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Training Of Elementary Education Teachers In Physical Management Of Students With Physical Disabilities, Laura L. Gregory, Marnie S. Wittenbach Jan 1993

Training Of Elementary Education Teachers In Physical Management Of Students With Physical Disabilities, Laura L. Gregory, Marnie S. Wittenbach

Masters Theses

This study was designed to examine what training regular elementary teachers receive and need in the physical management of students with physical disabilities who have been mainstreamed into their classrooms. This study also attempted to determine when this training should be provided. A questionnaire was sent to 57 teachers within two counties and forty-one were returned and utilized. The questionnaire was designed to obtain information about the following areas: (a) demographics, (b) competency in physical management, (c) knowledge of diagnoses, (d) knowledge of medications, and (e) need and support for training in physical management. The data was analyzed using the …

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Information Obtained Regarding Pre-Employment Contracts By Physical Therapists In Michigan, Cindy Clapp, Teri Culver, Pamela Thelen Jan 1993

Information Obtained Regarding Pre-Employment Contracts By Physical Therapists In Michigan, Cindy Clapp, Teri Culver, Pamela Thelen

Masters Theses

Pre-employment contracts, which offer financial assistance to students in exchange for a work commitment after graduation, are becoming a popular means of recruitment in physical therapy. Concerns about contracts include limited student knowledge and preparation prior to signing a contract. The purpose of this study was to examine physical therapy students' preparation prior to committing to a pre-employment contract. Questionnaires were mailed to 225 randomly selected Michigan healthcare facilities, surveying graduates of 1988 through 1992 about pre-employment contracts. Sixty questionnaires were analyzed representing 31 identified facilities. Thirty-three percent signed a contract. Prior to signing a contract most respondents did not …

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Quantitative Analysis Of The Effect Of Reference Electrode Position And Active Recording Electrode Size On Evoked Compound Muscle Action Potential, Yu-Lien Chou, Rai-Chi Chen, Tao-Chang Hsu Dec 1992

Quantitative Analysis Of The Effect Of Reference Electrode Position And Active Recording Electrode Size On Evoked Compound Muscle Action Potential, Yu-Lien Chou, Rai-Chi Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to quantitatively analyze the effect of reference electrode size on the amplitude, surface area, latency and duration of CMAP during routine NCV studies in median and ulnar nerves. We dilivered supramaximal stimulations over the wrist in the median and ulnar nerve examinations and obtained the data of CMAP parameters from APB and ADQ muscles. The data revealed: I)in median nerve examination: (1) The CMAP surface area and amplitude decreased markedly when the reference electrode was shifted from MP joint to IP joint of the thumb or to MP joint of the 5th finger. (2) …

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Follw-Up Of Children With Development Language Delay: A Preliminary Report, Sung-Hui Tseng, Baii-Jia Yang, Chi-Ren Pan Dec 1992

Follw-Up Of Children With Development Language Delay: A Preliminary Report, Sung-Hui Tseng, Baii-Jia Yang, Chi-Ren Pan

Rehabilitation Practice and Science

Developmental language delay is one of the most common developmental problem found in preschool children. There is increasing evidence showing that early language delay is associated with later learning and behavior problems, and the language problem may also persist into later childhood. We followed 33 cases who had been diagnosed as language delay, at least 5 years ago, by questionnair. If the children had no neurological symptom and sign except language delay, the prognosis for achieving ADL independence and average performance in school works is good. All of the children who had neurological deficit have residual language problems, and more …

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New Design Functional Foot Orthosis In Flat Foot, Wen-Len Chen, Fuk-Tan Tang, May-Kuen Wong Dec 1992

New Design Functional Foot Orthosis In Flat Foot, Wen-Len Chen, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

The functional foot orthoses have been used as an important adjunct recently in the treatment of lower extremity dysfunction related to poor mechanics and alignment. Many different types of foot orthotics have been designed clinically. Commercially, insole materials are divided into four classes. Class I materials such as Aliplast and Plastazote provide cushioning for plantar surface while class Ⅱ materials such as PPT and Spenco act as shock absorber and provide antishearing effect. The class Ⅲ materials such as silicone and polyuethane are to absorb high energy impaction and class IV such as rigid orthosis provides foot control and support.In …

