Rehabilitation and Therapy Commons^™

Posture And Gait In Patients With Diabetic Distal Symmetrical Polyneuropathy, Guy G. Simoneau, Peter R. Cavanagh, Jan S. Ulbrecht

Physical Therapy Faculty Research and Publications

No abstract provided.

The Effect Of Vestibular Stimulation On Expressive Language Of Pre-Schoolers With Down Syndrome, Tiffany Bergo

Masters Theses

Effects of vestibular stimulation, when presented prior to language therapy, on expressive language abilities in pre-school children with Down syndrome were examined. Two subjects participated; one subject completed the study. Vestibular stimulation was therapist- and child-initiated and provided by various types of equipment. The subject's expressive language use (verbal and non-verbal) was videotaped during fifteen minutes of language therapy across a six-week, eleven-session period.

Results of this study indicate that expressive language use increased or improved across many parameters during the vestibular stimulation phase of the study. The subject displayed greatest gains in the use of multiple word utterances and …

A Survey Study Of The Spinal Cord Injuries And Their Activity Of Daily Living In Tainan Area, Tse-Chieh Hsueh, Yue-Nan Jenp, Jiunn-Ren Su, Yen-Chun Wu

Rehabilitation Practice and Science

During Feb. and May of 1991, we followed up 110 cases of the spinal cord injuries by questionnaire and telephone in the Tainan area. The patients are composed of 95 males and 15 females, ranging of age from 16 to 78 years with the mean age of 43.2 ± 14.7 years. About three-fifth of the subjects sufferred from their injuries in the recent three years.There are 51 cases of quadriplegia, 19 of the cases are complete. 59 cases of paraplegia also appear, 33 of them are complete too. Three fifth of these patients received rehabilitation. All complete quadriplegia must require …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

Changes Of Cmap Related To Wrist Angle, Chao-Jung Chen, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to determine the changes of the latency, duration , amplitude, and area of CMAP related to different wrist angle. (max flexion, flexion 30° , neutral, extension 30° , max extension) The results revealed there is significant changes in area, duartion & muscle length of flexor carpi radialis (P＜0.001), but not in latency & amplitude. And it is increasing trend related to increasing wrist angle. (P＜0.001) It is concluded that we must notice the pt's wrist angle when we perform the nerve conducation study.

Assessment Of Ipper Cervical Lesion, Sheu-Yeh Shu, Chorng-Sonq Chou

Rehabilitation Practice and Science

Neck pain is the most clinical complain in PM&R out patient department. In spite of , the upper cervical is rare. But the lesion is variety and dangerous.The upper cervical lesion, non-pathologic lesion is always obviously traumatic history. But pathologic lesion has not obviously traumatic history that the diagnosis is often delayed. This study was carried out on 68 cases (age 3-76, M/F 51/17) who took CT or MRI at TAICHUNG VETERAN GENERAL HOSPITAL from SEP. 1983 to NOV. 1991. These cases consisted 51 male, 17 female. According to the final results, non-pathologic change 9/68 pathologic 59/68. There were three …

Therapeutic Trial Of Acupuncture In Neurogenic Bladder Of Spinal Cord Injured Patients -- A Preliminary Report, Pao-Tsai Cheng, Yuch-Chaio Chu, May-Kuen Wong, Phei-Lang Chang

Rehabilitation Practice and Science

Neurogenic bladder is a major problem for the spinal cord injured patients. A successful bladder training may not only reduce the mobility or mortality rate of these patients, but also improve the quality of their life and psychological outlook. However, it usually takes two to three months of bladder training to reach balanced status. This study was aimed to find the effect of electro-acupuncture in the management of neurogenic bladder in spinal cord injured patients.Totally 27 patients with complete spinal cord injury and neurogenic bladder were collected. Among them, 16 cases received electro-acupuncture at 4 acupoints: Chung Chi (CV3), Kuan …

Risk Factors In Chinese Young Strokes, Huey-Jen Lay, Chein-Wei Chang, I-Nan Lein

Rehabilitation Practice and Science

One hundred and fifty nine patients who experienced the first episode of stroke between 15 to 45 year-old is analyzed for possible risk factors. These patients whose diagnosis of stroke were all approved by the computerized tomography, were collected from the National Taiwan University Hospital (NTUH) from 1983 to 1990. They included 79 cases of cerebral hemorrhage (48 males and 31 females) and 80 cases of cerebral infarction (47 males and 33 females). The frequency of male stroke was about 30% higher than female. Atherothrombosis and rheumatic heart disease still dominate in cerebral infarction. The main etiology of cerebral hemorrhage …

The Evaluation Of Functional Recovery Of Adl In Stroke Patient: A Comparison Between Day-Care Patient And Family-Care Patient, Horng-Jeng Shyn, Wen-Hong Pan, Huey-Jen Lai, Luen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

