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Taiwan Academy of Physical Medicine and Rehabilitation

1995

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Articles 1 - 30 of 39

Full-Text Articles in Medicine and Health Sciences

Pediatric Intracarotid Sodium Amytal (Isa) Procedure In Determiination Of Cerebral Dominance For Language And Memory Function - Preliminary Prport, Tsui-Fen Yang, Tai-Tong Wong, Shang-Yeong Kwan, Kai-Ping Chang, Ping-Wing Lui, Tao-Chang Hsu Dec 1995

Pediatric Intracarotid Sodium Amytal (Isa) Procedure In Determiination Of Cerebral Dominance For Language And Memory Function - Preliminary Prport, Tsui-Fen Yang, Tai-Tong Wong, Shang-Yeong Kwan, Kai-Ping Chang, Ping-Wing Lui, Tao-Chang Hsu

Rehabilitation Practice and Science

The intracarotid sodium amytal (ISA) procedure, introduced by Wada in 1949, is used to identify cerebral dominance for language and memory function in preparation for epilepsy surgery such as unilateral temporal lobectomy . Five cases with complex partial seizure, four boys and one girl, were included in this study, Their ages of onset ranged from 3 to11 years old. Frequency of seizure ranged from 2 to3 fits per month to 50 to 60 fits per day. Four cases were right-handers, one case was left-hander. All of them had normal intelligence. MRI scan of three cases showed positive findings, In continuous …


The Effect Of Scalp Electroacupuncture On Motor Neuron Excitability Of Stroke Patients, Hsiang Wei, Simon F. T. Tang, Alice M. K. Wong Dec 1995

The Effect Of Scalp Electroacupuncture On Motor Neuron Excitability Of Stroke Patients, Hsiang Wei, Simon F. T. Tang, Alice M. K. Wong

Rehabilitation Practice and Science

The effect of scalp acupuncture with or without electrical stimulation has been used for years on improving the ambulation of stroke patients. However, the mechanism remains unclear. In this study, the changes in spinal motor neuron excitability of stroke patient were measured before and after scalp electroacupuncture. Thirty subjects with first stroke resulting in spastic hemiparesis or hemiplegia were studied. Two scalp acupuncture regions, the motor area and the motor-sensory area of foot, were inserted with a 1.5 inch scalp needle on both sides respectively. Each subject was stimulated with an electric current, from 7 mA to 12 mA at …


Cardiopulmonary Stress Testing In Children With Congenital Heart Disease After Surgery - A Preliminary Report, Chen-Liang Chou, Huey-Ling Yu, Tacho-Jen Liu, Tao-Chang Hsu Dec 1995

Cardiopulmonary Stress Testing In Children With Congenital Heart Disease After Surgery - A Preliminary Report, Chen-Liang Chou, Huey-Ling Yu, Tacho-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

Most children with congenital heart disease (CHD) were restricted in their daily activities, which can affect their normal psychosocial development. In this study, we used cardiopulmonary stress testing to evaluate the cardiopulmonary responses of children with congenital heart disease surgery.The result showed that the pulmonary function was within normal limit. Though the incidence rate of abnormal ECG during exercise test was 54%, most of the subjects were asymptomatic. The percentage of functional aerobic impairment (FAI) was 22%, but is clinically insignifieant. It is concluded that children with CHD after surgery should not be restricted in their exercise activities, so they …


Pulmonary Function Following Cervical Cord Injury, Pao-Tsai Cheng, Mei-Yun Liaw, Meng-Chih Lin Dec 1995

Pulmonary Function Following Cervical Cord Injury, Pao-Tsai Cheng, Mei-Yun Liaw, Meng-Chih Lin