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A Survey Study Of The Spinal Cord Injuries And Their Activity Of Daily Living In Tainan Area, Tse-Chieh Hsueh, Yue-Nan Jenp, Jiunn-Ren Su, Yen-Chun Wu Dec 1992

A Survey Study Of The Spinal Cord Injuries And Their Activity Of Daily Living In Tainan Area, Tse-Chieh Hsueh, Yue-Nan Jenp, Jiunn-Ren Su, Yen-Chun Wu

Rehabilitation Practice and Science

During Feb. and May of 1991, we followed up 110 cases of the spinal cord injuries by questionnaire and telephone in the Tainan area. The patients are composed of 95 males and 15 females, ranging of age from 16 to 78 years with the mean age of 43.2 ± 14.7 years. About three-fifth of the subjects sufferred from their injuries in the recent three years.There are 51 cases of quadriplegia, 19 of the cases are complete. 59 cases of paraplegia also appear, 33 of them are complete too. Three fifth of these patients received rehabilitation. All complete quadriplegia must require …

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An Investigation Of Post-Discharge Status Of Surviving Stroke Patients In Keelung, Choon-Khim Chang, Wen-Ling Chen, May-Kuen Wong Dec 1992

An Investigation Of Post-Discharge Status Of Surviving Stroke Patients In Keelung, Choon-Khim Chang, Wen-Ling Chen, May-Kuen Wong

Rehabilitation Practice and Science

From April 1985, to December 1987, 1445 patients were admitted to Chang Gung Memorial Hospital, Keelung under the diagnosis of cerebral vascular accident ( hemorrhagic or infarction type). By random selection, 343 patients were analyzed by the SPSS. Of these 343 patients, 185 had died by the time this study was carried out. Thus the data available for analysis was incomplete for this deceased group. Only the data of those who survivied was analyzed in the results. The average duration of follow-up was 50.2±8.9 months (36-67 months). Among the survivors (n=158), 57% (n=90) received regular medication treatment, yet only 63% …

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Cerebral Palsy Investigation In South Taiwan, Chin-Man Wang, Cheng-Yueh Chen, Chau-Peng Leong, May-Kuen Wong Dec 1992

Cerebral Palsy Investigation In South Taiwan, Chin-Man Wang, Cheng-Yueh Chen, Chau-Peng Leong, May-Kuen Wong

Rehabilitation Practice and Science

In this retrospective study, 199 cases of cerebral palsy who lived in South Taiwan and once visited O.P.D of rehabilitation department from July 1986 to Sep. 1991 was collected.The etiology of cerebral palsy were divided into prenatal, perinatal, postnatal factors by time series. The classifications of cerebral palsy were according to type, topography and severity of neuromuscular involvements. The most common etiology in this study was prenatal factor, it was different from some previous studies ten years ago, in which perinatal cause was the majority. In the types of neuromuscular involvements, the spastic type (75.4%) was the major type and …

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Selective Postetior Rhixotomy In The Management Of Spastic Cerebral Palsy, Tsui-Fen Yang, Sheau-Ping Pan, Woei-Nan Bair, Shu-Er Lee, Rai-Chi Chan, Jan-Wei Chiu, Chih-Chuan Kao, Ling-Yee Cheng, Tai-Tong Wong, Tao-Chung Hsu Dec 1992

Selective Postetior Rhixotomy In The Management Of Spastic Cerebral Palsy, Tsui-Fen Yang, Sheau-Ping Pan, Woei-Nan Bair, Shu-Er Lee, Rai-Chi Chan, Jan-Wei Chiu, Chih-Chuan Kao, Ling-Yee Cheng, Tai-Tong Wong, Tao-Chung Hsu

Rehabilitation Practice and Science

Severe muscular spasticity in cerebral palsy not only causes functional impairment and difficulty in daily care, but also increases the incidence of musculoskeletal complication which includes joint contracture and deformity. Clinically, many ways are used to reduce muscle spasticity, such as therapeutic exercise, antispastic medication, orthosis, phenol intramuscular neuroloysis and orthopedic surgery, etc. Basically, their effects are transient and can last for variable duration. To reduce spasticity efficiently and for long term period if not permenantly is the issue many professionals have been working on. Selective posterior rhizotomy for two spastic diplegic cerebral palsy were performed in August, 1991. They …

