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Perceptions Of Physical Therapy Faculty On The Inclusion Of Spirituality In Physical Therapy Education, Janice C. Pitts

Dissertations

Problem

The physical therapy profession currently does not require the integration of spirituality in patient care in the physical therapy curriculum, and it is unclear how physical therapy faculty and practitioners view its inclusion. There is limited research literature on the integration of spirituality in the field of physical therapy or within its academic environment.

Method

The study utilized standard survey research methodology to gather data relating to spirituality and its inclusion in a physical therapy curriculum. Five participants from each of 101 sampled programs received a survey instrument along with instructions and consent form disseminated through electronic mailing. Data …

Responding To Localised Prostate Cancer : Lifeworld Reconstruction During The First Post-Diagnostic Year, David P. Wall

Theses: Doctorates and Masters

This thesis investigated the experiences of men diagnosed with localised prostate cancer, as they reconstructed their lifeworlds during the first post-diagnostic year. With the exception of health related quality of life, a review of the psychosocial research literature revealed few studies that, explored the psychosocial experience of men diagnosed with localised prostate cancer. Furthermore, the review uncovered no studies that explored the process of Iifeworld reconstruction, and only three studies that considered the role of masculinity in the responses of men to the prostate cancer experience. Such a limited understanding, about the nature and process of lifeworld reconstruction, potentially compromises …

The Effects Of Education Level On Physical Fitness Among Middle-Aged Adults In Taiwan, Shih-Wei Chou, Yin-Chou Lin, Chi-Te Li, Alice M. K. Wong

Rehabilitation Practice and Science

Health-related physical fitness can be assessed with four main attributes: body composition, muscular strength and endurance, flexibility, and cardiorespiratory endurance. Regular exercise is thought to improve physical fitness, and objective physical fitness assessment and appropriate exercise prescriptions may help unfit individuals to become fit. Assessment of physical fitness among the general population can aid the understanding of general levels of physical fitness in the community, promote healthy habits, and reduce the burden of chronic illness caused by physical inactivity. A total of 13,187 healthy adult Taiwanese citizens between 40 and 65 years of age were enrolled in this study between …

Effect Of Temperature On Type Of Cerebrovascular Accident, Sen-Yung Liu, Ta-Sen Wei, Cheng-Hsiung Hong

Rehabilitation Practice and Science

Monthly or seasonal change of climate has been suggested to associate with the incidence and type of stroke, but this association is not conclusive owing to variation in study design and geographic area. The aim of this study was to investigate the short-term effect of temperature variation on type of cerebrovascular accident in first-time stroke patients.There were 1008 in-patients enrolled in this study, including 718 ischemic (infarct) stroke and 290 hemorrhagic stroke patients. The age was 68.9±11.0 years in the infarct and 62.9±13.6 years in the hemorrhagic group; 62%(181 cases) of the infarct group and 55%(395 cases) of the hemorrhagic …

Acute Simultaneous Multiple Infarctions In One Cerebral Hemisphere: A Casereport, Ting-I Han, Mu-Jung Kao, Der-Yang Chou, Pey-Yu Yang

Rehabilitation Practice and Science

Acute ischemic stroke is well known to be a single event. However, multiple simultaneous acute strokes involving more than one vascular territory are less studied. Large-artery disease of corresponding vessels and cardioembolism are thought to be the most important risk factors for multiple simultaneous infarctions. Diffusion-weighted imaging (DWI), which successfully discriminats acute from chronic infarct, is particularly useful in patients with multiple infarcts in more than one territory. The most common combinations of simultaneous multiple infarction in one cerebral hemisphere involve the territories of the anterior superficial middle cerebral artery (MCA) plus the posterior superficial MCA, and the territories of …

The Pediatric Functional Performance Scales: Establishment And Preliminary Report On Taiwanese Children, Yung-Wen Hsu, Ting-Yi Li, Tsan-Hsun Huang, Nai-Wen Guo, Rong-Ju Cherng, Ta-Shen Kuan, Chii-Jeng Lin

