Medicine and Health Sciences Commons^™

The Kinetic Assessment Of Sit-To-Stand In Stroke Patients And Its Relationship To Fall, Pao-Tsai Cheng, Shu-Hsia Wu, Mei-Yun Liaw, Pay-Shin Lin, May-Kuen Wong, Hsieh-Ching Chen, Fuk-Tan Tang

Rehabilitation Practice and Science

Fall has been reported as a major cause of morbidity, hospitalization and mortality of older people. Stroke patients are more prone to fall than non-stroke subjects, because of the pathological conditions inposing upon the physiological aging process. Since fall is so frequent, fall prevention strategies should therefore be developed and included in rehabilitation programs.Falls are associated with many physical and environmental factors. Excluding tripping, many of the falls in stroke patients occurred during the patients changing their positions, such as standing up, sitting down or initiation of steps. Therefore, the purpose of this study is focus on the kinetic analysis …

The Comparison Between Selective Posterior Rhizotomy And Phenol Intramuscular Neurolysis On The Treatment Of Children With Cerebral Palsy: Preliminary Report, May-Kuen Wong, Chia-Ling Chen, Tai-Ngar Lui, Wei-Pin Hwang, Hsing-Jung Tsai, Fuk-Tan Tang

Rehabilitation Practice and Science

Severe spasticity often causes functional impairment in children with cerebral palsy. It is theissue that professionals have been working on to reduce the spasticity effectively and permanently. This study wants to find out the comparative effectiveness between the selective posterior rhizotomy and phenol intramuscular neurolysis on the treatment of the children with cerebral palsy. We collected 31 children with spastic cerebral palsy, aged 3 to 17, and divided the children into three groups. Group A received selective posterior rhizotomy and rehabilitation. Group B received phenol intramuscular neurolysis and rehabilitation. Group C received rehabilitation only. The preoperative evaluations included muscle tone …

Lower Limb Length Discrepancy Caused By Lumbar Epidural Lipomatosis-- A Casereport And Review Of Literature, Mei-Hui Kuo, Chau-Peng Leong

Rehabilitation Practice and Science

Epidural lipomatosis is resulted from abnormal accumulation of unencapsulated fat in the epidural space. A case with idiopathic spinal lipomatosis is commonly seen in the following situations: steroid treatment, endocrinopathy, and obesity. Interestingly, a young male without the previous three conditions developed idiopathic spinal epidural lipomatosis. He was observed with lower limb length discrepancy and functional scoliosis.This patient was diagnosed by the method of magnetic resonance imaging and later received a variety of treatments according to his symptoms. Since there was no progressive neurological deficit, his problem of functional scoliosis was corrected by elevating his left heel by 2 cm. …

Finite Element Contact Stress Analysis Of The Diabetic Foot And Orthosis - A Two-Dimensional Analysis, Weng-Pin Chen, Yueh-Yun Hsieh, Fuk-Tan Tang

Rehabilitation Practice and Science

The objective of this research is to utilize the finite element method to analyze the contact stress between a diabetic plantar and the orthosis used in treating ulcers. It is desirable to understand the stress distributions between the plantar and the ordinary insole or the total contact insole made of three different insole materials. In this research, finite element models of the foot in contact with an ordinary insole and with a custom total contact insole were built and a commercial finite element analysis package - MARC was used to investigate the contact pressure distributions at the plantar. Deformable contact …

Predicting Respiratory Status In Patients With Duchenne Muscular Dystrophy, Rong-Bin Hong, Tyng-Guey Wang, Chih-Whei Lu, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

The life expectancy of individuals with untreated Duchenne muscular dystrophy(DMD) is around 18-19 years. The cause of their death is mostly from respiratory complications. Early detection of respiratory function will provide the opportunity of early management and prolong their life span.This study included 30 patients with DMD in a period of three years and took a cross-section design. All the data were obtained by telephone interview with the patients or their family. Nineteen of 30 patients accepted functional evaluation in Brooke’s grading scale and pulmonary function test(PFT). Ten of these 19 patients received nocturnal breathing monitor including O2 saturation and …

Medical Care And Rehabilitation Services Providing To Children With Cerebral Palsy In Northern Taiwan, Hua-Fang Liao, Shwu-Chong Wu, Suh-Fang Jeng, Pen-Jung Wong, Su-Ching Lee, Wen-Po Chow

