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2012

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Articles 1 - 30 of 378

Full-Text Articles in Rehabilitation and Therapy

The Level Of Cultural Responsiveness And Its Preparation Among Grand Valley State University’S Occupational Therapy Graduates, Kathleen Kovach, Rebecca Palmitier, Robyn Ward Dec 2012

The Level Of Cultural Responsiveness And Its Preparation Among Grand Valley State University’S Occupational Therapy Graduates, Kathleen Kovach, Rebecca Palmitier, Robyn Ward

Education

Background: In a field that aims to be holistic and client-centered, occupational therapists need to consider their client's culture. Culture is comprised of values, beliefs, and lifestyles and will affect the therapy process (Cheung, Shah, & Muncer, 2002; Cole, Stevenson, & Rogers, 2009). To truly treat clients holistically, therapists need to be culturally responsive in their practice, considering factors which influence therapy and its outcomes. Occupational therapy education programs, therefore, need to prepare its students to be culturally responsive practitioners. This research examined whether Grand Valley State University (GVSU) Occupational Therapy (OT) graduates are culturally responsive and how the program …

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The Therapeutic Effects Of Intra-Articular Hyaluronic Acid On The Physical Functioning Of Patients With Knee Osteoarthritis: A Preliminary Report, Chen-Liang Chou, Yuan-Ting Lo, Fu-Wei Liu, Li-Lung Haung, Jin-Jong Chen Dec 2012

The Therapeutic Effects Of Intra-Articular Hyaluronic Acid On The Physical Functioning Of Patients With Knee Osteoarthritis: A Preliminary Report, Chen-Liang Chou, Yuan-Ting Lo, Fu-Wei Liu, Li-Lung Haung, Jin-Jong Chen

Rehabilitation Practice and Science

Osteoarthritis of the knee joints is one of the most disabling diseases among the elderly because it causes limitations affecting many daily activities, and this results a large economic burden on public health. According to the date from the Bureau of National Health Insurance in 2000, the total expenditure of money on total knee replacements due to osteoarthritis reached 2.63 billion dollars, which was the second place in all inpatient medical expenses.The natural course of osteoarthritis of the knee joints is a gradual degeneration. As a result, treatments are aimed at pain alleviation, improving the joint's range of motion and …

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Unilateral Knee Pain As Clinical Presentation Of Spinal Dural Arteriovenous Fistula: A Casereport, Liang-Ting Lin, Shu-Fen Sun, Jue-Long Wang, Pei-Te Hsu Dec 2012

Unilateral Knee Pain As Clinical Presentation Of Spinal Dural Arteriovenous Fistula: A Casereport, Liang-Ting Lin, Shu-Fen Sun, Jue-Long Wang, Pei-Te Hsu

Rehabilitation Practice and Science

Spinal dural arteriovenous fistula (SDAVF) is a rare disease. The principal clinical manifestation of SDAVF is myelopathy, with variable but nonspecific symptoms including progressive weakness of the lower extremities, back pain, bowel and bladder dysfunction, and impotence. Diagnosis is often delayed. Knee pain as the chief complaint of SDAVF is rare. The present casereport describes a 49-year-old man with a history of SDAVF, for which he had twice received endovascular embolization, who presented with profound pain in the right knee when attending the study rehabilitation clinic. He had no history of trauma. Physical examination revealed upper motor neuron signs in …

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Clinical Application Of Evoked Potentials And Pedicle Screw Stimulation During Correction Of Severe Scoliosis: A Casereport, Hung-Wen Chen, Chi-Kuang Feng, Jan-Wei Chiu, Chih-Jou Lai, Rai-Chi Chan, Tsui-Fen Yang Dec 2012

Clinical Application Of Evoked Potentials And Pedicle Screw Stimulation During Correction Of Severe Scoliosis: A Casereport, Hung-Wen Chen, Chi-Kuang Feng, Jan-Wei Chiu, Chih-Jou Lai, Rai-Chi Chan, Tsui-Fen Yang