Rehabilitation Practice and Science

This study planed to develop a functional performance measure in order to systematically describe and evaluate the ability and limitation of Taiwanese children in their daily life activities. This study includes two pilot studies investigating content validity of this newly developed test: The Pediatric Functional Performance Scales (PFP Scales).Parents of 49 children aged 2-12 years were interviewed face to face or through telephone in the first study. After revised, the test was administered to another 203 children aged 2-8 years. According to the result of the first pilot study, total items of the PFP Scales were increased from 14 to …

Trauma-Related Vertebral Artery Dissection With Delayed Onset Cerebellar Infarction: A Casereport, Tsung-Ying Li, Liang-Cheng Chen, Shuu-Hai Jiang, Shiou-Ping Lin, Kao-Chung Tsai

Rehabilitation Practice and Science

Cerebellar stroke is uncommon in young patients. We report the case of a 22-year-old man with a delayed cerebellar infarction secondary to vertebral artery dissection caused by trauma. While riding a bicycle as part of an extreme sport, his left clavicle struck a bicycle handle. Evaluation in the emergency room led to a diagnosis of left shoulder contusion without fracture of clavicle or cervical spine. Headache, severe vomiting, and weakness of the right-sided limbs developed three days later, and he presented to emergency staff again. Head injury was initially suspected, but the diagnosis was left vertebral artery dissection with delayed-onset …

Thickening Of Finger Extensor Tendons In Hemiplegic Hands Of Stroke Patients, Nai-Hsin Meng, Sui-Foon Lo, Ting-I Han, Yi-Fang Hu, I-Shien Tseng, Mu-Jung Kao

Rehabilitation Practice and Science

Thickening of finger extensor tendons in hemiplegic hands of stroke patients has never been reported. We reported 11 patients with stroke who experienced gradual onset of a painless swelling at the dorsal aspect of the hemiplegic wrist. Soft tissue sonography revealed that the swellings were mainly composed of thickened finger extensor tendons. This thickening typically involved the tendons of the 4th dorsal extensor compartment between the proximal carpal and mid-metacarpal levels. The maximal thickness of these tendons could reach over three times that of the corresponding tendons of the contralateral hand. The synovial tissue surrounding the thickened tendon was also …

Primary Adrenal Insufficiency Developing After Traumatic Brain Injury: A Casereport, June-Kai Chen, Tien-Wen Chen, Ming-Cheng Weng, Mao-Hsiung Huang

Rehabilitation Practice and Science

There have been isolated reports in the literature of the natural history and less than complete knowledge of the epidemiology and the pathophysiology of endocrine alteration occurring after traumatic brain injury (TBI). This article describes one primarily adrenal-dysfunction patient with severe TBI who had no evidence of present or prior adrenal autoimmune disease, infection, hemorrhage, or malignancy. It is suggested that this distinct condition can be labeled as ”primary adrenal insufficiency (PAI) developing after TBI”.

Metatarsal Stress Fracture: A Casereport, Chwan-Chin Leu, Chorng-Song Chou, Chin-Teng Chung, Chun-Fu Wang

Rehabilitation Practice and Science

A stress fracture is defined as a partial or complete fracture of bone due to the inability to withstand non-violent stress applied in a rhythmic, repeated, subthreshold manner. It could occur in any kind of sport. However, it usually occurs in running-based sports and running or jogging. Initial diagnosis of stress fracture is difficult. A careful study of the patient's history amd physical examination combined with appropriate radiographic examination, or if indicated, scintigraphy, provides a highly accurate diagnosis.A 19-year-old male athlete suffered from insidious onset of pain in the right forefoot after judo training. This focal pain eventually precluded any …

Market Analysis For The Need Of Individualized Assisted Device In Patients With Physical-Mental Disabilities, Chau-Peng Leong, Shih-Wei Chou, Tsong-Hwa Lin, Jen-Li Pan, Yu-Cheng Pei, Ngok-Kiu Chu, Kin-Chung Lai, Kuo-Hsien Tu, Simon F.T. Tang