The Purpose of this study was to compare the stroke patients within day-care center　to patients within family-care about the function of activity of daily living. They were selected as twenty groups. Each group had the same hemiplegic side, the same motor stage, and the same score of Barthel Index. They also got the same observation duration. No significant difference at admission were found between the two groups, except that the day-care patient had higher scores in dressing lower body (P=0.04). At discharge, the day-care patient had higher functional score in feeding than the family-care patient (P=0.0036). Within-group functional change …

Analysis Of 551 Head Injured Children, Chai-Ling Chen, May-Ken Wong, Yun-Lan Chang

Rehabilitation Practice and Science

To investigate the nature of exposure factors, and effectiveness of countermeasures in head injuries in Taiwanese children with head injuries consecutively admitted to Chang Gung Memorial Hospital from Jan. 1985 to Dec. 1989. We analyzed the data by chart review. The analysis confirmed a boy to girl ratio of about 2.3 to 1. The largest number of head injuries was in children under 1 year, 4 to 5 years and more than 15 years of age. The most common place for head injuries to occur was outdoors, with the road contributing the most, while the bedroom was the most common …

Clinical Evaluation Of Patients With Shoulder Pain, Tien-Yow Chuang, Sheau-Ping Pan, Chiao Hsu, Tao-Chang Hsu

Rehabilitation Practice and Science

The conscious perception of pain that is evoked by a noxious stimulus is a multidimensional process that involves both a subjective evaluation of the sensory aspects of the stimulus (intensity, duration, location) as well as an affective or emotional response to that stimulus.The purpose of this invesigation was to develop a simple, reproducible, systemic measurement to realize the relationship between subjective and objective evaluation. The protocal evaluation includes the following measurement of pain: (1) visual analogue pain scale (2) heat stimulation (3) TENS (4) pressure pain. Twenty-three subjects with shoulder pain due to rotator cuff tendonitis, rotator cuff partial tear …

Diagnosis And Rehabilitation Of Traumatic Cervical Disc Herniation With Epidural Abscess Resulting In Quadriplegia: A Casereport, Jen-Wen Hung, Baii-Jia Yang

Rehabilitation Practice and Science

This 67 years old, male, DM patient suffered from a falling accident, resulting in traumatic cervical disc herniation with epidural abscess. After discectomy, the patient sustained quadriplegic condition and needed mechanical ventilation due to breathing difficulty. In addition to the usual rehabilitation program, we also used transcutaneous electrical stimulation on this patient's various muscle groups in order to stimulate his muscles and to help his weaning from ventilator. Two months later, the patient's breath was normal, and half year later he could walk with walker. His muscle power was normal one year later. The severity of the neurological lesion and …

Rehabilitation Of A Patient With Diurnally Fluctuating Hereditary Progressive Dystonia- A Casereport, Yung-Ming Lin, May-Kuen Wong, Yu-Yi Chien, Kuo-Yiau Hsiu

Rehabilitation Practice and Science

Diurnally fluctuating hereditary progressive dystoria is a very rare disorder. In 1975, Segawa regarded this disorder as an entity, and there are 46 cases reported till 1986 since then. The clinical manifestation of this disease are: normal development, early onset, dyotonia, diurnal change, excellent response to L-dopa. In this report, a 21-year-old female, who had had symptoms onset since 8 years old; became wheel chair bound at 15 years of age; was not diagnosed correctly until 20 years old. She received corrective surgery on her bilateral equinocavovarus feet, L-dopa and rehabilitation programs. She was able to walk without any support …

中華民國復健醫學會章程, N/A

Rehabilitation Practice and Science

No abstract provided.

Axonal Degeneration In Diabetic Neuropathy: An Assessment Of Single Fiber Electromyography, Chein-Wei Chang, Lee-Ming Chuang, I-Nan Lien

Rehabilitation Practice and Science

Peripheral neuropathy is an important complication of diabetes mellitus. However, neuropathological changes in diabetic neuropathy with axonal degeneration or segmental demyelination are still unclear. By using a newly developing electrodiagnostic method of single fiber electromyography (SFEMG) with a computer-aided program, mean jitter value and muscle fiber density were measured in extensor digitorum communis (EDC) and anterior tibial (AT) muscles from 36 diabetic patients with neuropathy (group 1) and 12 patients without neuropathy (group Ⅱ) proved by nerve conduction study. The results showed an increased mean jitter value, fiber density and abnormal percentage both in EDC and AT muscles in group …

Application Of Electroacupuncture For Improving Gait Performance Of Stroke Patient, Dah-Sen Weih, Baii-Jia Yang

