Medicine and Health Sciences Commons^™

Comparison Of Clinical And Electromyographic Characteristics Between Surgery-Related And Tumor-Related Unilateral Vocal Fold Paralysis, Chenglun Chen, Wanni Lin, Shuchun Huang, Alice M. K. Wong, Tuanjen Fang, Yucheng Pei

Rehabilitation Practice and Science

Background: The etiologies of unilateral vocal fold paralysis (UVFP) could be highly varied. It could be idiopathic or related to surgery, infection, radiation, and tumor. Among these causes of UVFP, surgery-related and idiopathic UVFP were the most well studied. However, the clinical characteristics of tumor-related UVFP have been discussed in only a few studies. Therefore, we evaluated the clinical and electromyographic characteristics of tumor-related UVFP and compared them with those of surgery-related UVFP. Methods: Laryngeal electromyography (LEMG) was performed in the thyroarytenoid-lateral cricoarytenoid muscle complexes and the cricothyroid muscles. The Short Form-36 quality-of-life questionnaire (SF-36) was applied to evaluate the …

Comparing The Application Of Assessment Tests On Patients With Cerebrovascular Accident: The Mini-Mental Status Examination-Chinese Test Versus The Luria-Nebraska Neuropsychological Battery-Screening Test, Tingchia Wang, Yuhsin Wu, Naiwen Guo, Maohsiung Huang, Jyonghuei Su

Rehabilitation Practice and Science

Purposes: Patients with stroke often experience neurocognitive impairment; thus, an effective screening test should be developed. The Mini-Mental Status Examination-Chinese (MMSE-C) test and the Luria-Nebraska Neuropsychological Battery-Screening (LNNB-S) test are two commonly used tests for assessing cognitive impairment. In Taiwan, few studies have been conducted on the applicability of cognitive assessment tests. In the present study, we examined the assessment effectiveness of the MMSE-C and LNNB-S and compared them regarding their assessment effectiveness for impairment in various brain regions. Methods: This study was a retrospective study. Medical records from the 2005-2014 period for patients with stroke at the rehabilitation division …

Taiwan Guideline For Stroke Rehabilitation, Dersheng Han, Chiawei Lin, Lu Lu, Mingyen Hsiao, Chuehhung Wu, Hueywen Liang, Kevin Chang, Shinliang Pan, Tyngguey Wang, Cheinwei Chang

Rehabilitation Practice and Science

Post-stroke rehabilitation is beneficial in treatment of the impairment, disability recovery, secondary prevention, and quality-of-life enhancement. However, up-to-date treatment guidelines are still not available in Taiwan. This article reviewarticles the evidence on post-stroke rehabilitation, on which treatment guidelines in Taiwan can be based.

Development Of A Clinical Guideline For Preventing Lower Limb Lymphedema In Patients With Gynecologic Cancer, Shinchan Lee, Chengfeng Lin, Keng Fu Hsu, Yuyun Hsu

Rehabilitation Practice and Science

Background: Women receiving gynecological cancer surgery with lymph node dissection may experience lower limb lymphedema, resulting in physical discomfort and poor quality of life (QOL). Purpose: This study developed and assessed the effectiveness of a clinical guideline for preventing lower limb lymphedema in women with gynecological cancer following surgery. Methods: The guideline was created through the following processes: defining the topic and generating clinical questions by using the PICO process, conducting a systematic literature reviewarticle and evidence appraisal, drafting the clinical guideline for Preventing Lower Limb Lymphedema in Patients with Gynecological Cancer (CGP-3L-in-GC), performing two rounds of Delphi consensus, and …

An Empirical Study Of The Relationship Among Physician-Patient Relationship Quality, Satisfaction And Loyalty Base On Experiential Marketing Perspective- Department Of Rehabilitation, Yuli Lan, Yuhua Yan, Yiching Lin, Yuping Tang, Chingming Ting