Rehabilitation Practice and Science

The number of people with physical-mental disabilities in Taiwan was 711,064 in the year 2000. The difficulties in performing activities of daily lives and social function handicaps in these people can often be alleviate with the proper application of assisted device. The individualized need of assisted device in people with physical-mental disabilities was never investigated in Taiwan. Therefore, the objectives in this investigation were to: 1. understand the need of assisted device in people with physical-mental disabilities, 2. understand the need of individualized assisted device in people with physical-mental disabilities, 3. observe the similarities and differences in the need for …

A Comparison Between The Patellofemoral Function Scale And The Lequesne Index In Patients With Knee Osteoarthritis, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Mao-Huan Hung, Chang-Zern Hong

Rehabilitation Practice and Science

Numerous therapeutic approaches are currently used to treat knee osteoarthritis. The relative efficacy of these approaches to the treatment of individual knees with osteoarthritis is not well understood. The main reason is that therapeutic outcome studies in osteoarthritis had been impeded by the lack of an objective, reproducible method for grading osteoarthritis of individual knee in order to compare the severity of the osteoarthritis between the two different sides. The Lequesne index has been used in most therapeutic trials on osteoarthritis of weight bearing joints. However, the ability of the Lequesne index to assess the status of individual knees with …

Orthoses Utilization And Daily Functional Status In Patients With High Level Cervical Cord Injury, Yao-Ting Wu, Chin-Hung Tseng, Ming-Shun Wu, Chia-Li Chen, Chi-Ming Shih, Liu-Ing Bih

Rehabilitation Practice and Science

Patients with high-level cervical cord injuries are dependent in most activities of daily living (ADL) because they possess very little residual motor function. The utilization of appropriate assistive devices could enhance their independence and improve their quality of life.A prospective study was conducted with 11 male tetraplegic patients between 22 to 51 years of age (mean, 32.0±10.0 years), living in central Taiwan, with C4 or C5 cord injuries; the duration of their injuries ranged between 16 to 125 months (mean, 56.8±28.6 months). After a home visit and an individual interview, we found that these patients could perform 1 to 8 …

Sustained Pelvic Traction With Prone Position In The Treatment Of Sciatica, Baii-Jia Yang, Si-Huei Lee, Yun-Sheng Chen

Rehabilitation Practice and Science

Sciatica due to herniated disc or degenerative disc disease is one of the most common problems in modern society. Management of the pain and disability with supine intermittent or sustained pelvic traction has long been used. However, some patients with severe back and referred leg pain cannot tolerate traction in a supine position. In this study, we applied sustained prone position pelvic traction to 14 patients with severe back and referred leg pain who were unable to tolerate supine position traction. Magnetic resonance imaging and electromyography studies revealed positive findings. Sustained prone position pelvic traction was set with one third …

Long-Term Treatment Of Hemifacial Spasm With Type A Botulinum Toxin, Yu-Ching Llin

Rehabilitation Practice and Science

Hemifacial spasm is a rare movement disorder. It is characterized by recurrent, involuntary tonic or clonic contraction of the muscles innervated by unilateral facial nerve. It may affect patient’s vision and has great cosmetic or psychological impacts. Oral drugs including anticonvulsants, baclofen and benzodiazepines often have little effect. Surgery has potentially serious complications. After numerous clinical studies, botulinum toxin is now recommended as the primary treatment of choice for most hemifacial spasm cases.The purpose of this study is to retrospectively evaluate the dose, effect and side effects of long-term treatment of hemifacial spasm with type A botulinum toxin. Between November …

Ankylosing Spondylitis Complicating With Spinal Epidural Hematoma: A Casereport, Hui-Lin Lin, Yen-Ho Wang, Huey-Wen Liang, Chi-Kai Chang

Rehabilitation Practice and Science

Ankylosing spondylitis (AS) is an inflammatory disease that most commonly affects vertebral and pelvic joints. It is characterized by ossification of all spinal ligaments, articular joints, and intervertebral discs in association with osteoporosis of the vertebral bodies, thus, rendering the spine prone to trauma, which, even if minimal, may cause serious neurologic complications.Spinal epidural hematoma (SEH) is a rare clinical condition. Etiologically, it may be traumatic or nontraumatic. Spontaneous SEHs occur more frequently than traumatic SEHs. Although rare, posttraumatic SEH occurs frequently in patients with AS. We report the case of a 71-year-old male patient who suffered from AS for …