Rehabilitation Practice and Science

Surgical intervention is frequently suggested for scoliosis patients who have a Cobb's angle of more than 50 degrees and who are not responding to conservative treatment such as bracing. In addition, surgical intervention prevents further deterioration of spinal curvature, preserves cardiopulmonary function, provides cosmetic benefits, and improves quality of life for patients. Although the goal of surgical intervention is to improve the balance and function of the spine, iatrogenic spinal cord and nerve injury remains a major concern. Certain instruments are useful in preventing this type of iatrogenic injury. A combination of somatosensory-evoked potentials, motor-evoked potentials, and pedicle screw stimulation …

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A Ruptured Baker's Cyst Mimicking Deep Vein Thrombosis In A Patient With Rheumatoid Arthritis: A Casereport, Ting-Chun Chou, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Szu-Li Tsai Dec 2012

A Ruptured Baker's Cyst Mimicking Deep Vein Thrombosis In A Patient With Rheumatoid Arthritis: A Casereport, Ting-Chun Chou, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Szu-Li Tsai

Rehabilitation Practice and Science

Baker's cysts arise from a distension of a gastrocnemio-semimembranosus bursa, which are often associated with knee pathology including osteoarthritis, rheumatoid arthritis, and other inflammatory arthropathies. Clinical presentations of Baker's cysts are posterior knee swelling, tightness, and pain. Knee joint aspiration and intra-articular corticosteroid injection can relieve symptoms. However, treating underlying diseases is more important for recurrence prevention. Cyst rupture is a complication of Baker's cysts and may induce leg swelling and pain mimicking deep vein thrombosis. It is difficult to distinguish between a ruptured Baker's cyst and deep vein thrombosis because of similar symptoms. If a ruptured Baker's cyst is …

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Ankle Joint Flexibility, Muscle Strength, And Unilateral Stance Balance Of Elite Men's High School Basketball Players: A Preliminary Study, Meng-Tai Chen, Chia-Hong Chen, Wai-Keung Lee, Chia-Ming Lin Dec 2012

Ankle Joint Flexibility, Muscle Strength, And Unilateral Stance Balance Of Elite Men's High School Basketball Players: A Preliminary Study, Meng-Tai Chen, Chia-Hong Chen, Wai-Keung Lee, Chia-Ming Lin

Rehabilitation Practice and Science

Objective: This study aimed to investigate ankle dorsiflexion flexibility, ankle invertor and evertor muscle isokinetic performance and balance during unilateral stance in high school division I basketball players. This study also aimed to investigate the similarities and differences between the dominant and non-dominant leg of the basketball players.Method: Thirty-six high school division I basketball players were recruited. The exclusion criteria were sustaining injuries in the lower limbs within the past 3 months and experiencing residual symptoms of pain in the ankle joints. Further, the study was conducted such that the test performances were not affected by the training that the …

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Effect Of Alendronate And Teriparatide On Bone Mineral Density In Postmenopausal Women, Pei-Tsen Chen, Piya-On Numpaisal, Ching-Chuan Jiang, Hong-Sen Chiang Dec 2012

Effect Of Alendronate And Teriparatide On Bone Mineral Density In Postmenopausal Women, Pei-Tsen Chen, Piya-On Numpaisal, Ching-Chuan Jiang, Hong-Sen Chiang

Rehabilitation Practice and Science

Background: Alendronate and teriparatide have been proved to benefit osteoporosis patients in some prospective studies. However, no data have been described about the clinical practice of these medications and their efficacy in Taiwanese people.Method: We reviewarticleed the medical records of an outpatient clinic at National Taiwan University Hospital from 2008 to 2010, and collected data on the postmenopausal women diagnosed with osteoporosis or spinal compression fracture. Lumbar spinal bone mineral density (BMD) was recorded at baseline and at 6, 12, 18, 30, and 42 months after initiating therapy. We compared the patients' BMD before and after the treatment by paired …

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Application Of Digital Volume Pulse Analysis In Patients With Spinal Cord Injury, Wei-Lun Tsai, Alice May-Kuen Wong, Yu-Cheng Pei, Yu-Ru Lin, Yu-Hsin Liao, Shu-Chun Huang Dec 2012