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Survey Of Dancing Injury In The Dancing Class Of Primary School, Baii-Jia Yang, Ji-Ren Pan Dec 1992

Survey Of Dancing Injury In The Dancing Class Of Primary School, Baii-Jia Yang, Ji-Ren Pan

Rehabilitation Practice and Science

The survey of dancing injury in the special dancing class of a primary school was done on 1990. From 108 effective questionare, the prevalence of dancing injury was 77.78% in which 11.54% became chronic.In the 59 girls of grade 5, 6 students, the most frequent injury area was ankle 34.48%, next was the knee 20.2% and inner thigh muscle 11.72%. The causes of the injury were 1) unenough warm up (47.61%) 2) poor dancing floor (29.76%) 3) over training (13.09%). After injury, most of the children rested less than 3 days, and most of them received herbs medicine, only 7.37% …

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Major Problems In Patients With Spinal Dysraphism, Yung-Ming Lin, May-Kuen Wong Dec 1992

Major Problems In Patients With Spinal Dysraphism, Yung-Ming Lin, May-Kuen Wong

Rehabilitation Practice and Science

For the better understanding of problems of patients with spinal dysraphism, 51 cases were studied retrospectively by questionnaire, telephone and clinical followup. They had been admitted to Taipei Area Chang Gung Memorial Hospital from Jan 1983 to Dec. 1989Among them 24 patients were male and 27 were female. Their age distribution were from 2 to 39 years old. Thirty patients with meningomyelocele, 5 of them had hydrocephalus; 14 with tethered cord; 7 patients had meningomyelocele with tethered cord; only one case had Arnold Chiari Malformation. The locations of lesion were by sequence; lumbar region 30 cases, (58.8%), sacral region 18 …

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The Diagnosis And Treatment Of A Spinal Cord Atrophy: Casereport, Yun-Yee Chen, Din-E Shan, Min-The Cheng, Tao-Chang Hsu Dec 1992

The Diagnosis And Treatment Of A Spinal Cord Atrophy: Casereport, Yun-Yee Chen, Din-E Shan, Min-The Cheng, Tao-Chang Hsu

Rehabilitation Practice and Science

This is a case of a 64-year-old male with difficulty in ambulation for 40 years. Physical examination revealed a defect in vibration and positional sense over the lower extremities. Muscle power of the upper extremities was normal. The lower extremities could still resist force, but there was a little atrophic change in the quadriceps muscle and weakness over the iliopsoas muscle.Laboratory data were all negative, including CSF, routine blood, urine and stool specimens. However, MRI revealed hypertrophy of the ligamentum flavum with spinal cord compression. CT with myelogram revealed T2-T10 spinal cord atrophy. SSEP revealed T-myelopathy. EMG revealed upper motor …

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Callosal Syndrom: Implications In Rehabilitation: Casereport, Chui-Lee Wong, Mei-Hue Hsu Dec 1992

Callosal Syndrom: Implications In Rehabilitation: Casereport, Chui-Lee Wong, Mei-Hue Hsu

Rehabilitation Practice and Science

A 53 year-old male patient, who sustained infarction of the right medial frontal lobe with extension into the corpus callosum, demonstrated inattention, slow initiation and left hemiparesis initially. As the strength recovered, forced grasping of the left hand, and intermanual conflict appeared. Besides, left ideomotor apraxia, left constructional apraxia, left apraxic agraphia, and abnormalities of cross-replication of hand posture were detected after specific clinical testing. Most of these deficits improved eight weeks after stroke. In rehabilitation these patients with callosal syndrome, the forced grasping and intermanual conflict should be observed keenly in view of their potential harmfulness. Instead of too …

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The Effects Of Ice And Compression Wraps On Intramuscular Temperatures At Various Depths, Mark A. Merrick Dec 1992

The Effects Of Ice And Compression Wraps On Intramuscular Temperatures At Various Depths, Mark A. Merrick

