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Full-Text Articles in Medicine and Health Sciences

Phenol Intramuscular Neurolysis In The Management Of Spasticity, Tsui-Fen Yang, Tao-Chung Hsu Dec 1991

Phenol Intramuscular Neurolysis In The Management Of Spasticity, Tsui-Fen Yang, Tao-Chung Hsu

Rehabilitation Practice and Science

In patients with upper motor neuron dieases. they usually present with variable degrees of spasticity. Moderate and severe degree of spasticity will interfere with patients' function and cause great difficulty in daily care. The incidence of musculoskeletal deformity which requires surgical correction is also higher in patients with severe spasticity. There were 43 patients with upper motor neuron diseases, which included 34 patients with cerebral palsy. 5 patients with cerebrovascular diseases and 2 patients with head injury. Phenol intramuscular neurolysis were performed in the muscle groups with moderate to severe spasticity that interferes with function and daily care in these …


Outcome Of Children With In-Toeing And Out-Toeing By Application Of Reversal Splint, Baii-Jia Yang, Kam-Sing Kan Dec 1991

Outcome Of Children With In-Toeing And Out-Toeing By Application Of Reversal Splint, Baii-Jia Yang, Kam-Sing Kan

Rehabilitation Practice and Science

In-toeing and Out-toeing are common prblems in children, but the treatment is contraversy. From 1st May 1987 to Jan 1990.243 childrens with problems of in-toeing have been treated in ourrehabilitation department with reversla splint. Only 95 cases of in-toeing and 11 cases of out-toeing (age from 2 y 1m to 5y 4m) were included in this series with completely folow up. The foot progression angle(FPA)of in-toeing cases is a range of -24°~-38°. The FPA of toeing out cases ia a range of +24°~+40° . After reversal splint wearing in traction-in method. All have immediate effect. After 3-6 months splint wearing, …


復健醫學會雜誌Submission_Guideline, N/A Dec 1991

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.


Effect Of Low Power Laser Irradiation On Nerve Conduction Velosity Of Median Nerve, Yue-Nan Jenp, Ching Lan, I-Nan Lien Dec 1991

Effect Of Low Power Laser Irradiation On Nerve Conduction Velosity Of Median Nerve, Yue-Nan Jenp, Ching Lan, I-Nan Lien

Rehabilitation Practice and Science

This study was aimed to find the difference of sensory and motor never conduction velosity (NCV) of median nerve before, and after the irradiation by Helium-Neon (HeNe) and Gallium arsenide (GaAs) laser upto 24 hours and the difference of effects induced by two different lasers- Twenty five healthy volunteers. 17 males and 8 females, with average age 25.2 years old. average body height 167.4 cm. were assigned randomly into two groups. Eleven voluteers received HeNe laser irradiation on right arm and GaAs laser on left arm. while the other 14 voluteers received laser vice versa. The irradiated sites were two …


Effect Of The Armband On Wrist And Grip Strength And Pain In Subjects With Tennis Elbow, Chen-Liang Chou, Chin-Chuan Kao, Tcho-Jen Liu, Tao-Chang Hsu Dec 1991

Effect Of The Armband On Wrist And Grip Strength And Pain In Subjects With Tennis Elbow, Chen-Liang Chou, Chin-Chuan Kao, Tcho-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

This study investigated the effect of the armband on wrist and grip strength and pain of 31 subjects with tennis elbow. There were 15subjects using manufactured armband and the other 16subjects using Velcro. We use BTE machine and visual pain analogue scale to assess wrist & grip strength and level of pain, respectively.There were statistically significant increase in wrist extension & grip strength and decrease in pain sensation in both groups. There were no different effects between these two groups except in wrist flexion strength. The using of armband is indicated in subjects with tennis elbow.