Application Of Digital Volume Pulse Analysis In Patients With Spinal Cord Injury, Wei-Lun Tsai, Alice May-Kuen Wong, Yu-Cheng Pei, Yu-Ru Lin, Yu-Hsin Liao, Shu-Chun Huang

Rehabilitation Practice and Science

Orthostatic hypotension is a common complication following spinal cord injury (SCI). However, an easy method to quantify the degree of vasomotor impairment below the level of injury is lacking. We postulated that SCI patients with different sympathetic reserves exhibited different digital volume pulse contours. Thirty-one patients with high chronic SCI (above the T6 neurologic level) and 28 low-level SCI patients (below T6) were recruited. Thirty-two age- and BMI-matched healthy participants were enrolled in the control group. All participants were positioned on a tilting table for five minutes in each of the following: supine rest (SR), 60-degree head-up tilt (HUT), and …

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Ipsilateral Hemiparesis Caused By Supratentorial Stroke: Two Casereports, Yen-Chung Chen, Ta-Sen Wei, Chih-Lin Chen Dec 2012

Ipsilateral Hemiparesis Caused By Supratentorial Stroke: Two Casereports, Yen-Chung Chen, Ta-Sen Wei, Chih-Lin Chen

Rehabilitation Practice and Science

A common symptom that occurs after strokes is impaired contralesional motor function and contralateral limbs weakness. Such weakness of the limbs is often found in a supratentorial stroke. Two patients with ipsilateral limbs weakness after supratentorial stroke events were reported. One was a recurrent ischemic stroke in the right frontal lobe with right hemiparesis; the other was a new ischemic stroke in the right thalamus with right hemiparesis. There were few reported cases of ipsilateral hemiparesis caused by a supratentorial cerebral lesion. The mechanism of such symptoms may be related to 1. Activation and cortical reorganization within the motor areas …

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Related Factors In Children With The Motor Development Delay And Flat Feet, Hui-Wen Cheng, Chin-Kai Lin, Ching-Shiang Chi, Mei-Hua Tang Dec 2012

Related Factors In Children With The Motor Development Delay And Flat Feet, Hui-Wen Cheng, Chin-Kai Lin, Ching-Shiang Chi, Mei-Hua Tang

Rehabilitation Practice and Science

Condition of flat feet is a common among preschool children. Clinical studies show that children with developmental delays have problems similar to flat feet, perhaps of a more and complicated nature compared to the normal children. As literature on flat feet in children with developmental delays was hardly available, the main topic of this study was to explore factors associated with flat feet in preschool children with developmental delays, and the effect of flat feet on lower-extremity functions.The 50 participants in this study were selected from 88 children aged 4-6 years with motor delay. They were divided into two groups …

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The Comparison Of The Dynamic Balance Abilities Between Young And Elderly Adults, Chen-Yang Kao, Shun-Hwa Wei, Chao-Chih Lee, Fu-Kong Lieu Dec 2012

The Comparison Of The Dynamic Balance Abilities Between Young And Elderly Adults, Chen-Yang Kao, Shun-Hwa Wei, Chao-Chih Lee, Fu-Kong Lieu

Rehabilitation Practice and Science

Background: Falls are one of high risk factors to the quality of health of elderly adults. A study with early screening for potential high risk factors for elderly adults is helpful to reduce the incidence of falls. Little research has been done to evaluate elderly adults in terms of limits of stability (LOS). Moreover, regarding elderly adult balance, most focuses have been placed on their feet when standing for long periods of time and looking at the static center of pressure (COP) change; few focuses have been placed on the dynamic parameter changes during weight shifting.Purpose: To compare dynamic balancing …

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The Results Of The 2010 New System For Assessment Of Disability In Hualien County: A Preliminary Study, Pao Huang, Pei-Lin Wu, Chih-Cheng Fan, Chung-Chao Liang Dec 2012

The Results Of The 2010 New System For Assessment Of Disability In Hualien County: A Preliminary Study, Pao Huang, Pei-Lin Wu, Chih-Cheng Fan, Chung-Chao Liang