All-Inclusive List of Electronic Theses and Dissertations

The effects of ice and compression wrap applications on intramuscular temperature at the skin surface, 1 cm below the fat layer, and 2 cm below the fat layer were recorded in 11 subjects. Each subject was tested under all treatment conditions including control, compression only, ice only, and ice+ compression. Subjects underwent a 5-minute pre-application, a 3 ominute application, and a 20-minute post-application. Using thermocouples, surface and intramuscular temperatures were recorded at 30-second intervals for the entire study. A repeated measures ANOVA and Duncan Post Hoc tests were used to evaluate temperature differences between the treatment conditions and the depths …

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中華民國復健醫學會章程, N/A Dec 1992

中華民國復健醫學會章程, N/A

Rehabilitation Practice and Science

No abstract provided.

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復健科專科醫師甄審原則, N/A Dec 1992

復健科專科醫師甄審原則, N/A

Rehabilitation Practice and Science

No abstract provided.

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復健醫學會雜誌Submission_Guideline, N/A Dec 1992

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

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稿件核對表, N/A Dec 1992

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

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Axonal Degeneration In Diabetic Neuropathy: An Assessment Of Single Fiber Electromyography, Chein-Wei Chang, Lee-Ming Chuang, I-Nan Lien Dec 1992

Axonal Degeneration In Diabetic Neuropathy: An Assessment Of Single Fiber Electromyography, Chein-Wei Chang, Lee-Ming Chuang, I-Nan Lien

Rehabilitation Practice and Science

Peripheral neuropathy is an important complication of diabetes mellitus. However, neuropathological changes in diabetic neuropathy with axonal degeneration or segmental demyelination are still unclear. By using a newly developing electrodiagnostic method of single fiber electromyography (SFEMG) with a computer-aided program, mean jitter value and muscle fiber density were measured in extensor digitorum communis (EDC) and anterior tibial (AT) muscles from 36 diabetic patients with neuropathy (group 1) and 12 patients without neuropathy (group Ⅱ) proved by nerve conduction study. The results showed an increased mean jitter value, fiber density and abnormal percentage both in EDC and AT muscles in group …

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Changes Of Cmap Related To Wrist Angle, Chao-Jung Chen, Rai-Chi Chan, Tao-Chang Hsu Dec 1992

Changes Of Cmap Related To Wrist Angle, Chao-Jung Chen, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to determine the changes of the latency, duration , amplitude, and area of CMAP related to different wrist angle. (max flexion, flexion 30° , neutral, extension 30° , max extension) The results revealed there is significant changes in area, duartion & muscle length of flexor carpi radialis (P＜0.001), but not in latency & amplitude. And it is increasing trend related to increasing wrist angle. (P＜0.001) It is concluded that we must notice the pt's wrist angle when we perform the nerve conducation study.

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Assessment Of Ipper Cervical Lesion, Sheu-Yeh Shu, Chorng-Sonq Chou Dec 1992

Assessment Of Ipper Cervical Lesion, Sheu-Yeh Shu, Chorng-Sonq Chou

Rehabilitation Practice and Science

Neck pain is the most clinical complain in PM&R out patient department. In spite of , the upper cervical is rare. But the lesion is variety and dangerous.The upper cervical lesion, non-pathologic lesion is always obviously traumatic history. But pathologic lesion has not obviously traumatic history that the diagnosis is often delayed. This study was carried out on 68 cases (age 3-76, M/F 51/17) who took CT or MRI at TAICHUNG VETERAN GENERAL HOSPITAL from SEP. 1983 to NOV. 1991. These cases consisted 51 male, 17 female. According to the final results, non-pathologic change 9/68 pathologic 59/68. There were three …

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Traumatic Spinal Cord Injuries In Hualien County, Ching Lan, Jin-Shin Lai, Kwang-Hwa Chang, Yuh-Chin Jean, I-Nan Lien Dec 1992

Traumatic Spinal Cord Injuries In Hualien County, Ching Lan, Jin-Shin Lai, Kwang-Hwa Chang, Yuh-Chin Jean, I-Nan Lien