The Effect Of Lumbar Traction On The Management Of Patient With Grade I L-Spine Spondylolisthesis, Shen-Chung Chen, Tao-Chang Hsu Dec 1991

The Effect Of Lumbar Traction On The Management Of Patient With Grade I L-Spine Spondylolisthesis, Shen-Chung Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the effect of lumbar traction on the management of grade I L-spine spondylolisthesis. 45 patients diagnosed as grade I L-spine spondylolisthesis by x-ray were studied and divided into two groups. 19 patients as control group, received short wave diathermy and William's flexion exercise, five times per week for 2 months' period. 26 patients as experimental group, in addition to receive the same programs as the control group, the intermittent lumbar traction with 1/3-5/12 body weight was prescribed.The assessments were taken at initial (before treatment), 2 weeks and 2 months after treatment. 8 …


Low Back Pain In Geriatric Patients: Ct Scan Assessment, Huan-Chou Lin, Chorng-Song Chou, Tao-Chang Hsu, Wuh-Jong Sheen Dec 1991

Low Back Pain In Geriatric Patients: Ct Scan Assessment, Huan-Chou Lin, Chorng-Song Chou, Tao-Chang Hsu, Wuh-Jong Sheen

Rehabilitation Practice and Science

Low back pain is the most common clinical complaint next to upper respiratory tract infection in aged people. Previous episodes of low back pain in young adults predispose to exacerbation and chronic problems in the elderly. This study was carried out on 478 cases aged above 65 who took computerized tomography of lumbar spine at Taichung Veterans General Hospital from Sep. 1988 to Sep. 1990. These cases consisted of 391 males and 81 females. According to the final statistics, the most prominent changes in lumbar spine were degeneration disc 941 segments and facets joint spurs 203 segments, followed by vertebral …


Abbreviated Version Of The Chinese Wisc-R--A Multiple Regression Study, Ling-Yee Cheng, Pai-Fan Wang, Nai-Wen Quo, Tao-Chang Hsu Dec 1991

Abbreviated Version Of The Chinese Wisc-R--A Multiple Regression Study, Ling-Yee Cheng, Pai-Fan Wang, Nai-Wen Quo, Tao-Chang Hsu

Rehabilitation Practice and Science

While the WISC-R is the most widely adopted measurement of intelligence in various eductaional and clinical settings, administering and scoring the ten-subtest battery could be time-consuming, and thus uneconomical, for certain purposes of patient placement or classification. Hence to construct an abbreviated form of WISC-R with satisfactory reliability and validity would be productive for improving efficiency and cutting expenses.The present study analyzed 98 WISC-R protocols with an stepwise multiple regression analysis to identify, from the whole battery, an minimal pool of subtests for making up an abbreviated test such that scores of which would predict the full scale IQ score …


Sympathetic Skin Response In Patients With Diabetes Mellitus, Chein-Wei Chang, Lee-Ming Chuang, I-Nan Lien Dec 1991

Sympathetic Skin Response In Patients With Diabetes Mellitus, Chein-Wei Chang, Lee-Ming Chuang, I-Nan Lien

Rehabilitation Practice and Science

Sympathetic skin response (SSR) test is a newly introduced technique to assess sympatetic function in measuring sudomotor activity of the skin. This test is applicable in the detection of autonomic dysfunction which is a usual complaint of diabetic patients. Forty-four diabetic patients with age ranging from 38to 79 years (mean, 60 years ) and 20age-matched normal controls attended this study. SSRs were performed in hand with electroc stimulation at volar wrist and recorded at midpalm, and in foot with stimulation at medial ankle and recorded at mid-plantar skin. The maximal amplitude and the average of 5biggest amplitudes of SSRwere selected …


Ulnar Neuropathy In Asian Games Cyclists, Jan-Wei Chiu, Chen-Liang Chou, Rai-Chi Chan, Jin-Jong Chen, Tao-Chang Hsu Dec 1991

Ulnar Neuropathy In Asian Games Cyclists, Jan-Wei Chiu, Chen-Liang Chou, Rai-Chi Chan, Jin-Jong Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

