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1999

Rehabilitation Practice and Science

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Full-Text Articles in Medicine and Health Sciences

Pharmacotherapy In Acute Spinal Cord Injury, Yen-Ho Wang, Tien-Shang Huang Dec 1999

Pharmacotherapy In Acute Spinal Cord Injury, Yen-Ho Wang, Tien-Shang Huang

Rehabilitation Practice and Science

Acute traumatic spinal cord injury (SCI), a devastating event, results in huge costs to patients and society. Current management emphasizes general supportive care and stabilization of associated spinal columnar injury to prevent worsening of the cord lesions. Most of the numerous experimental studies to investigate pathophysiological changes following acute SCI suggest a two-step mechanism of damage to the spinal cord in which the primary (direct) or mechanical injury caused by trauma initiates secondary (indirect) or progressive autodestructive injury of the cord. During recent years, free oxygen radical generation and lipid peroxidation have been implicated in the secondary injury.Several pharmacological agents …

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The Reliability Of Ice-Water Test In Detecting Detrusor Reflex In Patients With Chronic Spinal Cord Lesions, Ya-Wei Cheng, Yu-Gin Na, Tyng-Guey Wang, Yen-Ho Wang, Jin-Shin Lai Dec 1999

The Reliability Of Ice-Water Test In Detecting Detrusor Reflex In Patients With Chronic Spinal Cord Lesions, Ya-Wei Cheng, Yu-Gin Na, Tyng-Guey Wang, Yen-Ho Wang, Jin-Shin Lai

Rehabilitation Practice and Science

This study attempts to define the reliability of ice-water test (IWT) in detecting the detrusor reflex in patients with chronic spinal cord lesion (SCL) and further explore its clinical application. 220 patients with SCL over a period of four years were included in this study. 105 of the patients were rated as the acute group with the injury less than six months. 115 patients with lesions over six months were grouped as the chronic one. All the patients underwent gas cystometrogram (CMG) and IWT within 48 hours. CMG revealed the presence of detrusor reflex. Comparing the results of CMG and …

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Evaluation Of The Interface Pressure Of Conventionally Used Cushions By Sci Patient At The Ischial Tuberosites, Yiu-Chung Lau, Chau-Peng Leong, Hsueh-Wen Chang Dec 1999

Evaluation Of The Interface Pressure Of Conventionally Used Cushions By Sci Patient At The Ischial Tuberosites, Yiu-Chung Lau, Chau-Peng Leong, Hsueh-Wen Chang

Rehabilitation Practice and Science

Spinal cord injury (SCI) patients confined to a wheelchair for long periods are prone to pressure sores occurring at ischial tuberosity. This study used Expert-Seat pressure evaluation pad to record the pressure of the ischial tuberosities. Twenty-nine spinal cord injury subjects and twenty normal subjects participated in this study. The pressure distributed over ischial tuberosities during sitting was measured five times, including one measured without cushion. Four wheelchair cushions with different types of materials were evaluated in two population groups: spinal cord injured and normal control. The subjects sat on various types of wheelchair seats: (1) gel cushion: skil care …

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Clinical Studies Of Voiding Dysfunction Among Asymptomatic Diabetic Subjects, Liu-Ing Bih, Su-Ju Tsai, Chien-Ning Huang, Ming-Miau Tsai, Ya-Chun Lai Dec 1999

Clinical Studies Of Voiding Dysfunction Among Asymptomatic Diabetic Subjects, Liu-Ing Bih, Su-Ju Tsai, Chien-Ning Huang, Ming-Miau Tsai, Ya-Chun Lai

Rehabilitation Practice and Science

Uroflowmetry and ultrasonic residual urine measurements had been done to 85 urologically asymptomatic diabetic patients and 20 control subjects. The prevalence of voiding dysfunction was 60% (51/85), and increased residual urine was found in 27% (23/85) of diabetic patients. The abnormal findings included increased residual urine (23/85), interrupted urine stream (9/85), voiding with abdominal strain (31/85), low flow rate (28/85), and enlarged bladder capacity (6/85). The group with voiding dysfunction had lower maximal and average flow rate, longer voiding time, and larger residual urine amount than the diabetic patients with normal voiding function and the healthy controls. The voiding volume …

