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The Relationship Of Quality Of Life And Peak (The Symbol Is Abbreviated)O2 In Patients Short-Term After Coronary Artery Bypass Graft, Chen-Liang Chou, Chia-Ling Chang, Su-Ying Hung, Yu-Chen Chai, Chen-Ming Chiu, Tcho-Jen Liu, Shian-Ting Lai

Rehabilitation Practice and Science

The purpose of this study was to investigate the quality of life and physical fitness in patients after coronary artery bypass graft (CABG). We used WHOQOL-BREF (Taiwan) to evaluate the quality of life, and (The symbol is abbreviated) O(subscript 2peak) to evaluate physical fitness. We also collected the data of pre-operative left ventricle cardiac ejection fraction and analyzed the correlation within the data.There were 33 male post-CABG patients enrolled in this study. Each patient received a cardiopulmonary exercise stress test 3~4 weeks after the surgery. Each of them completed the WHOQOL-BREF questionnaire (Taiwan version). We applied Pearson's correlation coefficient to …

Epidemiology And Associated Factors Related To Congenital Muscular Torticollis In A Taiwan Regional Hospital, Miao-Ming Chen, Sung-Kai Lin, Chuan-Fa Hsieh, Hsiu-Hsi Chen

Rehabilitation Practice and Science

Introduction: Congenital muscular torticollis (CMT) is the common disease among newborn. The diagnosis of CMT was based on clinical presentation and physical examination, typically. In 1900, ultrasonography for the CMT had first been described and it had been found to be a more sensitive diagnostic tool. However, such data was scarcely in Taiwan.Purpose: To measure the incidence of CMT in Taiwan and identify associated factors in order to provide evidence for a possible etiology for CMT. Methods: We used of CMT sonography of 1021 newborns at Li-Shin hospital. Sonographic studies of the bilateral sternocleidomastoid muscle (SCM) were performed on all …

Attack Of Gouty Arthritis After Intraarticular Injection Of Naturally Derived Hyaluronic Acid, Chih-Kuang Chen, Chin-Yew Lin, Ngok-Kiu Chu, Cheng-Yi Lin, Simon Fuk-Tan Tang

Rehabilitation Practice and Science

Viscosupplementation by intraarticular administration of exogenous hyaluronic acid has been a favorable treatment option to alleviate the symptoms of knee osteoarthritis. The potential but uncommon adverse reactions associated with intraarticular hyaluronic acid injection are local pain, swelling, and allergic response. These reactions are typically mild, transient, and self-limiting. The focus of this report is an 80-year-old man who presented with acute painful swelling of his knee joint after an injection of naturally derived hyaluronic acid. Aspiration of knee joint effusion yielded 40 mL of turbid straw-colored fluid. Synovial fluid cell counts revealed numerous leukocytes with a marked predominance of neutrophils. …

Antiphospholipid Antibody Syndrome With Chronic Subdural Hemorrhage: A Casereport, Yun-Fu Chou, Wei-Jang Yen, Chia-Hui Dai, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

Patients who suffer antiphosphlipid antibody syndrome may have two kinds of antibodies, Anticardiolipin and Lupus anticoagulant. These antibodies may increase the risk of ischemic stroke and cerebral ischemia. However, the incidence of cerebral bleeding is relative rare. As a result, patients with antiphosphlipid syndrome often take oral anticoagulants for a long-term period to prevent ischemic stroke attack.We report a female patient who was diagnosed antiphosphlipid antibody syndrome in 1998, and took oral anticoagulants for a long period to restrain the symptom of thrombosis. The INR(International Normalized Ratio)value has been kept between 1.5 to 2.0 by controlling the dosage of oral …

Cerebellar Mutism Syndrome Following Arteriovenous Malformation Rupture Of The Cerebellum: A Report Of Two Cases, Shih-Chung Chang, Su-Ju Tsai, Wei-Liang Nieh

