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Voiding Dysfunction In Cerebellar Stroke: A Casereport, Chi-Chung Ho, Yu-Hui Huang, Su-Ju Tsai, Ko-Shin Jian, Yung-Liang Kao, Liu-Ing Bih

Rehabilitation Practice and Science

Animal studies have suggested that the cerebellum plays an inhibitory role in the collecting phase and a facilitatory role in the emptying phase of the voiding reflex in the micturition cycle.A 12 year old girl was admitted who complained of a headache and had a disturbance in consciousness after running in school. An emergent brain computed tomography scan showed massive bleeding over bilateral cerebellum hemispheres, vermis, and ventricles. An occipital craniotomy was performed to remove the hematoma. Simultaneously, an arterio-venous malformation was found and excised. She regained consciousness 3 weeks later, thereafter urine retention was noted as well as trunkal …

The Wilson Disease: A Casereport, Nai-Chiung Huang, Ta-Sen Wei, Yen-Chung Chen, Wei-Chen Liang, Peng-Ta Liu

Rehabilitation Practice and Science

Wilson disease is a rare autosomal recessive inherited disorder of copper metabolism. The genetic defect, localized to chromosome arm 13q, has been shown to affect the copper-transporting adenosine triphosphatase gene. The major pathology is excessive deposition of copper in the liver, brain, and other tissues. The most common presenting neurological features are tremor, dystonia and ataxia that influence the motor control and gait. The diagnosis is confirmed by measurement of serum ceruloplasmin, urinary copper excretion and hepatic copper content as well as the detection of Kayser-Fleischer rings.The subject in our case study is a 25-year-old, female patient with Wilson disease. …

Assessment Of Individual Activities Of Daily Living And Its Association With Self-Rated Health Status In Elderly People, Yu-Ning Hu, Chin-Ching Li, Chia Lee, Rung-Huei Lin, Gwo-Chi Hu

Rehabilitation Practice and Science

Health-related quality-of-life in the elderly generally encompasses freedom from disease, good physical and psycho-social well-being, and preventing the loss of function in activities of daily living (ADL). Some indices of ADL, such as basic ADL and instrumental ADL, are considered to be measures of functional status in the elderly. However, in most studies, functional status is evaluated by either the summed ADL score or disability score in one or more ADLs. No studies have investigated the association between an individual's ADL function and self-rated health status. The purpose of this study was to investigate the relationship of functional status (i.e., …

Aphasia In A Congenital Deaf Man: A Casereport, Shu-Yi Wang, Jin-Cherng Chen, Huei-Ting Chen

Rehabilitation Practice and Science

Congenitally deaf persons don't have the ability to communicate verbally due to profound hearing impairment. Thus, they rely on words and sign language to communicate with others. Physicians tend to pay less attention to people who can't communicate verbally. We report the case of a 45-year-old congenitally deaf man who developed a left frontotemporal brain tumor. He was right-handed. As a result of the tumor, he lost both the ability to form words and the sign language he had relied upon to communicate with others. He recovered some ability to communicate 6 months after surgery. He was able to use …

Transient Osteoporosis Of The Hip During Pregnancy: A Casereport, Wen-Chuan Pai, Ching-Yang Lin, Mu-Jung Kao, Fong-Cheng Lin

Rehabilitation Practice and Science

Transient osteoporosis, also called ”bone marrow edema syndrome”, is a rare disorder of unknown etiology. It primarily affects women in the third trimester of pregnancy as well as middle-aged, overweight men, and the hip joint is most commonly involved. The main symptom of transient osteoporosis of the hip is a sudden onset of pain at the lateral aspect of the hip. Mild limitation of hip range of motion is often present. A 36-year-old woman presented to our outpatient department 5 weeks after cesarean section with bilateral hip pain, which had begun suddenly during her eighth month of pregnancy. Magnetic resonance …

Dislocation With Locking Of The Bilateral Facet Joints Followed By Spontaneous Rapid Reduction In An Elderly Lady With Cervical Spine Injury: A Casereport, Yih-Tsen Lai, Dar-Ming Lai, Huey-Wen Liang

Rehabilitation Practice and Science

The main causes of cervical spine injury vary among different age groups. Elderly people have a tendency to sustain injuries due to falls, which is a low energy mechanism of injury. Here, we report a case of a 76-year-old woman who fell down from sitting and suffered severe dislocation of the C5 on the C6 vertebra and locking of the bilateral facet joints. She showed spontaneous reduction of the dislocation on a magnetic resonance image taken 3 h after the injury. After surgical fixation of the dislocated cervical spine, she was transferred for rehabilitation therapy. Gradually neurological and functional improvement …