Rehabilitation Practice and Science

Objective: The purpose of the study was to use experiential marketing to explore the relationship among physician-patient relationship quality, satisfaction, and loyalty in a department of rehabilitation. Methods: A cross-sectional study was conducted. The study subjects were patients of rehabilitation department recruited from a regional hospital in Northern Taiwan using a convenient sampling strategy. A structured questionnaire was applied for data collection; the valid response rate of 190 distributed questionnaires was 96.31%. The statistical analysis methods utilized in the present study included descriptive analysis, one-way ANOVA, Pearson correlation analysis, and regression analysis. Results: The results indicated that age and occupation …

The Efficacy Of High Intensity Interval Training On Cancer Survivors: A Systematic Reviewarticle, Yuping Huang, Weihwa Liaw, Kueiyu Chien, Chienming Chen

Rehabilitation Practice and Science

Recent studies have begun to replace low-intensity exercise with high-intensity interval training (HIIT) to improve physical fitness and health-related quality of life of cancer survivors. To the best of our knowledge, there is no systematic reviewarticle to investigate the effect of HIIT on cancer survivors. Therefore, the aim of this systematic reviewarticle study is to summarize relevant randomized controlled trials on the physiologic efficacy of HIIT on cancer survivors, and to establish the clinical intervention principles of HIIT for cancer survivors. The literature reviewarticle covered online electronic databases (Pubmed, Medline, PEDro, and CEPS) from 2000 to 2016, and searched for …

Preliminary Studies Of The Developmental Motor Assessment Scale For Preschool Children: Development And Validation, Yihan Po, Chialing Chen, Chienju Chang, Pohsi Chen, Hsiehching Chen, Chiaying Chung, Chiachi Wang, Renhuei Fu, Lituan Chou

Rehabilitation Practice and Science

Many countries have developed comprehensive developmental motor assessment scale for preschool children (DMASPC). At present, there is no comprehensive gross motor and fine motor assessment scales for preschool children in Taiwan. The purpose of this study is to develop a DMASPC specifically for Taiwanese preschool children. This study is a cross-sectional study. One hundred and seventy-seven children with typical development (91 boys and 86 girls) were enrolled and received the DMASPC test. Fifty-four of the recruited children then received a second DMASPC test within the first week after recruitment, while the other 24 children were randomly selected and received clinical …

Using Objective Ultrasonographic Findings And Subjective Self-Reported Measures To Evaluate The Effectiveness Of A Novel Single Intra-Articular Injection Of Hyaluronic Acid For The Treatment Of Knee Osteoarthritis: A Preliminary Report, Shenghui Tuan, Ihsiu Liou, Minhui Li, Yunjeng Tsai, Yinhan Chen, Tinyun Liao, Chialing Hung, Hungya Huang, Shufen Sun

Rehabilitation Practice and Science

Purpose: Osteoarthritis (OA) is the most common musculoskeletal disease worldwide. Knee OA is the most common type of OA and is the main cause of disability in elderly people. Intra-articular (IA) injection of hyaluronic acid (HA) has been widely proven to improve pain, physical function, and quality of life among patients with knee OA. However, most of the previous studies have used low-to-moderate molecular weight (MW) HA and have evaluated the clinical benefits by using subjective self-reported measures. In this study, we evaluated the efficacy of a single IA injection of a novel cross-linked HA (HYAJOINT Plus) through objective ultrasonographic …

Effects Of Virtual Reality-Based On Constraint-Induced Therapy On Upper-Extremity Function In Children With Cerebral Palsy: A Pilot Study, Yunju Lin, Chunwen Chen, Chiaying Chung, Hsiehching Chen, Chishiun Wu, Tzuling Chang, Chialing Chen

Rehabilitation Practice and Science

Children with unilateral spastic cerebral palsy (CP) often use their sound limb to perform daily activities, which results in the learned non-use of the affected limb. Recently, many clinical researches have demonstrated the effectiveness of modified constraint-induced movement therapy (mCIMT). With the development of technology, virtual reality (VR) has gradually become one of auxiliary tools in novel rehabilitation therapy. However, mCIMT often causes frustrations in using the affected upper limb. This study uses VR as auxiliary rehabilitation equipment to form a new treatment approach-virtual reality-based constraint-induced movement therapy (VRCIT)-to investigate the effects VRCIT has on the function of the upper …

