Medicine and Health Sciences Commons^™

Spleen As A Distinct Site For Dendritic Cell Haematopoiesis, Jonathan Tan, Helen O'Neill

Jonathan Tan

No abstract provided.

Motivational Interview (Mi) Using Co-Active Life Coaching Skills As A Treatment For Obesity, Courtney Newnham-Kanas, Jennifer Irwin, Don Morrow

Donald Morrow

No abstract provided.

Change-Ing Obesity: A Methodological Account Of A Comprehensive Study For Obese University Students, Erin Pearson, Jennifer Irwin, Don Morrow

Donald Morrow

No abstract provided.

Motivational Interviewing For Special Populations Within Dentistry, Don Morrow, Jennifer Irwin

Donald Morrow

No abstract provided.

Qualitative Assessment Of Motivational Interviewing (Mi) Using Co-Active Life Coaching Skills As A Treatment For Obesity, Courtney Newnham-Kanas, Jennifer Irwin, Don Morrow

Donald Morrow

No abstract provided.

Risk Communication And College Students: The 2009 H1n1 Pandemic Influenza, Francisco Soto Mas

Francisco Soto Mas

Objective The purpose of this study was to assess university students’ self-reported knowledge, behavior, and behavioral intention regarding H1N1 influenza. Method A cross-sectional, causal comparative study with purposive sampling was conducted at a major university in the southwestern U.S. Data were collected in early spring 2010 using a 24-item survey. Analyses included frequencies, descriptive statistics, correlation, linear regression, and multivariate analysis of variance. Results A total of 483 students participated. The majority of participants (69%) indicated taking “specific precautions” to prevent H1N1 influenza, but one-third lacked knowledge about symptoms and treatment. Only 10% had been vaccinated, and approximately half had …

Effects Of Response Elaboration Training On Sentence Production Of Persons With Chronic Agrammatic Aphasia, Ryan S. Husak

Theses and Dissertations--Rehabilitation Sciences

Purpose: Response Elaboration Training (RET) is a treatment program for increasing the amount of information contained in the speech of individuals with aphasia. This study employed a sentence production task (SPT) to examine whether RET will (1) generalize to a task not worked on in treatment and (2) affect syntactic performance.

Methods and Procedures: Three adults with chronic non-fluent Broca’s aphasia received RET in this prospective, repeated case study. The dependent variable was a SPT requiring the participant to put a verb in a sentence. Changes in the syntactic performance of the participant’s sentence productions were classified across …

Development Of Delayed Splenic Rupture In A Patient With Cervical Cord Injury: A Casereport, Yiu-Chung Lau, Chau-Peng Leong, Yi-Jung Hsin, Tsung-Hsun Yang

Rehabilitation Practice and Science

This is a report of a 65-year-old male patient with incomplete spinal cord injury caused by a traffic accident. He was robust prior to this injury. He was hospitalized due to tetraplegia caused by the accident, and did not lose consciousness at the time of injury. A cervical spine MRI was performed and showed cervical spondylosis with a C4-5, C5-6 herniated intervertebral disc. After decompressive surgery, he was transferred to our ward for inpatient rehabilitation, where balance and exercise activities on a mattress were carried out regularly. After 20 days of rehabilitation, acute dyspnea, abdominal distension and unstable vital signs …

Foot Pain Related Factors For Nursing Aides At Long-Term Care Institutions: A Preliminary Study, Chien-Hua Huang, Won-Tin Chang, Chun Pei, Chih-Chin Hsieh, Shu-Chuan Wu

Rehabilitation Practice and Science

Nursing aides at long-term care institutions need to stand and walk all day. As a result, the average burden of lower limbs for nursing aides is greater than nurses was. Feet have to bear the bodies weight as well as for support, shock absorption, and wear and tear from walking. This study investigated major factors of foot pain as caused by functional activities or the abnormal foot structures from prolonged standing and walking due to work. The participants were nursing aides at a special education school in central Taiwan. The first questionnaire gathered foot pain history for the previous three …

Effect Of A Modified Module Insole And Foot Exercise On Foot Deformity In Children With Developmental Delay, Hung-Wen Wei, Mei-Wun Tsai, Ming-Jor Lo, Mei-Ta Ho, Su-Limg Chang, Young-Hue Yu, Yu-Rui Zhan, Mu-Jung Kao