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Recurrence Of Transverse Myelitis After Long Term Neurological Recovery Associated With Antiphospholipid Antibodies In A Patient With Systemic Lupus Erythematosus : A Casereport, Yen-Ho Wang, Woei Tsay, Guang-Dar Yin, Kou-Mou Huang, Tien-Shang Huang Dec 1999

Recurrence Of Transverse Myelitis After Long Term Neurological Recovery Associated With Antiphospholipid Antibodies In A Patient With Systemic Lupus Erythematosus : A Casereport, Yen-Ho Wang, Woei Tsay, Guang-Dar Yin, Kou-Mou Huang, Tien-Shang Huang

Rehabilitation Practice and Science

A 44-year-old female Taiwanese developed T5 transverse myelitis (TM) in 1984, eight years before the diagnosis of systemic lupus erythematosus (SLE). She responded very well to prednisolone and azathioprine administration and had complete neurological recovery. In August 1997, a relapse of TM at vicinal level, T6, occurred. Magnetic resonance image of the spinal cord revealed long segment involvement from T4 to T8. High titer of antiphospholipid antibodies and various serological markers of lupus activity were found to correlate with this relapse of TM. She responded very well to methylprednisolone pulse therapy with nearly complete neurological recovery. Follow-up examination of magnetic …

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Cerebral Infarction Due To Traumatic Internal Carotid Artery Dissection : A Casereport And Review Of The Literature, Shwu-Fen Sun, Sau-Chin Mei, Chien-Wei Hsu, Kuo-Hua Hung, Ping-Hong Lai Dec 1999

Cerebral Infarction Due To Traumatic Internal Carotid Artery Dissection : A Casereport And Review Of The Literature, Shwu-Fen Sun, Sau-Chin Mei, Chien-Wei Hsu, Kuo-Hua Hung, Ping-Hong Lai

Rehabilitation Practice and Science

Traumatic carotid artery dissection is often not recognized at the time of admission, possibly leading to cerebral infarction. This article reports on a 77-year-old man suffering from headache and neck pain after a traffic accident. Although the initial head computed tomography ( CT ) scan revealed no intracranial lesion, progressive left limbs weakness, slurred speech and blurred vision of his right eye developed on the next day after the accident. The color-coded duplex ultrasonography showed an intima flap and a false lumen in his right proximal internal carotid artery ( ICA ), which was compatible with dissection of the vessel. …

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A Study On Structural Analysis Of Functional Independence Measure In Taiwan, Nai-Wen Guo, Shu-Hui Yeh, Jau-Hong Lin, Hsin-Ying Chen, Ching-Kuan Liu, Hui-Shin Yuan, Li-Fa Yu, Huey-Tzy Chen Dec 1999

A Study On Structural Analysis Of Functional Independence Measure In Taiwan, Nai-Wen Guo, Shu-Hui Yeh, Jau-Hong Lin, Hsin-Ying Chen, Ching-Kuan Liu, Hui-Shin Yuan, Li-Fa Yu, Huey-Tzy Chen

Rehabilitation Practice and Science

A total of 827 Functional Independence Measure (FIM) scores, which from three separate cohorts research from 1995 to 1998 in Taiwan, were conducted the structural analysis of FIM. The 872 subjects included residents of nursery center, outpatients of neurology and neuro-surgery clinics as well as inpatients and outpatients of rehabilitation department. Both principle factor analysis and Rasch model analysis were able to identified two major factors of FIM in Taiwan. There were thirteen items in the first factor which was named as motor function factor, and five items in the second factor which was named as cognitive function factor. From …

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Delayed Myelopathy After Electrical Burn : Report Of Two Cases, Cheng-Jen Lo, Yao-Chia Chuang, Baii-Jia Yang Dec 1999

Delayed Myelopathy After Electrical Burn : Report Of Two Cases, Cheng-Jen Lo, Yao-Chia Chuang, Baii-Jia Yang

Rehabilitation Practice and Science

Electrical burns dramatically affect the nervous system, muscles, bones, and other tissues within the human body. Myelopathy after an electrical burn has seldom been mentioned.This article describes two cases of myelopathy admitted to our burn center after a high-voltage electrical burn incurred in the workplace, with symptoms onset around 16th and 4th day, respectively. The patients both experienced a course of deterioration, followed by a slow and partial recovery. The possible mechanisms and pathophysiology associated with electric burns are discussed.