Anti-Myelin-Associated Glycoprotein Antibody Neuropathy: A Casereport, Hsin-I Wu, Cheng-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

Polyneuropathy is common in the field of rehabilitation medicine. Its symptoms include sensory impairment in the distal limbs, ataxia, tremor, and pinch weakness. Electrophysiology will show multiple neuropathies with distal involvement first. Sensory nerve impairment usually appears earlier than motor nerve impairment. In severe cases, muscle atrophy can also be seen.Due to the multiple etiologies of polyneuropathy, the treatments vary. We report a rare case of anti-MAG neuropathy. The patient is a 88-year-old retired veteran, who complained of bilateral lower leg weakness and numbness in the distal part of all limbs. He visited the neurology OPD and was diagnosed with …

Growth And Body Composition Analysis In Children With Cerebral Palsy, Tsui-Fen Yang, Pei-Hsin Lin, Chueh-Lien Yang, Rai-Chi Chan, Nien-Tzu Kao

Rehabilitation Practice and Science

The objective of the present study was to investigate the growth and body composition of younger children with cerebral palsy, using anthropometric measures and bioelectrical impedance analysis (BIA). We also looked into the relative strength and consistency between different measurements in analyzing body composition. Thirty-nine patients, aged 3 to 13, with an established diagnosis of cerebral palsy, and age- and sex-matched control subjects, were recruited for this study. Distribution of height-by-age and weight-by-age percentiles differed significantly between the study and the control groups, whereby the subjects of cerebral palsy grew shorter and lighter than normal subjects. The body fat percentage …

Long-Term Prosthesis Use And Functional Outcome Among Patients With Lower Extremity Amputations, Je-Kuei Yang, Ming-Chuan Lin, Ssu-Yuan Chen, Ching Lan, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

The purpose of this study was to investigate prosthesis use among patients who underwent lower extremity amputation owing to peripheral vascular disease and evaluate their functional outcome after returning to the community. We retrospectively reviewarticleed medical charts of patients who underwent lower extremity amputation from 1993 to 1999. The causes of amputation, the level of amputation and patient's health condition were recorded. We then surveyed the patients by telephone, and recorded the stump condition, difficulties encountered in daily activities, and functional status. From January 1993 to December 1999, 347 patients underwent lower-limb amputations in our hospital. Of them, 174 died, …

Cardiopulmonary Exercise Testing In Patients With Transmyocardial Laser Revascularization, Chen-Liang Chou, Po-Jung Pan, Wen-Tung Yang, Su-Ying Hung, Tcho-Jen Liu, Shian-Ting Lai, Li-Yun Kuo

Rehabilitation Practice and Science

For patients with symptomatic end-stage coronary artery disease, who have had a poor response to percutaneous transluminal coronary angioplasty or coronary artery bypass grafting, transmyocardial revascularization (TMR) seems to be an alternative to relieve disabling ischemic symptoms. The purpose of this study was to evaluate, by cardiopulmonary exercise testing, the cardiopulmonary capacity after TMR.Ten patients were enrolled in the study. None of them showed significant exacerbation in pulmonary function after TMR. Their average aerobic capacity was about 5MET5; a lower anaerobic threshold and high functional aerobic impairment revealed an insufficient cardiopulmonary capacity. The result of testing showed 1 normal(10%),5 abnormal(50%) …

Pulmonary Rehabilitation Program For A Patient With Systemic Lupus Erythematosus Complicated With Acute Infection, Lobar Atelectasis And Severely Restrictive Ventilatory Impairment: A Casereport, Ya-Wen Hsu, Jue-Long Wang, Jin-Shen Yang, Ko-Long Lin

Rehabilitation Practice and Science

An exact identification among the subsets of pulmonary lupus is important in planning efficacious therapy. Asymptomatic pulmonary lupus needs no specific treatment, while prompt and aggressive treatment is mandatory for the potential life-threatening pulmonary version. We present a case of systemic lupus erythematosus(SLE)with lobar atelectasis and severely restricted lung impairment and illustrate how a pulmonary rehabilitation program aided therapy during the acute infectious episode. An individualized pulmonary rehabilitation program for SLE patients compromised with chest distress may thus be a prudent course of action.