Rehabilitation Practice and Science

The effects of foot orthoses and foot exercise on foot deformity in children with developmental delay are unclear. The purpose of this study is to investigate the effects of a modified module insole and foot exercise on foot deformity in children with development delay. We recruited subjects from outpatient clinics of early intervention for children with development delay in Taipei City Hospital. The inclusion criteria were (1) evidence of low arch or no arch in either foot while standing or walking, (2) independent walking, and (3) age from 3 to 12 years. The 95 participants were classified into three groups: …

Correlation Of Joint Symptoms And Imaging Studies Among Patients With Hemophilia, Yen-Chun Chen, Ta-Sen Wei, Tsung-Ju Wu, Chen-Chen Liu, Ming-Ching Shen

Rehabilitation Practice and Science

Hemophilia is an Ⅹ-linked congenital bleeding disorder, with deficiency of coagulation factor Ⅷ (hemophilia A) or factor Ⅸ (hemophilia B). Hemophilia patients often have hemarthrosis with severe joint pain, which results in joint immobility and subsequent muscle atrophy, joint contracture, and gait disturbance. This study investigated the symptoms and severity, joint involvement, and imaging findings of hemophilia patients in Taiwan.A total of 51 male participants, including 40 with hemophilia A, aged from 6 to 69 years (mean age: 27.2±15.6 years), were recruited. We evaluated clinical symptoms and joint conditions using the Colorado Physical Examination, and imaging findings using the Pettersson …

Effects Of Home-Based Modified Constraint-Induced Movement Therapy In Children With Spastic Cerebral Palsy: A Preliminary Study, Fei-Chuan Chen, Ching-Yi Wu, Hsieh-Ching Chen, Keh-Chung Lin, Chia-Ying Chung, Chia-Ling Chen

Rehabilitation Practice and Science

Previous studies have shown beneficial effects of modified constraint-induced movement therapy (mCIMT) in improving motor functions of the upper extremities in children with spastic cerebral palsy (CP). However, there are few studies which have used kinematic analysis to validate the effectiveness and mechanisms underlying motor improvement after mCIMT. To promote clinical applicability and children's compliance with mCIMT, this study attempted to investigate the effects of home-based mCIMT in children with spastic CP using integration of clinical measures and kinematic analysis.This study used a randomized controlled trial design. Twelve children with spastic CP (6 boys and 6 girls) were randomly assigned …

Bilateral Cataract Caused By High-Voltage Electrical Injury: A Casereport, Chin-Man Wang, Jui-Yung Yang, Pei-Ying Hsueh, Yu-Cheng Pei, Cheng-Fung Tsai, Katie P. Wu

Rehabilitation Practice and Science

Few victims can survive high-voltage electric burns in which the electricity passes through the scalp. Notably, 0.7% to 8.0% of these survivors will progressively develop cataracts caused by the electric injury. This report presents a unique case manifested with rapid visual deterioration as a result of posterior subcapsular cataract. A 36-year-old male was incidentally injured by an electric burn of 11,000 volts during work. Immediately following the injury, his vision remained sufficient in daily activities. Unfortunately, progressive non-painful visual loss developed in his right eye within a month during rehabilitation training and then later in the left eye. Ophthalmologist confirmed …

Ulnar, Median, And Radial Neuropathies After Coronary Artery Bypass Surgery: A Casereport, Wang-Lin Su, Chia-Yu Hsu

Rehabilitation Practice and Science

Peripheral neuropathies after cardiac surgery are usually attributed to manipulation during the surgical procedure itself. A 54-year-old man developed left ulnar, median, and radial neuropathies after off-pump coronary artery bypass surgery. An electrodiagnostic study indicated a lesion located in the distal part of the upper arm. In view of the anatomy, this patient most likely developed neuropathy associated with intraoperative blood pressure monitoring. Iatrogenic peripheral neuropathy after cardiac surgery should be carefully assessed to find the exact cause.

