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Full-Text Articles in Rehabilitation and Therapy

Botulinum Toxin Type A Injections For Refractory Abdominal Dystonia: A Case Report, William J. Naber Ii, Jodi M. Wilhelm, Kurt A. Kuhlman, Gabriel Howard Nov 2023

Botulinum Toxin Type A Injections For Refractory Abdominal Dystonia: A Case Report, William J. Naber Ii, Jodi M. Wilhelm, Kurt A. Kuhlman, Gabriel Howard

Graduate Medical Education Research Journal

Background: A 58-year-old male with chronic bilateral treatment resistant abdominal spasms secondary complications of ascites/ alcoholic cirrhosis. Spasms would occur 4-5 times/day, lasting minutes to hours despite a 2-year course of therapeutic and pharmacological interventions. Due to treatment refraction, 6 uniformly spaced botulinum toxin type A (BTX-A) injections were placed per side, using electromyography for audible intramuscular syringe placement confirmation, while visual confirmation was made via ultrasound. During the initial trial, 6 evenly spaced injections were performed bilaterally, uniformly distributing 80U/side. Injections began bilaterally just medial to the junction of the inferior rib cage border/ anterior axillary line and progressed …


Application Of Ultrasonography In The Diagnosis And Treatment (5% Dextrose Hydrodissection) For Entrapment Of Spinal Accessory Nerve: A Casereport, Tien-Lee Hsieh, Wei-Ting Wu, Chun-Ping Wang, Liang-Chun Chien, Lin-Fen Hsieh Dec 2022

Application Of Ultrasonography In The Diagnosis And Treatment (5% Dextrose Hydrodissection) For Entrapment Of Spinal Accessory Nerve: A Casereport, Tien-Lee Hsieh, Wei-Ting Wu, Chun-Ping Wang, Liang-Chun Chien, Lin-Fen Hsieh

Rehabilitation Practice and Science

The anatomical structure of the neck area is exceedingly complex; thus, cervical nerve damage during surgical procedures is not uncommon. A 25-year-old woman underwent excisional biopsy for neck lymphadenopathy. The patient reported left upper back pain and left shoulder weakness 1 day after the surgery. Physical examination revealed weakness of the left upper trapezius muscle and winging of the left scapula. A nerve conduction study indicated decreased compound muscle action potential amplitude on stimulation of the left spinal accessory nerve (SAN); electromyography also revealed denervation changes with the presence of voluntary motor unit action potentials in the left upper trapezius …


Tibial Neuropathy After Revision Total Knee Prosthesis: A Casereport, Chun-Ping Wang, Wei-Ting Wu, Lin-Fen Hsieh Dec 2021

Tibial Neuropathy After Revision Total Knee Prosthesis: A Casereport, Chun-Ping Wang, Wei-Ting Wu, Lin-Fen Hsieh

Rehabilitation Practice and Science

We describe a 74-year-old woman with right knee osteoarthritis experiencing right tibial neuropathy because of complications of total knee arthroplasty revision. Weakness in the right toe flexors and paresthesia over the sole of the right foot were observed after operation. A nerve conduction study and electromyographic examination indicated right tibial neuropathy. Radiography indicated a prosthesis fragment in the right popliteal fossa, and its location was different before and after surgery. Prosthesis fragment dislodgement was also confirmed through ultrasonography, and the nearby tibial nerve may have been entrapped because of the dislocation process and surrounding tissue fibrosis. Ultrasonography confirmed the prosthesis …


Biomechanical Properties Of Land Based And Shallow Water Wait: A Comparative Review Of Literature, Mostafa Yaghoubi, Philip Fink, Wyatt H. Page, Sarah P. Shultz Dec 2020

Biomechanical Properties Of Land Based And Shallow Water Wait: A Comparative Review Of Literature, Mostafa Yaghoubi, Philip Fink, Wyatt H. Page, Sarah P. Shultz

International Journal of Aquatic Research and Education

Aquatic locomotion exercises are frequently used in rehabilitation and cross-training for land-based athletes. Hydrostatic pressure, thermal conductivity and drag force affect a person's ability to move; therefore, it is important to understand differences of biomechanical gait in water vs land. This review investigated biomechanical differences between shallow water and land-based exercises. PubMed, Google Scholar, SPORTDiscus and Scopus were searched; 33 studies included walking forward (27), backward (6) and running (6). Electromyographic amplitude was similar or less in submaximal intensity during aquatic gait, in comparison to on land. At maximal intensities, however, the amplitude was similar (n=5) or higher (n=4) in …


A Critical Review Of The Abductor Pollicis Longus Electromyographic Activity, Hisham Arabkabeya Nov 2020

A Critical Review Of The Abductor Pollicis Longus Electromyographic Activity, Hisham Arabkabeya

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

The aim of this study was to review the current evidence of the abductor pollicis longus electromyographic activity during thumb movements. The author performed an electronic thorough search for EMBASE, MEDLINE, CINAHL, and Web of Knowledge articles. Nine pieces in particular were found to explore the electromyographic activity of the abductor pollicis longus during thumb functional and non-functional movements. Consistent results were noticed, all emphasizing the key role of abductor pollicis longus in stabilizing the thumb's carpometacarpal joint. All target studies provided useful information about the abductor pollicis longus electromyographic activity. However, none of them examined the relationship between abductor …


