Digital Commons Network^™

Functional Disability In Patients Of Right Hemisphere Lesions With And Without Hemineglect, Her-Cherng Wang, Chau-Peng Leong, Jui-Kun Chang, Hsiu-Juan Lin, Kwo-Shieng Tuo, Kai-Lan Chang, Sheng-Hsiang Su

Rehabilitation Practice and Science

Hemineglect is a common symptom and sign in patients with right hemisphere lesion. These patients usually have problems of reduced awareness of stimuli from left side. This study aims to evaluate the correlation between presence of hemineglect and functional disability in patients with right hemispheric stroke or traumatic brain injury. Forty patients who were diagnosed as right hemispheric stroke or traumatic brain injury as verified by computed tomography scan or magnetic resonance image participated in the study. Based on the criteria on Schekenberg test (line bisection test), patients were divided into two groups: 20 with hemineglect and 20 without hemineglect. …

The Effect Of Pulmonary Function Training In Chronic Tetraplegic Patients: Pilot Study, Tai-Ann Chen, Yu-Xang Huang, Wai-Keung Lee, Yau-Wai Wai

Rehabilitation Practice and Science

Pulmonary complication is the main cause of death in the persons with spinal cord injury (SCI). The purpose of this study was to evaluate if pulmonary function training can improve lung function in chronic (onset more than 1 year) tetraplegic patients. There are 14 subjects (9male and 5 female), including C4 to C7 (11 complete; 3 incomplete), mean duration of injury is 5.14 years. They were arranged the rehabilitation training including respiratory muscle training for 4 weeks. Spirometry records such as vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), forced vital capacity (FVC), forced …

Assessment Of Physical Fitness To Age And Sex In Middle And Older Persons With Independent Activities Of Daily Living, Kai-Hua Chen, Shi-Wei Chou, In-Chou Lin, River S. H. Su, Wei-Shun Huang, Alice M. K. Wong

Rehabilitation Practice and Science

Previous studies have investigated the relationship between impaired physical fitness and the decline of living function in the elderly population. This study is to investigate the fitness profile in the middle and older persons, and to observe the effect of age on fitness.This study recruited 108 subjects, with independent ambulation skills in a Taipei community. There were 59 males and 49 females. The average age was 70.0±6.2 year-old in male and 65.9±8.9 year-old in female, respectively. The fitness components, including body composition, muscle fitness, flexibility, cardiopulmonary fitness, balance, and reaction time, were measured by either field or laboratory methods. The …

An Investigation Of Age, Causes And Locations Associated With Moderate To Severe Burns In Infants And Young Children, Chin-Mao Chen, Jen-Yu Schoung, Chwen-Yng Su, Chun-Sheng Hsieh

Rehabilitation Practice and Science

The purposes of this study were to investigate the circumstances of occurrences in 53 patients with moderate to severe burns under 12 years of age, who were admitted to the burn center of the Armed Forces Tsoying Hospital in Kaohsiung from June 1998 to May 2000. The subjects were further divided into three age groups: 0-3 years, 3-6 years, and at least six but less than twelve years old for pairwise comparisons purpose.The results showed that the overall ratio of male to female was 2.3. Scalds accounted for 75.5% of all burns, whereas the remaining 24.5% were ascribed to flame …

Sequential Myofascial Trigger Point Injection To Treat A Patient With Myofascial Pain Syndrome Associated With Reflex Sympathetic Dystrophy: A Casereport, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

A patient with traumatic rotator cuff tear of right shoulder developed severe myofascial pain syndrome with reflex sympathetic dystrophy (RSD) involving the right upper extremity. She was unable to take any type of manual therapy or needle treatment due to severe allodynia in the whole right upper limb. She visited our pain clinic about 2 months after the onset of trauma. She received myofascial trigger point (MTrP) injection beginning with injection into the MTrP of the right first dorsal interosseous muscle, followed by injecting MTrPs of the right wrist-finger extensors and right anterior deltoid muscles. The allodynia was remarkably reduced. …

Posttraumatic Pelvic Lymphocele: A Casereport, Nai-Chiung Huang, Sen-Yung Liu, I-Ru Chen, Ta-Sen Wei

Rehabilitation Practice and Science

The development of pelvic lymphocele is usually a complication following renal transplantation as well as pelvic lymphadenectomy for gynecologic or urologic cancers. Pelvic lymphocele after blunt trauma is rare described before. Asymptomatic patients are managed with observation and follow-up imaging studies. Symptomatic lymphoceles need to be treated by means of percutaneous needle aspiration or drainage. We reported a case of low back pain after a fall with delayed onset of ispilateral thigh swelling. Computed tomography revealed a fluid-filled mass in the pelvis. After treatment by CT-guided percutaneous aspiration, all symptoms rapidly resolved without recurrent symptoms in 6 months follow-up.