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The Navicular Arch Index : A Reliable And Valid Footprint Parameter To Evaluate Arch Height, Tso-Liang Wang, Rocky F. Comberiati Dec 1999

The Navicular Arch Index : A Reliable And Valid Footprint Parameter To Evaluate Arch Height, Tso-Liang Wang, Rocky F. Comberiati

Rehabilitation Practice and Science

Recent studies have shown a close correlation between arch height of the foot and activity-related injuries. In the past, attempts to evaluate arch height from footprint parameters have yielded conflicting results. This could be caused by their failure to take anatomy into consideration in the proposed footprint parameters. This study investigates the relationship between arch height and Navicular Arch Index (NAI) - a new footprint parameter developed by us to incorporate anatomical consideration into footprint measurements. NAI is defined as the ratio of modified footprint width to foot width at the site corresponding to the navicular tuberosity. The arch height …

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Effects Of Selective Posterior Rhizotomy On Motor Control And Gait In Children With Cerebral Palsy, Alice May-Kuen Wong, Chia-Ling Chen, Tai-Ngar Lui, Fuk-Tan Tang, Wei-Hsien Hong, Shih-Wei Chou Sep 1999

Effects Of Selective Posterior Rhizotomy On Motor Control And Gait In Children With Cerebral Palsy, Alice May-Kuen Wong, Chia-Ling Chen, Tai-Ngar Lui, Fuk-Tan Tang, Wei-Hsien Hong, Shih-Wei Chou

Rehabilitation Practice and Science

This study evaluates how selective posterior rhizotomy (SPR) affects the motor control pattern of children diagnosed with cerebral palsy (CP) by using polyelectromyography and gait performance. Twenty-four spastic children diagnosed with CP aged 3 to 16 years old were included in this study. Another twenty children diagnosed with CP who had only undergone rehabilitation were selected as the control group. The children diagnosed with CP received polyelectromyography and gait analysis within one month before treatment (SPR or only rehabilitation) and 9 months to 1 year after treatment. Gait analysis included gait patterns and kinematic parameters. The gait pattems were scored …

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Prediction Of Motor Recovery Following A Stroke Using Motor Evoked Potential, Pao-Tsai Cheng, Ai-Ling Hu, Mei-Yun Liaw, May-Kuen Wong Sep 1999

Prediction Of Motor Recovery Following A Stroke Using Motor Evoked Potential, Pao-Tsai Cheng, Ai-Ling Hu, Mei-Yun Liaw, May-Kuen Wong

Rehabilitation Practice and Science

Electromagnetic stimulation of the motor cortex to produce motor evoked potentials (MEP) recorded from the surface electromyogram in skeletal muscleis a painless, safe and non-invasive means of evaluating the descending motor pathway function in humans.Seventy nine ischemic stroke patients with hemiplegia or hemiparesis participated as the control group(in this study. Electromagnetic stimulation was performed to identify the correlation between MEP findings and clinical motor functional status as well as findings of CT scans. In addition, the motor status of the hemiplegic limb was evaluated by using Brunnstrom staging and the functional status of the stroke patient was evaluated by using …

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An Investigation Of Gait Analysis For Stroke Patients By Computer Dynography System, Alice May-Kuen Wong, Chrong-Jyue Tsai, Fuk-Tan Tang, Pao-Tsai Cheng, Wei-Hsien Hong, Ming-Yih Lee Sep 1999

An Investigation Of Gait Analysis For Stroke Patients By Computer Dynography System, Alice May-Kuen Wong, Chrong-Jyue Tsai, Fuk-Tan Tang, Pao-Tsai Cheng, Wei-Hsien Hong, Ming-Yih Lee

Rehabilitation Practice and Science

There are many techniques and methods for gait analysis, but the data are not easy for the clinician to read and to correlate clinically in patients with neurological deficits such as stroke. In this study, we tried to simplify the kinetic gait data of 102 functionally ambulant stroke patients in a more simple way through pattern recognition in addition to conventional gait parameters and compared them with 50 healthy subjects. All of the stroke patients had received rehabilitation programs and were functionally ambulant. The computer DynoGraphy (CDG) system was used for gait analysis. The foot contact patterns based on pattern …