Rehabilitation Practice and Science

Objective: This study uses the assessment results from the new system of the disability assessment schedule to investigate the relationships between the short version of the WHODAS 2.0 and the body functions, activities and participation, and environmental factors in this schedule. The influence of using this assessment schedule on changes in disability levels is analyzed.Method: In total, this study recruits 148 individuals with disabilities in Hualien County as cases for study. The new system assessment schedule from the ICF's promotion program is adopted to perform an assessment. The assessment items include body functions, activities and participation, environmental factors, and the …

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Sonographic Features Of Eosinophilic Fasciitis With Asymmetrical Symptoms: A Casereport, Yan-Hao Chen, Huey-Wen Liang, Tyng-Guey Wang Dec 2012

Sonographic Features Of Eosinophilic Fasciitis With Asymmetrical Symptoms: A Casereport, Yan-Hao Chen, Huey-Wen Liang, Tyng-Guey Wang

Rehabilitation Practice and Science

Eosinophilic fasciitis is a rare rheumatological disorder, with the clinical presentations of myalgia, symmetrical skin induration, and peripheral eosinophilia. Because of overlapping symptoms with other rheumatological disorders, early diagnosis of eosinophilic fasciitis is difficult. The confirmatory diagnosis relies on full-thickness skin biopsy. Imaging studies are also used for evaluation and diagnosis. Among them, high-resolution sonography has the advantage of high accessibility over other imaging modalities in detecting musculoskeletal disorder, but the sonographic features of eosinophilic fasciitis are rarely reported. This study reported a 24-year-old woman who was diagnosed as eosinophilic fasciitis with rare presentation of asymmetric involvement. She had left …

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Cerebral Stroke And Spinal Infarction After Coronary Artery Bypass Graft: A Casereport, Chun-Sheng Hsu, Hsiao-Wei Lin, Hsi-Hsun Su, Shu-Chuan Wu Dec 2012

Cerebral Stroke And Spinal Infarction After Coronary Artery Bypass Graft: A Casereport, Chun-Sheng Hsu, Hsiao-Wei Lin, Hsi-Hsun Su, Shu-Chuan Wu

Rehabilitation Practice and Science

Cerebral stroke and spinal cord infarction are rare complications after coronary artery bypass graft (CABG). The coexistence of them in one case is extremely rare. Cerebral microemboli generated during CABG is connected to acute ischemic stroke. Spinal cord infarction after CABG is related to hypoperfusion of the spinal cord. Except for the cardiovascular disease, the use of cardiopulmonary bypass during or after surgery is also a risk factor for both of the complications. They are not only increase the length of hospital stay but also contribute to patient's poor prognosis.We reported a 61-year-old male, with histories of hypertension, type II …

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Effects Of Intraarticular Botulinum Toxin A In The Treatment Of Ankle Osteoarthritis, Shu-Fen Sun, Chien-Wei Hsu, Yi-Jiun Chou, Yu-Nong Wang, Chiao-Wen Hwang, Mei-Chia Chou, Jue-Long Wang Dec 2012

Effects Of Intraarticular Botulinum Toxin A In The Treatment Of Ankle Osteoarthritis, Shu-Fen Sun, Chien-Wei Hsu, Yi-Jiun Chou, Yu-Nong Wang, Chiao-Wen Hwang, Mei-Chia Chou, Jue-Long Wang

Rehabilitation Practice and Science

Background: Preliminary evidence suggests that Botulinum toxin type A (BoNT-A) injected intraarticularly into painful joints has a significant nociceptive effect. The purpose of this study is to investigate the effects of intraarticular BoNT-A on the pain and physical function for patients with ankle osteoarthritis (OA).Method: A prospective study with 6 months follow-up done in a university-affiliated tertiary care medical center, patients with symptoms and radiographic evidence of ankle OA for at least 6 months were recruited. Patients received intraarticular injections of 100 units of BoNT-A in 2 cc of normal saline. The injections were performed by the same experienced doctor. …

