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Articles 1 - 21 of 21
Full-Text Articles in Medicine and Health Sciences
Reversal Of Left Ventricular Remodeling Associated With High-Intensity Interval Training Promoting Cardiorespiratory Fitness In Heart Failure Patients, Hsien-Te Chu, Tieh-Cheng Fu, Jong-Shyan Wang, Chih-Chin Hsu
Reversal Of Left Ventricular Remodeling Associated With High-Intensity Interval Training Promoting Cardiorespiratory Fitness In Heart Failure Patients, Hsien-Te Chu, Tieh-Cheng Fu, Jong-Shyan Wang, Chih-Chin Hsu
Rehabilitation Practice and Science
This study was designed to explore the high-intensity interval training (HIIT) effects on cardiorespiratory fitness as well as the reversal of left ventricle (LV) remodeling, and association between them in heart failure (HF) patients. We included HF patients under our HF care program between 2009 and 2018. The 17 HF patients enrolled in the study were further divided into in-hospital supervised HIIT (n=8) or medical care (control) (n=9) groups according to their preference. All participants underwent cardiovascular magnetic resonance imaging (CMR) examination and a cardiopulmonary exercise test (CPET) before the exercise intervention or medical care. The HIIT participants had 36 …
The Effects Of The Rewalk^(Tm) Robotic System On Walking Capability In Paraplegic Spinal Cord Injury Patients In Taiwan, Alice Cw Tang, Shao An Lee, Albert Ck Chen, Ching Yu Wang, Wan Yu Chou, Show Chun Chen, Chih Lin Wu, Simon Fuk Tan Tang
The Effects Of The Rewalk^(Tm) Robotic System On Walking Capability In Paraplegic Spinal Cord Injury Patients In Taiwan, Alice Cw Tang, Shao An Lee, Albert Ck Chen, Ching Yu Wang, Wan Yu Chou, Show Chun Chen, Chih Lin Wu, Simon Fuk Tan Tang
Rehabilitation Practice and Science
Background: The ReWalk^(TM) system is an exoskeleton robotic device developed for ambulation assistance in patients with paraplegic spinal cord injury (SCI). The purpose of this study is to evaluate the safety and walking capability of the ReWalk^(TM) system for patients with paraplegic spinal cord injury in Taiwan. Methods: Eight patients with SCI and paraplegia were recruited for the study in a period from April 2015 to April 2016. The level of injuries ranged from T4 to T11. Assessments included the continuous walking time, the continuous walking distance, 6-minute walking test and 10-meter walking test after training for forty hours. Results: …
Evaluation Of Clinical Morbidities And Their Influence On Quality Of Life In Patients With Oral Cavity Cancer After Radiotherapy, Hao-Wei Tang, Tung-Hao Chang, Kuan-Lin Chen, Kuo-Yang Tsai, Su-Fen Liao, Wei-Te Wang
Evaluation Of Clinical Morbidities And Their Influence On Quality Of Life In Patients With Oral Cavity Cancer After Radiotherapy, Hao-Wei Tang, Tung-Hao Chang, Kuan-Lin Chen, Kuo-Yang Tsai, Su-Fen Liao, Wei-Te Wang
Rehabilitation Practice and Science
Background: Oral cavity cancer is the most common cancer in middle-aged men in Taiwan. Radiation fibrosis syndrome and lymphedema are the leading side effects in patients with oral cavity cancer, and can deteriorate their quality of life (QOL). The aim of this study was to prospectively evaluate common morbidities and their influences on QOL in patients with oral cavity cancer. Methods: 27 patients with oral cavity cancer who received surgery and radiotherapy (RT) were recruited. Clinical evaluations of each patient included the VAS pain scale, the lymphedema scale, facial distance measurement for lymphedema, maximal interincisal distance (MID), range of motion …
Effectiveness Of Post-Acute Rehabilitation On Functional Outcome After Hip Fracture, Yen-Ju Wang, Pei-Hsin Lin, Li-Ning Peng, Mu-Jung Kao, Serena Y.C Lin, Kuan-Hua Huang, Yen-Fang Chen, Miao-Ru Liang
Effectiveness Of Post-Acute Rehabilitation On Functional Outcome After Hip Fracture, Yen-Ju Wang, Pei-Hsin Lin, Li-Ning Peng, Mu-Jung Kao, Serena Y.C Lin, Kuan-Hua Huang, Yen-Fang Chen, Miao-Ru Liang