Rehabilitation Practice and Science

Cerebellar mutism syndrome is a rare but devastating consequence following posterior fossa surgery or lesion. It tends to occure predominantly in children, and is characterized by transient mutism, oromotor apraxia, apathy, hypokinesis, irritability and mood lability. The vermis, paravermian region and deep cerebellar nuclei are important structures which are highly correlated with the occurrence of cerebellar mutism syndrome. We report two cases, aged 11 and 15 years, who developed cerebellar mutism after rupture of posterior fossa arteriovenous malformation. Swallowing difficulty, irritability and aggressive behavior occurred concomitant with mutism. For the two cases, their symptoms of mutism lasted for 6 months …

Power Spectrum Analysis Of Heart Rate Variability In Full-Term And Preterm Neonates, Tsui-Fen Yang, Nien-Tzu Kao, Rai-Chi Chan, Terry-Bj Kuo, Shu-Jen Chen

Rehabilitation Practice and Science

Objective: Prematurely born infants have been believed to be neurologically less mature than full-term neonates. The purpose of this study was to investigate the regulation and maturation of autonomic nervous systems, in both full-term and preterm neonates of different conceptional ages.Methods: One hundred and thirteen infants, both clinically and neurologically healthy and with conceptional ages of between 33 and 42 weeks, were enrolled in the study. Power spectrum analyses of heart rate variability were performed under standard conditions when the subjects were in a sleeping state. Results: Conceptional age did exert a significant influence over heart rate variability. There was …

Effects Of Residence On Physical Fitness Among Adults In Taiwan, Jih-Rong Lin, Yin-Chou Lin, Cheng-Hsiu Lai, Chia-Hua Kuo, Shih-Wei Chou, Alice M. K. Wong

Rehabilitation Practice and Science

Health-related physical fitness can be assessed using four principal attributes: body composition; muscular strength and endurance; flexibility; and cardiorespiratory endurance. Factors such as the lifestyle behaviors or dietetic habits can affect physical fitness. The aim of this study is to investigate the differences in physical fitness among adults residing in different areas of Taiwan. The study was conducted between April and November 2002. In total, 19638 subjects aged 18-65 years were recruited and divided into the following three groups: (1) urban group (subjects living in Taipei and Kaohsiung City); (2) rural group (subjects living in Yunlin County, Chiayi County, Chiayi …

Quality Of Life And Peak Oxygen Consumption In Patients With Congestive Heart Failure, Chen-Liang Chou, Chia-Ling Chang, Chantelle Wu, Su-Ying Hung, Shun-Ping Chen, Tcho-Jen Liu

Rehabilitation Practice and Science

Although the physical consequences of congestive heart failure are well known, its effects on patient well-being, severity of exercise intolerance, and quality of life are largely unknown. The purpose of this study was to examine the relationship of physical fitness (as measured by O2 peak), quality of life (as measured with the WHOQOL-BREF in Taiwan), and severity of left ventricle dysfunction (as measured by left ventricle ejection fraction) in patients with congestive heart failure.Twenty patients were enrolled in this study, but only 11 had completed the ”WHOQOL-BREF”. We used the Statistical Package for Social Science (SPSS14.0) for statistical analysis. The …

Effects Of Standing, Bicycling, And Running On The Foot Arch Index, Gwo-Chi Hu, Yao-Chia Chuang, Jiann-Perng Chen, Chien-Shen Chen, Tzu-Kai Su, Ying-Fang Chen

Rehabilitation Practice and Science

The functions of the foot and leg depend on several structural characteristics of the foot, of which the height of the medial longitudinal arch is the most important. This height is most commonly measured by using the arch index. However, the relation between arch height and leg injury in athletes is unclear. The purpose of this study was to determine the effect of various sport-related activities on the foot arch index.Seventeen college students (nine women and eight men) with no history of leg surgery or trauma were recruited for this study. Each subject participated in three 20-minute sessions over a …