Recording Somatosensory Evoked Potential Of The Posterior Tibial Nerve With A Subdural Strip During Surgery For Spinal Dysraphism And Tethered Cord Syndrome, Han-Lin Wu, Muh-Lii Liang, Hsin-Hung Chen, Chen-Liang Chou, Tsui-Fen Yang

Rehabilitation Practice and Science

Objective: To investigate the feasibility of a subdural strip, placed just proximal to the surgical field, to record somatosensory evoked potentials (SSEPs) of the posterior tibial nerve (PTN) during detethering surgery for spinal dysraphism and/or tethered cord syndrome (TCS). Method: Twenty three patients (thirteen boys and ten girls; age, 4 months to 15 years) were enrolled in this study. Eleven patients had lipomyelomeningoceles, seven had TCS, two had split cord malformations, one with terminal myelocystocele, one with VACTERL syndrome, and one had a spinal tumor at the T11 to L4 level. Aside from the routine preparation needed for functional mapping …

Cervical Disc Herniation With Myelopathy Following Cervical Tuina Manipulation, Valeria Jia-Yi Chiu, Shu-Yuan Chou, Yu-Ting Hsieh, Yi-Shiung Horng

Rehabilitation Practice and Science

Complications following cervical manipulation can be classified as cerebrovascular or noncerebrovascular complications. The former complications occur more frequently, and they are usually due to vertebral artery occlusion, damage or thrombus formation. The latter include spinal cord or nerve root injuries and have seldom been reported. Herniation of the cervical disc with myelopathy following manipulation is rare. However, we have encountered two patients who developed cervical disc herniation with myelopathy secondary to cervical tuina manipulation for nuchalgia at the bone setting facilities. One of the patients suffered from shooting pain during manipulation and developed tetraparesis two days later. An MRI examination …

The Use Of Ultrasonography To Assess Outcomes And Prognostic Indicators In Carpal Tunnel Syndrome: A Study In Patients Treated With Night Splinting, Lin-Yi Wang, Mei-Yun Liaw, Yu-Chi Huang, Hsiao-Lan Chen, Yiu-Chung Lau, Ya-Ping Pong

Rehabilitation Practice and Science

Background: Controversy exists regarding the use of ultrasonography (US) to assess outcome variables and prognostic indicators of carpal tunnel syndrome (CTS). Objective: To investigate the value of US in evaluating outcomes and prognosis for CTS treated with night splinting. Methods: Fifty-eight hands with mild to moderate CTS were prospectively enrolled; 42 diseased hands completed the study. Satisfaction rating, symptom severity score (SSS), functional status score (FSS), nerve conduction study (NCS) data, and US data were evaluated as outcome variables before and after 3 and 6 months of night splinting. On an intent-to-treat basis, a binary logistic regression analysis was used …

The Performance And Occupational Therapy Intervention Effect Of Visual-Motor Integration In Adults With Prader-Willi Syndrome: A Pilot Study, Wanling Hsu, Weihsiu Chang, Meichun Lin, Kueiyu Chou, Jangting Wei, Valeria Chiu

Rehabilitation Practice and Science

Objective. This study was attempted to investigate the performance and the effect of occupational therapy intervention via visual-motor integration (VMI), visual perception and motor coordination in adults with Prader-Willi Syndrome (PWS). Methods. seven adults with PWS were included in the study. VMI, visual perception and motor coordination were assessed using the Beery Visual-Motor Integration test and VMI Supplemental tests in the beginning of the study, shortly after receiving the treatment and one month after the intervention. Treatment was scheduled for 2 hour per week for 2 months. Results. Every adult with PWS received a low age equivalent score in VMI, …

The Effect Of Wearing Compression Tights On Cardiopulmonary Function And Running Economy In Sedentary Overweight Or Obese Females, Shuming Yeh, Huangyuan Chang, Kuosheng Yang, Guanyu Lin, Souncheng Wang, Yunju Chen