Rehabilitation Practice and Science

In order to survey the epidemiological characteristics and the overall rehabilitation profile of traumatic spinal cord injuries (SCI) in Hualien county, a retrospective study was conducted from January 1987 to December 1990 in four local general hospitals. During this period, 88 traumatic SCI patients were identified. The estimated annual incidence of traumatic SCI in Hualien county was 62.3 per million population. As a result of injury 32 patients were tetraparetic, 29 were tetraplegic, 12 were paraparetic and 15 were paraplegic. The male/female ratio was 3.6:1 The mean age of onset for male patients was 44 ± 16 years, and that …

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Intracavernous Injection Of Prostaglandin E1 In Spinal Cord Injured Patient With Erectile Dysfunction: A Preliminary Report, Fuk-Tan Tang, Pong-Yuen Wong, May-Kuen Wong Dec 1992

Intracavernous Injection Of Prostaglandin E1 In Spinal Cord Injured Patient With Erectile Dysfunction: A Preliminary Report, Fuk-Tan Tang, Pong-Yuen Wong, May-Kuen Wong

Rehabilitation Practice and Science

Sexual dysfunction with inadequate or poorly sustained erection is a common problem among spinal cord injured patients although reflex erection may be preserved in upper motor neuron lesion and lower motor neuron and psychogenic erection may be preserved in incomplete lesion respectively. Methods to restore erection, such as vaccum tumescense constriction therapy and penile prostheses may be useful but potentially have adverse effects. Recently, intracavernous injection of prostaglandin E1 has been found beneficial to patients with neurogenic erectile dysfunction.In our study, we administered intracavernous injection of prostaglandin E1 (PGE1), 15 μ g, to seven patients with neurogenic erectile dysfunction due …

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Therapeutic Trial Of Acupuncture In Neurogenic Bladder Of Spinal Cord Injured Patients -- A Preliminary Report, Pao-Tsai Cheng, Yuch-Chaio Chu, May-Kuen Wong, Phei-Lang Chang Dec 1992

Therapeutic Trial Of Acupuncture In Neurogenic Bladder Of Spinal Cord Injured Patients -- A Preliminary Report, Pao-Tsai Cheng, Yuch-Chaio Chu, May-Kuen Wong, Phei-Lang Chang

Rehabilitation Practice and Science

Neurogenic bladder is a major problem for the spinal cord injured patients. A successful bladder training may not only reduce the mobility or mortality rate of these patients, but also improve the quality of their life and psychological outlook. However, it usually takes two to three months of bladder training to reach balanced status. This study was aimed to find the effect of electro-acupuncture in the management of neurogenic bladder in spinal cord injured patients.Totally 27 patients with complete spinal cord injury and neurogenic bladder were collected. Among them, 16 cases received electro-acupuncture at 4 acupoints: Chung Chi (CV3), Kuan …

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Application Of Electroacupuncture For Improving Gait Performance Of Stroke Patient, Dah-Sen Weih, Baii-Jia Yang Dec 1992

Application Of Electroacupuncture For Improving Gait Performance Of Stroke Patient, Dah-Sen Weih, Baii-Jia Yang

Rehabilitation Practice and Science

Spastic equinovarus foot, a major cause of gait disturbance in stroke patients, impairs patients' safety and interferes with the activities of daily living. Even after rehabilitation training, equinovarus foot is not uncommon in stroke patients with disease duration more than 6 months, we use electroacupuncture to improve gait performance.This report is a discussion of the changes and correlation among various factors that may influence gait performance, such as ankle spasticity, range of motion of ankle, walking velocity, gait cycle duration, stride length and stride width. 24 patients began, but only 14 patients completed the 4-week therapeutic schedule (9 males and …

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Risk Factors In Chinese Young Strokes, Huey-Jen Lay, Chein-Wei Chang, I-Nan Lein Dec 1992

Risk Factors In Chinese Young Strokes, Huey-Jen Lay, Chein-Wei Chang, I-Nan Lein

Rehabilitation Practice and Science

One hundred and fifty nine patients who experienced the first episode of stroke between 15 to 45 year-old is analyzed for possible risk factors. These patients whose diagnosis of stroke were all approved by the computerized tomography, were collected from the National Taiwan University Hospital (NTUH) from 1983 to 1990. They included 79 cases of cerebral hemorrhage (48 males and 31 females) and 80 cases of cerebral infarction (47 males and 33 females). The frequency of male stroke was about 30% higher than female. Atherothrombosis and rheumatic heart disease still dominate in cerebral infarction. The main etiology of cerebral hemorrhage …