Clinical And Surface Electromyography Evaluation Pre And Post Orofacial Myology Therapy, Luiza Junqeira Ferrer, Adriana Tessitore, Almiro J. Machado Júnior, Eulalia Sakano Nov 2020

Clinical And Surface Electromyography Evaluation Pre And Post Orofacial Myology Therapy, Luiza Junqeira Ferrer, Adriana Tessitore, Almiro J. Machado Júnior, Eulalia Sakano

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: The objective of this study is to observe the efficacy of orofacial myofunctional therapy in children who breathe through their mouths “mouth breathers” using a clinical assessment and surface electromyography. Method: 30 nasal breath (control group) and 30 mouth breathers (study group) were evaluated initially, and the study group was re-evaluated after 12 sessions of orofacial myofunctional therapy. Assessments involved the MBGR protocol and surface electromyography. Results: The control group had significantly better scores on all nasal breathing tests compared to mouth breathers both before and after therapy. However, mouth breathers demonstrated statistically significant improvements over time with therapy. …


Compressive Femoral Neuropathy Caused By Iliopsoas Muscle Hematoma: A Casereport, Szu-Hung Tsao, Yu-Ting Hsieh, Tai-Yi Wu, Shu-Hua Lin Dec 2013

Compressive Femoral Neuropathy Caused By Iliopsoas Muscle Hematoma: A Casereport, Szu-Hung Tsao, Yu-Ting Hsieh, Tai-Yi Wu, Shu-Hua Lin

Rehabilitation Practice and Science

Femoral neuropathy is uncommon compared with other mononeuropathies. We report a case of femoral neuropathy in a 53-year-old man who has cardiovascular disease and took Coumadin for 8 years. He has left lower extremity pain and weakness because of femoral nerve and lumbar plexus compression caused by an iliopsoas hematoma, which resulted from a period of prolonged bleeding. The patient’s condition improved after surgery and rehabilitation. We also reviewarticle the anatomy and pathophysiology of the femoral nerve, the clinical presentation of femoral neuropathy, the diagnostic tools used, the treatment method, and the prognosis.


The Hypoalgesic Effect Of Tens During Needle Emg Study, Wang-Lin Su, Hsuan-Yi Lin, Gwo-Chi Hu Dec 2006

The Hypoalgesic Effect Of Tens During Needle Emg Study, Wang-Lin Su, Hsuan-Yi Lin, Gwo-Chi Hu

Rehabilitation Practice and Science

Needle electromyography (EMG) is an important diagnostic and prognostic tool in physical medicine. However, some patients are unable to tolerate the pain associated with the procedure. While there has been research in methods aimed at reducing the pain from needle EMG, all have obvious disadvantages.TENS is a widely accepted tool for producing analgesia, but it has not been studied as an analgesic adjunct to needle EMG. We designed a double-blind, randomized, placebo-controlled study to investigate the effectiveness of TENS on alleviating the pain during a needle EMG study.Fifty-nine subjects undergoing needle EMG study in an upper extremity were randomly assigned …


The Trapezius Reflex: A New Reflex For Bilateral Motor Control, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Chia-Hui Chen, Chang-Zern Hong Dec 2005

The Trapezius Reflex: A New Reflex For Bilateral Motor Control, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Chia-Hui Chen, Chang-Zern Hong

Rehabilitation Practice and Science

Close links between the bilateral trapezii are essential for the stability and coordination of neck and shoulder movements. However, there is no direct neurophysiological evidence to support such a bilateral motor control mechanism. Our study is the first to use an electrodiagnostic method to prove the existence of this reflex. In this study, we have identified a new uniform or standardized technique, named the trapezius reflex (TR), which is able to evaluate proximal shoulder motor function. The TR is defined as an electrically elicited reflex that originates from the synchronized activation of both trapezii by electric stimulation of the accessory …


Cervical Spondylosis With Unilateral Symmptomatic Radiculopathy And Radiculopathy On The Asymptomatic Side, Hwa-Lin Shou, Shei-Song Hsu, Rai-Chi Chan, Tao-Chan Hsu Jun 1995

Cervical Spondylosis With Unilateral Symmptomatic Radiculopathy And Radiculopathy On The Asymptomatic Side, Hwa-Lin Shou, Shei-Song Hsu, Rai-Chi Chan, Tao-Chan Hsu

Rehabilitation Practice and Science

This study has the following purposes: (1) to inquire the incidence of radiculopathy on the asymptomatic side in the cervical spondylotic patients with unilateral symptomatic radiculopathy. (2) to inquire the relationship between asymptomatic side and symptomatic side in the unilateral symptomatic radiculopathic patients due to cervical spondylosis. All subjects has been studied by motor and sensory nerve conduction test, and electromyography (EMG) for muscles supplied by roots from C-5 to T-l levels bilaterally. The results showed that the incidence of radiculopathy and the EMG abnormalities on the asymptomatic side correlated well with the EMG abnormalities on the symptomatic side, but …