Rehabilitation Practice and Science

The condition of medical and rehabilitation services for children with cerebal palsy（CP）in Taiwan has rarely been investigated. Such information is crucial for the health services planning. To understand the current status of medical and rehabilitation cares of CP children and related influencing factors, we sent 2435 copies of questionnaires to the main caregivers of possible CP children in the northern Taiwan. Six hundred and eighty-nine copies (28%) were returned. Four hundred and twenty-six copies were of CP children younger than 18 years of age（17.5%）. Their data were analyzed for this report. In 6-month period prior to this investigation, three hundred …

The Effects Of Animal Assisted Therapy When Used As An Adjunct To Occupational Therapy In The Rehabilitation Of Persons Who Have Had Cerebral Vascular Accidents, Alice Arlene Briggs

Masters Theses

Occupational therapists can use animals to assist their clients in achieving goals in treatment. Most often dogs are used as they are more easily trained. The dog may fetch a ball thrown by the client or stand still and allow the client to brush it. These activities with the animal increase the client's range of motion, endurance and strength. Dogs as well as other animals are used in various ways to elicit the desired response from the client. No studies were found in the literature that examined the use of animals as adjuncts to, or as modalities in occupational therapy …

Locus Of Control, Activity Level, And Living Situation Among The Elderly, Jennifer L. Birchenough

Masters Theses

The focus of this study was to investigate the relationships among locus of control, activity level, and living situation in the elderly. The participants in this study consisted of 62 elderly individuals who resided in one of three living situations: (1) independent living, (2) assisted living, and (3) comprehensive care centers. All participants were screened for cognitive status using the Mini-Mental State Assessment (Folstein, M., Folstein, S., & McHugh, 1975). Individuals who scored in the normal range then completed a Locus of Control Scale (Rotter, 1966) and the Index of Occupational Behavior (Gregory, 1983) to address the meaningfulness of, and …

Cultural Considerations In Clinical Reasoning: An Occupational Therapy Case Study, Sandra M. Winter

Masters Theses

This study looked at an occupational therapist's work with clients from varied cultural backgrounds. Qualitative research strategies and a phenomenological approach were used to gather data through interviews with a single respondent and observation of treatment. This methodology was used to examine the process utilized to acquire cultural knowledge and integrate that knowledge into treatment planning. Research focused on: (a) how the cultural background of a client influenced an occupational therapist as she planned and implemented treatment, (b) how the treatment process was influenced by cultural differences between the therapist and the client, and (c) how training or education helped …

Perceived Differences Between Male And Female Occupational Therapists’ Treatment And Other Related Gender Issues, Dennis Robert Jones

Masters Theses

This study explored how occupational therapy clients perceive the treatment they receive from male and female occupational therapists. The study was conducted in a qualitative manner. Occupational therapy supervisors who have supervised both female and male occupational therapists were interviewed to gain an initial understanding of the relevant issues. More structured interviews were then conducted with clients who have been treated by both a female and a male occupational therapist. Therapists and clients were also observed during four treatment sessions.

Analysis of the data collected through interviews revealed that supervisors and clients do notice some behavioral differences in male and …

Electrodiagnosis Of Median-To-Ulnar Nerve Anastomosis And Anomalous Innervation Of The Intrinsic Hand Muscles, Chih-Liang Wu, Huann Chang, Pi-Chang Sun, Su-Fen Liao, Rai-Chi Chan

Rehabilitation Practice and Science

Communication between the median and ulnar nerves is a common anomaly in the forearm (Martin-Gruber anastomosis, MGA). The knowledge of these anastomoses and the resulting anomalous innervation patterns is of crucial importance to the clinicians and electromyographers in the performance of nerve conduction and electromyographic studies in normal patients and those with peripheral nerve lesions. One hundred forearms (fifty cases) were examined for median-to-ulnar or ulnar-to-median nerve anastomoses using surface electrodes. We found a motor median-to-ulnar nerve anastomosis occurring in 12% of forearms studied. The incidence of innervation of the different intrinsic hand muscles: abductor pollicis brevis (APB) 17%; abductor …

Occupational Therapy's Link To Vocational Reeducation, 1910-1925., Sharon A. Gutman

Department of Occupational Therapy Faculty Papers

The development of occupational therapy is rooted in early 20th century medical reform. During the early 1910s, several members of the medical profession, human service workers, and the larger American society were increasingly disturbed by medical practices that did not consider the individual's personal experience of disability. Occupational therapy was developed, in part, out of this desire to provide persons with treatment that helped them to function in their communities despite their disability. Early occupational therapy leaders envisioned the fledgling profession as a societal service capable of assisting persons with disabilities to return to both work and community life. Vocational …