Effect Of Music On Sleep In Young Population, Yu-Yi Chen, Ya-Ju Chang, Hsieh-Ching Chen, Yen-Hsuan Yang, Yu-Ling Chen, Ninc-Hung Chen, Alice M.K. Wong

Rehabilitation Practice and Science

Sleep, a vital ingredient in life, is an active and complex rhythmic state that may affected the health of people. Based on theory, sedative music may induce relaxation and distraction responses. Music also has the effect on the change of muscular energy, heart rate, respiratory rates, blood pressure, and psychological distress. Music intervention could enhance sleep quality. The purpose of this study was to investigate the effect of music for sleep in young people.Twenty people aged 20-30 years in normal state of sleep were recruited and assigned randomly to different music conditions into this study. Each participant received one night …

Pressure Pain Threshold, Pressure Pain Tolerance, And Compliance At Different Sites On The Biceps Brachii Muscles Prior To And Following Eccentric Exercise, Jo-Tong Chen, Kuo-Wei Su, Ta-Shen Kuan, Yun-Fu Chou, Chang-Zern Hong

Rehabilitation Practice and Science

Delayed onset muscle soreness (DOMS) refers to skeletal muscle pain that follows strenuous and unaccustomed physical activity. The intensity of discomfort peaks at 24 to 48 hours, and subsides within 5 to 7 days post-exercise. It appears that DOMS occurs most frequently following unaccustomed eccentric exercise. However, it is not clear whether sensitivity to pain is uniform over the surface of the muscle, or whether some locations become more sensitive following eccentric exercise. The purpose of this study was to evaluate the effect of DOMS at various sites of muscle following a bout of eccentric exercise.A total of 25 subjects …

Bilateral Upper Limb Loading Exercise In Hemiplegic Patients: Immediate Effects On Nerve Conduction Characteristics, Lin-Chien Lee, Yung-Cheng Huang, Hsing-Kuo Wang, Sheng-Chu Su, Kuang-Ping Hsieh, Fu-Kong Lieu

Rehabilitation Practice and Science

The aim of this study was to investigate the immediate effects of upper extremity loading exercises on conduction in the median and ulnar nerves in the wrists of hemiplegic patients. Seventeen hemiplegic patients without past history of carpal tunnel syndrome or other confounding diseases and seventeen healthy and physically-matched control subjects were recruited. Nerve conduction tests of the median and ulnar nerves were performed in both arms of patients and healthy controls before and after a set of 30-minute bilateral loading exercise. Significant reductions (p＜0.05) were found in median compound motor action potential, median sensory nerve action potential and ulnar …

Reliability And Validity Of The Iliac Crest Leveling And Paper Thickness Correction Method For Measuring Functional Leg-Length Discrepancy, Chun-Yi Lin, Tzu-Jung Wu, His-Hui Sung, Ke-Shin Jian, Chi-Chung Ho

Rehabilitation Practice and Science

The objective of this study is to determine the reliability and validity of a clinical measurement for functional leg-length discrepancy (LLD) using the level and paper thickness correction (LPC) method to determine intra-rater and inter-rater reliability and validity. We induced a simulated LLD (5-30 mm) for each subject twice in a block-simulating group (n=17), none of whom had an apparent LLD. The X-ray group (n=7), who had LLD, were measured using radiographs to measure the LLD. The examiner performed the LPC method in both groups by adjusting the bilateral height of the top iliac crest margin via the level and …

Assessments Of Spasticity By Hoffmann Reflex Parameters In Patients With Spinal Cord Injury, Juei-Hsiang Wang, Yen-Ho Wang, Chein-Wei Chang, Shin-Liang Pan, Che-Sheng Lin

Rehabilitation Practice and Science

Muscle spasticity is a common problem that affects patients who have suffered spinal cord injury (SCI). It can affect the motor skills, activities of daily living, and quality of life of these patients. The modified Ashworth scale (MAS) is a widely used clinical rating scale for spasticity, but its validity and reliability have been questioned. Much attention has been devoted to the evaluation of spasticity by using electrophysiological approaches. Increased excitation of motor neurons, exaggerated stretch reflex, decreased presynaptic inhibition, and reduced reciprocal inhibition have been found to be associated with spasticity. In several previous studies, the Hoffmann (H) reflex …