Rehabilitation Practice and Science

Purpose: Previous studies conducted on pressure garments have suggested that compression garments may have positive effects on cardiopulmonary function while performing exercises by improving peripheral venous return and reducing muscle oscillation that may cause energy loss. However, most studies have not been able to prove this hypothesis and concluded that compression has no positive effect on cardiopulmonary function while performing exercises. This study was aimed at determining whether compression garments with a pressure gradient can reduce energy loss caused by muscle oscillation and subsequently promote running economy and cardiopulmonary function in sedentary overweight females. Methods: This study was conducted with …

A Casereport Of Concomitant Injection Of Botulinum Toxin Type A In Detrusor And External Sphincter For Treatment Of Neurogenic Bladder Dysfunction, Sheng-Wei Zeng, Yu-Hui Huang

Rehabilitation Practice and Science

Patients with spinal cord injury above the sacral level usually have spastic type neurogenic bladder dysfunction (NBD). Spastic NBD is usually manifested with detrusor overactivity and detrusor-external sphincter dyssynergia (DESD). Botulinum toxin type A (BoNT-A) injection has been used in treating spastic NBD for long time. This injection can be performed either on the detrusor (which needs an intermittent catheterization program and a greater decrease in intravesicle pressure) or on the external sphincter (which may cause urinary incontinence and a smaller decrease in intravesicle pressure). Here we present a SCI patient receiving a new injection method involving BoNT-A injection simultaneously …

A Case Study Of Abdominal Pedicle Skin Flap Repairing And Early Intervention To The Patient Who Suffered From Severe Hot Crush Injury In Hand, Po-Yao Wang, Jan-Wei Chiu, Man-Fang Hsu, Ruo-Lan Liu

Rehabilitation Practice and Science

Machine crush injury is the most common occupational injury in Taiwan. Machines operated at high pressures and temperatures can cause severe injury to the hands. To improve functional recovery of the hands, pedicled groin flap transfer is recommended. This reconstructive option is useful and versatile for covering hand wounds. The transfer yields predictable results with a procedure that is substantially less difficult and takes less time compared with free-tissue transfer; the disadvantage is that the extremity must be immobilized. Pedicled groin flap transfer can cause some complications, such as joint stiffness and edema, which can be prevented through early intervention …

Acute Effects Of Kinesio Taping On Low Back Pain And Back Muscle Endurance In Patients With Lumbar Disc Herniation, Hsinhan Cheng, Yunshan Yen, Shengchun Kung, Peichi Hsiao, Willy Chou, Yiming Lo

Rehabilitation Practice and Science

Kinesio taping has been widely used in patients with low back pain. However, the acute effects of kinesio taping on patients with lumbar disc herniation have yet to be investigated. The aim of this study was to examine the immediate effects of applying kinesio taping to the low back area on low back pain and back muscle endurance. In total, 27 patients with lumbar disc herniation (9 women and 18 men, aged 24-63 years) were enrolled in this study through magnetic resonance imaging examination. This study used a single-group, pretest-posttest design. A Kinesio Tex tape was applied to facilitate paraspinal …

Exploration Of Parental And Therapists' Perceptions For The Family-Centeredness Of Pediatric Rehabilitation Services, Linju Kang, Chialing Chen, Liju Chen, Huiju Chen, Aiwen Hwang

Rehabilitation Practice and Science

Background and purposes: Family-centered service (FCS) has been considered as relevant in pediatric rehabilitation to children with developmental disabilities. Given that there are many challenges in practice and a lack of evidence regarding its implementation in Taiwan, the study aimed to investigate that to what extent FCS was being practiced from parents' perceptions. Methods: This study includes a total of 100 parents/caregivers whose child had a primary condition associated with developmental disabilities and aged from 2 to 12 years (Mean age=4.6 years, SD=1.8 years). Children received rehabilitation services in clinic settings. The Measure of Processes of Care-20 (MPOC-20) was used …

A Retrospective Comparative Study Of Ultrasound And Mri In The Diagnosis Of Supraspinatus Tendon Tears At A Medical Center In Taiwan, Shihhao Feng, Yuhsuan Cheng, Tyngguey Wang