Valued Occupational Roles And Life Satisfaction Among South Florida Hiv-Infected And Non-Infected Homosexual Males : An Exploratory Study, Kenneth Morton Byers

FIU Electronic Theses and Dissertations

A study was conducted in order to describe and understand the occupational role behavior of gay men with particular interest on understanding the impact of an HIV diagnosis on their roles and life satisfaction. A 137- item questionnaire was developed for this study and distributed through various gay community groups in south Florida. The process resulted in ranked description of 24 valued occupational roles of gay men (n = 80) along with a general understanding of potential shifts that may occur in those roles as a result of becoming infected with HIV. The study concludes that a diagnosis of HIV …

A Study Of Quality Oriented Model For Hospital Accreditation In Department Of Rehabilitation, Mu-Jung Kao, Mei-Wun Tsai, I-Nan Lien, Kai-Yuan Tang, Yen-Ho Wang

Rehabilitation Practice and Science

The present hospital accreditation in Department of Rehabilitation in Taiwan is emphasized in assessing hospital structure instead of total quality consideration.The purpose of this study is to establish a new quality oriented model for hospital accreditatin in department of rehabilitation according to the quality assurance model by Donabedian including structure, process and outcome basis. In this study , an assessment questionnaire for accreditation was designed by Delphi method. The author suggests that hospital accreditation for Department of Rehabilitation should include process and outcome components in addition to structure, and a wide survey of hospital accreditation in Department of Rehabilitation should …

Non-Invasive Respirator - An Alternative In Patients With Neuromuscular Disease, Tyng-Guey Wang, Rong-Bin Hong, Mei-Li Cheng, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Fifteen individuals with neuromuscular disease and ventilatory insufficiency received non-invasive respirator(NIR)for their respiratory failure, severe sleep disordered breathing, or respiratory distress. By providing the NIR, thirteen patients successfully maintained their ventilation for a mean duration of 13.5:t 11.8 months (range: 2 to 36); ten of them still used NIR effectively at .he time of report. The four patients failed in using NIR were all motor neuron disease. The reason for discontinuing NJR was difficulty in handling pulmonary secretions. After inducing NIR, the blood gas of our patients returned to normal limit (PaO2 67.2:t10.2 mmHg elevated to 90.7:t9.3 mmHg and PaCO2 …

Clinical Aspects And Risk Factors Of Low Compliance Bladder, Tsz-Ching Hsu, Tyng-Guey Wang, Yen-Ho Wang, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

To determine the prevalence of low compliance bladder and its effects on the upper urinary tract, 431 persons with neurogenic bladder have been evaluated over the past 3 years. Among them, 34 persons (7.9%) had low compliance bladder. Thirty-two persons who had lower motor neuron type neurogenic bladder served as controls. Bladder capacity (280 ml vs. 420 ml; P ＜ 0.05) and creatinine clearance rate (53 ml/min vs. 83 ml/min; P ＜ 0.05) of the low compliance bladder group were significantly lower than those of controls. The chance of urinary tract infection was greater and the post-injury duration was longer …

A Survey Of Quality Oriented Model For Hospital Accreditation Of Department Of Rehabilitation In Northern Taiwan, Mu-Jung Kao, Mei-Wun Tasi, Yen-Ho Wang, Ytng-Guey Wang, I-Nan Lien, Jin Shin Lai, Kai-Yuan Tang

Rehabilitation Practice and Science

The purpose of this study was to compare medical quality of department of rehabilitation in Northern Taiwan area by using a new evaluation form designed by quality-oriented model for hospital accreditation. In this study, the questionnaire was mailed to twenty-six teaching hospitals in this area and was responsed from twenty-three hospitals including seven medical centers, eleven regional teaching hospitals and five district teaching hospitals (responsible rate 88.5%). Comparison was done among medical center, regional teaching hospitals and district teaching hospitals, and was also done between board-certified physiatrist training hospitals and non-training hospitals. The results showed that:(1) medical center and regional …

The Study On Cognitive Function In Stroke Patients, Shih-Pin Chao, Shich-Fu Wu

Rehabilitation Practice and Science

Mini-Mental State Examination (MMSE) is a simple and effective bed-side screening test for cognitive function. Cognitive defect is frequently encountered clinically in stroke patients, but several sophisticated cognitive function tests are not proper for them. MMSE is used as a tool to investigate the correlation between cognitive function and the severity of brain damage of the stroke patient. A total of 65 patients, who had developed hemiplegia, hemiparesis or cerebellar dysfunction as a result of cerebral vascular disease, were collected in this study. All patients had received MMSE, motor status examination of affected limbs, and brain CT within 3 weeks …