Traumatic Dissection Of Axillary Artery And Brachial Plexopathy After Motorcycle Accident: A Casereport, Wen-Chy Hou, Chen-Liang Chou, Tcho-Jen Liu, Rai-Chi Chan, Cheng-Hsiung Huang

Rehabilitation Practice and Science

At present time, motorcycle accident can be found frequently. It not only can lead to abrasion, and fracture, thrombosis and nerve injury as well. This casereport presented with a 23 year-old male suffered from a motorcycle accident, with multiple abrasion wound over body. He was first sent to emergency room at LMD with x-ray taken and revealed no fracture. This patient presented with inability to raise his right arm, thus the doctor attributed the condition to his pain. After five hours at observation room, patient and his family found his right upper limb was cold and pulseless. The emergency angiography …

External Ankle Stablization: Male High School Basketball Players' Perceptions On Functional Performance, Renae E. Bomar

All-Inclusive List of Electronic Theses and Dissertations

Objective: The purpose of this study was to measure and report athletes' perceptions of the effects an external ankle support has on functional performance, and to gain knowledge ofwhat type of ankle support the athletes choose to wear. Design and Setting: A questionnaire containing demographic information and 4 construct areas was designed to focus on assessing high school male basketball players' perception of functional performance while wearing an external ankle support. Survey p~ckets were sent to high school certified athletic trainers (ATCs) to be distributed to each male basketball player. Subjects: Approximately 770 surveys were sent out to ATCs in …

People With Disabilities On Tribal Lands: Education, Health Care, Vocational Rehabilitation, And Independent Living, A. Kauffman, M. Whelshula, V. Paternoster, T. Spellman, W. Thompson, A. Walline

Native Health Database Full Text

This project examined research on health, rehabilitation, independent living, and education issues that affect people with disabilities living in Indian Country. The report discusses views and perspectives of American Indialaska Native people with disabilities, tribal leaders, and federal agency representatives identified as productive in meeting the needs of people with disabilities residing in tribal lands. This report also assesses and recommends government-to-government (state to sovereign tribal to U.S. government) improvements in relationships needed for effective coordination across existing federally funded projects/programs. In addition, a Toolkit guide providing resource information was developed for use by consumers, tribal communities, and people at …

Children With Disturbances In Sensory Processing: A Pilot Study Examining The Role Of The Parasympathetic Nervous System., Roseann C. Schaaf, Lucy Jane Miller, Duncan Seawell, Shannon O'Keefe

Department of Occupational Therapy Faculty Papers

This study was a preliminary investigation of parasympathetic nervous system (PNS) functioning in children with disturbances in sensory processing. The specific aims of this study were to (1) provide preliminary data about group differences in parasympathetic functions, as measured by the vagal tone index, between children with disturbances in sensory processing and those without; (2) determine effect size and power needed for future studies; and (3) to lay the foundation for further examination of the relations of parasympathetic functioning and functional behavior in children with disturbances in sensory processing. Participants were 15 children, nine with disturbances in sensory processing and …

Bridging Oceans: An Occupational Therapist's Journey Toward Client-Centeredness, Anna Liedberg Miron

Masters Theses

This study blends an autobiographical approach with a person's own narrative about her recovery experience to create an analytic framework for exploring how narratives of clients and practitioners can be used to inform occupational therapy practice. Beth and I shared 12 hours of audio-taped conversations about her recovery/rehabilitation experience one year after she had experienced a stroke. Beth was intimately involved in the process of editing her story during the research process. Narrative analysis that takes into account the flow of time was used in addition to identification of key stories that Beth felt were important in her recovery-process. Congruence …

Effect Of Proprioceptive Input Combined With “Handwriting Without Tears” On The Handwriting Of Children With Learning Disabilities, Jodie M. Guy

Masters Theses

The purpose of this study was to investigate the effectiveness of"Handwriting Without Tears" on students' handwriting, and to explore if providing proprioceptive input before implementing "Handwriting Without Tears" has an effect on the legibility and accuracy of handwriting. Three first-grade and three second-grade students who received direct occupational therapy services were divided into two treatment groups. Those students in treatment group A received a combination of proprioceptive input and the "Handwriting Without Tears" program during their treatment session. Those students in treatment group B received only the "Handwriting Without Tears" program. Each student completed the Minnesota Handwriting Test (MHT) before …

Response To Craniosacral Therapy In An Infant With Plagiocephaly, Amy Taylor Johnson

Masters Theses

Objective

The purpose of this study was to examine the effect of utilizing craniosacral therapy (CST) techniques to influence head symmetry and motor skill development of an infant with plagiocephaly. The study is an ex post facto single case study, analyzing the results of data from previously conducted intervention utilizing a craniosacral therapy approach.