Rehabilitation Practice and Science

Traumatic cervical cord injury with quadriplegia generally causes respiratory dysfunction. A total of 50 cervical cord injured patients were collected for study of their pulmonary function. They were divided into two groups. Twenty-six cases with complete motor paralysis below lesion site (Frankel A or B) were placed in Group A, the other 24 cases with incomplete motor function (Frankel C or D) were placed in Group B. Pulmonary function test was done by using spirometer at 1 month, 6 months and 12 months following cervical cord injury.The pulmonary function was significantly worse in Group A than in Group B. Lesion …


Brachmann-De Lange Syndrome: Casereport And Clinical Review, Huey-Jen Lay, Chia-Chen Hsu Dec 1995

Brachmann-De Lange Syndrome: Casereport And Clinical Review, Huey-Jen Lay, Chia-Chen Hsu

Rehabilitation Practice and Science

The diagnostic criteria of Brachmann-de Lange syndrome includes: 1. congenital malformations; 2. growth retardation; 3. neurodevelopmental delay. The prevalence estimated by Beck(1976) was 0.5/100,000, but as much as fivefold byOpitz(1985). The etiology remains unknown. Although a few cases had evidence of genetic origin, the majorities were sporadic. Here we reported is a case with classic Brachmann-de Lange syndrome. He has classic facial features including synophrys, long eyelashes, log philtrum, thin upper lip and downturned corners of the mouth. Flexion contracture over bilateral elbow and hands are noted The head circomference, height and body weight and body weight are all below …


Meningioma Associated With Lumbar Hivd-Casereport, Yung-Szu Huang, Sau-Chin Mei, I-Ping Liu Dec 1995

Meningioma Associated With Lumbar Hivd-Casereport, Yung-Szu Huang, Sau-Chin Mei, I-Ping Liu

Rehabilitation Practice and Science

Spinal meningioma is a well circumscribed benign tumor. It grows slowly and acounts for about 25% of primary spinal cord tumors. It occurs predominantly in women and in thoracic region. Sometimes, we mistook its early symptoms for another problems such as arthritis, arachnoiditis, peripheral nerve disease, or motor neuron disease etc. Fortunately, Patient with severe motor deficit less than two months may get satisfactory improvements after surgery. The recurrent rate of spinal meningioma is much lower than that of intracranial meningioma. We reported a case of spinal meningioma at T4 level. He was diagnosed initially as lumbar disc herniation and …


稿件核對表, N/A Dec 1995

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.


Cerebral Amyloid Angiopathy: A Common Cause Of Intracerebral Hemorrhage In The Elderly - A Casereport, Wen-Chung Tsai, Tyng-Guey Wang, Huey-Wen Liang, Jin-Shin Lai Dec 1995

Cerebral Amyloid Angiopathy: A Common Cause Of Intracerebral Hemorrhage In The Elderly - A Casereport, Wen-Chung Tsai, Tyng-Guey Wang, Huey-Wen Liang, Jin-Shin Lai

Rehabilitation Practice and Science

Cerebral amyloid angiopathy, defined as deposition of amyloid in the walls of brain vessels, is belived to be a common cause of intracerebral hemorrhage in the elderly. It differentiates from the intracerebral hemorrhage of hypertension by its specific location of bleeding. The hematoma from cerebral amyloid angiopathy, sometimes multilobar, is always located in the brain cortices and the white matter beneath them. In the previous reports, the presence of cerebral amyloid angiopathy accounts for 5-10% of non-traumatic cerebral hemorrhage. However, it has been overlooked or misdiagnosed all the time because of the lack of tissue proof. Recurrent bleeding occurs so …


The Therapeutic Experience Of Electroacupuncture On Dysphagia After Brain Stem Stroke, Jinn-Ming Sheu, Chau-Peng Leong, Juh-Rong Sheu, May-Kuen Wong Dec 1995

The Therapeutic Experience Of Electroacupuncture On Dysphagia After Brain Stem Stroke, Jinn-Ming Sheu, Chau-Peng Leong, Juh-Rong Sheu, May-Kuen Wong