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The Correlation Of Lumbar Spine Flexibility And Lumbar Extensor Activity In Healthy Adults, Chung-Che Lin, Ta-Sen Wei, Pen-Ta Liu Dec 2012

The Correlation Of Lumbar Spine Flexibility And Lumbar Extensor Activity In Healthy Adults, Chung-Che Lin, Ta-Sen Wei, Pen-Ta Liu

Rehabilitation Practice and Science

The modified fingertip-to-floor method is one of the clinical measurements used to assess forward bending. The present research is based on recording the measurements obtained by lumbar extensor surface electromyography (EMG) during the modified ”fingertip-to-floor” method in order to investigate the correlation between the two approaches. Our hypothesis is that poorer flexibility of the low back is associated with larger amplitude of low back extensor surface EMG activity.Measurements were obtained from 36 subjects (12 male and 24 female aged 28.9±5.3 year-old). The subjects stood on a wooden box and bent forward so that measurements could be taken. The top of …

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Mirror Image Artifact Of Sonography Mimicking Intraosseous Tumor: A Casereport, Zong-Han Yang, Lu-Wen Chen, Chia-Chieh Wu, Chung-Che Lin Dec 2012

Mirror Image Artifact Of Sonography Mimicking Intraosseous Tumor: A Casereport, Zong-Han Yang, Lu-Wen Chen, Chia-Chieh Wu, Chung-Che Lin

Rehabilitation Practice and Science

Although mirror-image artifacts of soft tissue sonography are not common, they produce phantom pictures and may lead to misdiagnosis. Relevant literature on mirror-image artifacts, even casereports, are rare. We described a 70-year-old female initially having a painless, immovable nodule with an insidious onset on her right anterior middle leg. After she received an initial physical examination and a radiographic approach, musculoskeletal sonography disclosed an oval non-compressible hypoechoic tumor, which seemed to invade the bony cortex medial to her tibia crest. A real, dome-shaped tumor above the tibia bone with an intraosseous mirror-image artifact was detected after MRI study, and the …

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Congenital Thoracic Scoliosis Presenting As Torticollis: A Casereport, Tzu-Yi Chou, Pei-Yu Yang, Nai-Hsin Meng Dec 2012

Congenital Thoracic Scoliosis Presenting As Torticollis: A Casereport, Tzu-Yi Chou, Pei-Yu Yang, Nai-Hsin Meng

Rehabilitation Practice and Science

Torticollis is a manifestation of various underlying conditions that refers to a specific positioning of the neck, such that the head is tilted to one side with the chin turned toward the opposite direction. Torticollis can be classified into muscular and non-muscular types. Congenital thoracic scoliosis is a rare cause of non-muscular torticollis. We report the case of an eight-month-old female infant presenting with persistent torticollis at birth. The initial impression was muscular torticollis. However, her symptom persisted after rehabilitation. After a series of surveys, congenital thoracic scoliosis, a very rare cause of non-muscular torticollis, was diagnosed. Most cases of …

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The Effect Of Unstable Sling Exercise Training For A Long Jump Athlete With Lumbar Spondylolysis: A Casereport, Shih-Chung Cheng, Chia-Lin Chen, Won-Jean Lin, Hsiao-Yun Chang Dec 2012

The Effect Of Unstable Sling Exercise Training For A Long Jump Athlete With Lumbar Spondylolysis: A Casereport, Shih-Chung Cheng, Chia-Lin Chen, Won-Jean Lin, Hsiao-Yun Chang

Rehabilitation Practice and Science

Spondylolysis is a common problem that may contribute to lower back pain in athletes participating in a variety of activities. We currently present a casereport describing an athlete aged 21 years who was participating in the long jump on the national stage with ranked 1 in Taiwan. A diagnosis of spondylolysis at the 5th lumbar vertebrae was made following complaints of pain in the lower back-diagnosis was confirmed using a radiology examination. The athlete was prescribed a conservative rehabilitation program that included regular physical therapy, an eight-week core stability training program, and a six-month unstable resistance training program. Treatment effectiveness …