Long-distance cycling may result in ulnar neuropaty due to ulnar nerve compression adjacent to the ulnar tunnel (of Guyon). The purpose of this study is to determine the type. incidence, and severity of ulnar neuropathy in cyclists. Forteen Asian Games cyclists completed a questionnaire and underwent hand grip strength test and electrodiagnostic studies of the ulnar nerves. According to the results of the electrodiagnostic studies there were 9 cyclists have mild ulnar neuropathy which included ulnar neuropathy adjacent to the ulnar tunnel (5 cases) and the cubital tunnel syndrome (5 cases). One of the 9 cylists had both types of …


Therapeutic Trial Of Acupunture In Phantom Pain Of Amputees, Mei-Yun Liaw, May-Kuen Wong Dec 1991

Therapeutic Trial Of Acupunture In Phantom Pain Of Amputees, Mei-Yun Liaw, May-Kuen Wong

Rehabilitation Practice and Science

The treatments of phantom limb pain(PLP)by many different modalities are based on the theoretically proposed mechanisms and clinical experiences. Scientific evaluation of the therapeutic effect in phantom pain is not very easy to be done.To investigate the effectiveness of acupunture in PLD. 13 male amputees were studied, with mean age of 34.8 ±17.0 years. All subjects had suffered from severe phantom pain. Amputation of upper and lower limb were involved in 5 and 8 patients respectively, with one involved bilateral high above knee amputations. They were divided into 3 groups based on the time of receipt of acupunture therapy after …


Cervical F Wave Dispersion In Cerebral Stroke Patients, Yu-Chung Chen, Rai-Chi Chan, Tao-Chang Hsu Dec 1991

Cervical F Wave Dispersion In Cerebral Stroke Patients, Yu-Chung Chen, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

Cervical F wave dispersion was studied in 40 cerebral stroke patients with spastic hemiparesis (Lt hemi 13. Rt hemi 27. onset duration average 10.7 months ). Twenty consecutive supramaximal electrical stimulations on median nerve and recorded the F wave simultaneously from anterior deltoid (C5), biceps brachii (C6),flexor carpi radialis (C7), and abductor pollicis brevis (C) muscles.These muscles were performed at lesion and sound sides in each patient. The frequency, mean latency and amplitude of F waves in different C-levels were calculated and compared on both sides. The results showed no consistency on the frequency, mean latency and amplitude of F …


A Survey Of Health Maintenance And Care Needs Of The Aged In The Government Employee Combined Clinic, Jiunn-Ren Su, Tse-Chieh Hsueh, Yue-Nan Jenp, Jiann-Rong Chiou Dec 1991

A Survey Of Health Maintenance And Care Needs Of The Aged In The Government Employee Combined Clinic, Jiunn-Ren Su, Tse-Chieh Hsueh, Yue-Nan Jenp, Jiann-Rong Chiou

Rehabilitation Practice and Science

A preliminary study was designed to assess the health maintenance and care needs of the elderly attending the Government Employee Combined Clinic in Tainan City. Interviews using structured questionnaire were conducted on persons aged 65 years and over from April 9 to April 21 1990.There were 483 persons included. Two hundred and ninety three subjects (60.7%) were men. The mean age of the studied population was 72 years, ranging from 65 to 87 years. The mean duration of education was 9.0 years. The results revealed that the most common chronic health problem was hypertension (39.1%). followed by heart disease, rheumatism, …


Spinal Epidural Hemorrhage Three Cases Report And Literature Review, Huey-Jen Lay, Chein-Wei Chang, I-Nan Lien Dec 1991

Spinal Epidural Hemorrhage Three Cases Report And Literature Review, Huey-Jen Lay, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Spinal epidure hemorrhage is rare. It is often misdiagnosed and mistreated, and may result in severe paraplegia or death. Abort half of the cases reported in the literature had identifiable causes. Among these, trauma and anticoagulant therapy were most frequently encountered. The others were known as spontaneous spinal epidural hemorrhage. We report here 3 cases treated in NTUH. Their symptoms included sudden onset of severe localized back pain and flaccid paralysis of lower extremities which progressed within minutes to days. In case 1, early spinal decompression minimized the possible neurological sequelae. In case 2, hematoma occurred in the lower thoracic …