Rehabilitation Practice and Science

Spastic equinovarus foot, a major cause of gait disturbance in stroke patients, impairs patients' safety and interferes with the activities of daily living. Even after rehabilitation training, equinovarus foot is not uncommon in stroke patients with disease duration more than 6 months, we use electroacupuncture to improve gait performance.This report is a discussion of the changes and correlation among various factors that may influence gait performance, such as ankle spasticity, range of motion of ankle, walking velocity, gait cycle duration, stride length and stride width. 24 patients began, but only 14 patients completed the 4-week therapeutic schedule (9 males and …

The Role Of Rehabilitation In Home Health Care Of Taichung Area, Huey-Jen Lai, Horng-Jeng Shyn, Wen-Hong Pan, Kuen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

All cases of home care under the service of the Nurse Assiciation of Taichung City from Oct. 1989 to Dec. 1991 were collected to evaluate sex, age distribution, major caretaker, main disease entities, referral source, service items and prognosis. Questionaire was made for home care nurses of Taichung area to evaluate their training back grounds; disease items of clients and the percentage of the individial items; rehabilitation items that they think they could do, want to learn to do and hope the involvement of rehabilitative specialists; and the major causes interfering the receivement of rehabilitative home care.In 171 cases collected, …

Survey Of Dancing Injury In The Dancing Class Of Primary School, Baii-Jia Yang, Ji-Ren Pan

Rehabilitation Practice and Science

The survey of dancing injury in the special dancing class of a primary school was done on 1990. From 108 effective questionare, the prevalence of dancing injury was 77.78% in which 11.54% became chronic.In the 59 girls of grade 5, 6 students, the most frequent injury area was ankle 34.48%, next was the knee 20.2% and inner thigh muscle 11.72%. The causes of the injury were 1) unenough warm up (47.61%) 2) poor dancing floor (29.76%) 3) over training (13.09%). After injury, most of the children rested less than 3 days, and most of them received herbs medicine, only 7.37% …

Major Problems In Patients With Spinal Dysraphism, Yung-Ming Lin, May-Kuen Wong

Rehabilitation Practice and Science

For the better understanding of problems of patients with spinal dysraphism, 51 cases were studied retrospectively by questionnaire, telephone and clinical followup. They had been admitted to Taipei Area Chang Gung Memorial Hospital from Jan 1983 to Dec. 1989Among them 24 patients were male and 27 were female. Their age distribution were from 2 to 39 years old. Thirty patients with meningomyelocele, 5 of them had hydrocephalus; 14 with tethered cord; 7 patients had meningomyelocele with tethered cord; only one case had Arnold Chiari Malformation. The locations of lesion were by sequence; lumbar region 30 cases, (58.8%), sacral region 18 …

Modified Fracture Brach For Tibial Fracture With Varus Angulation: A Casereport, Simon F.T. Tang, Tony L.S. Au, Alice M.K. Wong

Rehabilitation Practice and Science

Sarmiento introduced the functional fracture brace for the management of tibial shaft fracture in 1963. However, tibial angulation with varus deformity may still occur, especially in the presence of an intact fibula. We report here a case of tibial shaft fracture with varus angulation treated with a modified below knee fracture brace. Our modification included a wooden rod embedded in the under-side of the anterior shield with nod positioned laterally between tibia and fibula. Trimming of rod was done for fitting comfortably against the varus angulation. Good bridging callus formation with sound alignment was noted at the twentieth week. The …

The Secondary Frozen Shouler: Case Presentation And Literature Review, Kuen-Lin Wu, Shu-Yeh Sheu, Chorng-Song Chou, Horng-Jeng Shyn, Tao-Chang Hsu

Rehabilitation Practice and Science

Capsular tightening at the shoulder is a common disorder, usually referred to as frozen of cases seen by physiatrist are those in which no specific cause can be determined for the stiffening. It may also be a sequela of other diseases, such as stroke, fracture, malignancy, etc. We present four cases of secondary frozen shoulder without conspicuous etiology. The case 1 and 2 had the underlined malignancy. The case 3 and 4 suffered from fracture of forearm and painful sensation over the shoulder joint due to traffic accident. The first impression was secondary frozen shoulder due to proloned immobilization. However, …

Cervical Myelopathy Due To Inadequate Manipulation: Casereport, Yiu-Chung Lau, Yued-Cheng Chen, Chau-Peng Leong, May-Kuen Wong

Rehabilitation Practice and Science

Manipulation is a classical method used to treat musculo-skeletal soreness and pain with its own indications , but the etiologies of aching pain are versatile. It is extremely dangerous to apply manipulation before adequate diagnosis. This is a report of two cases with injury of cervical cord myelopathy by inadequate manipulation.The first patient was 52 year-old man who suffered form neck and right hand soreness for move than a year. He received manipulation two weeks before this episode. He had a sense of electrical shock during manipulation with numbness and weakness of all the extremities developed gradually after he returned …