Diagnosis Of An Aneurysm By Musculoskeletal Ultrasonography: A Casereport, Chih-Yang Wu, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang

Rehabilitation Practice and Science

High resolution musculoskeletal ultrasonography has been a comprehensive tool for differentiation of soft tissue mass. However, it is not commonly used as a standard examination in the diagnosis of an aneurysm. We present a case of a growing mass in the medial aspect of the left thigh status post internal fixation of periprosthetic fracture. Initial examination with a 10 MHz linear array probe revealed a blurred hypoechoic lesion at a depth of 5 cm. After switching to a 7.5 MHz curve-linear array probe, we found a well-defined, ovoid, hypoechoic cystic lesion with posterior enhancement. In color Doppler mode, a half-blue/half-red …

Botulinum Toxin Type A Treatment For Drooling In Taiwanese Children With Cerebral Palsy: Three Casereports, Yu-Ching Lin, I-Ling Lin, Yu-Te Chiu, Jeng-Yi Shieh

Rehabilitation Practice and Science

Botulinum toxin is a promising treatment option for the management of drooling in patients with cerebral palsy. However, the effect of botulinum toxin type A in treating drooling of Taiwanese children with cerebral palsy has not been reported thus far. We injected single dose botulinum toxin into bilateral parotid glands of three children with cerebral palsy, and followed the results over a 9-month period. Drooling improved in all three patients without significant adverse effects during follow up. There were individual differences in terms of efficacy and duration of effect. Two patients had longer duration of effect than that reported in …

Autonomic Dysreflexia In Ankylosing Spondylitis With Double Spinal Cord Injuries: A Casereport, Shu-Chun Huang, Wun-Jhong Tsai, Shih-Wei Chou, Chin-Man Wang, Alice M. K. Wong

Rehabilitation Practice and Science

This 54-year-old man underlying ankylosing spondylitis suffered from double spinal cord injuries with traumatic C6/7 dislocation and a neglected L1 vertebral body fracture which progressed to transverse fracture three weeks after the injury, acting as a powerful precipitant to autonomic dysreflexia. The dysreflexic symptoms happened at least three times when he practiced sitting during mat exercise and ameliorated soon by virtue of lying down. Compared with the previous record checked three weeks ago, neurologic examination revealed alteration of sensory level and loss of deep anal sensation. The patient received L1 laminectomy as well as T12 and L2 transpedicle screws fixation, …

Choreoathetosis As Side Effect Of Gabapentin Therapy In A Patient With Spontaneous Spinal Epidural Hematoma: A Casereport, Min-Hsin Lai, Tzu-Yun Wang, Tsung-Ying Li, Cheng-Chiang Chang, Shin-Tsu Chang

Rehabilitation Practice and Science

Spontaneous spinal epidural hematoma (SSEH) is attributed to a spinal epidural hematoma which is not caused by incidental, traumatic, or iatrogenic (for example, lumbar puncture) procedures. SSEH is an uncommon condition causing spinal cord lesion and subsequent neurologic deficits. Spinal cord pathology is often followed by neuropathic pain which may be treated with a combination of drug regimens, such as gabapentin, tricyclic antidepressants, topic lidocaine, opioids and serotoninnorepinephrine reuptake inhibitor. We present a case of SSEH with neuropathic pain that was treated with gabapentin, morphine and imipramine. The patient developed choreoathetosis temporally related to adjunctive therapy with gabapentin at dosages …

Exercise Training May Enhance Functional Capacity And Improve Heart Rate Impairment In Coronary Artery Disease Patients With Chronotropic Incompetence, Chen-Jung Hsu, Ssu-Yuan Chen, Ching Lan, Der-Sheng Han, Jin-Shin Lai