Sciatica Combined With Brain Tumor: Casereport, Jong-Chyuan Heh, Yau-Jen Tseng Dec 1991

Sciatica Combined With Brain Tumor: Casereport, Jong-Chyuan Heh, Yau-Jen Tseng

Rehabilitation Practice and Science

There are so many causes of sciatica, and most cases are due to lesions of the lumbar intervertebral disc. lumbar spondylosis or sacroiliac disease. Sensory and motor abnormalities are common in the parietal lobe brain tumor. The impairment of sensory and motor functions in leg and thigh due to the herniation of intervertebral disc or spondylosis combined with the parietal lobe brain tumor is rarely found. Of the two proposed cases, they all had the symptom of sciatica, and HIVD and spondylosis were diagnosed by a series of examinations including CT scan. Their symptoms and signs got no improvement after …


The Malignant Neoplasm Of Head Complicating With Temporomandibular Joint Dysfunction/Disorder: Two Cases Report, Shin-Tsu Chang, Yau-Jen Tseng Dec 1991

The Malignant Neoplasm Of Head Complicating With Temporomandibular Joint Dysfunction/Disorder: Two Cases Report, Shin-Tsu Chang, Yau-Jen Tseng

Rehabilitation Practice and Science

The temporomandibular joint dysfunction/disorder(TMD) is a complexity of facial occulsional abnormality, manifested as symptoms of trismus, opening noisy, limitation of range of motion, painful swelling around periarticular area, and local spasm or tenderness over masticatory musculacture. The TMD is now regarded as being multifactorial in its aetiology. The tumor invasion is a rare cause and is often neglected. Two cases of malignant neoplasm of head complicating with TMD which masking the original lesion are reported. The one is cancer of maxillary sinus and the other nasopharyngeal carcinoma. The two cases could not be detected earlier, ensuing with bony metastasis after …


復健科專科醫師甄審原則, N/A Dec 1991

復健科專科醫師甄審原則, N/A

Rehabilitation Practice and Science

No abstract provided.


Bone Mineral Analysis Of Femoral Neck In Cva Patient, Tcho-Jen Liu, Tao-Chang Hsu Dec 1991

Bone Mineral Analysis Of Femoral Neck In Cva Patient, Tcho-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

An instrument for clinical measurement of bone mineral content in the axial skeleton was contructed, components including a modified dual probe scanner, a PC/AT type computer system, a 153 Gd source, and a detector. Bone mineral density of the femoral neck bilateral was measured using Dual Photon Absorptiometry (DPA) in 50 male cerebral vascular accident (CVA) patients. The femoral neck bone density was expressed as grams mineral per unit skeletal area (g/cm2). Patients had no history of renal disease, hepatic disease, hyperthyroidism, hyperparathyroidisms, and drug therapies as glucocoticoids, anticonvulsants thyroxin. methotrexate. cyclosporin. lithium, heparin and phenothiazine derivatives. Bone Mineral Density …


Clinical Trial Of A Low Temperature Plastic Afo - The Mit Afo, May-Kuen Wong, Fuk-Tan Tang, Shin-Han Wu, Chang-Ming Chen Dec 1991

Clinical Trial Of A Low Temperature Plastic Afo - The Mit Afo, May-Kuen Wong, Fuk-Tan Tang, Shin-Han Wu, Chang-Ming Chen

Rehabilitation Practice and Science

The modification of a new design in orthosis usually has its clinical indication. In this study, a low temperature thermoplastic AFO was designed in anterior leaf type, called MIT (metatarsal into tibial )AFO, basically to meet the need of indoors barefoot walking in Taiwan. It could be easily molded and remolded to fit the foot, as well as to adjust the position of foot and ankle.Sixty-eight patients with acute hemiplegia were fitted with this MIT-AFO during ambulation training, 46had good fitting (67.6%), 15 in fair grade (22.1%), and 7 in poor grade (10.3%). Two patients were observed to have ankle …