Dysphagia In Critical Illness Polyneuropathy And Myopathy: A Casereport, Hung-Chou Chen, Yen-Hsia Hsu, Shin-Ching Chen, Tyng-Guey Wang, Sung-Hui Tseng, Jiunn-Horng Kang

Rehabilitation Practice and Science

Critical illness polyneuropathy and myopathy (CIPNM) is a common complication seen in patients with critical illness. However, long-lasting oropharyngeal dysphagia in patients with CIPNM has not been reported previously. Besides, severe dysphagia is also a rare condition in patients with diabetes. Here, we present the case of a woman with diabetes, who developed neuromuscular weakness after recovery from severe pneumonia and respiratory failure. Brain lesion was excluded by magnetic resonance imaging of brain. CIPNM was confirmed by nerve conduction and electromyographic studies. Videofluoroscopic swallow study showed severe oropharyngeal dysphagia. The general weakness and functional status improved gradually after rehabilitation. However, …

Swallowing Therapy In Children With Bilateral Cleft Lip And Palate: A Casereport, Shih-Chung Chang, Ching-Ching Yang, Yu-Hui Huang

Rehabilitation Practice and Science

Other than craniofacial anomaly, children with cleft lip and palate usually have problems of speech and swallowing. Therefore, in addition to multiple sessions of operations for repair and reconstruction, active rehabilitation is also required to improve their function of speech and swallowing. This report disclosed a ten-year-old boy who depended on nasogastric tube feeding and respired via tracheotomy after birth because of bilateral cleft lip and palate as well as subglottic stenosis. He started training of swallowing and speech at the age of 8. However, having lacked adequate practice for a long period of time, coordination and strength of his …

Cerebral Infarction Following Traumatic Internal Carotid Artery Dissection Without Significant Neck Injury: A Casereport, Kwan-Shan Chan, Mao-Hsiung Huang, Chia-Hsin Chen

Rehabilitation Practice and Science

A 37-year-old female had an occlusion of right middle cerebral artery (MCA) due to traumatic internal carotid artery (ICA) dissection without significant neck injury after a traffic accident. Although this phenomenon has been documented in recent studies, it remains a relatively rare event. She presented with a left shoulder abrasion injury and mild neck pain initially, although there was no direct head injury or loss of consciousness after the traffic accident. After 12 hours, she had developed confusion, weakness over left limbs and slurred speech. A hyperdense area on the right frontotemporoparietal lobes was found on magnetic resonance imaging (diffusion-weighted …

Compensatory Assistive Technology For Adults With Cognitive Disabilities, Hsin-Yu Chen, Ling-Fu Meng

Rehabilitation Practice and Science

People with cognitive disabilities often face difficulties when performing various activities in their daily lives. Although today's compensatory assistive technology (AT) can reduce the impact of such difficulties and enhance the quality of life in this population, universal guidelines for the appropriate application of cognitive AT have not been developed. The present study reviewarticleed and integrated information regarding models, assessments, selections, needs, and other relevant evidence. This paper presents a discussion of the limitations of current methods, and suggests novel approaches for the successful application of compensatory cognitive AT. The rehabilitative/compensatory model, the human activity assistive technology model, and the …

Ecological Executive Function Training In Patient With Brain Injury: A Casereport, Hsiao-Ting Ho, Yu-Hsin Wu, Mao-Hsiung Huang, Nai-Wen Guo

Rehabilitation Practice and Science

It has been reported that inappropriate behavior and cognitive/social dysfunction might be the result of poor impulse control after brain injury. A disorganized condition can be attributed to a failure to use a goal list. Goal management training (GMT), a neuropsychological rehabilitation program, was therefore designed for patients with poor inhibition, impaired goal- management and disorganized daily behavior. In this report, Ecological Executive Function Training (EEFT), based on the GMT model, was applied to a 55 year-old male patient with poor impulse control that was secondary to brain injury. The treatment lasted for two weeks and aimed to improve his …

Swallowing Therapy For Systemic Amyloidosis-Induced Dysphagia: A Casereport, I-Hsien Wu, Ching-Chi Chen, Mei-Yi Wu, Li-Chen Tung, Jung-Tai Liu

Rehabilitation Practice and Science

Amyloidosis is defined as the extracellular deposition of fibrillar proteins in different organs and tissues. The clinical features of amyloidosis include cardiomyopathy, hepatomegaly, proteinuria, macroglossia, and dysphagia. We report the case of a 52-year-old man with myeloma-associated amyloidosis who complained of progressive dysphagia, dysarthria, and macroglossia. Videofluoroscopic swallowing study revealed severe reduction in tongue movements, aspiration after swallowing, and retention in the valleculae and pyriform sinuses. The patient underwent swallowing therapy for 6 months; the therapy included compensatory neck flexion, vocal cord adduction exercises, supraglottic swallow, and the Mendelsohn maneuver. The swallowing therapy enabled the patient to swallow liquid and …