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Dermatomyositis Associated With Dysphagia ：A Casereport And Literatures Review, Keng-Yu Chao, Tyng-Guey Wang, Yeun-Chung Chang Sep 1999

Dermatomyositis Associated With Dysphagia ：A Casereport And Literatures Review, Keng-Yu Chao, Tyng-Guey Wang, Yeun-Chung Chang

Rehabilitation Practice and Science

Dysphagia frequently occurs in patients inflicted with dermatomyositis. Dysphagia in dermatomyositis patients is occasionally overlooked and misdiagnosed since it is not a major clinical manifestation. This article presented on a 31 years old woman inflicted with dermatomyositis. Dysphagia developed during her hospitalization, as evidenced by her difficulty in swallowing solid food and choking with nasal regurgitation while taking liquids. Psychogenic dysphagia was diagnosed simply owing to the lack of positive findings of esophagogram. The patient subsequently visited OPD of Physical Medicine and Rehabilitation Department. Although videofluoroscopic examination of swallowing study in our department revealed only mild oral stasis without aspiration, …

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Rehabilitation Cost Of Long Term Care System - Analysis Of Stroke Patients Sampled From A General Hospital, Huey-Jen Lai, Horng-Jeng Shyn Sep 1999

Rehabilitation Cost Of Long Term Care System - Analysis Of Stroke Patients Sampled From A General Hospital, Huey-Jen Lai, Horng-Jeng Shyn

Rehabilitation Practice and Science

Following implementation of the national health insurance system in Taiwan, only home health care is covered by insurance for long-term-care, possibly owing to the lack of financial coverage.Since Japan's economy reached full maturity in 1963, social benefits, including free health care, have been provided. This subsequently led to abuses of health care resources, cost expansion and acute beds occupied by chronic patients, thus straining governmental finances severely. This situation has been alleviated by providing general health care, elevating the deductable amount, constructing less expensive health facilities for the elderly, and performing home health care, day care and home nursing so …

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Reliability Study And Features Of Falling Tendency When Standing In Unilateral Hemispheric Stroke Patients, Ling-Fu Meng, Shi-Dong Jush, Mei-Hsiang Chen Sep 1999

Reliability Study And Features Of Falling Tendency When Standing In Unilateral Hemispheric Stroke Patients, Ling-Fu Meng, Shi-Dong Jush, Mei-Hsiang Chen

Rehabilitation Practice and Science

”Astasia(inability to stand)” is a popular and immediate result after onset from stroke. Health professionals usually label astasia as ”poor” standing performance. However, few studies substantiate the falling tendency of astasia. The result of inability to stand is to fall toward one specific direction; therefore, this study used ”falling direction” as a medium to analyze the falling tendency of astasia. Three major results were found in this study. Firstly, the measurement used in this study to judge falling direction demonstrated good inter-rater reliability. Two raters' kappa value was .89, .88, .87 respectively(each p value ＜ .001). Secondly, while comparing 5 …

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Lateral Medullary Syndrome And Brachial Plexopathyin Heroin Addiction：A Casereport, Hong-Li Lee, Shih-Jei Tsai, Lu-Ing Bih, Wu-Chung Shen, Yaw-Zen Chen, I-Fu Lin Sep 1999

Lateral Medullary Syndrome And Brachial Plexopathyin Heroin Addiction：A Casereport, Hong-Li Lee, Shih-Jei Tsai, Lu-Ing Bih, Wu-Chung Shen, Yaw-Zen Chen, I-Fu Lin

Rehabilitation Practice and Science

As a serious social problem, heroin abuse may induce toxic encephalopathy, cerebrovascular accident, or peripheral neuropathy. This article describe a 40 year old male diagnosed as lateral medullary syndrome ( Wallenberg syndrome), possibly resulted from heroin abuse. Possible causes for his symptoms are ischemic stroke and toxic demyelination. This patient also suffered from brachial plexopathy of left side. This malady may be attributed to nerve inflammation reaction from heroin and adulterants. This article also discussed heroin-related neurological disorders. Results presented herein provide a valuable reference for clinical diagnosis and management.