Rehabilitation Practice and Science
Objective: We investigated the effectiveness of functional recovery after 2-week post-acute rehabilitation in elderly people with hip fractures. Design: We divided the patients (N = 129) into 2 groups: the post-acute care (PAC) group (N = 90) that received 2-week in-hospital rehabilitation and the control group (N =39) that were discharged immediately. Outcomes were measured according to the Barthel Index (BI) score. Results: The BI scores at 2 weeks, 3 months, and 6 months were higher in the PAC group than those in the control group, especially for transfer and mobility. Males, aged less than 80 years old, or who …
Experience In Managing Child With Congenital Fiber Type Disproportion With Rehabilitation Outcome: Casereport, Po-Cheng Hsu, Sung-Yin Chuang, Tsui-Fen Yang
Experience In Managing Child With Congenital Fiber Type Disproportion With Rehabilitation Outcome: Casereport, Po-Cheng Hsu, Sung-Yin Chuang, Tsui-Fen Yang
Rehabilitation Practice and Science
Congenital fiber type disproportion（CFTD）為一非進行性先天性肌肉病變，須經肌肉切片病理確診，其特點為第一型骨骼肌纖維體積比第二型肌纖維至少小12%。現有文獻提及此疾病之臨床表現變異性大，除肌肉無力，可能併有弓狀顎（High-arched palate）、眼肌麻痺症（Ophthalmoplegia）、呼吸障礙等。患者皆因肌肉無力造成顯著功能障礙。本案例為一10歲確診CFTD男童之長期追蹤與復健介入之描述。患者出生時明顯肌張力不全，自四個月起因生長遲滯、吞嚥功能障礙而接受鼻胃管置入，但診斷未明；後續持續安排物理治療與與語言及吞嚥治療，該患者於一歲八個月時開始走路，三歲時成功移除鼻胃管，並於此時才確診CFTD。患者定期接受完整發展評估，結果顯示明顯動作發展遲緩，其社會心理領域評估結果皆為正常範圍。該患者的肌力與肌耐力隨著年紀增大與物理治療介入而有進步。日常生活能力評估於運動部分仍部分依賴。此外，長期追蹤過程發現該患者有多種肌肉病變之併發症，包括脊柱側彎、雞胸（pectus carinatum）、以及關節與肌肉疼痛。物理治療介入以及教導患者以及家屬運用節省能量之日常生活方式，包括輪椅使用、自我安排活動。本病例報告紀錄CFTD肌病變患者之長期追蹤與復健過程，根據患者之狀況設定個人化復健目標，及處理相關之併發症。
Evaluation Of Pediatric Subjects With Swallowing Disorder Part I: Physiology And Pathology, Luh Karunia Wahyuni, Chan-Wei Lin, Tyng-Guey Wang
Evaluation Of Pediatric Subjects With Swallowing Disorder Part I: Physiology And Pathology, Luh Karunia Wahyuni, Chan-Wei Lin, Tyng-Guey Wang
Rehabilitation Practice and Science
Feeding and swallowing disorders are important issues in a pediatric population, which may lead to malnutrition, dehydration, or increased risk of pulmonary complications. Pediatric dysphagia is more complex than adult dysphagia in some aspects because it includes developmental progress in anatomical structures and physiological functions. To manage pediatric feeding and swallowing disorders, comprehensive knowledge regarding the development of normal swallowing and of the pathologies of common diseases related to pediatric dysphagia are necessary. In this article, we will reviewarticle the pediatric swallowing structures and physiology, and address the feeding and swallowing problems in common pediatric diseases, including cerebral palsy, cleft …
Early Physical Therapy Intervention For A Child With Williams-Beuren's Syndrome And Presenting With Icf Model For Individual Activity And Participation: A Casereport, Shin-Mei Liu, Feng-Yin Lien, Shin-Tsu Chang, Heng-Yi Chu
Early Physical Therapy Intervention For A Child With Williams-Beuren's Syndrome And Presenting With Icf Model For Individual Activity And Participation: A Casereport, Shin-Mei Liu, Feng-Yin Lien, Shin-Tsu Chang, Heng-Yi Chu
Rehabilitation Practice and Science
Williams-Beuren's syndrome (W-B syndrome) is one of the genetic diseases, often comes with cardiovascular disease, abnormality of facial and teeth structure, poor motor control, delayed development of cognition and spatial sense. Here we present one child with W-B syndrome who underwent early intervention since she was 7 months old. After 20-month training, the child has made impressive progress in motor function and abilities of carrying ADL. Furthermore, by giving the parents instructions and guidelines for home programs, the relationship between the child and her parents also improved a lot. As the matter of fact, this casereport showed that the early …
Panuveitis After Intravenous Injection Of Bisphosphonate: A Casereport, Chi-Kai You, Si-Huei Lee, Chen-Liang Chou
Panuveitis After Intravenous Injection Of Bisphosphonate: A Casereport, Chi-Kai You, Si-Huei Lee, Chen-Liang Chou
