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Test-Retest Reliability Of The Levels Of Rehabilitation Scale Iib, Maura Katherine Murphy

Masters Theses

The purpose of this study was to evaluate test-retest reliability of the Levels of Rehabilitation Scale IIB (LORS IIB), developed by Carey and Posavac in 1982. Reliability is an important concept when a therapist begins to assess a client's activities of daily living skills. If a test is reliable, the therapist will have a dependable means by which to measure client progress with stability and accuracy.

This study was conducted with eight volunteer post-stroke victims. The study found that the LORS IIB assessment was highly significant in test-retest reliability.

Self-Empowerment Among Adults With Severe Physical Disability: A Case Study, Nancy A. Brooks

The Journal of Sociology & Social Welfare

An independent living residential setting for severely physically disabled adults was studied through overt observation methods for twenty-two months. The purpose was observation of residents' council actions and expressions of group interests. The council displayed several phases of political structure and behavior. These phases were related to staff and administrative considerations as well as the residents emerging demonstrations of self-empowerment at the group level. The capacity for selfadvocacy emerges as a dynamic enterprise which is clearly related to the structure and interests of the service agency.

Disparity Between Reimbursement-Driven Practice And Humanistic Values Of Occupational Therapy., Janice P. Burke, Joanne C. Cassidy

Department of Occupational Therapy Faculty Papers

In January 1990, clinicians, educators, and researchers met at the Directions for the Future Symposium in San Diego to delineate, discuss, and debate a wide range of economic, political, and social issues that are influencing the evolution of occupational therapy practice and education. By examining these factors in an open and thorough way, therapists believe they will be able to develop proactive positions that will ensure the continued well-being of the field. In this paper, we will consider two distinctly opposing forces that dramatically affect and present considerable obstacles to occupational therapists. On the one hand, occupational therapists are taught …

1991 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1991 Touro College School of Health Sciences Yearbook

Quantitative Analysis Of Elbow Flexor And Elbow Extensor In Hemiplegic Patients, Tsu-Sheng Shiau, Hwei-Rong Tseng, Tao-Chang Hsu

Rehabilitation Practice and Science

Subjective semi-quantitative method is often used to evaluate the severity of spasticity in clinical condition. The purpose of this study is to develope an objective and quantitative model to evaluate the severity of spasticity for hemiplegic patients. We utilize Kin-Corn III isokinetic machine to evaluate 16 hemiplegic patients with 8 velocities from 5 to 210 degrees per second. The elbow joints of subjects are pulled when subjects totally relaxed and under no influence of gravity. The curve of resistance force was recorded and analyzed. We found 150 degrees per second is the best velocity for the evluation. And for elbow …

Outcome Of Severe Low Back Pain, Chii-Liang Chyuan, May-Kuen Wong

Rehabilitation Practice and Science

Low back pain is a suffering condition which frequently results in limitation of activity of daily living. The frequent recurrence of low back pain makes patient accept different therapeutic tries. The purpose of this study was to compare the effects of physical therapy and surgical therapy for severe low back pain.Sixty two patients who had been admitted to our departement of rehabilitation for severe low back pain were collected. Among Them, 41 were males. 21 were females. The major cause of low back pain was intervertebral disc herniation, about 66.6%. The most frequent precipitating factor of low back pain was …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

Back Pain And Occupation: Preliminary Report, Yiu-Chung Lau, Chau-Peng Leong, May-Kuen Wong, Kong-Kay Tseng

Rehabilitation Practice and Science

This survey was carried out for investigation in the relationship of back pain to occupation including heavy labor, light labor, and clerical workman. From the regular physical check up for Formosa Plastic employee. 1959 subjects were evaluated by questionaires.Among them, 155 had back trouble, 137 cases were male and 18 cases female. Their age ranged from 20-60 year old. Most of them were between 31 to 41 year old. The result of this sutdy showed that sciatica and lumbago were the most common back troubles. Most of them were heavy labors. But substaining sitting during working was also common posture …

Comparison Of Motor Unit Action Potential Recorded From Disposable And Reusable Monopolar Eeg Needle Electrodes, Helen Sheau-Ping Pan, Jennifer Chu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The usage of disposable needle electrodes is a safe way to prevent severe infectious diseases, especially AIDS, in EMG laboratories. The purposes of this study were (1) to compare disposable with reusable monopolar needle electrodes physiologically by recording motor unit action potentials (MUAPs), and (2) to determine the stability of the disposable monopolar needle electrodes (DMNE).Computer-aided measurements were used to compare 60 MUAPs recorded with reusable monopo;ar needle electrodes (RMNE) and 60 MUAPs recorded from the same muscle (Tibialis anterior) with DMNE at the first (new), second (used). and sith(old) electrode usage. There wase no significant difference among the amplitude, …

