Rehabilitation and Therapy Commons^™

Ulnar Nerve Injurues In Dramatic Students, Pi-Chang Sun, I-Wen Penn, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The traditional Chinese performing artist is a special group at the scope of athletic injury. Long term over-training may put excessive stress on the musculoskelelal system. The goal of this study was io evaluate the occurrence of ulnar nerve injuries in students of dramatic school.Total of 47 dramatic school students completed the questionaire, physical examination and electromyographic study.Of 94 hands in 47 students, abnormal EMG finding was noted in 29 subjects, and the incidence rate was 30.9%. According to the result of our electrodiagnostic study, the prevalence of ulnar nerve injuries was relatively high in dramatic students. They often used …

Upper Extremity Pain In Spinal Cord Cord Injured Patients Post-Rehabilitation: A Preliminary Report, Kai-Ping Tseng, Alice M. K. Wong

Rehabilitation Practice and Science

This study followed up 59 spinal cord injure(SCI)patients , including 33 quadriplegic and 26 paraplegic.There're 50.8%(30/59) of SCI patients reported upper extremity (UE)pain , most common ar the shoulder . The prevalence of UE pain in male SCI is slightly higher than in famale SCI patients. Separately speaking , there're 72.7%(24/33) quadriplegic with UE pain and risk factors including(1) injure period＜2 years(2)age＞30 years old. There're 23.1% (6/26) paraplegic with UE pain and risk factors including(1)no pressure sore (2) injured period ＞ 9 months (3)traumatic injured (4) fracture-dislocation injured (5) lower activity(6)male. The prevalence of UE pain in quadriplegic is significant …

The Different Temperture Effects On Median And Ulnar Conduction Velocities In Patients With Carpal Tunnel Synrome, Shyh-Jen Yu, Sheau-Ping Helen Pan, Shyh-Fu Wu

Rehabilitation Practice and Science

”The purpose of this study is to compare the different nerve conduction responses of median nerve (MN) and Ulanr nerve (UN) in patients with carpal tunnel syndrome (CTS) after changing the temperature of hands.Thirty hands of CTS group were evaluated and compared to those of normal subjects by exposing the hands for 20 minutes to (1) room temperature (25℃). (2) cold water (15℃), and (3) hot packing (70℃). Then we measured the temperature, motor and sensory nerve conduction latencies of those hands immediately after each exposure. When comparing with room temperature, the distal latencies (DL) of both MN and UN …

A Survey Of Traumatic Hand Injuries In Tao-Yuan Area, Sau-Kwan Fok, Yau-Wai Wai, Shean-Yu Lin

Rehabilitation Practice and Science

926 cases of hand injuries attending the Reha-bilitation Department or Emergency Service of Provincial Taoyuan Hospital from the period between Jan 1990 to May 1992 were studied either through interview (37). telephone (153) or chart review (736). Their pattern and severity of injuries, contributing causes- the present status of recovery and efficacy of rehabilitation were assessed. 78.9% of these injuries were job-related. 63.1% were injured directly by machines. Index finger was the most frequently injured site: middle finger ranked second. for job-relaied injuries. 14.5% of them need hospitalization and they hospitalization for 20.3 (2-180) days on the average. Among 357 …

The Cardiorespiratory Responses Of Female Obese Subjects And Normal-Weight Women During Cycle Ergometry, Ching Lan, Jin-Shin Lai, Ssu-Yuan Chen, Huey-Wen Liang, Pey-Rong Chen, Kwan-Hwa Lin, Mei-Chiu Tseng, Cheng-Lan Lai, I-Nan Lien

Rehabilitation Practice and Science

Obesity is a major health problem. There is considerable information regarding the association between excessive body fatness and many health risks. The purpose of this study is to compare the cardiorespiratory responses of female obese subjects and normal-weight women during cycle ergometry. The obese group included 23 female subjects with mean age of 39.6±3.2 years (range: 19-57 yrs.). The mean body weight of obese subjects was 71.4±7.0 kg. and the body mass index (BMI) was 29.0±2.0 kg/㎡. The control group included 23 normal-weight women with matched age and body height. Breath-by-breath measurement of the cardiorespiratory function was obtained during the …