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The Evaluation Of Functional Recovery Of Adl In Stroke Patient: A Comparison Between Day-Care Patient And Family-Care Patient, Horng-Jeng Shyn, Wen-Hong Pan, Huey-Jen Lai, Luen-Lin Wu, Kuo-Ming Hsu Dec 1992

The Evaluation Of Functional Recovery Of Adl In Stroke Patient: A Comparison Between Day-Care Patient And Family-Care Patient, Horng-Jeng Shyn, Wen-Hong Pan, Huey-Jen Lai, Luen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

The Purpose of this study was to compare the stroke patients within day-care center　to patients within family-care about the function of activity of daily living. They were selected as twenty groups. Each group had the same hemiplegic side, the same motor stage, and the same score of Barthel Index. They also got the same observation duration. No significant difference at admission were found between the two groups, except that the day-care patient had higher scores in dressing lower body (P=0.04). At discharge, the day-care patient had higher functional score in feeding than the family-care patient (P=0.0036). Within-group functional change …

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The Role Of Rehabilitation In Home Health Care Of Taichung Area, Huey-Jen Lai, Horng-Jeng Shyn, Wen-Hong Pan, Kuen-Lin Wu, Kuo-Ming Hsu Dec 1992

The Role Of Rehabilitation In Home Health Care Of Taichung Area, Huey-Jen Lai, Horng-Jeng Shyn, Wen-Hong Pan, Kuen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

All cases of home care under the service of the Nurse Assiciation of Taichung City from Oct. 1989 to Dec. 1991 were collected to evaluate sex, age distribution, major caretaker, main disease entities, referral source, service items and prognosis. Questionaire was made for home care nurses of Taichung area to evaluate their training back grounds; disease items of clients and the percentage of the individial items; rehabilitation items that they think they could do, want to learn to do and hope the involvement of rehabilitative specialists; and the major causes interfering the receivement of rehabilitative home care.In 171 cases collected, …

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Need Of Caring Enviromrnt Of Stroke In South Taiwan, Chau-Peng Leong, Cheng-Yueh Chen, Yiu-Chuag Lau, Ruey-Kuen Chang, May-Kuen Wong Dec 1992

Need Of Caring Enviromrnt Of Stroke In South Taiwan, Chau-Peng Leong, Cheng-Yueh Chen, Yiu-Chuag Lau, Ruey-Kuen Chang, May-Kuen Wong

Rehabilitation Practice and Science

In order to understand the caring environment of the stroke patients and the utilization, need, demand and congition of the rehabilitation resoures, 225 stroke patients, who admitted to Kaohsiung Chang Gung Memorial Hospital from January 1986 to December 1990, 117 males (52%) and 108 females (48.0%) with the ages from 31 to 89 (mean 63.45 ±10.87) were evaluated by questionaires, telephone and home visit. From the view point of the patients, the rehabilitation resources were insufficient for them in communities (76.4%), and it was one of the main reasons causing loss of follow-up. The patients' cognition of the importance of …

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Early Intervention Program For The High-Risk Prematurity, Tsui-Fen Yang, Wen Ling, Woei-Nan Bair, Chih-Chuan Kao, Ling-Yee Cheng, Tao-Chung Hsu, Shu-Jen Chen, Wen-Jen Soong Dec 1992

Early Intervention Program For The High-Risk Prematurity, Tsui-Fen Yang, Wen Ling, Woei-Nan Bair, Chih-Chuan Kao, Ling-Yee Cheng, Tao-Chung Hsu, Shu-Jen Chen, Wen-Jen Soong

Rehabilitation Practice and Science

The survival rate of high-risk premature baby is increasing in recent years because of improvement in medical technology for newborn care. Unfortunately, since many of them were born with one or some risk factors, the incidence to complicate with developmental disability, learning disability, emotional or behavior problems will be higher than general population. We started early intervention program for the prematurity in PICU and SBR in Oct., 1990 especially for those high-risk prematurity who combined with one or more risk factors as below: birth weight less than 1500 gm, gestational age below 32 weeks, ventilator requirment, grade III or IV …

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