Method

The infant in this case study received gentle hands on treatment using the cranium and sacrum to influence the membrane system that encloses the cerebrospinal fluid. Developmental positioning, myofascial release, and sensorimotor techniques were incorporated. The student investigator treated the infant 8 times over a …

The Correlation Of Clinical Course And Magnetic Resonance Image Findings Of Radiation Myelopathy:A Casereport, Jiunn-Horng Kang, Yen-Ho Wang, Kou-Mou Huang

Rehabilitation Practice and Science

We described a case of radiation myelopathy (RM). The correlations of evolutional changes in magnetic resonance image (MRI) findings in three years with clinical symptoms and treatment responses in different stages of the disease were discussed. We also describe some special rehabilitative consideration for RM patients. Cord enlargement with contrast-enhancement showed in MRI findings corresponding to rapid neurological deterioration. Some neurological improvement after anti-coagulation and I steroid therapy was observed in this stage. Cord atrophy without contrast-enhancement was showed in following MRI. The neurological deficits still progressed slowly in this stage and almost did not response to the treatment. We …

Investigation Of Parental/Caregiver Concerns Of Children With Spasticity, Lynda Johnson-Cross

Masters Theses

Although there is capacious documentation on the concerns associated with parenting/care giving the disabled child, the concerns of parents/caregiver of children with the specific condition of spasticity is lacking. Therefore, the purpose of this study was to begin to determine the concerns of parents/caregivers of children with spasticity as they specifically relate to care giving. An extensive qualitative based survey interview was utilized to gather information from three informants. Analysis revealed clusters of concerns in the Nature of Caregiving, Spasticity Encounters, and Parental/Caregiver Comments.

The Role Of Health Promotion In Physical Therapy, Brenda L. Rea

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to investigate physical therapy practice patterns in four focus areas of Healthy People 2010 (focus area #6, disability and secondary conditions by looking at psychological well-being; focus area #19, nutrition and overweight; focus area #22, physical fitness and activity; focus area #27, tobacco use) and identify self-efficacy and outcome expectations related to those practice patterns across California, New York and Tennessee using Bandura’s Social Cognitive Theory as a framework. It was hypothesized that physical therapists’ self-efficacy and outcome expectations in the four focus areas of Healthy People 2010 would be significantly associated with …

Predicting Sacroiliac Syndrome: The Association Between Noninvasive Sacroiliac Joint Tests And Sacroiliac Joint Injections, Lorraine D. Webb

Loma Linda University Electronic Theses, Dissertations & Projects

Study Design. A prospective single sample observational design was performed. Sacroiliac tests that predicted ≥ 75% pain relief after sacroiliac joint (SIJ) injection were considered valid diagnostic tests for SIJ syndrome.

Objectives. To identify valid noninvasive sacroiliac tests that can be used to diagnose SIJ syndrome.

Summary of Background Data. The criterion standard for diagnosing SIJ syndrome is with SIJ intraarticular injections under fluoroscopy. This procedure is costly, invasive, and impractical for routine use. Clinicians need practical ways to diagnose SIJ syndrome; however, few studies have been performed to validate existing sacroiliac tests against SIJ Injections.

Methods. Nineteen subjects …

The Management For Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen

Rehabilitation Practice and Science

Myofascial pain syndrome is very common in clinical practice. It is characterized by the existence of myofascial trigger points (MTrPs), which is a hypersensitive spot in a taut band of skeletal muscle fibers. In general, active MTrPs should be treated conservatively (non-invasive treatments including physical therapy) prior to the consideration of aggressive therapy (invasive treatments including injection and surgery). The most important strategy of MTrP therapy is to find out the etiological lesion that causes the activation of MTrPs and to treat the underlying pathology. If the treatment of underlying etiological lesion is not appropriate, the MTrP cannot be inactivated …

The Influence Of Bolus Volume, Temperature, And Viscosity To Swallowing Function By A Self-Designed Phagometer: A Preliminary Study, Chih-Ming Li, Ming-Feng Li, Po-Lin Kuo, Tyng-Guey Wang, I-Nan Lien