Outcome Of Torticollis Children, Shih-Wei Chou, May-Kuen Wong Dec 1991

Outcome Of Torticollis Children, Shih-Wei Chou, May-Kuen Wong

Rehabilitation Practice and Science

A retrospective review of torticollis was carried out in the present study for total of 114 children. seen at Kee-Lung CGMH between 1985 and 1990, and Lin-Kou CGMH between 1987 and 1990. They were classified as congential muscular torticollis torticollis in 108 cases (94.7%). acute torticollis in 3 cases (2.6%), congenital cervical vertebral anomaly in 2 cases (1.8%). and habitual torticollis in 1 case (0.9%).Only 58 cases (53.7%) of congenital muscular torticollis were available in the follow-up for outcome through chart records and questionaires. In these patients, only 3 of 39 cases that primarily received conservative treatment needed further operative …


A Preliminary Study In Post-Stroke Depression, Wang-Lin Su, Baii-Jia Yang Dec 1991

A Preliminary Study In Post-Stroke Depression, Wang-Lin Su, Baii-Jia Yang

Rehabilitation Practice and Science

Although post-stroke depression is well recognized as a barrier to recovery after stroke, there remains uncertainty about it's prevalence. etiology and associated factors.Sixty one patients admitted to Mackay Memorial Hospital with the first CVA attack and consulted with rehabilitation were studied. Mood assessment was made 2 weeks after stroke with Zung's depression scale. We sued the ZDS score 55 as a cut-off point for depresion and found the prevalence of post- stroke depression is 37.7%. with 13.1% being severe depression. The functional disability is significantly correlated with post-stroke depression, but age, sex. whether medical insurance or not, weakness side and …


Evaluation Of Private Long-Term Care Facilities In Kaohsiung, Gwo-Jau Chen, Hsin-Ying Chen, Tseu-Zu Guo, Hsing-Zong Wu Dec 1991

Evaluation Of Private Long-Term Care Facilities In Kaohsiung, Gwo-Jau Chen, Hsin-Ying Chen, Tseu-Zu Guo, Hsing-Zong Wu

Rehabilitation Practice and Science

In recent years, the upgrading of both quality of medical care and standard of living in Taiwan has resulted in the rapid growth of elderly population. The care of such diseases associated with aging as cerebrovascular disease, senile dementia, cardiovascular disease and degenerative neurological changes has thus became major medical and social problems in our country. Those elderly individuals who suffer from the diseases mentioned above, usually require bedrest and consequently lose their selfcare abilities. The demand for caregivers, which is a relatively big burden on society and its economics, will thus increase.In responding to this practical need, several private …


Wheelchair Modification For Ambulation Training: Case Experience, Yiu-Chung Lau, Chau-Peng Leong, Pong-Yuen Wong, May-Kuen Wong, Liang-Chieng Wu Dec 1991

Wheelchair Modification For Ambulation Training: Case Experience, Yiu-Chung Lau, Chau-Peng Leong, Pong-Yuen Wong, May-Kuen Wong, Liang-Chieng Wu

Rehabilitation Practice and Science

Wheelchair is a common ambulatatory device for handicapped person. After simple modification, it could be used as a kind of ambulation training aid. It the study, a standard wheelchair was modified by adding a pair of axillary crutches on the back and brakers on the rear wheel. It was used by a 32 years old male patient with C5 incomplete spinal cord injury in Frankel class C. as ambulation training device 10month after injury. After a period of home program for ambulation training, he could walk with walkeratter.This modificatory wheelchair as a case experience is very simple in design, and …


中華民國復健醫學會章程, N/A Dec 1991

中華民國復健醫學會章程, N/A

Rehabilitation Practice and Science

No abstract provided.