Rehabilitation Practice and Science

This study investigated whether coronary artery disease patients with chronotropic incompetence (CI) can significantly improve their functional capacity after exercise training. Forty-two men (mean age: 55.3±9.3yr) underwent coronary revascularization and without beta-blockade participated in a threemonth outpatient exercise training program. Patients were separated into a CI group (n=18) and a non-CI group (n=24) based on whether they could reach 85% of the age-predicted peak heart rate (HR). Chronotropic incompetence was defined as failure to achieve 85% of the age-predicted maximal HR. Bicycle exercise workouts were conducted three times weekly. The exercise duration was 30 minutes per session included 5 minutes …

Exploring The Relationship Between Body Build And Pressure Under The Ischial Tuberosity, Li-Ru Chen, Kuo-Hu Chen, Chia Lee, Ming-Shin Wang, Ting-Chang Chen, Cheng-Hsun Hsieh

Rehabilitation Practice and Science

Pressure ulcers usually occur over the ischial tuberosity of the people bound in wheelchairs. The objective of the study is to make a comparison between age, genders, and different factors of body build, including height, weight, body mass index, body fat percentage, waist circumference, buttock circumference, and mid-upper arm circumference, on their influences upon pressure under the ischial tuberosity.This experiment is a cross-sectional comparison study. We recruited 38 participants, including twenty-five males and thirteen females aged from 24 to 57. Our results showed that there were no differences on pressure under the ischial tuberosity among people of different age and …

Effects Of A Lateral Wedged Insole In Patients With Medial Compartment Osteoarthritis Of The Knee, Li-Wei Chou, Mu-Jung Kao, Pey-Yu Yang, Nai-Hsin Meng, Sui-Foon Lo, Hong-Wen Wu, Horng-Chaung Hsu

Rehabilitation Practice and Science

Background: Medial compartment osteoarthritis (OA) of the knee is one of the most prevalent and disabling chronic conditions affecting older adults. This study assesses the efficacy of an inserted lateral wedged insole for the conservative treatment of medial compartment knee OA.Methods: Thirteen outpatients (9 females and 4 males with a mean age of 71.0 and a standard deviation of 5.5) with medial compartment knee OA were prospectively treated with an inserted lateral wedged insole with an elevation of 12 mm for three months. The baseline and three-month visual analog scale (VAS) scores for subjective knee pain and the remission score …

Bilateral Putaminal Hemorrhage In A Young Female: A Casereport, Ke-Vin Chang, Wen-Shiang Chen, Huey-Wen Liang

Rehabilitation Practice and Science

Background: The etiology of spontaneous intracerebral hemorrhage (ICH) in young adults may include causative factors such as vascular abnormality, hypertension, anticoagulant therapy, brain tumor, and others. Hypertension is the most common cause of ICH in young adults in Taiwan. Simultaneous or multiple intracerebral hemorrhages are uncommon, and symmetrical distribution is even rarer. Most cases reported in the literature are in the elderly.Case: We report the case of a 29 years old female with a history of hypertension and elevated blood pressure, who presented with an acute onset of right side limb weakness. Results: Brain computed tomography (CT) showed hemorrhage in …

Argininosuccinic Acidemia: A Casereport, Chih-Wei Lin, Huey-Jen Lay, I-Ju Chen

Rehabilitation Practice and Science

Urea cycle disorder (UCD) is one of inborn error diseases. Citrullinemia is the most common disease (1/57000) among them, followed by argininosuccinic acidemia (ASA) (1/70000). The common characteristic of UCD is hyperammonemia induced by the abnormal liver function. Common symptoms at the onset of diseases include altered consciousness, respiratory insufficiency and seizures. Developmental delay, mental retardation, cerebral palsy, and learning disability are common findings in long-term follow-ups. In this report, we give an account of a patient with ASA. Besides the aforementioned symptoms and long-term sequelae, this patient also has the problem of ataxia. However, the patient's conditions and developments …