Rehabilitation Practice and Science
As human life expectancy has increased, osteoporosis has become a major epidemic disorder. The most common consequences of this are fractures in different parts of the body. In addition to regular follow-up tests of bone-mineral density, treatment methods include: 1. increasing the dietary intake of calcium and vitamin D, 2. maintenance of body weight, avoiding alcohol and tobacco, regular exercise, and fall prevention, 3. medications, the most widely used being bisphosphonates. Bisphosphonates can limit bone loss via the inhibition of osteoclasts. They have been widely prescribed for senile osteoporosis, osteoporosis due to administration of steroids, bone loss due to malignancies …
Pre-Operative Localization Of A Chest Wall Needle By Ultrasonography: A Casereport, Jannie Ying-Syuan Chen, Tung-Mao Chiang, Yi-Cheng Wu, Chao-Yi Huang, Chih-Chin Hsu, Wen-Chung Tsai
Pre-Operative Localization Of A Chest Wall Needle By Ultrasonography: A Casereport, Jannie Ying-Syuan Chen, Tung-Mao Chiang, Yi-Cheng Wu, Chao-Yi Huang, Chih-Chin Hsu, Wen-Chung Tsai
Rehabilitation Practice and Science
High-resolution ultrasonography is a useful tool for the localization of non-palpable soft-tissue foreign bodies. A 21-year-old female underwent a routine health examination, during which chest radiography revealed a radio-opaque linear foreign body. The foreign body was located within left posterior chest wall, 4 to 5 cm lateral to the T8 spinous process. The shape indicated a needle. The possible presence of a needle in the chest wall meant that an operation to remove it was imperative. There was no tender point or palpable mass present on the chest wall and, consequently, there was difficulty determining the precise location of the …
Botulinum Toxin Type A Treatment For Drooling In Taiwanese Children With Cerebral Palsy: Three Casereports, Yu-Ching Lin, I-Ling Lin, Yu-Te Chiu, Jeng-Yi Shieh
Botulinum Toxin Type A Treatment For Drooling In Taiwanese Children With Cerebral Palsy: Three Casereports, Yu-Ching Lin, I-Ling Lin, Yu-Te Chiu, Jeng-Yi Shieh
Rehabilitation Practice and Science
Botulinum toxin is a promising treatment option for the management of drooling in patients with cerebral palsy. However, the effect of botulinum toxin type A in treating drooling of Taiwanese children with cerebral palsy has not been reported thus far. We injected single dose botulinum toxin into bilateral parotid glands of three children with cerebral palsy, and followed the results over a 9-month period. Drooling improved in all three patients without significant adverse effects during follow up. There were individual differences in terms of efficacy and duration of effect. Two patients had longer duration of effect than that reported in …
Etiology And Rehabilitation Effect Of Stroke In Child: A Casereport, Li-Chen Tung, Kwok-Tak Yeung, Chun-Hou Wang, Wen-I Liang, Liu-Ing Bih
Etiology And Rehabilitation Effect Of Stroke In Child: A Casereport, Li-Chen Tung, Kwok-Tak Yeung, Chun-Hou Wang, Wen-I Liang, Liu-Ing Bih
Rehabilitation Practice and Science
The incidence of strokes in childhood is 2.5/100,000. Of these, occlusive stroke accounts for 57 to 85 percent, and hemorrhagic stroke accounts for 15 to 51 percent. Occlusive stroke is primarily caused by congenital heart defects, and the principal symptom is acute hemiplegia. Hemorrhagic stroke is caused mostly by abnormalities of blood vessels, and is characterized by headache and loss of consciousness. Compared to adults, children have better collateral circulation and incompletely developed brains. The clinical and recovery courses those in children are different from those of adults. The prognosis and the incidence of stroke recurrence are largely determined by …
Return To School After Spinal Cord Dysfunction In Central Taiwan, Hong-Li Lee, Liu-Ing Bih, Hua Ting, Shih-Chung Chang, Li-Chen Tung