Videofluoroscopic Examination As An Objective Evaluation Tool In Multiple Sclerosis Individuals With Dysphagia --- Casereport, Mei-Li Cheng, Tyng-Guey Wang, Yeun-Chung Chang, Chi-Fen Chang, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Multiple sclerosis (MS) may involve different part of central nervous system and is characterized by remission and relapse clinically. However, dysphagia does not happen regularly. The incidence of dysphagia in MS is still in debate. It ranges from 3% to to 33% in limited reports. It could be a persistent or a intermittent symptom with various severity. In previous literature, the evaluation of this disorder was limited in clinical examination and lack of an objective method. We presented a 62-year-old man with MS and dysphagia. He underwent videofluoroscopic examination (VFE) and intensive swallowing training. The VFE demonstrated that the major …

A Survey About The Causes Of Delay Diagnosis And Prognosis In Spinal Tumors, Yi-Hsi Hsieh, Baii-Ja Yang

Rehabilitation Practice and Science

Fifty patients with primary spinal tumors operated in Mackay memorial hospital between 1985 and 1995 were reviewed retrospectively. The commonest diagnoses were nerve sheath cell tumors (neurilemmomas and schwannoma) and meningioma. The mean delay in diagnosis was 1.32 years (range: half month to 7 years).The commonest intial symptoms were back pain and numbness over limbs, but later muscle weakness and sphincter disturbances came to predominate. Most patients visited orthopaedic surgeons and neurologist at beginning, and were initially diagnosed as spondylosis or herniated intervertebral disc. Six patients had been received physical therapy under the diagnosis of HIVD or spondylosis before the …

The Influence Of National Health Insurance Policy On Rehabilitation Medicine ---- Current Resource Distribution And Perspectives In Rehabilitation Medicine In Central Taiwan Area, Liu-Ing Bih, I-Nan Lien

Rehabilitation Practice and Science

The objective of this study is to determine the distribution of medical resources for rehabilitation in the central Taiwan area (including three counties and one provincial city) and foresee the possible influence of National Health Insurance policy on rehabilitation medicine.The subjects of this study were sixty-two hospitals or clinics in the central Taiwan area that instituted rehabilitation outpatient and/or inpatient medical services in June of 1995. Among them, four provided comprehensive rehabilitation medical services for inpatients as well as outpatients; nine had outpatient physical, occupational, and/or speech therapy departments; twelve employed full-time physiatrists but provided physical therapy only; seventeen employed …

Musicians' Upper Extremity Musculoskeletal Problems: Medical Care From The Patients' Perspective, Susan Gail Stephenson

Masters Theses

This study was conducted to add to the body of knowledge concerning musicians' musculoskeletal problems and to investigate whether an occupational therapy specialty is warranted for this field of medicine. An original questionnaire was constructed and administered to the members of three symphony orchestras. Three primary sections of the questionnaire address participants' demographic and occupational characteristics, symptom and treatment experiences, and opinions on medical care. Descriptive data are reported for all sections of the questionnaire. Particular attention is given to the effectiveness of traditional occupational and physical· therapy treatments. Data are provided regarding the relationships between variables: (a) certain personal …

Subclinical Superficial Peroneal Sensory Neuropathy In Cyclists In South Taiwan, Shu-Mon Chen, Jo-Tong Chen, Thy-Sheng Lin, Chang-Zern Hong

Rehabilitation Practice and Science

The purpose of this study is designed to assess the superficial peroneal sensory nerve conduction of bicyclists since some bicyclists experience tingling or numbness over the dorsum of the foot during prolonged bicycling. Bilateral superficial peroneal nerve conduction studies were performed on 17 bicyclists compared with 20 normal subjects. Compound nerve action potentials were recorded with surface electrodes over the medial and intermediate dorsal cutaneous branches of the superficial peroneal nerves located at the anterior aspect of the ankle. The superficial peroneal nerve (SPN) was stimulated at the anterolateral aspect of the leg 12 cm proximal to the site of …

Mixed Nerve Conduction Study Of Brachial Plexus And Its Application On The Diagnosis Of Brachial Plexus Lesion, Jo-Tong Chen, Shu-Min Chen, Thy-Sheng Lin, Ta Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