Appliccation Of Electroacupuncture For The Treatment Of Psot-Stroke Paresthesia, Baii-Jia Yang, Yih-Sin Chen

Rehabilitation Practice and Science

In a prospective study we applied electroacupuncture, according to the concepts of Traditional Chinese Medicine and previous studies of electrostimulation, to patients suffering from post-stroke paresthesia.Electroacupuncture over the head and limbs was applied to 20 patients with post-stroke paresthesia. All patients received brain CT scan examination of which most revealed subcortical lesions (19 subcorlicai lesions and 1middle cerebral arterial territory infarction). The duration of treatment was thirty minutes and each patient received electroacupuncture treatment once per week for 3 months. The evaluation of the treatment effect was according to the patient's self-estimation using a visual analogue scale. The results demonstrated …

Electrophysiologic Evaluation Of Muscle Spasticity In Stroke Patients, Yu-Hui Cheng, Rai-Chi Chan, Ning Chiang, Tao-Chang Hsu

Rehabilitation Practice and Science

”Clinically,there is still no ideal measurement to grade the spasticity caused by varying causes-The method mostly used such as Ashworth scale is for subjective and gross evaluation. The purpose of this study is to develop a more objective and quantitative test for muscle spasticity in stroke patients.The study recruits 20 cases of stroke patients with spastic hemiplegia whose Brunnstrom stage is graded at 2 to 4, the Ashworth grading is also at 2 to 4. The muscles tested are bilateral biceps brachialis and quadriceps femoris muscles. The following items are proceeded: I, Muscle activity while in rest, 2. Activity maintained …

Nasal Ventilator Use In Bronchiectasis With Respiratory Failure: A Casereport, Te-Hsiu Lee, Tyng-Guey Wang, Meng-Yue Chien, Ping-Ing Lee, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

It is not rare for the individuals with bronchiectasis, defining pathologically as a permanently abnormal dilation of subsegmental airways, to develop respiratory insufficiency as respiratory tract infection occurs. In acute stage, intermittent positive pressure ventilation (IPPV) via endotracheal tube is often mandatory to maintain their respiration, but most of them could breathe spontaneously later on. However, there are still a small number of patients remaining ventilator dependent cither totally or incompletely, and requiring tracheostomy even though miscellaneous complications, such as chronic bacterial colonization, disturbance of patient's speech and swallow, decreased cough ability, tracheomalacia, tracheal stenosis, perforation, tracheoesoph-ageal fistula, as well …

Suicide In Elder Disable Patients: A Casereport And Review Of Literatures, Guo-Wei Chen, Gi-Jen Lin

Rehabilitation Practice and Science

This is a case of 69-year-old male patient who suffered from cerebral infarction with right-sided hemiplegia, transient motor aphasia, suspected thalamic syndrome, impaired activity of daily living and partial dependence. There were no past history of D.M. psychosis or other significant diseases except mild hypertension under thiazide control, also no family history of suicide or other hereditary diseases.Post-stroke depression had developed progressively since March 1993 including insomnia, fatigue indifference, anorexia, moodiness. Major depression was impressed based upon the diagnostic criteria of DSM-III. Other causes of depression including iatrogenesis and metabolic diseases had been ruled out. Psychological test revealed high score …

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.

Assessment Of Central Motor Conduction Time In Patients With Cervical Spondylotic Myelopathy, Chein-Wei Chang, Swei-Ming Lin, I-Nan Lien

Rehabilitation Practice and Science

Motor evoked potential (MEP) study by transcranial electric or magnetic stimulation or the motor cortex has been practically used for clinical evaluation of electrophysiological function of the central motor pathway. By using a percutaneous magnetic stimulation over the motor cortex and F-wave measurement from the median nerve stimulation, central motor conduction time (CMCT) from motor cortex to C8 spinal cord was measured in 25 patients with cervical spondylotic myelopathy (CSM) and in 16 healthy subjects. Latencies from motor cortex to C8 spinal cord was 10.4±2.1 (mean ±ISD) ms which was significantly longer than 5.3±0.8 ms in controls under the correction …