Differential Impairment And Recovery Of Two Languages In A Bilingual Aphasic Patient: A Casereport, I-Ru Chen, Su-Fen Liao, Ta-Sen Wei

Rehabilitation Practice and Science

According to the definition proposed by Grosjean, more than half of the world population is multilingual. Bilingual aphasia is more complex and variable; thus it may need a more individualized rehabilitation program than monolingual aphasia. However, many instances of bilingual aphasia may have been misdiagnosed and treated as monolingual aphasia due to a lack of comprehensive assessment.We present here a change in the language pattern of a bilingual Chinese woman, who initially spoke Cantonese (mother language) and Mandarin (2nd language) very well. She was afflicted by aphasia due to a stroke involving cortical and subcortical lesions in 1999. After rehabilitation …

Supratentorial Primitive Neuroectodermal Tumors: A Casereport, Chien-Min Chen, Chin-Man Wang, Shih-Ming Jung, Pao-Tsai Cheng, Alice M.K. Wong

Rehabilitation Practice and Science

Supratentorial primitive neuroectodermal tumors are a very rare brain tumor. This reports the case of a 14 year old girl who visited our emergency department owing to severe headache and vomiting. One 72mm×45mm mass located at the left corpus callosum and extending to the left ventricle was identified by Brain magnetic imaging. The tumor was removed and the pathology demonstrated highly cellular tumor with poorly differential cells and brisk miotic activity. Based on the tumor location and pathology, a supratentorial primitive neuroectodermal tumor was diagnosed. Following the surgery the patient presented with right side weakness, unsteady gait, and speech difficulty. …

The Improvement Of Pain Symptoms And Activities Of Daily Living In People With Knee Osteoarthritis After Intra-Articular Hyaluronic Acid Injection, Carl P. C. Chen, Chih-Kuang Chen, Max J. L. Chen, Yin-Chou Lin, Tony H. C. Hsu, Ju-Wen Cheng, Simon F. T. Tang

Rehabilitation Practice and Science

Osteoarthritis (OA) is a slowly evolving articular disease that appears to originate in the cartilage and affects the underlying bone, soft tissues, and synovial fluid. This condition usually occurs late in life, principally affecting the large weight-bearing joints such as the knee. It is particularly disabling when the knees are affected, because it limits the ability to walk, to rise from a chair, and to use stairs.The treatment selections for OA knees include analgesic drugs, physiotherapy, intra-articular (IA) drug administration, and surgical total knee replacement. We chose IA hyaluronic acid injection as the treatment method as it was documented as …

Relationships Between Clinical Symptoms And Electrodiagnosis In Carpal Tunnel Syndrome, Pei-Ying Chao, Hui-Lin Lin, Shin-Liang Pan, Chein-Wei Chang

Rehabilitation Practice and Science

Carpal tunnel syndrome is one of the most common peripheral entrapment neuropathies. Patients with carpal tunnel syndrome experience numbness, pain, and/or weakness in the hands over the median nerve distribution area. In current practice, diagnosis of carpal tunnel syndrome is based on subjective symptoms and objective findings from physical examinations and electrodiagnosis. We examined 40 hands with carpal tunnel syndrome in 24 patients and evaluated the relation between symptom severity and electrodiagnosis. Subjective hand symptoms were obtained by self-administered questionnaire and were categorized as numbness, pain, or motor function according to factor analysis methods. Numbness symptoms were significantly related to …

Churg-Strauss Syndrome: A Casereport, Wan-Chia Lee, Cheng-Liang Chou, Po-Zong Pan, Tcho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