Callosal Syndrom: Implications In Rehabilitation: Casereport, Chui-Lee Wong, Mei-Hue Hsu

Rehabilitation Practice and Science

A 53 year-old male patient, who sustained infarction of the right medial frontal lobe with extension into the corpus callosum, demonstrated inattention, slow initiation and left hemiparesis initially. As the strength recovered, forced grasping of the left hand, and intermanual conflict appeared. Besides, left ideomotor apraxia, left constructional apraxia, left apraxic agraphia, and abnormalities of cross-replication of hand posture were detected after specific clinical testing. Most of these deficits improved eight weeks after stroke. In rehabilitation these patients with callosal syndrome, the forced grasping and intermanual conflict should be observed keenly in view of their potential harmfulness. Instead of too …

復健科專科醫師甄審原則, N/A

Rehabilitation Practice and Science

No abstract provided.

Quantitative Analysis Of The Effect Of Reference Electrode Position And Active Recording Electrode Size On Evoked Compound Muscle Action Potential, Yu-Lien Chou, Rai-Chi Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to quantitatively analyze the effect of reference electrode size on the amplitude, surface area, latency and duration of CMAP during routine NCV studies in median and ulnar nerves. We dilivered supramaximal stimulations over the wrist in the median and ulnar nerve examinations and obtained the data of CMAP parameters from APB and ADQ muscles. The data revealed: I)in median nerve examination: (1) The CMAP surface area and amplitude decreased markedly when the reference electrode was shifted from MP joint to IP joint of the thumb or to MP joint of the 5th finger. (2) …

New Design Functional Foot Orthosis In Flat Foot, Wen-Len Chen, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

The functional foot orthoses have been used as an important adjunct recently in the treatment of lower extremity dysfunction related to poor mechanics and alignment. Many different types of foot orthotics have been designed clinically. Commercially, insole materials are divided into four classes. Class I materials such as Aliplast and Plastazote provide cushioning for plantar surface while class Ⅱ materials such as PPT and Spenco act as shock absorber and provide antishearing effect. The class Ⅲ materials such as silicone and polyuethane are to absorb high energy impaction and class IV such as rigid orthosis provides foot control and support.In …

Traumatic Spinal Cord Injuries In Hualien County, Ching Lan, Jin-Shin Lai, Kwang-Hwa Chang, Yuh-Chin Jean, I-Nan Lien

Rehabilitation Practice and Science

In order to survey the epidemiological characteristics and the overall rehabilitation profile of traumatic spinal cord injuries (SCI) in Hualien county, a retrospective study was conducted from January 1987 to December 1990 in four local general hospitals. During this period, 88 traumatic SCI patients were identified. The estimated annual incidence of traumatic SCI in Hualien county was 62.3 per million population. As a result of injury 32 patients were tetraparetic, 29 were tetraplegic, 12 were paraparetic and 15 were paraplegic. The male/female ratio was 3.6:1 The mean age of onset for male patients was 44 ± 16 years, and that …

Intracavernous Injection Of Prostaglandin E1 In Spinal Cord Injured Patient With Erectile Dysfunction: A Preliminary Report, Fuk-Tan Tang, Pong-Yuen Wong, May-Kuen Wong

Rehabilitation Practice and Science

Sexual dysfunction with inadequate or poorly sustained erection is a common problem among spinal cord injured patients although reflex erection may be preserved in upper motor neuron lesion and lower motor neuron and psychogenic erection may be preserved in incomplete lesion respectively. Methods to restore erection, such as vaccum tumescense constriction therapy and penile prostheses may be useful but potentially have adverse effects. Recently, intracavernous injection of prostaglandin E1 has been found beneficial to patients with neurogenic erectile dysfunction.In our study, we administered intracavernous injection of prostaglandin E1 (PGE1), 15 μ g, to seven patients with neurogenic erectile dysfunction due …

An Investigation Of Post-Discharge Status Of Surviving Stroke Patients In Keelung, Choon-Khim Chang, Wen-Ling Chen, May-Kuen Wong

Rehabilitation Practice and Science

From April 1985, to December 1987, 1445 patients were admitted to Chang Gung Memorial Hospital, Keelung under the diagnosis of cerebral vascular accident ( hemorrhagic or infarction type). By random selection, 343 patients were analyzed by the SPSS. Of these 343 patients, 185 had died by the time this study was carried out. Thus the data available for analysis was incomplete for this deceased group. Only the data of those who survivied was analyzed in the results. The average duration of follow-up was 50.2±8.9 months (36-67 months). Among the survivors (n=158), 57% (n=90) received regular medication treatment, yet only 63% …