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 …

Incidence And Risk Factors Analysis Of Lymphedema Secondary To Breast Cancer, Su-Fen Liao, Ya-Fun Lee, Shou-Tung Chen, Shou-Jen Kuo, Wei-Chen Liang, Ta-Sen Wei, Mu-Tai Liu

Rehabilitation Practice and Science

Lymphedema, the most significant complication of treatment for breast cancer, can result in substantial psychological and physical morbidity. However, no long-term follow-up lymphedema studies yet exist for Taiwanese breast cancer survivors. This study therefore focused on examining frequency and risk factors of lymphedema secondary to breast cancer in Taiwanese patients. Five hundred and seventy patients who received surgical treatment between 1994 and 2000 at Changhua Christian Hospital were retrospectively investigated in October 2002. The incidence of self-reported edema was 28 percent (161/570), and the incidence of lymphedema with circumference difference greater than 2cm was 8.1 percent (46/570). Eighty-four percent of …

The Recovery Index Of Oxygen Saturation From Orthostatic Syncope In Patients With Spinal Cord Injury, David S. Liu, Alice M. K. Wong, Shih-Ching Chen, Kang-Ping Lin, Chien-Hung Lai, Walter H. Chang

Rehabilitation Practice and Science

Orthostatic hypotension (OH) is a common clinical problem for patients with spinal cord injury (SCI) at the cervical or high thoracic level when they move from the supine position to the upright position. Patients with severe SCI frequently suffer from symptoms of OH during head-up tilt, ranging from slight lightheadedness to full syncope. Tilt-table training is commonly used in clinical physiotherapy to overcome OH syncope, but this also relies on carefully manual control of the tilt angle and training time by the therapist during training. Up till now, it still has no method to estimate the recovery process of OH …

The Research And Development Of Foot Pressure Testing Piece, Mu-Jung Kao, Ming-Jor Lo, Cheng-Kung Cheng, Hung-Wen Wei

Rehabilitation Practice and Science

The purpose of this study was to design an insole-style testing piece for a quick and easy dynamic foot pressure test. Current commercial foot pressure systems are costly and complicated to operate. These systems are not suitable for extensive evaluations of patient's foot or orthoses, either.The material used in this research is TPE-PS shock absorption foam. This foam has three special features: (1) excellent surface contact with foot contour, soft textures that do not irritate the foot, (2) creates permanent foot pressure imprints after brief walking, (3) the foam material does not crack or break under excessive foot pressure. When …

Associated Study Between Dopamine Drd2 Gene Polymorphism And Finger Tapping Test, Wen-Hsuan Hou, Tai-Jui Chen

Rehabilitation Practice and Science

Neurotransmitter dopamine has relation with neuro-psychiatric disease, it also has effect on motor function for healthy individuals and also determines the outcome of rehabilitation for neuro-psychiatric disease patients. Finger Tapping Test (FTT), a neuro-psychological test, is thought to be associated with dopamine. Therefore, the goal of this study is to investigate the association relationship between dopamine genes polymorphism (DRD2 TaqI) and FTT. Method: We recruit healthy Han Chinese, age between 20 and 60 years old, having no neuro-psychiatric illness and family history for dopamine genes polymorphism (DRD2 TaqI) and FTT assessment. Result: Total 106 cases were enrolled in the study. …

Clinical Experience Of Ventriculoperitoneal Shunt Dysfunction In A Patient With Hydrocephalus After Brain Injury: A Casereport, Shean-Jing Lin, Yun-Yee Chen, Mu-Jung Kao, Ching-Yang Lin, Sheng-Huang Hsiao

Rehabilitation Practice and Science

We report a case of an adult patient with post-traumatic hydrocephalus who was treated using a ventriculoperitoneal (VP) shunt with a fixed pressure setting valve. Slit ventricle syndrome was found two months later and an antisiphon device (ASD) was added. A fixed pressure valve with ASD was found not to be optimal in terms of improving his neurological symptoms and a programmable valve system was therefore implanted with a pressure setting of 140 mmH2O in the beginning. The valve then was gradually programmed to reduce down to 70 mmH2O over two months. This case demonstrates that selection of a shunting …

Combining Therapeutic Ultrasound And Breast Massage For Plugged Ducts: Three Casereports, Yu-Chun Lee, Xiu-Yong Hong, Chin-Teng Chung, Wei-Chih Chen, Hui-Mi Liu, Si-Wa Chan