Cervical Myelopathy Secondary To Cervical Disc Protrusion In Patient With Dystonic Cerebral Palsy--A Casereport, Huey-Wen Liang, Tyng-Guey Wang, Yen-Ho Wang, Tiffany T. F. Shih, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Cervical myelopathy had been noted in patients with involuntary neck movement, especially in individuals with athetoid-dystonic cerebral palsy(CP). The excessive and repeated neck motions were considered to be responsible for the premature spondylosis, which might be the cause of myelopathy. The exact pathophysiology and managements were still controversial. Here we present a rare case who was a male patient with long-lasting dystonic neck movement developing cervical myelopathy due to protrusion of disc in his relatively young age. Magnetic resonance imaging (MRI) showed the protrusion of cervical disc at the level of C3-4, which was correlated well with his clinical symptoms. …

The Effects Of Russian Stimulation To Muscle Power: Comparison Of Cmap And Muscle Strength Test, Huann Chang, Rai-Chi Chan, Chou-Jong Chen, Chi-Han Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

The purposes of this study are 1. To monitor the improvement of muscle performance following Russian stimulation training by muscle strength test and compound muscle action potential (CMAP) recording. 2. To investigate the place of quantitative CMAP recording technique in evaluation of muscle power. the APB and ADQ muscles from 20 healthy volunteer were included. Muscle strength was recorded by strain gauge, and CMAP of both muscles were recorded by Viking EMG following supramaximal electrical stimulation at wrist. Two evaluation sequences were done before and after Russian stimulation training of APB and ADQ muscles for 1 month. Results disclosed that, …

Antibacterial Effects Of A Silver Electrode Carrying Microamperage Direct Current In Vitro, Poh Chye Young, Luther C. Kloth, Linda Jean Laatsch-Lybeck

Physical Therapy Faculty Research and Publications

Currently, electrical stimulation is an accepted method used clinically to promote chronic wound healing. A literature review revealed that similar therapeutic current has been shown to suppress growth of common wound pathogens in vitro and in vivo. To date, little has been reported on the factors contributing to the antibacterial effects of microamperage direct current (μADC) stimulation. The purpose of this project was to investigate the role of electric field strength, current density, pH, and type of electrode used in vitro, to gain a better understanding of how these factors contribute to inhibiting growth of select wound pathogens. …

Investigating The Influence Of Pre-Theoretical Assumptions On Clinical Reasoning, Barbara R. Hooper

Masters Theses

This study explored what internal beliefs a therapist holds about the nature of reality and how those beliefs influence how he/she delivers occupational therapy. A single-case study design was utilized. Data were collected from three in-depth interviews and observation of multiple treatment sessions.

The results suggest that this therapist's view of the world could be categorized into four areas: (1) What she believed about ultimate reality; (2) What she believed about life, death and eternity; (3) What she believed about human nature; and (4) What she believed about the nature of knowing. The study also suggests that this core world-view …

An Investigation Of Post-Discharge Stroke Patients In Tainan, Chun-Liang Lu, Tse-Chieh Hseuh

Rehabilitation Practice and Science

In order to realize the actual living condition of me stroke patients after discharge, we collected 30 patients who had been admitted to National Cheng Kung University Hospital (NCKUH) under the diagnosis of cerebral vascular accident from November 1988 to August 1990. We interviewed directly with the families and patients, and followed them for up to more than three years, so as to know the real problems encountered by the patients during the postdischarged period. For the purpose of improving the life quality of patients, we also investigated the adaptability of the living enviorment andthe necessity of persistent rehabilitation at …

The Effects Of Spinal Braces To The Paraspinal Myoeletric Activity Of Backache Patients-Preliminary Study, Jwu-Wen Kuo, You-Li Chou, Jia-Jin J. Chen

Rehabilitation Practice and Science

Lumbar spinal bracing is one of the methods used for management of low back pain. The effect of spinal brace to the paraspinal myoelectric activity is not well investigated. Most of the papers published concerned about the myoelectric activity of normal subject wearing spinal brace. We carry out this study to evaluate the effect of lumbar spinal brace on the paraspinal muscle activity of low back pain patient.Totally 10 mates were collected to proceed the program. Six of them were backache patinets, and the other 4 were normal subjects without history of low back pain .There is no significant difference …