Rehabilitation Practice and Science

The intracarotid sodium amytal (ISA) procedure, introduced by Wada in 1949, is used to identify cerebral dominance for language and memory function in preparation for epilepsy surgery such as unilateral temporal lobectomy . Five cases with complex partial seizure, four boys and one girl, were included in this study, Their ages of onset ranged from 3 to11 years old. Frequency of seizure ranged from 2 to3 fits per month to 50 to 60 fits per day. Four cases were right-handers, one case was left-hander. All of them had normal intelligence. MRI scan of three cases showed positive findings, In continuous …


Middle-Aged And Older Tennis Players, Yuan-Kai Liao, Jin-Shin Lai, Ching Lan Dec 1995

Middle-Aged And Older Tennis Players, Yuan-Kai Liao, Jin-Shin Lai, Ching Lan

Rehabilitation Practice and Science

Objective: To evaluate the training effects of tennis on the maintenance of cardiorespiratory function in middleaged and older individualDesign: Prospective study of a cohort of older tennis players examined two years after initial examination Setting: Research project at a hospital-based exercise physiology laboratory. Participants: 15 male (mean age: 66±4 yrs, range: 52-82 yrs) and 5 female (mean age: 5O±7 yrs, range: 40-59 yrs)subject free of significant cardiovascular, pulmonary and musculoskeletal diseases completed this study. Intervention: During the study period, the subjects practiced tennis 3-7 times per week. The baseline cardiorespira tory function was recorded in the initial exercise test. Same …


Rehabilitation Of Osteogenesis Imperfecta Casereport, Wil-Ly Chow, Wei-Hwa Liaw, Mu-Jung Kao, Tyng-Guey Wang Dec 1995

Rehabilitation Of Osteogenesis Imperfecta Casereport, Wil-Ly Chow, Wei-Hwa Liaw, Mu-Jung Kao, Tyng-Guey Wang

Rehabilitation Practice and Science

Osteogenesis imperfecta is an inherited disorder of connective tissue, which affects the skeleton, ligament, skin, sclera, and dentin. It often produces multiple fractures and spinal deformities complicated with cardiopulmonary dysfunction. Osteoarthropathy, among which, will produce chronic pain, and is the main cause of functional disturbance of this kind of patients. We report a 20-year-old male patient with Osteogenesis imperfecta, who suffered from multiple long bone fractures and spinal kyphoscoliosis since his childhood. Two months before this admission, he had experienced one episode of accident with marked left hip and left elbow pain due to left hip joint dislocation and left …


復健醫學會雜誌Submission_Guideline, N/A Dec 1995

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.


A Survey Of Urological Problems Of Chronic Spinal Cord Injuries, Mu-Jung Kao, Kwan-Hwa Lin, Yen-Ho Wang, Chy-Ching Chuang, Jui-Ling Lin, I-Nan Lien Dec 1995

A Survey Of Urological Problems Of Chronic Spinal Cord Injuries, Mu-Jung Kao, Kwan-Hwa Lin, Yen-Ho Wang, Chy-Ching Chuang, Jui-Ling Lin, I-Nan Lien

Rehabilitation Practice and Science

A survey of urological problems in island-wide chronic spinal cord injuries was done by questionnaires and telephone from December 1992 to June 1993. Four hundred and three responses (48.26% of total samples) were collected for data analysis.There were 343 males and 60 females in this study. Their ages ranged from 14 to 71 years old with the mean age 37.4±10.7years old. About 89.8% of the subjects ad had spinal cord injury for more than one year. The content of questionnaire in chronic spinal cord injured was urinary incontinence (60.5 %); (2) 46.1 % had troubles in daily life related to …


The Influence Of Trace Anesthetic Gas On Standing Balance Of Nurses At Recovery Room, Meao-Ming Chen, Fuk-Tan Tang, Robin Ka-Shun Cheng, Ming-Yih Lee, May-Kuen Wong Dec 1995

The Influence Of Trace Anesthetic Gas On Standing Balance Of Nurses At Recovery Room, Meao-Ming Chen, Fuk-Tan Tang, Robin Ka-Shun Cheng, Ming-Yih Lee, May-Kuen Wong