Paraplegia Caused By Intramedullary Tuberculoma: A Casereport, Ching-Yao Yang, Huey-Wen Liang, Yen-Ho Wang, Wei-Hwa Liaw

Rehabilitation Practice and Science

Tuberculosis is one of the oldest diseases known to affect humans and is a major cause of death worldwide. This disease, which is caused by bacteria of the Mycobacterium tuberculosis complex, usually affects the lungs, although other organs are involved in up to one-third of cases. If properly treated, tuberculosis caused by drug-susceptible strains is curable in virtually all cases. Spinal tuberculosis (Pott's disease or tuberculous spondylitis) often involves two or more adjacent vertebral bodies, and solitary tuberculoma of the spinal cord as part of a generalized infection is a rarity. Here, we report the case of a 54-year-old man …

Oxygen Uptake Efficiency Slope Before And After Weight Reduction Program In Obese Adults, Chueh-Hung Wu, Shu-Ming Yeh, Ke-Vin Chang, Hung-Pin Lee, Ssu-Yuan Chen, Ching Lan, Hung-Chih Tsai, Ya-Ling Huang, Jin-Shin Lai

Rehabilitation Practice and Science

Background and Purpose: Oxygen uptake efficiency slope (OUES) is an index for evaluating cardiorespiratory fitness without performing maximal exercise and correlates well with the individual's peak oxygen uptake (□O(superscript 2peak)). The purpose of this study was to determine the clinical usefulness of OUES for determining the cardiorespiratory fitness of obese adults without cardiovascular diseases by investigating (1) the correlation between OUES and weight (2) the change in the OUES after a weight-reduction program. Methods: Fifty-eight obese subjects (13men and 45women) were enrolled in a 12-week weight-reduction program, including diet, exercise and psychological programs. They underwent maximal cycle ergometer exercise testing, …

Tetraplegia Caused By Critical Illness Polyneuropathy Superimposed On Diabetic Neuropathy: A Casereport, Chia-Chen Li, Shih-Fu Hsieh, Ming-Chuan Lin, Chung-Wei Huang, Yi-Shiung Horng

Rehabilitation Practice and Science

Objective: To describe a patient with the critical illness polyneuropathy superimposed on diabetic neuropathy and to highlight the importance of early rehabilitation after critical illness. Methods: A 42-year-old man with a previous history of diabetic polyneuropathy developed flaccid tetraplegia with respiratory failure after septic shock due to a liver abscess. This clinical manifestation, combined with the result of an electrodiagnostic study, suggested the acute exacerbation of polyneuropathy. Because a pre-existing polyneuropathy history complicated a differential diagnosis, we performed a comprehensive work-up to rule out other systemic diseases or metabolic disorders that may cause polyneuropathy. Finally, the diagnosis of critical illness …

Acute Paraplegia After Spinal Manipulation: A Casereport, Kao-Chih Chen, Yao-Jen Chen

Rehabilitation Practice and Science

This is a casereport about a 53-year-old female patient with a history of chronic back pain, suffered from complete paraplegia shortly after spinal manipulation. CT and MRI images consistently showed ossification of the ligamenta flava in conjunction with bilateral facet joints hypertrophy at the T10-11, T11-12 and L1-2 levels. Spinal cord injury with T12 paraplegia ASIA-A was thus diagnosed. Posterior laminectomy at the T10, T11, L1 and L2 levels and interbody fusion from T10 to L2 spines for fixation were performed. After rehabilitation, the patient regained some activities of daily living despite complete paraplegia. To raise public awareness, our report …

Cerebral Venous Thrombosis With Cerebral Arterial Infarction During Pregnancy: A Casereport, Shih-I Huang, Tien-Wen Chen, Mao-Hsiung Huang

Rehabilitation Practice and Science

Cerebral venous thrombosis (CVT) usually occurs in young adult or middle aged adult women. Although not of high incidence, it is an important cause of brain hemorrhage or infarction in pregnant women. According to previous studies, the most common symptom is headache. However, because of only headache mostly, correct diagnosis is a challenge before progression to stroke. The patient was a 30-year-old female. Except for hyperthyroidism history during last pregnancy, she did not have any special associated past history. She suffered sudden onset of left side weakness; when her term was 32 weeks. Brain magnetic resonance imaging showed right middle …