Churg-Strauss syndrome (CSS) is a rare systemic vasculitis of unknown cause, occurring in patients with asthma and accompanied by hypereosinophilia. Pathologically, CSS is characterized by necrotising eosinophilic vasculitis which may involve multiple organ systems, commonly including the lungs, skin, and peripheral nervous system. Corticosteroids are the first-line therapy, with cyclophosphamide as adjuvant therapy. The overall prognosis is good.We report a case of CSS with the clinical pattern of asthma, hypereosinophlilia (＞10%), pulmonary infiltration, and mononeuritis multiplex. Progressive weakness and numbness in the bilateral hands and lower limbs, with associated walking inability, remained a concern despite steroid treatment. The patient underwent …

Lower-Leg Compartment Syndrome And Ischemic Spinal Cord With Lumbosacral Plexopathy After Aortic Dissection: A Casereport, Wen-Hsuan Hou, Huey-Wen Liang, Yen-Ho Wang, Fang-Yue Lin

Rehabilitation Practice and Science

Aortic valve replacement (AVR) is a common surgical procedure to treat severe valvular heart disease. Major complications of AVR include perioperative myocardial infarction, thromboemboli, hemorrhage, prosthetic endocarditis, aortic dissection, prosthetic dehiscence, and prosthetic dysfunction. Ischemic myeloradiculopathy due to aortic dissection after AVR is another complication documented in the medical literature, but the combination of lower-extremity compartment syndrome and ischemic myeloradiculopathy is rarely reported. We describe the clinical course and recovery of a 57-year-old man with this unusual combination and discuss the proper management to reduce long-term disability.

Clinical Effects Of Botulinum Toxin On Spasticity Management In Children With Cerebral Palsy, En-Shiuan Wu, Chia-Ling Chen, Alice M.K. Wong, Ching-Kai Wong, Jun-Xiao Chen, Shin-Ming Lo

Rehabilitation Practice and Science

Botulinum toxin type A (BTA) has treated spasticity in cerebral palsy (CP) in recent years. This study investigated both the clinical effects and gait improvements of BTA on spasticity management in children with CP.Twenty-nine children with spastic CP (2-10 years old) were recruited into this study. All subjects received complete clinical assessments, video recording and functional assessments before and 1-3 months after BTA treatment. A questionnaire was employed for the evaluation of parents’ subjective satisfaction. Clinical assessments included muscle tone and joint range of motion (ROM) of bilateral lower limbs. ROMs, including dynamic (R1) and static (R2), were measured by …

Location And Type Of Vertebral Compression Fractures In Aged Women With Acute Back Pain, Ching-Kai Lin, Ta-Sen Wei, Po-Jen Yang

Rehabilitation Practice and Science

In many cases acute back pain in aged women is caused by vertebral compression fractures. Although the indirect mortality rate among these patients is not as high as in those with hip fractures, the effect of acute back pain on patients’ daily lives and social activities should not be underestimated. This study was performed to understand the distribution of the location and type of vertebral compression fractures in this particular group of women and their relations to bone mineral density.This retrospective study consisted of medical record and X-ray examinations of 126 women patients who complained of acute back pain, were …

Quantitative Emg Evaluation In Spastic Upper Extremity After Botulinum Toxin Injection-A Preliminary Report, Chiao-Wen Hwang, Ching-Hsiang Lu, Pei-Te Sheu, Ya-Wen Hsu, Kun-Shou Tsai, Ji-Long Wang

Rehabilitation Practice and Science

Spasticity of the upper limb muscles is a common complication following stroke. Injection of botulinum toxin can decrease upper limb spasticity. The effects of botulinum toxin treatment are usually evaluated by activities of daily living, range of motion (ROM), or modified Ashworth scale. However, in this study, we evaluated the effect of botulinum toxin injection by quantitative EMG, and investigated the relationship between EMG and conventional evaluation methods.Twenty patients with chronic stroke-related spasticity of the upper limb muscles received botulinum injections. All injections were guided by EMG. Outcome measures included total modified Ashworth scale score on the elbow, wrist, metacarpal …