Rehabilitation Practice and Science

Plugged ducts are a common problem during lactation. They often occur when the breast is not emptied properly, or when there is local pressure on the breast. Plugged ducts usually occur three to four weeks postpartum. Symptoms include a sensitive lump with well-defined margins in the breast. There may be pain and tenderness in the affected area, although this is not necessarily accompanied by systemic symptoms such as high-grade fever. Milk flow can be blocked and sometimes a tiny white spot can be seen at the opening of the mammary duct on the nipple. Without treatment, plugged ducts can lead …

Ultrasonographic Diagnosis Of Bicipitoradial Bursitis: A Casereport, Kuan-Wen Chen, Yi-Pin Chiang

Rehabilitation Practice and Science

The bicipitoradial bursa is located between the distal biceps tendon and the radial tuberosity. The bursa functions as a buffer to reduce the friction between tendon and bone during pronation of the forearm. Bicipitoradial bursitis most frequently results from repetitive mechanical microtrauma by supination and pronation movements of the forearm, and it may cause painful swelling at the antecubital fossa. However, only a few cases of bicipitoradial bursitis have been reported to be diagnosed by ultrasound. We report a case of a 32-year-old woman with a tender soft tissue mass in her right antecubital area. Musculoskeletal ultrasound depicted a distended …

Clinical Diagnosis Of Mild Misalignment Of Symphysis Pubis Using Ct Scan With Three-Dimensional Reconstruction Of Pelvis: A Casereport, Cheng-Hung Lin, Ching-Hung Hung, Nam-Seng Goh, Chen-Chang Hsiung

Rehabilitation Practice and Science

The patients who suffered from symphysis pubis injury would normally be treated in two clinical departments. Symphysis pubis diastasis is an uncommon intrapartum complication which may occur in women with some associative factors such as macrosomic fetus, small pelvis, and rapid descent of presenting part during spontaneous vaginal delivery. The automotive side impacts are a leading cause of injuries to the pubic symphysis which might be combined with major pelvic trauma. Other factors that might contribute to this type of injury is general fall events, although very rare, which would induce minor symphysis pubis injury. Recently, we presented with a …

Teaching-Learning Philosophy, Celia Pechak

Selected Works Temporary Series

No abstract provided.

Influences On Job Retention Among Homeless Persons With Substance Abuse Or Psychiatric Disabilities, Russell K. Schutt, Norman C. Hursh

The Journal of Sociology & Social Welfare

Job retention is an important psychosocial rehabilitation goal, but one that is not often achieved. We investigate facilitators of and barriers to employment retention among homeless individuals with psychiatric and substance abuse diagnoses who were re-interviewed eight or more years after participating in a traditional vocational rehabilitation program. Most program graduates who maintained employment had secured social support from a variety of sources; personal motivation was also a critical element in job retention and compensated in some cases for an absence of social support. Both the availability of social support contacts and personal motivation influenced likelihood of maintaining sobriety. Physical …

Connecting Youth And Communities: Customized Career Planning For Youth With Psychiatric Disabilities, Kim Brown

The Journal of Sociology & Social Welfare

Young people with psychiatric disabilities are significantly overrepresented in the juvenile justice system, tend to be employed sporadically if at all, and frequently have negative connections within and to their communities. Recent research conducted in Montana with youth who have developmental and/or physical disabilities demonstrates the effectiveness of using a customized career planning model to increase linkages to resources and access to community- based employment. Side benefits include improved self-esteem and positive community connections. The customization model holds promise as a way to reduce the risk factors young people with psychiatric disabilitiesf ace and increase the resiliency factors that can …

Does The Gi Bill Support Educational Attainment For Veterans With Disabilities? Implications For Current Veterans In Resuming Civilian Life, Alexa Smith-Osborne

The Journal of Sociology & Social Welfare

A secondary data analysis of the 2001 National Survey of Veterans (NSV) for 2075 Gulf War-era veterans was conducted to investigate whether the GI Bill (the Servicemen's Readjustment Act of 1944, most recent provisions of which have been entitled the Montgomery GI Bill and the Post 9/11 GI Bill), considered as a social welfare policy, demonstrated protective effects for veterans with disabilities in terms of successful re-entry and sustained enrollment in higher education. Regression analyses to test the mediation effects of use of the GI Bill, use of non-Veterans' Administration (VA)financial aid, and use of VA health services suggested mediation …