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A Positron Emission Tomography Study Of Brain Activation In Chinese-Speaking Stutterers, Feng-Chu Tseng, Jung-Lung Hsu, Yen-Kung Chen, Lin-Fen Hsieh, Hung-Che Wang, Fa-Shun Tsai, Ya-Ling Chao Dec 2012

A Positron Emission Tomography Study Of Brain Activation In Chinese-Speaking Stutterers, Feng-Chu Tseng, Jung-Lung Hsu, Yen-Kung Chen, Lin-Fen Hsieh, Hung-Che Wang, Fa-Shun Tsai, Ya-Ling Chao

Rehabilitation Practice and Science

Background/Purpose: Although neuroimage studies on English-speaking stutterers have been reported previously, there was few positron emission tomography (PET) study of brain activation in Chinese- speaking stutterers. The purpose of this study was to investigate brain activation patterns in stutterers who speak Chinese.Each subject was scanned via using a PET scanner with a [18F] deoxyglucose marker. The stutterers group received two separate PET scans, one during solo reading (stuttering condition) and the other during choral reading (fluent condition). The normal speakers had only one scan following solo reading.Significant statistical difference in brain activation between the stutterers during solo reading and normal …

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Giant-Cell Tumor Of The Cervical Spine In An Adult Female With Neck Stiffness: A Casereport, Kuan-Yu Chu, Wen-Sheng Liu, Yen-Ting Lai, I-Pu Juang, Shu-Huan Lin Dec 2012

Giant-Cell Tumor Of The Cervical Spine In An Adult Female With Neck Stiffness: A Casereport, Kuan-Yu Chu, Wen-Sheng Liu, Yen-Ting Lai, I-Pu Juang, Shu-Huan Lin

Rehabilitation Practice and Science

Giant-cell tumor of the bone is relatively common in young adults, especially those in the third decades of life. This tumor occurs most frequently in long bones, such as the distal femur or proximal tibia, but rarely in the cervical spine. Giant-cell tumor of the cervical spine is rarely considered in the differential diagnosis of neck pain; thus, diagnosis of giant-cell tumor of the cervical spine is typically delayed or misdiagnosed. We present a case of giant-cell tumor of the cervical spine in a 25-year-old woman initially diagnosed with neck stiffness and muscle strain. She developed upper trunk numbness in …

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The Effect Of Botulinum Toxin Type A On Chronic Neck-Shoulder Pain: A Casereport, Sin-Hao Ho, Shih-Chung Chang, Yao-Jen Chen, Amy I-Hui Lin, Su-Ju Tsai Dec 2012

The Effect Of Botulinum Toxin Type A On Chronic Neck-Shoulder Pain: A Casereport, Sin-Hao Ho, Shih-Chung Chang, Yao-Jen Chen, Amy I-Hui Lin, Su-Ju Tsai

Rehabilitation Practice and Science

Neck and shoulder pain is a common clinical complaint. However, the associated mechanism of this condition is thought to be multifactorial and is not yet fully understood. Various studies and multiple clinical experiences have shown the effectiveness of treatment with botulinum toxin type A in the improvement of dystonia and muscle spasticity. The mechanism of the analgesic effect of botulinum toxin type A has also been widely investigated. Many studies have addressed the use of botulinum toxin type A in the treatment of myofascial pain, but its effectiveness and side effects remain controversial. This casereport describes a young woman with …

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Effects Of A Modified Module Insole On Foot Deformity And Pain In High Arch Foot, Pin-Yang Hung, Mei-Wun Tsai, Young-Hue Yu, Ming-Jor Lo, Yen-I Chiang, Wei-Hua Ho, Mu-Jung Kao Dec 2012

Effects Of A Modified Module Insole On Foot Deformity And Pain In High Arch Foot, Pin-Yang Hung, Mei-Wun Tsai, Young-Hue Yu, Ming-Jor Lo, Yen-I Chiang, Wei-Hua Ho, Mu-Jung Kao