Rehabilitation Practice and Science

”The study aimed to depict the influence of bolus temperature, volume, and viscosity in swallowing function by a self-designed phagometer. Two micro switches were used to detect submental muscle activity and pharyngeal motion. They were anchored on a posterior-type cervicothoracic orthosis with multiple adjustable joints to ensure the well contact between the switch and the skin. The signals detected by micro switches were amplified and recorded. The duration between two waves was defined as swallowing trigger time and used to represent the swallowing function.Ten normal male subjects without clinical evidence of dysphagia were enrolled in this study. The average age …

The Prevalence Of Scoliosis In The Institutionalized Non-Cerebral Palsy Mentally Retarded Patients, Chi-Hung Chiu, Li-Wen Liao, Young-Hue Yu, I-Chiun Lu, Ming-Fong Tsai, Chien-Hui Li

Rehabilitation Practice and Science

This study aimed to assess the prevalence, severity, and correlation between non-cerebral palsy mental retardation and scoliosis in a special education institute in Taipei. Adam's forward bending test was used to clinically screen 237 mental retardation non-cerebral palsy patients for scoliosis. Those patients with positive forward bending tests were referred for standing spinal radiographs, so that the Cobb angle could be quantified to allow evaluation of the severity of the scoliosis. Of the 237 students, 41 (17.3%) had positive signs in the screening test (female:16.19%, male:18.18%). All 41 patients then underwent standing spinal radiographs and the results revealed a scoliosis …

Spontaneous Intracranial Hypotension: A Casereport, I-Chou Wang, Jue-Long Wang, Yuk-Keung Lo, Sung-Lin Yu, Shwu-Fen Sun

Rehabilitation Practice and Science

Spontaneous intracranial hypotension (SIH) is a syndrome with feature of low cerebrospinal fluid pressure (CSF) resulting from CSF leakage without any history of dural puncture, surgery, or penetrating trauma. The most characteristic feature of the syndrome is a postural headache. The headache is accentuated when the patient is in the upright position and relieved in the recumbent position. Associated symptoms include stiff neck, nausea, vomiting, tinnitus, hyperacusis, deafness, photophobia, diplopia, nystagmus, visual loss, vertigo, anorexia, malaise, and cranial nerves palsy. SIH is treated by bedrest with fluid supplementation, oral caffeine, intrathecal saline infusion or epidural blood patch. If postural headache …

Combined Femoral Ncuropathy And Obturator Neuropathy In Rheumatoid Arthritis With Cervical Subluxation After Operation, Chen-Lin Kao, Yen-Ho Wang, Shun-Ping Cheng, Yu-Gin Na, Chen-Liang Chou

Rehabilitation Practice and Science

Rheumatoid arthritis is a chronic inflammatory disease. Although it primarily affects joints, systemic involvement is frequent. Lung, skin, blood, cardiovascular system and nerve are often affected. Indeed, involvement of the peripheral nervous system may occur with a variety of clinical patterns.A 67-year-old woman suffered from rheumatoid arthritis for 10 years with regular medical control. Due to bilateral distal parts of hands and feet numbness, and gait disturbance for about 2 months, she was diagnosed of rheumatoid arthritis with C1-C2 subluxation by neurosurgeon. C1-C2 posterior spinal fusion was performed. But, the patient felt left lower extremity weaker than right one then. …

Vessels Occlusion After Wasp Stings: A Casereport And Literature Review, Chi-Chuan Shih, Jue-Long Wang, Shwu-Fen Sun, Po-Tsang Lee, Pei-Der Sheu

Rehabilitation Practice and Science

Allergic reactions to wasp stings range from large local reactions to life-threatening anaphylaxis. Of the anaphylactic shock occurring outside the hospital, wasp stings was concluded to be the second cause following drug allergy. Cerebral infarction and transient ischemic attack have been reported in the setting of acute anaphylactic shock due to wasp stings. However, there are fewer reports about the presentation of large vessels occlusion outside the brain after wasp stings. Here we report on a woman suffering from a stroke and right above-knee amputation after a severe wasp sting. We had a literature review in the light of the …

Caudal Epidural Block For Patients With Acute Low Back Pain, Sen-Wei Tsai, Chorng-Sonq Chou, Wei-Chih Chen, Chin-Teng Chung, Chun-Fu Wang

Rehabilitation Practice and Science

Acute low back pain is a very common disease in Rehabilitation clinics. Although acute low back pain can be successfully treated with epidural block, there is few researches for the efficacy of caudal epidural block on acute low back pain. Seventeen patients with acute low back pain were included and managed with caudal epidural block. The therapeutic effect was evaluated with a 5-point pain rating scale.Pain scale of the seventeen patients reduced from mean 4.59 to 2.12 one hour after CEB. One months later, 7 patients had complete pain relief, 4 patients had 4 points pain scale, 2 patients had …