Rehabilitation Practice and Science

Objective: To evaluate the diagnostic accuracy of ultrasound (US) in comparison with magnetic resonance imaging (MRI), which is the gold standard for detecting full- and partial-thickness supraspinatus (SS) tendon tears at our general practice. Methods: From January 2015 to January 2016, 107 patients suffering from shoulder pain underwent both US and MRI of the shoulder at a medical center to identify their shoulder pathology, and were included in this work. The US was performed by a physiatrist at a US laboratory, and the US findings for the SS tendon were classified as normal, tendinosis (calcific/ non-calcific), a partial-thickness tear, or …

Mesh-Glove Electrical Stimulation On Upper Extremity Function In Children With Spastic Hemiplegic Cerebral Palsy: A Pilot Study, Chienwei Peng, Chialing Chen, Kuanglin Lin, Kehchung Lin, Chingyi Wu, Wenyu Liu, Hsiehching Chen

Rehabilitation Practice and Science

Introduction: Neuromuscular electrical stimulation is one of the non-invasive treatments for improving spasticity of upper extremity (UE) and motor function in children with cerebral palsy (CP). However, some children felt uncomfortable in receiving the neuromuscular electrical stimulation. The mesh-glove electrical stimulation (MGES) is one kind of somatosensory electrical stimulation. Recently, there were few researches indicating that MGES causes positive effectiveness for the spasticity control of UE in children with CP. This study aims to investigate the treatment effects of MGES on UE function and daily function in children with CP. Methods: This controlled trial is based on a pre- and …

Cardiopulmonary Exercise Testing In Two Patients With Late-Onset Pompe Disease Receiving Enzyme Replacement Therapy: A Casereport And Mini-Reviewarticle, Chenya Yang, Chihchin Chiu, Chenliang, Chou

Rehabilitation Practice and Science

In this casereport, we present a pair of siblings, a 16-year-old boy and a 19-year-old woman, who were both diagnosed as having late-onset Pompe disease. Each underwent cardiopulmonary exercise testing (CPET) in 2013 and 2015, respectively. The major finding in these two cases was that enzyme replacement therapy (ERT) over a 24-month period improved or stabilized pulmonary function despite late-onset Pompe disease. CPET revealed improved aerobic capacity in the brother, who was physically active, but deterioration in the sister, who lived a sedentary lifestyle. The findings of our cases are compatible with the current consensus that ERT can stabilize or …

Physical Therapy Management Of A Patient With Chronic Knee Pain: A Case Report, Mohamed Elsaid

Case Report Papers

Background and Purpose: Knee pain affects a large number of adults, and as a result limits their functional mobility and may induce participation restrictions. A number of risk factors may contribute to knee pain, with osteoarthritis (OA) being the most prevalent cause. The rate of knee replacement surgery among individuals 65 and older has increased significantly over the years. Physical therapy (PT) is a non-surgical option that offers individuals relief of their knee pain. Case Description: The patient was a 48-year-old Caucasian female referred to physical therapy with chronic right knee pain. She received PT twice a week for eight …

The Effect Of A Powered Ankle Foot Orthosis On Walking In A Stroke Subject: A Case Study, Ali Pourghasem, Ismail Ebrahimi Takamjani, Mohammad Taghi Karimi, Mohammad Kamali, Mohammad Jannesari, Iman Salafian

Department of Mechanical and Materials Engineering: Faculty Publications

[Purpose] Standing and walking are impaired in stroke patients. Therefore, assisted devices are required to restore their walking abilities. The ankle foot orthosis with an external powered source is a new type of orthosis. The aim of this study was to evaluate the performance of a powered ankle foot orthosis compared with unpowered orthoses in a stroke patient.

[Subjects and Methods] A single stroke subject participated in this study. The subject was fitted with three types of ankle foot orthosis (powered, posterior leg spring, and carbon ankle foot orthoses). He was asked to walk with and without the three types …

Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report, Megan Witherow Quarles

Case Report Posters

Bronchiectasis is a chronic lung disease defined by permanent abnormal dilation of the bronchi. Bronchiectasis often includes airway infection and inflammation. Pulmonary rehabilitation including progressive gait training, stair climbing, and cycling is a standard guideline for the treatment of bronchiectasis symptoms and for symptoms of other chronic lung diseases. Little research has been conducted on the effectiveness of pulmonary rehabilitation for patients with bronchiectasis. The purpose of this case report is to examine physical therapy (PT) management, utilizing pulmonary rehabilitation with incorporated balance training, for a geriatric patient with bronchiectasis.