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Growth Analysis For Cost Of Rehabilitation Service Under The National Health Insurance Program In Taiwan, Mu-Jung Kao, Mei-Wen Tsai, Mau-Roung Lin, Ming-Chuan Lin, Tyne-Guey Wang, Jin-Shin Lai Jun 1999

Growth Analysis For Cost Of Rehabilitation Service Under The National Health Insurance Program In Taiwan, Mu-Jung Kao, Mei-Wen Tsai, Mau-Roung Lin, Ming-Chuan Lin, Tyne-Guey Wang, Jin-Shin Lai

Rehabilitation Practice and Science

This study analyzes the structure and trends of costs associated with rehabilitation services under the National Health Insurance program. Statistical analysis was performed for costs associated with in-patient and out-patient rehabilitation services in northern Taiwan. 86.97% to 88.07% of total six-month costs were declared for out-patients. Most of the moderate items for physical therapy and occupational therapy were prescribed for out-patients. In contrast, most of the complicated items for physical therapy, occupational therapy and speech therapy were done for in-patients, especially at medical centers. Comparing the period from January to June of 1998 with the same period of 1997, six-month …

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Evaluation Of A Novel Exercise Training Program For Patients With Chronic Obstructive Pulmonary Disease, Tyng-Guey Wang, Ssu-Yuan Chen, Shu-Fang Hsiao, Kuang-Hua Lin, Shou-Hsing Kuo, I-Nan Lien Jun 1999

Evaluation Of A Novel Exercise Training Program For Patients With Chronic Obstructive Pulmonary Disease, Tyng-Guey Wang, Ssu-Yuan Chen, Shu-Fang Hsiao, Kuang-Hua Lin, Shou-Hsing Kuo, I-Nan Lien

Rehabilitation Practice and Science

This study evaluated a novel exercise training program for the individuals diagnosed with chronic obstructive pulmonary disease.Although sixteen patients (M:13; F:3) with moderate chronic obstructive pulmonary disease participated in this study, only six completed the training programs. Cycle ergometry was used to test and train the patients. The training was performed three times weekly and lasted three months, with each training section lasting 30 to 40 minutes. As obtained from cycle ergometry, the training intensity accounted for 40 %, 60%, and 80% of the maximum work rate in the first two weeks, the following 3 to 6 weeks. and the …

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Adult Intramedullary Anaplastic Astrocytoma In The Spinal Cord: A Casereport, Liang-Cheng Chen, Kao-Chung Tsai, Fu-Kong Lieu Jun 1999

Adult Intramedullary Anaplastic Astrocytoma In The Spinal Cord: A Casereport, Liang-Cheng Chen, Kao-Chung Tsai, Fu-Kong Lieu

Rehabilitation Practice and Science

Adult anaplastic astrocytomas comprise a small subset of intramedullary spinal cord tumors and carry a dismal prognosis. Characteristically, a short prodrome occurs only several weeks before diagnosis, followed by progressive neurological deterioration and death. This article describes a 48-year-old male patient suffering from lower back pain with radiculagia and progressive weakness of both lower limbs for 5 months. The patient was initially diagnosed as having a lower lumbarintervertebral disc herniation and underwent laminectomy with spinal rods instrumentation two months following the diagnosis. The symptoms gradually worsened and cauda equina syndrome developed thereafter. Two months later, a second subtotal cytoreductive surgery …

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Functional Improvement Of Upper Extremity In Cervical Spinal Cord Injured Patient After Tendon Transfer : A Casereport, Chih-Kuang Chen, Fuk-Tan Tang, Meao-Ming Chen, Ngok-Kiu Chu Jun 1999

Functional Improvement Of Upper Extremity In Cervical Spinal Cord Injured Patient After Tendon Transfer : A Casereport, Chih-Kuang Chen, Fuk-Tan Tang, Meao-Ming Chen, Ngok-Kiu Chu