Electromyographic Change In Disuse Muscle Atrophy, I-Ping Liu, Cheng-Ming Chiu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

Twenty persons suffered from cruciate ligment rupture of unilateral knee were Participated in our electromyographic studies from Oct. 1988 to July 1989. All subjects were found to have disuse muscle atrophy of vastus medialis after operation and cast fixation for about 3 weeksThe clinical study was divided into two steps. 1. To evaluate the change in parameters of compound muscle action potentials (CMAPs) obtained by stimulating the femoral nerve and recording both in atrophic and sound vastus medialis muscles. 2. To evaluate the change in parameters of automatic decomposition electromyography (ADEMG) by maximum voluntary contraction in vastus medialis with muscle …

The Trunk Extension And Flexion Torque Assessment, Giin-Gi Wang, Tsai-Hua Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to use the KINEMETIC COMMUNICATOR KIN-COM III (a computer controlled dynamometer) in the isometric mode to estabilish flexion and extension guidelines for a trunk rehabilitation exercise program.Trunk activity was assessed in 33 young normal adults without LBP history. L5 was taken as the trunk flexion / extension center and the semi-sitting erect position was used to eliminate the gravity effect. We found that the trunk flexion and extension torques were positively related to the height and weight. The Extenision: Flexion ratio was approximately 2:l(mean 2.051 + 0.315). This data may be use as a …

Isokinetic Test Following Shoulder Hemiarthroplasty, Linr-Yue Lin, Jin-Sheng Lin, Chrong-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the muscular strength of five patients which were received shoulder hemiarthroplasty. Isokinetic test used by Lido Isokinetic Rehabilitation System included shoulder external rotation, internal rotation, abduction, adduction, flexion and extension at the speed of 60, 120, 180 and 240 degree/sec. There was significant difference (p＜0.05) between involved and non-involved shoulder on the peak torque in external rotation, internal rotation, abduction and flexion. Ther peak torque to body weight ratio also showed significant difference (p＜0.05) in internal rotation, abduction and flexiom. Analysis of spedial radiographs of humerus showed a direct relationship between peak …

Rehabilitation After Reconstruction Of The Anterior Cruciate Ligament, Ching-Long Chou, Jiunn-Jer Wu, Tao-Chang Hsu

Rehabilitation Practice and Science

The technique of diagnosis and concepts in management of anterior cruciate ligament injury patient have been improving tremendously in the past few years. The postoperative care for the patients who have received ACL reconstruction has been a great concern to physicians, therapists and patients themselves. The purpose of this paper is to present a suggested rehabilitation protocol which is safe and effective and also to report the prognosis of our patients following this protocol. Among the 182 patients who had been operated at our hospital during 1984 to 1987. we collected 73 patients who had completed our rehabilitation program and …

Chronic Neck Injury Of The Athletes, Wen-Hong Pan, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Much has been done about the severe acute cervical neurotrauma resulting from athletic participations such as football, water sports, gymnastics, rugby and ice hocky. In this paper, we present some aspects of the chronic cervical neurotrauma which is mainly resulted from the repetitive micro-trauma to the cervical spine.4 cases with chief complaint of chronic neck pain were evaluated by various image studies and definite pathology of their cervical spine was found later. We also surveyed the concepts about sports injury of 86 students study in a junior college of gymnastics and found that there exists something requesting our attention, that …

Mri Evaluation For The Injuries Of Knee, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Thirty one patients including eleven young atheletics(thirth four knees totally) were assesed by MRI(1.0T,Picker company)in different pulse sequences T1WI, T2WI & PDWI. The result showed high incidence of combined injuries, especially for meniscal injury coexisted with cruciate injury. There were 52.9% of knees with cruciate injuries in Gr. III meniscal injury, while in Gr. II & III was upto 73.5% in incidency. The injuried pattern of young athletics group (less than 26 years old) was the same as old age group. It may conclude that the abuse or overuse syndrome shoule be considered in the training or competition of young …

Brain Ct In Prediction Of The Prognosis Of Ischemic Stroke, Chin-Man Wang, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