Etiological Study Of Global Aphasia, Szu-Fu Chen, Tsan-Hon Liou, Fu-Mei Hsich, I-Nan Lien

Rehabilitation Practice and Science

Global aphasia is the most severe form of language impairment that occurs following focal brain damage. Since communication and neurological functions in patients with global aphasia are seriously impaired, it is a real challenge to the rehabilitation team.The study was designed to determine the etiology of global aphasia, to find out any relationship between different etiology and age or sex. Fifty-one patients with global aphasia attending to the Department of Physical Medicine and Rehabilitation of National Taiwan University Hospital from June 1990 to May 1993, were surveyed for the etiology of aphasia. Of the 51 patients (33 males and 15 …

Effects Of Rehabilitation For The Improvement Of Fitness Levels For The Acute Spinal Cord Injured Population, Sandee Melton, Sarah Morrison

Sarah Morrison, PT, MBA, MHA

A Comparison Study Of Hip Range Of Motion And Electromyography During Backward Walking Between Children With Spastic Diplegia And Children Without Known Disabilities, Martin L. Carrillo

FIU Electronic Theses and Dissertations

The purpose of this study was to examine the kinematics of the pelvis and the right hip and the electromyographic activity of the gluteus maximus and biceps femoris during backward walking in children with spastic diplegic cerebral palsy and children without known disabilities. Subjects included 6 children, three with a diagnosis of spastic diplegia and three without known disabilities.

The results of the study showed important differences between the experimental group and the control group. Subjects with spastic diplegic cerebral palsy (SDCP) walked backwards with less hip extension, more body rotation, shorter and slower steps, and used a higher percentage …

The Use Of Aerobic Exercise As An Occupational Therapy Intervention For Post Traumatic Stress Disorder Patients, Phyllis A. Davis

FIU Electronic Theses and Dissertations

Post Traumatic Stress Disorder (PTSD) is a psychiatric diagnosis receiving increased attention. Occupational therapists are becoming more involved with this diagnosis, particularly with Vietnam Veterans in Veteran Affairs Hospitals. Aerobic exercise is a treatment which has not been explored with this population. Depression and anxiety are symptoms commonly associated with PTSD. This study sought to determine whether aerobic exercise would reduce overall PTSD symptomatology, including depression and anxiety. Three psychological inventories: The Penn Inventory for PTSD, The Beck Depression Inventory (BDI), and The Beck Anxiety Inventory (BAI) and one physiological inventory: The Queens Step Test for VO₂ Max were …

A Descriptive Study Of University Students' Beliefs Regarding Autonomy And Paternalism In Caregiving Of The Elderly, Linda Ann Cain

FIU Electronic Theses and Dissertations

An elderly person with declining physical and mental abilities associated with aging or disease, often needs assistance from others for functional activities. The beliefs in autonomy and paternalism of those who render assistance to the elderly may influence their behavior toward the elderly. The purpose of this study was to identify university students' beliefs regarding autonomy and paternalism in caregiving of the elderly and to determine if there were any differences in beliefs between educational levels. Seventy-two undergraduate and graduate occupational therapy students (mean age 28.3) volunteered to participate in this study. The measurement instruments included: the Respect for Autonomy …

Comparison Of Parental Perception And Therapist Interpretation Of Child's Performance Of The Peabody Fine Motor Scale, Martha Gene Belote

FIU Electronic Theses and Dissertations

Public Law 102-119 (Individuals with Disabilities Education Act of 1991), mandates that family members, if they wish, participate in developing a plan of treatment for their child. Traditionally, therapist have not relied on parental assessments based upon the assumption that parents overestimate their child's abilities. The present study compared parental perceptions about the developmental status of their child's fine motor abilities to the therapist's interpretation of a standardized assessment using the Peabody Developmental Motor Scale (Fine Motor). Thirty seven children, enrolled in an early intervention program, and their parents were recruited for the study. The results indicated that the parents …

The Effects Of Muscle Tone On Shoulder Pain In The Post-Cva Population, Jane Ubben, Kim Moyle