The Impact Of Left Hemisphere Stroke On Force Control With Familiar And Novel Objects: Neuroanatomic Substrates And Relationship To Apraxia, Amanda M. Dawson, Laura J. Buxbaum, Susan V. Duff

Physical Therapy Faculty Articles and Research

Fingertip force scaling for lifting objects frequently occurs in anticipation of finger contact. An ongoing question concerns the types of memories that are used to inform predictive control. Object-specific information such as weight may be stored and retrieved when previously encountered objects are lifted again. Alternatively, visual size and shape cues may provide estimates of object density each time objects are encountered. We reasoned that differences in performance with familiar versus novel objects would provide support for the former possibility. Anticipatory force production with both familiar and novel objects was assessed in six left hemisphere stroke patients, two of whom …

Imitation In Fragile X Syndrome: Implications For Autism, Marta Macedoni-Luksic, Laura Greiss Hess, Sally J. Rogers, David Gosar, Kerrie Lemons-Chitwood, Randi Hagerman

Occupational Therapy | Faculty Scholarship

To address the specific impairment of imitation in autism, the imitation abilities of 22 children with fragile X syndrome (FXS) with and without autism were compared. Based on previous research, we predicted that children with FXS and autism would have significantly more difficulty with non-meaningful imitation tasks. After controlling for full-scale IQ and age, the groups did not differ in their overall imitation accuracy scores, but analysis of error patterns revealed that children with FXS and autism made more groping errors and additional movements than the comparison group. These error patterns are consistent with the hypothesis that an action production …

Clinically Applicable Paper: Land-Based Versus Pool-Based Exercise For People Awaiting Joint Replacement Surgery Of The Hip Or Knee: Results Of A Randomized Controlled Trial, Cheryl Rudisile-Smith, Marissa Loosli, Jason Brumitt

Faculty Publications - College of Physical Therapy

Landbased versus pool-based exercise for people awaiting joint replacement surgery of the hip or knee: results of a randomized controlled trial

Μ-Opioid Receptor Agonist Injections Into The Presumed Pre-Bötzinger Complex And The Surrounding Region Of Awake Goats Do Not Alter Eupneic Breathing, K. L. Krause, Suzanne E. Neumueller, B. D. Marshall, T. Kiner, Joshua M. Bonis, Lawrence Pan, B. Qian, Hubert V. Forster

Physical Therapy Faculty Research and Publications

Opioids are clinically important in the alleviation of pain. An undesirable side effect of opioids is depression of breathing. Data from isolated preparations suggest this effect is due to attenuation of discharge activity of neurons in the pre-Bötzinger complex (preBötzC), a medullary area with respiratory rhythmogenic properties. The purpose of this study was to examine how [d-Ala(2),N-Me-Phe(4),Gly(5)-ol]-enkephalin (DAMGO), a μ-opioid receptor agonist, affected breathing after injection into the presumed preBötzC of the adult awake goat. We hypothesized that DAMGO would cause breathing to decrease and become irregular when injected into the presumed preBötzC and the surrounding region of the conscious …

Sex Differences In Response To Cognitive Stress During A Fatiguing Contraction, Tejin Yoon, Manda Linea Keller, Bonnie Schlinder-Delap, April L. Harkins, Romuald Lepers, Sandra K. Hunter

Exercise Science Faculty Research and Publications

This study compared the time to task failure for a submaximal fatiguing contraction in the presence and absence of a cognitive stressor in men and women. In study 1, 10 men and 10 women (22 ± 3 yr of age) performed an isometric fatiguing contraction at 20% maximal voluntary contraction force until task failure with the elbow flexor muscles during two separate sessions. Subjects performed a mental-math task during one of the fatiguing contractions that aimed to increase anxiety and stress (stressor session). Salivary cortisol and reported levels of arousal (visual analog scale for anxiety, and State-Trait Anxiety Inventory …

Advanced Education & Research Training Initiative [Aerti] 2009, Mark Daniel Geil, John W. Michael

Faculty Articles

The American Academy of Orthotists and Prosthetists has long recognized the valuable synergy between research and education, and the mutual importance of each in advancing the field. Consequently, a focal point of an Academy grant initiative funded by the U.S. Department of Education has been a systematic analysis of research capacity and advanced education. A grant project in 2004 convened a series of meetings and produced the Advanced Education and Research Training Initiative (AERTI) report.

Continuing the initiative, a multidisciplinary and multinational group of experts convened in Chicago July 17-19, 2009 to review the 2004 AERTI Report, evaluate its recommendations …