Return To School After Spinal Cord Dysfunction In Central Taiwan, Hong-Li Lee, Liu-Ing Bih, Hua Ting, Shih-Chung Chang, Li-Chen Tung
Rehabilitation Practice and Science
This retrospective study explores the physical and emotional barriers faced by individuals with spinal cord dysfuntion when returning to school. All subjects lived in central Taiwan. The questionnaires of 20 cases were successfully completed. The ages of them at the time of the disorder ranged from 0 to 20 years (mean of 10.9 years). Regarding the education level, 7 of 20 were graduated from or remained in university or college, 8 in high school, 3 in junior high school, and 2 in kindergarten. More than half (52%) stated the architectural barrier, most commonly mentioned, was lack of the elevator to …
The Knowledge, Attitude And Behavioral Intention Of Taditional Chinese Medicine Among People With Spinal Cord Injury, Hong-Li Lee, Liu-Ing Bih, Pesus Chou
The Knowledge, Attitude And Behavioral Intention Of Taditional Chinese Medicine Among People With Spinal Cord Injury, Hong-Li Lee, Liu-Ing Bih, Pesus Chou
Rehabilitation Practice and Science
The goal of this study was to explore knowledge, attitude and behavioral intention towards traditional Chinese medicine (TCM) among people with spinal cord injury (SCI). 155 valid sample questionnaires were collected and the following results were drawn from descriptive and inferential statistical analysis. The item with highest percentage being answered accurately was ”traditional Chinese drugs are made in different forms, such as boiled soup, pills, or condensed powder”. The greatest agreement regarding attitude toward positive tendency to TCM was ”agree that SCI victims are free of charge to take TCM service under the policy of health insurance”. Regarding behavioral intention …
Clinical Experience In Rehabilitation Of Ankylosing Spondylitis Associated With Spinal Cord Injury, Li-Chen Tung, Chih-Hsiang Ho, Liu-Ing Bih
Clinical Experience In Rehabilitation Of Ankylosing Spondylitis Associated With Spinal Cord Injury, Li-Chen Tung, Chih-Hsiang Ho, Liu-Ing Bih
Rehabilitation Practice and Science
Ankylosing spondylitis is an inflammatory disease of the axial skeleton. Spinal ankylosis reduces vertebral flexibility, exacerbates osteoporotic change, and leads to a loss of the biomechanical function of the spine. Thus, even small impacts might cause vertebral fracture or damage of the spinal cord in the patients with ankylosing spondylitis.This retrospective study included 11 patients with ankylosing spondylitis who were admitted to a hos-pital between 1991 and 1999 for rehabilitative service after spinal cord injury. Of these patients, 10 were male, and one female. Average age was 46.3 ± 14.3 years. Falls accounted for injuries in six patients, traffic accidents …
Alien Hand Syndrome：Report Of Six Cases And Review Of The Literature, Fan-Fei Tseng, Liu-Ing Bih, Chi-Chung Ho
Alien Hand Syndrome：Report Of Six Cases And Review Of The Literature, Fan-Fei Tseng, Liu-Ing Bih, Chi-Chung Ho
Rehabilitation Practice and Science
The alien hand syndrome was diagnosed in six stroke patients treated in our hospital during the period from 1993 to 1998. Left cerebral artery occlusion was responsible for the stroke episode in five patients and hydrocephalus subsequent to intracerebral hemorrhage in one patient. All of the patients were right handed and exhibited behavior of forced grasping and impulsive groping, with their dominant hand, of objects entering their field of vision. The patients also exhibited unilateral involuntary handling and utilization of familiar objects and compulsive manipulation of tools with their dominant hand and restrain of the dominant hand with their contralateral …
Concurrent Validity Of The Modified Functional Reach Test In Thoracic Spinal Cord Injured Patients, Chiung-Ling Chen, Ming-I Chen, Kwok-Tak Yeung, Jiun-Nan Tsai, Ming-Shun Wu, Ching-Jung Chien
Concurrent Validity Of The Modified Functional Reach Test In Thoracic Spinal Cord Injured Patients, Chiung-Ling Chen, Ming-I Chen, Kwok-Tak Yeung, Jiun-Nan Tsai, Ming-Shun Wu, Ching-Jung Chien