Masters Theses

The purposes of this study were to determine whether post-CVA hemiplegic shoulder pain is related to hypertonicity, whether muscle tone of the shoulder differed between patients with pain and those without, and to determine whether a relationship exists between hypotonicity or hypertonicity and amount of range of motion (ROM), glenohumeral subluxation, or sensory disturbances, in those who experience pain. Data was analyzed for significance using the Wilcoxon Matched-Pairs Signed Ranks Test, Mann-Whitney U-Test, Chi-Square and Fisher's Exact Tests ({dollar}\alpha{dollar} = 05). Review of l09 charts revealed a significant relationship between ROM limitations and pain. ROM limitations were significantly related to …

The Effect Of Immobilization On Grip Strength And Pinch Strength In Normal Subjects, Bonni L. Kinne

Masters Theses

The purpose of this study was to determine whether a one-week period of immobilization resulted in a significant decrease in the grip strength and/or pinch strength of normal subjects.; The participants in this investigation were right-handed females between the ages of 21 and 45. Throughout the one-week period between the pre-test and post-test, each subject assigned to the experimental group had her left hand immobilized in a cast. During the pre-test and post-test, all of the subjects had their left hands tested for grip strength and pinch strength. A separate unpaired t-test was then calculated for grip strength measured with …

Administration Of The Bruininks-Oseretsky Test Of Motor Proficiency To Healthy 25 To 30 Year Old Males, M. Michelle Butler, Vanessa L. Koschtial

Masters Theses

The purpose of this study was to investigate the standards of performance on the Bruininks-Oseretsky Test of Motor Proficiency-Short Form (BOT-S) of healthy males from 25 to 30 years of age. Although the BOT-S was developed and standardized on children, this test is used by physical therapists to assess adult patients with traumatic brain injuries (TBIs). The BOT-S evaluates both gross and fine motor control. Reliability and validity of the BOT-S have been established on children 4.5 to 14.5 years of age. This study estimated standard scores for 25 to 30 year old males on the BOT-S.; This study was …

Physical Therapists' Views Of Certified Athletic Trainers In The Clinical Setting, Leah Parizon, Andrew Snyder

Masters Theses

Since certified athletic trainers began working in the clinical setting alongside physical therapists, there has been controversy between the two professions concerning the utilization of the ATCs. Although views of ATCs from the PTs' perspective have been speculated, there has been no conclusive research on this topic. The purpose of this study was to find out how physical therapists in the state of Michigan view ATCs in the clinical setting. The Health Team Stereotype Scale, which was developed by Dr. Harry Parker, was used to determine the PTs' attitudes toward the ATCs. There was a return rate of 47.4% (N …

A Survey Of Clinical Applications And Outcome Assessment Procedures For Dynamic Lumbar Muscular Stabilization Exercise Training, Brenda Engels, Carrie Patterson, Mary Beth Sawinski

Masters Theses

The San Francisco Spine Institute (SFSI) Dynamic Lumbar Muscular Stabilization (DLMS) Program is a comprehensive, non-operative treatment approach to lumbar spine dysfunction. This program is implemented in physical therapy clinics nationwide.; The purpose of this study was to compare DLMS treatment concepts and methods used by Michigan rehabilitation professionals with the SFSI protocol. Forty-nine clinicians were interviewed using a questionnaire developed by the investigators. The areas surveyed included: clinicians' rationale for use and implementation of DLMS training, and clinicians' assessment of patient functional outcomes.; The survey responses suggest that clinicians focus on orthopedic evaluation parameters and low back pain management …

Differences In Job Satisfaction Between Contract And Directly Employed Physical Therapists, Valerie Stonehouse, Nicole Vanderberg

Masters Theses

This research study explores the possible differences in general job satisfaction between contracted physical therapists and directly employed physical therapists. The Minnesota Satisfaction Questionnaire was sent to contract and directly employed therapists who fulfilled the following criteria: working in an acute care setting, working at that particular job for at least six months but no more than two years, and working in the profession for at least six months. A total of 200 surveys were mailed to therapists in the state of Michigan with 17 surveys being returned by contracted therapists and 34 from directly employed therapists, for a 25.5% …