Rehabilitation Of Transtibial Amputation Caused By Necrotizing Soft Tissue Infections: A Casereport, Shih-Kun Chang, Wai-Keung Lee, Huei-Yu Lo, Yau-Wai Wai, Won-Jean Lin, Kien-Jung Wang

Rehabilitation Practice and Science

Necrotizing soft tissue infections is an infrequent disease. Although many studies and casereports have been presented in recent years, none have described the impact of this disease on prosthetic fitting, ambulation training, and rehabilitation for patients with transtibial amputation.A 50 year-old man suffered from left transtibial amputation and received operation of split thickness skin grafts due to necrotizing soft tissue infections. He was trained to overcome the following problems: 1. Poor endurance, cardiopulmonary function and muscle strength of bilateral lower limbs. 2. The loss of dorsiflexion in the right ankle that resulted from excision of the anterior tibialis muscle. 3. …

Is Electrical Stimulation A Predictive Tool For Autonomic Dysfunction In Males With Diabetes?, Susan Dorothy Rand

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to examine whether electrical stimulation can be used as a predictive tool to assess autonomic dysfunction in males with diabetes. The study was designed to better understand the extent of autonomic nervous system (ANS) dysfunction in the diabetic population.

Controls and patients with diabetes were recruited from the community at large and the Loma Linda University Diabetes Treatment Center and were managed by a physician. Twelve (12) people with diabetes and thirteen (13) control subjects participated. Mean age (years) for people with diabetes was 52.4 +/- 6.1 and 47.2 +/-11.1 for controls (p =0.05). …

Effects Of Voluntary Breathing On Force Responses To Electrical Stimulation (Es) Of Finger Extensors : A Pilot Study, Shang Li, W. H. Park, Elizabeth Ikeda, Charles Leonard

Physical Therapy and Rehabilitation Science Faculty Publications

Voluntary breathing can influence motor functions of non-respiratory skeletal muscles, e.g., finger muscles. The influence was proposed to be mediated by the ventilation-associated enhancement on corticospinal excitability of the finger muscles, possibly including spinal mechanisms. Force responses to electrical stimulation include spinal mechanisms. The purpose was to investigate the potential spinal mechanism mediating the voluntary breathing effects on responses of finger extension forces to electrical stimulation. A single-pulse electrical stimulation of the same intensity was delivered to the extensor digitorum communis (EDC) during voluntary breathing (forced inspiration, IN and force expiration, OUT) and normal breathing (Norm) across various submaximal levels …

Developing "Human Functioning And Rehabilitation Research" From The Comprehensive Perspective., Gerold Stucki, Jan Dietrich Reinhardt, Gunnar Grimby, John Melvin

Department of Rehabilitation Medicine Faculty Papers

With the International Classification of Functioning, Disability and Health (ICF) the World Health Organization (WHO) has prepared the ground for a comprehensive understanding of Human Functioning and Rehabilitation Research, integrating the biomedical perspective on impairment with the social model of disability. This poses a number of old and new challenges regarding the enhancement of adequate research capacity. Here we will summarize approaches to address these challenges with respect to 3 areas: the organization of Human Functioning and Rehabilitation Research into distinct scientific fields, the development of suitable academic training programmes and the building of university centres and collaboration networks.

Reference Group Data For The Functional Gait Assessment, Martha L. Walker, Alvis G. Austin, Gina M. Banke, Suzanne R. Foxx, Lynn Gaetano, Laurie A. Gardner, Jill Mcelhiney, Kisiah Morris, Liz Penn

Rehabilitation Sciences Faculty Publications

Background and Purpose: The Functional Gait Assessment (FGA) is a clinical tool for evaluating performance in walking. The purpose of this study was to determine age-referenced norms for performance on the FGA in community-living older adults.

Subjects: Subjects were 200 adults, ages 40 to 89 years, living independently.

Methods: Each subject completed the FGA one time and was scored simultaneously by 2 testers.