Rehabilitation Practice and Science

The purpose of this study is to investigate whether the waste anesthetic gas has influence on the standing balance of nurses working at the recovery room. The experimental group consisted of 26 nurses at the recovery room and the control group was 25 nurses in the ordinary ward. The sway index, anterior-posterior and lateral maximal sway distance of center of pressure were recorded before and after working eight hours under the following four conditions: 1. eye opened with stable plateform, 2. eye closed with stable plateform, 3. eye opened with tilting plateform, 4. eye closed with tilting plateform. Besides, the …


Analysis Of Myoelectric Acitivity And Coactivation During Static Holding Postures, Wen-Ko Chiou, Yung-Hui Lee, Wen-Jer Chen, Ming-Yih Lee, Yang-Hua Lin, Fuk-Tan Tang Dec 1995

Analysis Of Myoelectric Acitivity And Coactivation During Static Holding Postures, Wen-Ko Chiou, Yung-Hui Lee, Wen-Jer Chen, Ming-Yih Lee, Yang-Hua Lin, Fuk-Tan Tang

Rehabilitation Practice and Science

The object of this study is to examine co-activities of eight muscle group in various lifting conditions. A total of 40 voluntary subjects with no experience of low back pain participated in this experiment. The muscle activities of interested were bicep brachii, thoracic erector spinae, lumbar erector spinae, latissimus dorsi, external oblique, rectus abdominis, rectus femoris, and semitendinosus of the right side body. Surface EMG signals were obtained in static holding postures of 3 kneeing angles, 5 trunk flexion angles, 2 horizontal liftingdistances, and 3 loading conditions. After recording, the percentages of maximum voluntary contraction (NEMG) and relative activity level …


A Spinal Cord Injured Patient Complicated With Huge Bladder Stones And Vesico-Ureteral Reflux, Lu-Wen Chen, Liu-Ing Bih, Liang-Fang Chen, Hwa Ting Dec 1995

A Spinal Cord Injured Patient Complicated With Huge Bladder Stones And Vesico-Ureteral Reflux, Lu-Wen Chen, Liu-Ing Bih, Liang-Fang Chen, Hwa Ting

Rehabilitation Practice and Science

A 25 years old male patient suffered from L1 compression fracture with weakness of both lower extremities and neurogenic bladder dysfunction 7 years prior to admission. Motor recovery over both lower extremities developed gradually that he could walk with bilateral axillary crutches later. However, the detrusor reflex did not restore so that a transurethral catheter had been left ever since he was injured. Frequent urinary tract infection manifested with fever and cloudy urine occurred off and on in the past years. Neither regular follow up nor urinary tract imaging study had been performed. Upon admission to our hospital, 5 bladder …


Periodic Paralysis With Thyrotoxicosis Casereport And Review Of Literature, Kuo-Chen Tseng, Chung-Miu Kaw, Yi-Shin Chen Dec 1995

Periodic Paralysis With Thyrotoxicosis Casereport And Review Of Literature, Kuo-Chen Tseng, Chung-Miu Kaw, Yi-Shin Chen

Rehabilitation Practice and Science

Periodic paralysis is a repetitive, transient muscle weakness syndrome. It lasts from minutes to several hours even for days. It often involves proximal and trunk muscle groups, but rare in ocular, bulbar muscles. There is a striking predilection for young males. EMG studies reveal relationships between periodic paralysis and muscle membrane deplarization, and there is compound muscle action potential decrease after vigorous exercise. Potassium imbalance between intracelluar space and serum is the probable reason for this phenomenon. About 2-30% periodic paralysis has connections with thyrotoxicosis. Hyperthyroidism victim is more easiler to affect periodic paralysis than normal one. As some symptoms …


Present Status And Future Rehabilitation Trends In The United States, Joel A. Delisa Jun 1995

Present Status And Future Rehabilitation Trends In The United States, Joel A. Delisa

Rehabilitation Practice and Science

No abstract provided.