Rehabilitation Practice and Science

There are no definite conclusions for effective treatments on foot orthosis for high arch foot. The aim of this study was to assess the effectiveness of modified module insole on foot deformity and foot pain in high arch foot patients. This study recruited 81 adults whose arch index of ＞0.21with 37 in the orthosis group and 44 in the control group. All participants have no evidence of neurological deficits at legs, foot deformities and abnormal gait patterns. A modified module insole with 3/4 length arch support was tried for the orthosis group. The 8-week trial was followed by an 8-week …

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A Young Stroke Patient With Bardet-Biedl Syndrome: A Casereport, Erh-Chun Chen, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee Dec 2012

A Young Stroke Patient With Bardet-Biedl Syndrome: A Casereport, Erh-Chun Chen, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee

Rehabilitation Practice and Science

Bardet-Biedl syndrome (BBS) is a rare inherited disease. Up to date, there have been 14 known BBS-related mutation genes, resulting in ciliopathy with multiple abnormalities such as obesity, pigmentary retinopathy, polydactyly, learning disabilities, poor coordination, renal dysfunction, diabetes and hypertension. This case was a 29-year-old male, who was diagnosed as Bardet-Biedl syndrome since childhood and then was followed up for control of complications. He suffered from stroke at age of 29. Risks of young stroke were surveyed. Poorly controlled hypertension, hyperlipidemia, hyperglycemia and hyperfibrinogenemia were noted. No other examination revealed abnormality. He had received treatment of stroke in acute phase, …

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The Effect Of Ice Pack On Lumbar Range Of Motion In Patients With Low Back Pain And Lumbar Sacralization, Shih-Chieh Lin, Yi-Chun Hung, Yin-Chou Lin, Wei-Han Chang, Yu-Tsai Tu, Shih-Wei Chou Dec 2012

The Effect Of Ice Pack On Lumbar Range Of Motion In Patients With Low Back Pain And Lumbar Sacralization, Shih-Chieh Lin, Yi-Chun Hung, Yin-Chou Lin, Wei-Han Chang, Yu-Tsai Tu, Shih-Wei Chou

Rehabilitation Practice and Science

Purpose: This research was designed to investigate the short-term effect of an ice pack on lumbar range of motion in patients. Patients with low back pain caused by sacralized fifth lumbar spine were selected after clinical diagnosis.Method: Twenty-four subjects were recruited for this study. Twelve subjects with low back pain who were diagnosed with sacralized fifth lumbar spine were selected as the experimental group, and twelve healthy subjects were selected as the control group. The age, body height, and weight of the patients in the two groups were compared. Measurements of lumbar range of motion were used as the pretest …

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The Associated Factors In Home-Based Rehabilitation Utilization Of Stroke Patients, Shu-Chuan Wu, Yu-Chia Chang, Te-Feng Yeh, Ting-Yu Chang, Wei-Chaio Lu, Chien-Tsai Huang, Chuan-Hsiung Lin, Li-Ling Huang Dec 2012

The Associated Factors In Home-Based Rehabilitation Utilization Of Stroke Patients, Shu-Chuan Wu, Yu-Chia Chang, Te-Feng Yeh, Ting-Yu Chang, Wei-Chaio Lu, Chien-Tsai Huang, Chuan-Hsiung Lin, Li-Ling Huang

Rehabilitation Practice and Science

This study explores the factors correlated to the use of home-based rehabilitation services by stroke patients for whom care is provided according to the state policy pertaining to the 10-year long-term care plan.During July 2008–June 2010, data were collected from 759 stroke patients by using a long-term care management service evaluation form. These patients had initially applied for services at the long-term care centers of the Bureau of Public Health in Taichung County. Of these, 119(15.7%) eventually used home-based rehabilitation services. Using the Andersen health behavior model, we investigated how various factors influence the use of home-based rehabilitation services by …

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Quantitative Investigation Of Effect Of Age And Bolus Characteristics On Laryngeal Movement During Swallowing, Tsui-Fen Yang, Rai-Chi Chan, Shinn-Shing Lee, Jia-Chi Wang Dec 2012