Rehabilitation Practice and Science
”Training of sitting balance is one of the major treatment programs for rehabilitation of complete thoracic spinal cord injured patients. In the literature, there are only a few objective and quantitative tests for sitting balance, and they are not appropriate for patients with spinal cord injury. The Functional Reach Test was modified by Lynch and colleagues to measure sitting balance. The study of the Modi-fied Functional Reach Test demonstrated that it provides reliable measurement of sitting balance in patients with spinal cord injury. The purpose of this study was to investigate the concurrent validity of the Modified Functional Reach Test …
Urological Complication And Its Risk Factors For The Patients With Spinal Cord Injury, Shih-Chung Chang, Su-Ju Tsai, Li-Chen Tung, Liu-Ing Bih
Urological Complication And Its Risk Factors For The Patients With Spinal Cord Injury, Shih-Chung Chang, Su-Ju Tsai, Li-Chen Tung, Liu-Ing Bih
Rehabilitation Practice and Science
”From January 1993 to June 1996, one hundred and fifty-four spinal cord injury (SCI) patients received urodynamic studies, including urosonography, radionuclide renography, voiding cystoureth-ragrphy, intravenous urography, and/or cystometry. Among the subjects, 125 patients were male (81.2%) and 29 were female (18.8%); there are 133 patients (86.4%) with upper motor neuron lesion and 21 (13.4%) with lower motor neuron lesion.One hundred and eleven patients (72.7%) had the history of symptomatic urinary tract infection, and urolithiasis was noted in 3 patients (1.9%). Upper urinary deterioration was noted in 81 patients (52.6%), including 29 vesicoureteral reflux and 71 pyelocaliectasis (19 patients had both …
Clinical Studies Of Voiding Dysfunction Among Asymptomatic Diabetic Subjects, Liu-Ing Bih, Su-Ju Tsai, Chien-Ning Huang, Ming-Miau Tsai, Ya-Chun Lai
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 …
Reliability Study And Features Of Falling Tendency When Standing In Unilateral Hemispheric Stroke Patients, Ling-Fu Meng, Shi-Dong Jush, Mei-Hsiang Chen
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 …
Effects Of An Anterior Ankle-Foot Orthosis On Hemiplegic Gait, Chiung-Ling Chen, Kwok-Tak Yeung, Shin-Han Wu, Ping-Yen Chiang
Effects Of An Anterior Ankle-Foot Orthosis On Hemiplegic Gait, Chiung-Ling Chen, Kwok-Tak Yeung, Shin-Han Wu, Ping-Yen Chiang
Rehabilitation Practice and Science
Ankle-foot orthoses (AFOs) are frequently prescribed for hemiplegia to correct the ankle joint, provide mediolateral stability and improve ambulatory safety.Metal orthoses have gradually been replaced by plastic AFOs because metal orthoses are heavy and have a poor cosmetic appearance. Conventional plastic AFOs are designed in posterior leaf type and fabricated by a lamination or vacuum-forming technique over a positive plaster model of the limb. It takes time to fabricate a plastic AFO, and the effect of correcting for inversion of a hemiplegic foot is not obvious. Wu designed a low-temperature anterior direct molding AFO called an anterior AFO. It is …
Patterns Of Dyslalia In Mandarin Speakers, Baii-Jia Yang, Shiang-Jiun Lai, Wen-Ling Liao
Patterns Of Dyslalia In Mandarin Speakers, Baii-Jia Yang, Shiang-Jiun Lai, Wen-Ling Liao
Rehabilitation Practice and Science
Four types of dyslalia-substitution, omission, distortion and addition, are common in English speakers.The purpose of our study is to find the characteristics of dyslalia in Mandarin speakers. The past two years, there were 74 dyslalic patients of which 57 were males and 17 were females. Their ages ranged from 4years to 23 years. Detailed examinations and tape records were taken. The results revealed that substitution was the most common type of dyslalia. Omission was the second one. Distortion was less common than omission and was always found in combination with one of the other types of dyslalia. Addition was not …