This study demonstrates a technique to measure the mixed nerve conduction velocity (MNCV) of the ulnar and median component of the brachial plexus and its application on the diagnosis of brachial plexus lesion. Twenty patients with clinically confirmed pectoralis minor syndrome (Group I) and ten patients with traumatic brachial plexus injury due to traffic accident (Group II) were studied. The ulnar nerve was stimulated at the ulnar groove and the median nerve stimulated at the antecubital fossa of the elbow. The averaged nerve action potentials were simultaneously recorded from both axilla and Erb’s point with surface recording electrodes. MNCV of …

Discharge Outcomes : An Evaluation Of A Functional Index Of Physical Assistance, Jan R. Snell

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine if there is a relationship between a functional score given to the patient on the day of discharge from an acute setting and the setting to which the patient is discharged. There were 102 subjects (58 female, 44 male) included in the study and their ages ranged from 20 to 91 years (mean age=61.6 years). The following data were collected on all subjects: age, gender, diagnosis, past medical history, duration of hospital stay, duration of physical therapy, reason for discharge, family support, type of insurance, and Physical Assistance Key (PAK) score on …

Reference Serum Chemistry And Hematological Values For Spinal Cord Injured Patients, Michael S. Laymon, Antone L. Davis Ii

Loma Linda University Electronic Theses, Dissertations & Projects

Serum chemistry and hematological values from 220 traumatic spinal cord injured patients (157 male and 63 female between the ages of 15-47, with greater than six months from injury) were compiled via chart review. Traumatic spinal cord injured patient’s reference ranges were determined and compared with the general population reference ranges. Reference ranges within the spinal cord population were compared by age, gender, level of injury and chronicity of injury. The reference ranges determined for all groups within this spinal cord population fall within the reference ranges of the general population. This supports recent research which suggests that a decrease …

Pathophysiology Of Reflex Sympathetic Dystrophy, Jo-Yong Chen, Chang-Zern Hong

Rehabilitation Practice and Science

Reflex sympathetic dystrophy (RSD) usually develops in a limb after an injury. It is characterized by constant burning pain, allodynia, hyperalgesia, swelling, vasomotor and sudomotor changes. Once RSD is established, successful outcome depends upon early recognition and therapy. The therapies include sympathetic blockade, myofascial trigger point injection, physical therapy, oral corticosteroid, etc. Many hypotheses have been proposed to explain the mechanism responsible for RSD. However, no single hypothesis proposed to date explains all of the features of RSD. It has been recognized for decades that pain may in certain instances be dependent on sympathetic innervation of the area afflicted with …

An Analysis Of The Calcium And Iron Intake Of Langston University's Track And Basketball Athletes, Dominique Patrice Moore

McCabe Thesis Collection

Recommended Dietary Allowances (RDA's ) reflect that the average healthy American aged 18-24 years should consume 1,200 mg of calcium daily and 10-12 mg and 15 mg of iron for men and women respectively. These RDA's have not been adjusted for those persons involved in endurance sports. Studies by Telford (1992) and Clarkson (1992) show that endurance athletes suffer from calcium and iron deficiencies. There is a general assumption that athletic coaches are more concerned with the "weigh in" of 4 athletes than overall nutrient requirements. Positive nutrition education should be part of the overall training of athletes. Also, studies …

Changes In Ankle Joint Proprioception Resulting From Strips Of Athletic Tape Applied Over The Skin, Guy G. Simoneau, Rebecca M. Degner, Cindi A. Kramper, Kent H. Kittleson

Physical Therapy Faculty Research and Publications

Athletic trainers, physical therapists, and other rehabilitation professionals stress the importance of proprioceptive reeducation during the rehabilitation process following an injury." 2 It is believed that an injury such as an inversion ankle sprain, for example, results in a reduction of proprioceptive function that may lead to future reinjuries. 3 One suggested palliative method to supplement a deficit in proprioceptive function at the ankle is the use of external support such as taping and braces.47 The tape or brace is believed to provide increased mechanical support as well as increased proprioception.

Reliability Of The Saunders Electronic Inclinometer For The Assessment Of Lumbar Rom, Melanie C. Maneval

Rehabilitation Sciences Theses & Dissertations

The American Medical Association (AMA) advocates using the inclinometer for the measurement of spinal motion. Clinicians however, have not yet adopted this method in practice. Much controversy exists within the health care community with regard to which measurement method is the most reliable. The purpose of this study was: (1) to clarify the work that has been performed to date and (2) to examine the intrarater and interrater reliability of the Saunders Electronic Inclinometer for the assessment of lumbar flexion, extension, lateral flexion and rotation. The authors concluded that the SEI demonstrated moderate to good reliability for the assessment of …