Rehabilitation Of Chronic Disease, May-Kuen Wong Jun 1995

Rehabilitation Of Chronic Disease, May-Kuen Wong

Rehabilitation Practice and Science

No abstract provided.


Trends Of Residency Training Programs In Physical Medicine And Rehabilitation In The United States, Jen Yu Jun 1995

Trends Of Residency Training Programs In Physical Medicine And Rehabilitation In The United States, Jen Yu

Rehabilitation Practice and Science

No abstract provided.


Medicine In Taiwan: Towards The Future, Tzu-Min Kao Jun 1995

Medicine In Taiwan: Towards The Future, Tzu-Min Kao

Rehabilitation Practice and Science

No abstract provided.


Neurobiological Basis Of Rehabilitation Medicine, Jen Yu Jun 1995

Neurobiological Basis Of Rehabilitation Medicine, Jen Yu

Rehabilitation Practice and Science

No abstract provided.


Rehabilitation Of Patients With Adult Motor Neuron Disease, Joel A. Delisa Jun 1995

Rehabilitation Of Patients With Adult Motor Neuron Disease, Joel A. Delisa

Rehabilitation Practice and Science

No abstract provided.


Cervical Spondylosis With Unilateral Symmptomatic Radiculopathy And Radiculopathy On The Asymptomatic Side, Hwa-Lin Shou, Shei-Song Hsu, Rai-Chi Chan, Tao-Chan Hsu Jun 1995

Cervical Spondylosis With Unilateral Symmptomatic Radiculopathy And Radiculopathy On The Asymptomatic Side, Hwa-Lin Shou, Shei-Song Hsu, Rai-Chi Chan, Tao-Chan Hsu

Rehabilitation Practice and Science

This study has the following purposes: (1) to inquire the incidence of radiculopathy on the asymptomatic side in the cervical spondylotic patients with unilateral symptomatic radiculopathy. (2) to inquire the relationship between asymptomatic side and symptomatic side in the unilateral symptomatic radiculopathic patients due to cervical spondylosis. All subjects has been studied by motor and sensory nerve conduction test, and electromyography (EMG) for muscles supplied by roots from C-5 to T-l levels bilaterally. The results showed that the incidence of radiculopathy and the EMG abnormalities on the asymptomatic side correlated well with the EMG abnormalities on the symptomatic side, but …


The Exercise Habits Of Ordinary People In Taiwan-A Preliminary Report, Yung-Ming Lin Jun 1995

The Exercise Habits Of Ordinary People In Taiwan-A Preliminary Report, Yung-Ming Lin

Rehabilitation Practice and Science

A good exercise habit should include warm-up, aerobic exercise, and cool down. The latter can prevent post-exercise venous pooling and reduce the risk of postural hypotension and myocardial ischemia. Besides, the frequency, duration, and mode of exercise also related to the benefits of exercise. This study investigated the exercise habit of 273 randomly selected (145 men, 128 women) ordinary people by questionnaire. The age ranged from 17 to 74 years.The results show that 43.2% of the investigated people have participated in exercise during recent one year. Among them 53.4% were male and 46.6% were female. Twenty-two point eight percent of …


Correlation Between Albumin Level And Rehabilitation Outcome In Stroke Patients, Ta-Sen Wei, Jong-Jer Lin, Jeng-Hang Lin, Chih-Cheng Lin Jun 1995

Correlation Between Albumin Level And Rehabilitation Outcome In Stroke Patients, Ta-Sen Wei, Jong-Jer Lin, Jeng-Hang Lin, Chih-Cheng Lin