Factors Affecting The Burden On Foreign Caregivers Of Long-Term Disabled Survivors In Taiwan, Chang-Jheng Wu, Wai-Keung Lee, Won-Jean Lin, Yau-Wai Wai

Rehabilitation Practice and Science

Hiring in-home foreign caregivers for long-term disabled patients is common in Taiwan. Caregivers help relieve the stress of caregiving on the patient's family members, and patients who receive care at home can also interact with their family. Caring for disabled patients can be a challenge, and can lead to physical or mental breakdown. This study aims to investigate the sources of burden on foreign caregivers of long-term disabled patients.The scores obtained using the translated Perceived Stress Scale (PSS) represent the level of burden on foreign caregivers. Data were collected and compared using an independent T-test or ANOVA to determine the …

The Immediate Effects Of Two Different Frequencies Of Whole Body Vibration On Balance And Flexibility, Chung-Liang Lai, Shiuan-Yu Tseng, Chun-Huo Wang, Mu-Jung Kao, Te-Zhang Zhang

Rehabilitation Practice and Science

Background and Purpose: Whole body vibration (WBV) training is a novel exercise intervention that is used in both athletic and general populations with the aim of improving muscle strength and balancing ability. The present study investigated the immediate effects of different frequencies of WBV on flexibility and balance performance.Methods: Thirty untrained subjects were assigned to a 5-min horizontal WBV (LV-1000, X-trend, Taiwan) training session using a vibrating plate that produced sinusoidal oscillation at 20 Hz (low frequency) and 40 Hz (high frequency) with constant amplitude. Balance ability was assessed using the Balance system (Biodex, USA), including the limits of stability …

Spondylolysis And Spondylolisthesis In Baseball Athletes: Five Casereports, Chun-Yao Yu, Hsiao-Yun Chang, Chuan-Chao Lin, Yi-Luen Hung, Su-Ju Tsai

Rehabilitation Practice and Science

Low back pain is one of the commonest complaints of young athletes who visit the physical medicine and rehabilitation outpatient department. Spondylolysis and spondylolisthesis are frequent causes of low back pain in young athletes. The pain in these conditions is exacerbated by lumbar extension and relieved by rest. Although genetic predisposition plays an important role in the development of pars defect, certain activities involving lumbar hyperextension and rotation movements result in spondylolysis and spondylolisthesis.From December 2005 to March 2009, there were five baseball athletes who visited our outpatient department because of low back pain. The diagnosis was grade I spondylolisthesis …

Macrodystrophia Lipomatosa: A Casereport, Pai-Yin Chen, Shu-Min Chen, Chii-Jeng Lin

Rehabilitation Practice and Science

Macrodystrophia lipomatosa is a rare congenital anomaly of localized gigantism, characterized by progressive overgrowth of all mesenchymal components, particularly fibroadipose tissue. The anomaly occurs frequently in the distribution regions of the median nerve in the upper extremity and the plantar nerve in the lower extremity. It is usually noticed at birth with predominately unilateral distal involvement of the digits. The cause of this condition is still unknown. Physicians use the patient's clinical history, physical examination, and imaging techniques to diagnose the condition, with characteristic imaging findings revealing macrodactyly with hypertrophy of the soft tissue and osseous structures. This study reports …

Matrix Metalloproteinase-3 Expression And Structural Changes In Biomechanical Loaded Articular Cartilage, Jue-Long Wang, Shu-Fen Sun, Chiao-Wen Hwang, Ko-Long Lin, Pei-Te Hsu, Yu-Ling Wang, Zhang-Yu Hoe

Rehabilitation Practice and Science

Background: Cartilage functions as a highly successful load-bearing tissue. However, frequent mechanical loading can affect cartilage metabolism and viability significantly. Intrinsic changes in the metabolism of chondrocytes have also been proposed as an important feature of osteoarthritis. Although many aspects of chondrocyte catabolism have been extensively investigated, the signals that initiate such metabolic changes, and their correlation with structural changes, remain unclear. We hypothesized that matrix metaproteinase-3 (MMP-3) may play a significant role. The purpose of this study was to investigate the activity of MMP-3 in cartilage under load, as well as degeneration-related structural changes of the cartilage matrix under …