Treatment And Prevention Of Overuse Hand Injuries Related To Rock Climbing In Chattanooga And Its Surrounding Areas, Johnathan Gannaway

Honors Theses

In any physical exercise, the risk of injury is always present and cannot be eliminated. Specifically, rock climbing subjects climbers to the dangers of cuts, abrasions, strains, and fractures in the least serious of injuries. Although rock climbers must be conscious of more serious injuries, such as death, they tend to ignore less minor injuries like overuse hand injuries. During rock climbing, the upper extremities are required to support unnatural weight loads for extended periods of time; therefore, they are the primary area for overuse injuries. The hands and fingers in particular are stressed and contorted more forcefully than any …

Effects Of Diabetes And Aging On Posture And Acceleration Thresholds During Lateral Translations, Samantha Jean Richerson

Doctoral Dissertations

Research objectives. One source of falls in the elderly may be an inability to sufficiently adjust to transient postural perturbations or slips. Identifying useful predictors of fall potential, as well as factors that affect the ability of an individual to detect a movement of the standing support surface may provide insight into postural stability and methods to increase stability in elders. To do this, acceleration thresholds to short, precise, lateral platform translations and the resultant psychophysical responses of adults with early Type 2 diabetes to age-matched controls and young adults were measured.

Methods. Using an innovative SLIP-FALLS platform, …

Evaluation Of The Systems Theory Based Interdisciplinary Patient Safety Practice Guideline On Restraint Reduction And Fall Prevention, Steven D. Eberth

Masters Theses

Patient safety remains one of the most profoundly complex and important issues in healthcare systems especially regarding the use of restraint and the prevention of falls. Current topic guidelines suggest a "systems approach." These guidelines, however, oriented toward solution application using analytical problem-based approach. The development of this practice guideline was in response to a desire for theory-based practice that could guide outcomes. This practice guideline transforms systems theory into a guide for use by a leader/manager and a tool for the practitioner to rethink patient safety in a more holistic manner. This study was conducted in critical care, older …

Cardiac Myxoma Complicated With Ischemic Stroke: A Casereport, Tung-Chou Li, Chun-Chieh Wu

Rehabilitation Practice and Science

Myxoma is a rare cardiac tumor and also an unusual cause of cerebrovascular accident, which may result in significant permanent neurological deficit. There was no age preference for the development of myxoma. Most of the reported cases in the past were diagnosed between 20 and 50 years of age, and some of them were complicated by young (＜45 y/o) stroke. We presented a 44 y/o man who had ischemic stroke with initial manifestation of left hemiparesis. A cardiac myxoma at left atrium was later detected by transthorasic echocardiography. Total recovery of his neurological dysfunction was achieved after surgical resection of …

Dtretch Reflex Dynamics Of The Voluntarily Activated Quadriceps Muscle In Subjects With Hypotonia, Normotonia Or Hypertonia, Yen-Hung Chang, Shih-Wei Chou, Jou-Hsien Chen, Ching-Sung Lu, Fuk-Tan Tang, Alice M. K. Wong

Rehabilitation Practice and Science

Stretch reflex dynamics, including assessment of reflex threshold angle (RTA) and reflex threshold velocity (RTV), has been used for quantitative evaluation for spastic hypertonia. However, neither a reliable clinical scale nor objective instrumental measurement had been developed to quantify clinical hypotonia. The purpose of the present study is to assess stretch reflex dynamics in subjects with different muscle tones, in terms of RTA and RTV to the voluntarily contracted quadriceps femoris muscle .Twenty-four subjects were classified into 3 groups (hypotonic, ”normotonic” or normal, and hypertonic) according to clinical presentation of the muscle tone. Each group consisted of 8 subjects. The …

Osler-Weber-Rendu Syndrome With Brain Abscess: A Case Reoirt And Literature Review, Huey-Jen Lay

Rehabilitation Practice and Science

Hereditary hemorrhagic telangiectasia (HHT) or familial telangiectasia, also called Osler-Weber-Rendu syndrome, is an autosomal dominant systemic vascular disorder characterized by recurrent hemorrhage all over the whole body. The estimated incidence is approximately 1 to 2 per 100,000 people. Major clinical manifestations include frequent epistaxis, mucosal telangiectases and visceral arterio-venous malformations. A 74-year-old man diagnosed as Osler-Weber-Rendu syndrome was reported. He was operated for brain abscess. The complications included left hemiparesis, seizure and hallucination. He complained of frequent epistaxis since his second decade. Mucous membrane telangiectases, GI bleeding, anemia, dyspnea, and a positive family history were noted. Computed tomography of the …