Rehabilitation Practice and Science

Traumatic tetraplegia is a devastating malady caused by cervical spinal cord injury, leading to motor and sensory impairment of the four limbs. Loss of the upper extremities function severely impacts life quality of the victim. Early and comprehensive rehabilitation can provide good functional recovery and prevent long-term complications. Furthermore, the advanced reconstructive hand surgery that has been developed in the past two decades has become a viable alternative to enhance the function of paralyzed upper extremities. However, this surgical procedure is still rarely performed on tetraplegic patients in Taiwan. This article describes a cervical spinal cord injured patient receiving a …

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The Effect Of Tai Chi Chuan For Developing And Maintaining Cardiorespiratory Function In Middle-Aged And Elderly Individuals, Ching Lan, Jin-Shin Lai, May-Kuen Wong Jun 1999

The Effect Of Tai Chi Chuan For Developing And Maintaining Cardiorespiratory Function In Middle-Aged And Elderly Individuals, Ching Lan, Jin-Shin Lai, May-Kuen Wong

Rehabilitation Practice and Science

A series of studies was designed to investigate the effect of Tai Chi Chuan for developing and maintaining cardiorespiratory function in elderly individuals.In the cross-sectional studies, cardiorespiratory function of 90 middle-aged (range 50-64 yrs) and 76 elderly (range 65-80 yrs) subjects were tested by cycle ergometry. The TCC group practiced TCC with a mean duration of 9.1±4.3 yrs. The control group consisted of 84 sedentary subjects. The VO2max of the TCC group was 15.6-26.8% higher than that of the control group. The result implied that TCC was beneficial for the cardiorespiratory function in the middle-aged and elderly individuals. In the …

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Diagnosis Of Meniscus Lesion Of The Knee By High-Resolution Ultrasound, Tai-Wei Yu, Tyng-Guey Wang, Jeng-Yi Shieh, Chung-Li Wang, Ching-Chuan Jiang, Fon-Jou Hsieh Jun 1999

Diagnosis Of Meniscus Lesion Of The Knee By High-Resolution Ultrasound, Tai-Wei Yu, Tyng-Guey Wang, Jeng-Yi Shieh, Chung-Li Wang, Ching-Chuan Jiang, Fon-Jou Hsieh

Rehabilitation Practice and Science

Sonography (US) of the knee has gained in significance in the diagnosis of the meniscal injuries. In order to evaluate the diagnostic capabilities of US in meniscal lesions of the knee, 112 patients with suspected knee injury over a period of six months were studied with high-resolution US equipped with a 10 MHz linear transducer. Eighteen of them also received arthroscopy or magnetic resonance imaging, as a gold standard for detecting the meniscal lesion. The normal image of the meniscus in US appeared as a homogenous echogenic to hypoechoic triangle with the tip inward to the interior joint. A smooth …

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The Chinese Revision And The Norm Development Of Luria-Nebraska Neuropsychological Battery, Nai-Wen Guo, Li-Fa Yu, Hsiu-Chin Pan, Yu-Hsin Wu, Ting-Yu Lin Jun 1999

The Chinese Revision And The Norm Development Of Luria-Nebraska Neuropsychological Battery, Nai-Wen Guo, Li-Fa Yu, Hsiu-Chin Pan, Yu-Hsin Wu, Ting-Yu Lin

Rehabilitation Practice and Science

The Luria-Nebraska Neuropsychological Battery (LNNB) is a comprehensive assessment system based on Luria's theory of functional systems of the brain. It remains as the most popular neuropsychological battery across different cultures in past 20 years. This study was to develop a standardized Chinese version of the LNNB on the basis of Luria's theory and the critics' viewpoints. The study have four objectives: (1) to translate and adapt the original test battery into the Chinese language, (2) to conduct item analysis and convert raw scores to scale scores, (3) to establish local norm and total critical level prediction formula, and to …

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Effect Of High Frequency Vibration On Nerve Excitability, Jeng-Feng Yang, Wen-Shuan Liao, Chang-Zern Hong Mar 1999

Effect Of High Frequency Vibration On Nerve Excitability, Jeng-Feng Yang, Wen-Shuan Liao, Chang-Zern Hong