Results: The intraclass correlation coefficient for interrater reliability was .93. Mean scores for the FGA ranged from 29/30 for adults in their 40s to 21/30 for adults in their 80s.

Discussion and Conclusion: Patient performance on the …

Using Art In Occupational Therapy With People Who Have Cancer: A Qualitative Case Study, Jennifer R. Dochod

Masters Theses

OBJECTIVE. To explore the role of art, with a small group of people who have cancer, as a means provide distraction from pain, to help express feelings, and to assist in making connections with others.

METHOD. Using a randomized sample from Gilda’s Club, a support center for those with cancer, in-house social workers recruited two participants to take part in a small group case study conducted by a master’s level occupational therapy student.

RESULTS. Two participants enrolled in the art class conducted by the researcher. Predetermined questions gathered through participant interviews and class discussions provided the data. Although the participant …

Assistive Technology Enhancement Of Written Expression For Individuals With Neurodevelopmental Disorders [Poster], Laura Greiss Hess, Kerrie Lemons Chitwood, Susan Harris

Collected Faculty Scholarship

The purpose of this project is to carry out an intensive training program in subjects with a broad range of neurodevelopmental disabilities to assess the efficacy of assistive technology (AT) intervention.

Ua10/1 Cec: Clinical Exchange Corner, Mary Lloyd Moore, Laura Reynolds, Wku Suzanne Vitale Clinical Education Complex

CEC Publications

No abstract provided.

Assistive Technology Enhancement Of Written Expression For Individuals With Neurodevelopmental Disorders, Laura Greiss Hess, Kerrie Lemons Chitwood, Susan Harris

Collected Faculty Scholarship

This study involves the use of computer software to assess the use of assistive technology (AT) in individuals with neurodevelopmental disorders. We will present an update of the subjects in the study, including research issues, subject diagnoses and diagnostic trends as assessed through baseline and follow-up testing.

Mechanisms Of Fatigue Differ After Low- And High-Force Fatiguing Contractions In Men And Women, Tejin Yoon, Bonnie A. Schlinder-Delap, Erin E. Griffith, Sandra K. Hunter

Exercise Science Faculty Research and Publications

The magnitude of failure in voluntary drive after fatiguing contractions of different intensities in men and women is not known. The purpose of this study was to compare the time to task failure and voluntary activation of men and women for a sustained isometric contraction performed at a low and high intensity with the elbow flexor muscles. Nine men and nine women sustained an isometric contraction at 20% and 80% of maximal voluntary contraction (MVC) force until task failure during separate sessions. The men had a shorter time to failure than women for the 20% but not the 80% MVC …

The Realization Of The Rights To Health, Education And Social Welfare Among Disabled Youth In Ingwavuma And Bhambanana, Kwazulu Natal, Ali Mumford

Independent Study Project (ISP) Collection

This practicum based study was completed in an effort to explore the realization of the rights to health, education and social welfare for disabled children in Ingwavuma and Bhambana, KwaZulu Natal. Very little research has been done on disabled children in South Africa, and estimations of prevalence range from 3.3-6.4%. The absence of accurate data creates a situation where implementation of policy and delivery of services is slow and does not always address the most urgent needs. The new South Africa aimed to bring rights and freedom to all groups of people, but the question which this study attempts to …

An Exploratory Survey Of Occupational Therapists' Role In Hippotherapy, Cristina Cerquozzi, Ericka Cerquozzi, Amy Darragh, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

The term hippotherapy is derived from the Greek word for horse, or hippos. The American Hippotherapy Association (2007) defines hippotherapy as an occupational, physical, or speech therapy intervention strategy, using the movements of a horse, used as part of an intervention program to facilitate functional gain. In hippotherapy, therapists use the movements of the horse as a vehicle for improving clients' functional limitations. Hippotherapy is an intervention method mentioned in the occupational therapy literature more than 20 years ago (Engel, 1984) that has received minimal research attention within our field. Little is known about the role of occupational therapists in …