This study was carried out on 107 cases with cerebral infarcts for investigation of prognosis in Chang Gung Memorial Hospital from July 1984 to Feb. 1989. Parameters studied were age. sex. lesion size. neuroanatomic lesion site. lateralization of lesions. follow up duration (＞6 months), receive of rehabilitation program or not. and the working status and income status before and post-stroke.According to the size and depth of hypodensity the brain computerized tomograms were classified into seven groups: Group 1:normal, Group 2:small superficial infarct, Group3:large superficial infarct. Group 4:deep infarct, Group 5:deep and large superficial infarcts, Group 6:bilateral hemispheres infarcts, Group 7:bram …

Wound Healing In Diadetic Amputation, Chau-Peng Leong, May-Kuen Wong, Jin-Mann Wang, Choon-Khin Chong

Rehabilitation Practice and Science

The foot of the diabetic is most susceptible to the diabetic complications of neuropathy and angiopathy. In such condition, any trauma may quickly lead to ulceration, infection, gangrene and finally, amputation. It is hard to make a decision to the level of amputation due to hostile, and uncoop erative of patient and family, so, postoperative wound healing are different in many cases.This study is a retrospective study, 97 cases due to diabetic ,ammputation who admitted to Chang Gung Memorial Hospital from January, 1978 to December, 1987, were followed up by questionnares and telephone. The patients comprised of 59 males and …

Ankylosing Spondylitis Complicated With Traumatic Spinal Cord Injury: A Casereport, Guang-Seng Huang, Hsin-Ying Chen, Jyh-Chaur Tsau

Rehabilitation Practice and Science

Ankylosing spondylitis (AS) is not a rare disease in Taiwan. People with AS are prone to develop spinal fracture following trauma. The spine may become stiff and fragile as the effect of the disease process. This kind of spinal fractures most frequently affect cervical spine and result in severe neurological deficits. If it is not rational to stabilize the fractured spine surgically, a long period of immobilization may ensue prior to rehabilitation training. In addition, other manifestations of AS may further complicate the rehabilitation program. This casereport concerns the course and rehabilitation outcome of an AS patient complicated with traumatic …

Ankylosing Spondylitis Associated With High Serum Alkaline Phosphatase And Intractable Neck Pain: A Casereport, Pao-Tsai Cheng, Yung-Ming Lin

Rehabilitation Practice and Science

Ankylosing spondylitis presents various clinical symptoms and signs. It is classified as a seronegative spondyloarthropathy.The diagnosis is based upon radiographic sacroiliitis in the presence of clinical symptoms and signs. Although symptoms may occur anywhere in the spine including the neck, they are usually maximal in the lumbosacral area. Ankylosing spondylitis with its onset from the cervical spine is rare. A typical patient with ankylosing spondylitis develops back pain during the early 20s and the onset is insidious. Here we presents an unusual case with cervical spine involvement initially and relative late onset according to his age. A 40 years old …

Management Of Acute Spinal Epidural Abscess: 2 Cases Report, Long-Sang Au, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

Within a period of 8 months, we encountered 2 cases of spinal epidural abscess. The site of abscess and causative organism were lumbar spine with E. coli and thoracic spine with S. aureus respectively. The clinical courses of both cases did not follow the four phases described in literature for an epidural abscess. Spiking fever and chillness were the only prominent signs observed initially and back pain was not the chief complaint. However, neurological deterioration with urinary retention and paraplegia progressed rapidly. The time interval between onset of symptoms and appearance of paraplegia was 4 and 7 days for case …

Pancoast Tumor: Possibly Misused With Short Wave Diathermy-Casereport, Psing-Zau Lu, Lin-Po Tseng, Th-Han Chung

Rehabilitation Practice and Science

Clinically, Pancoast tumor is an uncommon disease. We report one case who had received short wave diathermy dued to right neck, right shoulder and right upper arm pain. Tinally, he was proved as a lung CA with lymph rode and chest wall involvement. After surgical treatment, he received TENS therapy. According to the literature, tumor is contraindicated to diathermy. We postulate this case to remind Reh doctor keep alert in prescribing deep diathermy.

中華民國復健醫學會章程, N/A

Rehabilitation Practice and Science

No abstract provided.

專科醫師分科及甄審辦法, N/A

Rehabilitation Practice and Science

No abstract provided.

Differences In Values And Goals Of Occupational Therapy Students, Margaret A. Danka

Masters Theses

This study compared professional values and goals of three levels of occupational therapy students: (1) seniors in baccalaureate programs (n = 337), (2) students in professional master's programs (n = 95), and (3) students in post-professional master's programs (n = 62). Demographic characteristics and factors influencing career choice were also examined.

