Tsai, Yu-Chin Su, William H.A. Beaudot, Yun-Hsiang Yang

Rehabilitation Practice and Science

Purpose: This study describes a patient with multiple visual impairments following right occipital infarction in the posterior cerebral artery (PCA) territory. The earliest stage of cortical processing of visual information occurs in the occipital lobe, so damage to this lobe causes not only visual field deficits but also other forms of visual problems. However, few cases of this sort have previously been reported in the literature. casereport: A 54-year-old female suffered from a progressive throbbing headache over the right occipital area for 2 weeks. Blurred vision and left hemianopia were found, and brain magnetic resonance imaging revealed cerebral infarction over …

Exploring End User Experience: How Can We Achieve Lifelong Engagement With Physical Activity Tracking Devices?, Mohammed Karim Impelee

Masters Theses/Capstone Projects

Activity tracking devices provide biofeedback information and encourage people to be active, however, their long-term usage has been problematic. This study explored the theory of reinforcement techniques and the theory of self- determination to enhance long-term usage of activity tracking devices.

A sample of 43 people was surveyed to examine their experience with activity tracking devices. A multi-regression analysis demonstrated significant results(R square=71.6% Sig level=0.012 N=43). The result indicates how individuals with different orientations likely to perceive the supportiveness of their devices and how likely they were to continue using or stop using their devices. Conclusion: understanding the principles of …

Use Of A Task-Oriented Approach In The Physical Therapy Management Of A Patient Following A Posterior Inferior Cerebellar Artery Stroke: A Case Report, Erika Derks

Case Report Papers

Background and Purpose: Stroke is the leading cause of long term disability in the United States. Despite the prevalence of stroke, there is minimal research on physical therapy interventions for patients with cerebellar stroke. The purpose of this case report is to describe a multidimensional intervention program for a patient following a cerebellar stroke, emphasizing a task-oriented approach and motor learning principles. Case Description: The patient was a 78-year-old female who had a right posterior inferior cerebellar artery stroke. She received daily physical therapy for four and a half weeks in the acute rehabilitation setting. The examination revealed deficits in …

An Online Approach To Interprofessional Education, E. Adel Herge, Otd, Otr/L, Faota, Amber E. King, Pharmd, Bcps

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Despite increasing interest in providing interprofessional education (IPE) opportunities for health profession students, the logistics of scheduling and integrating diverse curriculums remain challenging. Several models to address these potential barriers have been proposed and utilized (Blue et al, 2010). Faculty from three colleges within Thomas Jefferson University developed an asynchronous online interprofessional course as one solution to overcome logistical barriers to IPE.

Interprofessional Grand Rounds is offered to third year pharmacy students and second year occupational therapy (OT) students in the fall semester. The course utilizes a variety of learning activities to evaluate the influence of current public health and …