Quantitative Investigation Of Effect Of Age And Bolus Characteristics On Laryngeal Movement During Swallowing, Tsui-Fen Yang, Rai-Chi Chan, Shinn-Shing Lee, Jia-Chi Wang

Rehabilitation Practice and Science

Objective: The purpose of this study was to investigate the physiologic changes of swallowing along with normal aging, and to study the influences on swallowing of gender and food consistency.Methods: One hundred adult men and women aged 24 to 80 participated. Each subject underwent a swallowing evaluation, in which a surface transducer was placed on the neck to detect laryngeal movement when they performed a dry swallow and wet swallow for different food consistencies. Main outcome measures included mean onset, mean amplitude and mean duration of the deglutition wave.Results: In this study, the onset of the dry swallow deglutition wave …

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Quantitative Evaluation Of Motor Control Of Upper Limbs After Neuro-Robot Rehabilitation, Shu-Min Chen, Yu-Chia Tsai, Ming-Shaung Ju, Bing-Cheng Kung Dec 2012

Quantitative Evaluation Of Motor Control Of Upper Limbs After Neuro-Robot Rehabilitation, Shu-Min Chen, Yu-Chia Tsai, Ming-Shaung Ju, Bing-Cheng Kung

Rehabilitation Practice and Science

Function of the upper limbs is crucial in daily activities. Motor recovery of upper limbs after stroke is slower and less complete than of lower limbs. During the recovery period, abnormal synergies always disturb daily life activity. Various therapeutic techniques have been developed to improve the function of upper limbs after stroke, such as the neuro-rehabilitation robot, which was developed in recent years and shows numerous positive outcomes for upper-limb facilitation after stroke. For the evaluation of motor recovery after stroke, Brunnstrom stages and the Modified Ashworth scale are commonly used and convenient. However, both depend heavily on the evaluator …

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Phase I Cardiac Rehabilitation Among Patients With Acute St-Elevation Myocardial Infarction, Yun-Yi Lin, Chi-Ming Lee, Ching Lan, Ssu-Yuan Chen, Shu-Fang Hsiao, Pei-Chen Lu, Pei-Chin Suen, Mei-Yu Chen, Yen-Ho Wang, Jin-Shin Lai Dec 2012

Phase I Cardiac Rehabilitation Among Patients With Acute St-Elevation Myocardial Infarction, Yun-Yi Lin, Chi-Ming Lee, Ching Lan, Ssu-Yuan Chen, Shu-Fang Hsiao, Pei-Chen Lu, Pei-Chin Suen, Mei-Yu Chen, Yen-Ho Wang, Jin-Shin Lai

Rehabilitation Practice and Science

Background and Purpose: Phase I cardiac rehabilitation (CR) programs have been shown to be effective and beneficial for patients with acute myocardial infarction. However, only few studies have evaluated the determinants of treatment frequency in phase I CR. The aim of this study was to investigate the current administration of phase I CR for patients who have acute ST-elevation myocardial infarction (STEMI) and have undergone percutaneous coronary intervention (PCI) in a medical center in Taiwan.Methods: We retrospectively reviewarticleed the medical records of 30 patients with STEMI who were admitted to the coronary care unit (CCU) between December 2009 and March …

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Kabuki Syndrome: A Casereport, Hsin-I Wu, Shih-Jay Tzeng, Chang-Hsien Yu Dec 2012

Kabuki Syndrome: A Casereport, Hsin-I Wu, Shih-Jay Tzeng, Chang-Hsien Yu

Rehabilitation Practice and Science

Kabuki syndrome (KS) is a rare congenital disorder characterized by distinctive facial features, skeletal anomalies, dermatoglyphic abnormalities, mild to moderate mental retardation and postnatal growth deficiency. Although first reported in Japan, it has been recognized in other parts of the world. The present case with KS is a five-year-old boy. Because of his pervasive developmental delay, he received care in rehabilitation programs hosted by our hospital. He had prominent ears, depressed nasal tip, long palpebral fissures, and long eyelashes. The common features of KS in him are postnatal growth retardation, moderate mental retardation, scoliosis, cleft palate, flat feet, fifth finger …

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