Rehabilitation Practice and Science

The aim of this study is to determine the effect of serum albumin level on the rehabilitation outcome in stroke patients. The criterias of patient studied included first stroke, unilateral weakness, length of stay greater than 2 weeks and free of uncontrolled medical problems (hypertensin, diabetes mellitus, cardiac disease) or major musculoskeletal disorders (contracture, amputation).75 patients with avarage age of 65-year-old completed this study. We checked the albumin level and functional status of the patients including Brunnstrom stage, trunk control and Barthel index score. Assessments were performed on admission and discharge to identify the correlation between albumin level and functional …


Cerebrovascular Accideut Complicated With Convulsive Syncope Casereport, Yi-Jung Hsin, Chau-Peng Leong, Fang-Yi Wu, Sarah Chau, Alice May-Kuen Wong Jun 1995

Cerebrovascular Accideut Complicated With Convulsive Syncope Casereport, Yi-Jung Hsin, Chau-Peng Leong, Fang-Yi Wu, Sarah Chau, Alice May-Kuen Wong

Rehabilitation Practice and Science

Seizure is one of the complications after cerebrovascular accidents, but not all convulsions are epilepsy. Many other diseases such as vasovagal syncope, hypoglycemia and arrhythmia may cause seizure-like episodes. So, we must identify the actual cause to prevent inappropriate treatment.We report a 69 year-old male patient who was asmitted to rehabilitation department due to recurrent cerebrovascular accident with right hemiplegia. Loss of consciousness, myoclonic rhythmic jerk of left arm, upward gazing were noted frequently in upright and sitting position. After return to the lying position, the above symptoms and signs would disappear in few seconds. Antiepileptic dru as given to …


Stroke With Hemiplegic Shoulder Pain Due To Pigmented Villonodular Syiular Svnovitis-A Casereport, Pong-Yuen Wong, Yi-Lung Sun, Fuk-Tan Tang, Chao-Ming Fang, Chi-Ming Lee, Liang-Tzu Chan Jun 1995

Stroke With Hemiplegic Shoulder Pain Due To Pigmented Villonodular Syiular Svnovitis-A Casereport, Pong-Yuen Wong, Yi-Lung Sun, Fuk-Tan Tang, Chao-Ming Fang, Chi-Ming Lee, Liang-Tzu Chan

Rehabilitation Practice and Science

Pigmented villonodular synovitis is an uncommon disorder characterized by synovial proliferation and hemosiderin deposition into the synovial lining of the affected joints, tendon sheaths and bursae. Its etiology is not fully known, however, inflammation, neoplasm and trauma have been postulated. It commonly affects the knee, hip, ankle and elbow joints, but rarely, the shoulder and its bursae. Shoulder pain is a common complication present in the stroke patients and its incidence varies from 5% to 84%. Shoulder subluxation, traction injury, contracture and reflex sympathetic dystrophy are the common causes of shoulder pain, whereas, pigmented villonodular synovitis is a very rare …


Electrical Stimulation Versus Conventional Exercise In Strengthening Quadriceps After Lower Leg Injury, Rong-Fong John, Yun-Er Wang, Yen-Chun Wu, Wen-Ling Chen, Tse-Chieh Hsueh Jun 1995

Electrical Stimulation Versus Conventional Exercise In Strengthening Quadriceps After Lower Leg Injury, Rong-Fong John, Yun-Er Wang, Yen-Chun Wu, Wen-Ling Chen, Tse-Chieh Hsueh

Rehabilitation Practice and Science

The purpose of this study was to investigate the treatment effect of Russian's electrical stimulative training program versus conventional exercise in muscle strengthening of quadriceps. Seventeen patients who had undergone surgery for fracture of lower leg or ACL, PCL reconstruction or repairment, were randomly divided into two groups; 7 patients served as a control group underwent isometric contraction of quadriceps, another 10 patients served as a study group underwent with maximal tolerable isometric contraction induced by Russian's E.S.. The parameter of Russian's E.S.consisted of 2500 Hz median frequency modulated at 50 bursts per second (50 pps) 10 times Russian's E.S. …


復健醫學會雜誌Submission_Guideline, N/A Jun 1995

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.