Shoulder Strengthening, Taping And Postural Reeducation In A Breast Cancer Survivor After Bilateral Mastectomy: A Case Report, Nalis Mbianda

Case Report Posters

Breast cancer is the most common cancer experienced by females in the United States. In breast cancer survivors, weakness of the rotator cuff musculature is often considered a contributing factor to rotator cuff pathology. The purpose of this case report was to help fill the gaps in literature by documenting the use of therapeutic exercises to strengthen the shoulder complex, in conjunction with taping techniques for postural reeducation, of a female breast cancer survivor.

Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report, Megan Witherow Quarles

Case Report Papers

Background and Purpose: Bronchiectasis is a chronic lung disease defined by permanent, abnormal dilation of the bronchi and accompanied by chronic airway infection which leads to airway inflammation. Bronchiectasis is progressive and leads to a cycle of worsening pulmonary damage. Pulmonary rehabilitation, including progressive gait training, cycling, and stair climbing, is often utilized as treatment for this condition. However, there has been little research conducted on its effectiveness for bronchiectasis. The purpose of this case report is to examine physical therapy (PT) management, utilizing pulmonary rehabilitation with incorporated balance training, for a geriatric patient with bronchiectasis. Description: The patient was …

The Effects Orthostatic Hypotension Has On Falls: A Study Done In San Francisco With The Patient Population Of The Veterans Affairs Hospital, Sherry A. Ballard Ms.

Master's Projects and Capstones

The Effects Orthostatic Hypotension has on Falls: A Study Done in San Francisco Represented

Population of the Veterans Affairs Hoapital

The global AIM of this project is to Identify patients that are at risk for Orthostatic Hypotension (OH) with in the first 24 hours of addmission. It was identified that 50% of the falls over the last 4 quarters at the VA were OH related. The patients were not identified as a fall risk and over half of them had fallen multiple times. After performing a nursing survey online, a SWOT analysis, and a Root Cause Analysis using a fishbone …

Identification And Intervention For Action Planning Deficits In Children With Hemiplegic Cerebral Palsy, Swati M. Surkar

Theses & Dissertations

The primary purpose of this investigation was to describe and quantify action-planning deficits during goal-directed movements in children with hemiplegic cerebral palsy (HCP). Three specific topics were addressed: brain activation, kinematics, and the use of visual input. First, we assessed prefrontal cortex (PFC) activation during complex goal-directed actions in children with HCP. The outcome suggested that children with HCP have higher PFC activation than age matched typically developing (TD) children during action planning, potentially due to the difficulty in allocating attentional resources for simultaneously processing the cognitive (i.e., attention, memory, information processing) and motor demands of the goal-directed task. Reduced …

E For Everyone: Strategic Plan, Lindsay Calcaterra, Kaela Fischer, Kelley Flahaven, Megan Witherow Quarles, Maria Stern, Christina Tilton

Physical Therapy Administration

‘E for Everyone’ is an innovative and unique inclusion program that equalizes the playing field among all people with and without disabilities by creating opportunities to build synergistic relationships through teamwork, fun, and physical activity. Created during the Fall 2016 semester of the course Physical Therapy Administration, this strategic plan summarizes the program.

E For Everyone: Implementation Guide, Lindsay Calcaterra, Kaela Fischer, Kelley Flahaven, Megan Witherow Quarles, Maria Stern, Christina Tilton

Physical Therapy Administration

‘E for Everyone’ is an innovative and unique inclusion program that equalizes the playing field among all people with and without disabilities by creating opportunities to build synergistic relationships through teamwork, fun, and physical activity. Created during the Fall 2016 semester, concurrent with the course Physical Therapy Administration, this implementation guide describes the step by step process for implementing the program.