Rehabilitation Practice and Science

The effect of vibration on the median nerve excitability was studied in 18 healthy subjects by applying the vibrator on the skin overlying either the median nerve or the tendon of flexor digitorum superficialis. The excitability index (EI) was used to assess the median nerve excitability. This index was expressed as the ratio of the amplitude of submaximal evoked compound action potentials (SECAP) before vibration (baseline level) to that during or after the vibration. Comparison between the experimental and the control side showed that vibration over the median nerve did not induce any significant change of EI. However, vibration over …

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The Compound Muscle Action Potential Dispersion Phenomenon In Normal Young Chinese Population, Chung-Lan Kao, Rai-Chi Chan Mar 1999

The Compound Muscle Action Potential Dispersion Phenomenon In Normal Young Chinese Population, Chung-Lan Kao, Rai-Chi Chan

Rehabilitation Practice and Science

The aim of this investigation is to define the normal values and the boundaries of compound muscle action potential (CMAP) dispersion of a specific age group in Chinese population. Measurements were made from median and ulnar motor nerves of 30 normal volunteers, age between 25-35 years. Supramaximal stimulations were applied to wrist, elbow and axilla of median and ulnar nerves individually. Negative peak areas, amplitudes and durations were recorded and the percentage of dispersion were calculated for each parameter. The results show that the percentage of negative duration, amplitude and area decay between wrist and below-elbow stimulation sites are 2.89%, …

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The Changes Of Femoral Artery Harmonics In Hypoxia：An Animal Study, Tyng-Guey Wang, Yio-Wha Shau, Jeng-Yi Shieh, Juey-Jen Hwang, Chung-Li Wang Mar 1999

The Changes Of Femoral Artery Harmonics In Hypoxia：An Animal Study, Tyng-Guey Wang, Yio-Wha Shau, Jeng-Yi Shieh, Juey-Jen Hwang, Chung-Li Wang

Rehabilitation Practice and Science

Using the non-invasive method to monitor the pulmonary artery pressure in the exercise training program of the chronic obstructive pulmonary disease patients might reduce the incidence of cardiac complication from the pulmonary hypertension and hypoxia. The purpose of this study was to detect the femoral artery pulse pressure and its harmonic changes of the rabbits in the hypoxia status.Ten rabbits underwent the femoral artery catherization for detecting their femoral artery pressure and their harmonics. Ten percent carbon dioxide mixed gas was inhaled to reduce the oxygen saturation of the rabbits from 95 % to 90% or lower. The mean femoral …

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Sphincter Disturbance As The Initial Presentation Of Acute Lymphoblastic Leukemia：A Casereport, Jen-Wen Hung, Ching-Yuan Kuo, Chau-Peng Leong Mar 1999

Sphincter Disturbance As The Initial Presentation Of Acute Lymphoblastic Leukemia：A Casereport, Jen-Wen Hung, Ching-Yuan Kuo, Chau-Peng Leong

Rehabilitation Practice and Science

Acute leukemia is the most common malignancy involving the central nervous system (CNS) among childhood. Neurological manifestations of leukemia frequently occur during the course of acute leukemia. However, it is rarely an isolated feature as the initial presentation of leukemia. The spinal cord and spinal roots are less frequently involved than other CNS regions. It is very rare to have neurologic involvement of conus medullaris as an initial presentation of acute lymphoblastic leukemia (ALL).This case was a 16 year-old boy who suffered from sever back pain and disturbance of sphincter function before the diagnosis of ALL. The diagnosis of acute …

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A Two-Year Prospective Study Of Infant Postural Torticollis, Baii-Jia Yang, Hwei-Chu Lin Mar 1999

A Two-Year Prospective Study Of Infant Postural Torticollis, Baii-Jia Yang, Hwei-Chu Lin

Rehabilitation Practice and Science

Torticollis is a common physical finding in infants, and congenital muscular torticollis is the most commonly reported type. If the only findings are head tilting and facial asymmetry without limitation of ROM of the neck and lack of pathological change of the sternocleidomastoid muscle, infant postural torticollis is the most likely diagnosis. From June, 1995 to May, 1997 we prospectively studied 211 cases of postural and muscular torticollis and excluded other causes of head tilting. The male to female ratio was 114:97, and left to right side ratio 104:107. 130 cases (61.6%) had infant postural torticollis (Group I), while 81 …

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