Significant differences were found among the three student groups for three professional goals: (1) contributing to theory, (2) doing research, and (3) educating occupational therapy students, and four professional values: (1) intellectual stimulation, (2) exciting life, (3) comfortable life, and (4) helpfulness. The demographic differences among the three student …

The Effects Of Different Weight Bearing On Spasticity During Exercise In Stroke Patients, Sue-May Kang, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the effects of different weight bearing on reducing spasticity in stroke patients. Quantity of spasticity was defined as level of associated reaction during exercise. It can be measured by surface integrated EMG levels.Thirty cerebrovascular accident patients (Brunnstrom's stage II-V in upper extremity) performed forward target-touching exercise in sitting position. The exercise was performed with affected shoulder flexion and keeping elbow straight while the associated reaction in same side biceps brachii was monitored by integrated EMG levels and the weight bearing of both feet was measured by 2 weights. All factors influencing spasticity …

The Study Of Atlantoaxial Subluxation And/Or Dislocation, Miin-Her Sheu, Chinn-Dong Chung, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Neck pain and neck stiffness are among the commonest clinical complaints resulting from atlantoaxial subluxation and dislocation and also most easily lead to misdiagnosis and inadequate management. We defined the clinical characteristics of atlantoaxial subluxation and/or dislocation in 25 patients hospitalized from Jan 1987 to Aug 1989, who were studied retrospectively. The commonest symptoms were found to be neck stiffness, followed by numbness of limbs, neck pain and motor weakness in decreasing frequency. The commonest physical findings were limitation of neck motion, followed by decrease of muscle power, sensory impairment and hyperreflexia in decreasing frequency. Traffic accident was the commonest …

Effect Of Therapist-Initiated Versus Self-Initiated Vestibular Stimulation On Vocalization In Children With Autism, Carol L. Maddox

Masters Theses

Therapist-initiated vestibular stimulation was compared to self-initiated stimulation to determine their relative effects on vocalization in children with autism. Vocalizations produced during table-top activities were also compared to those produced during vestibular stimulation. Two children with autism participated in the study. Vestibular stimulation was provided by a hammock swing. All vocalizations were recorded during a total of thirteen 15-minute test sessions.

Results indicated that in this study: (a) There was no significant difference in quantity of vocalizations produced during self-initiated versus therapist-initiated vestibular stimulation, and (b) there was a significant increase in vocalizations during vestibular stimulation as compared to during …

F Wave Frequency: Its Value In The Diagnosis Of Lumbar Radiculopathy: Preliminary Report, Yau-Wai Wai

Rehabilitation Practice and Science

The purpose of this paper was to find F wave frequency in normal subjects and patients with sciatica, in order to know if there any significant difference in appearance between them, whether this kind of examination could provid a noninvasive methoid in the diagnosis of lumbar radiculopathy.Among the 22 volunteered normal subjects, there was no significiant difference between bilateral lower extremities for the mininal, mean and maximal values of tibial and deep peroneal F-wave latency and their F-frequencies. Of the 16 patients who have sciatica symptoms, 14 of them have received spinal computerized tomography examination. It was showed that herniated …

Distal Sensory Latency Of Median Nerve In Poliomyelitis Patients, Ming-Chuan Lin, Chein-Wei Chang, Chue-Fun Chen, I-Nan Lien

Rehabilitation Practice and Science

It has benn recognized that overuse of wrist may induce abnormal median nerve. Most of the poliomyelitis patients compensate the weakness of the lower extremities by overusing their upper extremities, so that they were expected to have a higher incidence of abnormal median nerve.Totally 70 cases including 24 men and 46 women attended for this study. They were divided into three groups: group I , 34 poliomyelitis patients who used crutches; group II ,15 poliomyelitis patients who did not use crutches; group III , 21 normal control. The mean ages were 27.6 years in group I , 26.5 years in …

Analysis Of Muscular Quantitative Evaluation And Functional Status Of Stroke Patients, Mei-Lan Chang, Sheau-Ping Pan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purposes of this study were to quantitatively evaluate the muscular strength and spasticity of stroke patients and to find out the significant relationships between different functions and torques of muscle groups in mode and speed specificity of isokinetic evaluation.This study was to use isokinetic hydralic drive machine (GGT-3000, The Medizin-Electronic System, GmbH, West Germany) to measure quantitatively muscular activities of elbow and knee flexor and extensor muscular groups of 53 patients. Affected side was measured in passive motion at speed 10°/s, 120°/s and concentric contraction and eccentric contraction motion at speed 60°/s. Sound side was measured in concentric and …