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2009

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Special Section: Jeffers In Translation, Gustavo Adolfo Chavez, Ugo Gervasoni Dec 2009

Special Section: Jeffers In Translation, Gustavo Adolfo Chavez, Ugo Gervasoni

Jeffers Studies

No abstract provided.


Descent: Selected Essays, Reviews, And Letters By John Haines, Robert Zaller Dec 2009

Descent: Selected Essays, Reviews, And Letters By John Haines, Robert Zaller

Jeffers Studies

No abstract provided.


Visions And Affiliations: A Literary California Timeline, Volume One: 1940-1980 And Volume Two: 1980-2005, Bill Mohr Dec 2009

Visions And Affiliations: A Literary California Timeline, Volume One: 1940-1980 And Volume Two: 1980-2005, Bill Mohr

Jeffers Studies

No abstract provided.


Editor's Note, George Hart Dec 2009

Editor's Note, George Hart

Jeffers Studies

No abstract provided.


Davidson V. Davidson Appellant's Brief Dckt. 36535 Dec 2009

Davidson V. Davidson Appellant's Brief Dckt. 36535

Idaho Supreme Court Records & Briefs, All

No abstract provided.


Halvorson V. North Latah County Highway Appellant's Brief Dckt. 36825 Dec 2009

Halvorson V. North Latah County Highway Appellant's Brief Dckt. 36825

Idaho Supreme Court Records & Briefs, All

No abstract provided.


"Ex Occidente Frux": Jeffers, Thoreau, And The Strange Fruit Of The West, J. Bradford Campbell Dec 2009

"Ex Occidente Frux": Jeffers, Thoreau, And The Strange Fruit Of The West, J. Bradford Campbell

Jeffers Studies

No abstract provided.


Pressure Pain Threshold, Pressure Pain Tolerance, And Compliance At Different Sites On The Biceps Brachii Muscles Prior To And Following Eccentric Exercise, Jo-Tong Chen, Kuo-Wei Su, Ta-Shen Kuan, Yun-Fu Chou, Chang-Zern Hong Dec 2009

Pressure Pain Threshold, Pressure Pain Tolerance, And Compliance At Different Sites On The Biceps Brachii Muscles Prior To And Following Eccentric Exercise, Jo-Tong Chen, Kuo-Wei Su, Ta-Shen Kuan, Yun-Fu Chou, Chang-Zern Hong

Rehabilitation Practice and Science

Delayed onset muscle soreness (DOMS) refers to skeletal muscle pain that follows strenuous and unaccustomed physical activity. The intensity of discomfort peaks at 24 to 48 hours, and subsides within 5 to 7 days post-exercise. It appears that DOMS occurs most frequently following unaccustomed eccentric exercise. However, it is not clear whether sensitivity to pain is uniform over the surface of the muscle, or whether some locations become more sensitive following eccentric exercise. The purpose of this study was to evaluate the effect of DOMS at various sites of muscle following a bout of eccentric exercise.A total of 25 subjects …


Bilateral Upper Limb Loading Exercise In Hemiplegic Patients: Immediate Effects On Nerve Conduction Characteristics, Lin-Chien Lee, Yung-Cheng Huang, Hsing-Kuo Wang, Sheng-Chu Su, Kuang-Ping Hsieh, Fu-Kong Lieu Dec 2009

Bilateral Upper Limb Loading Exercise In Hemiplegic Patients: Immediate Effects On Nerve Conduction Characteristics, Lin-Chien Lee, Yung-Cheng Huang, Hsing-Kuo Wang, Sheng-Chu Su, Kuang-Ping Hsieh, Fu-Kong Lieu

Rehabilitation Practice and Science

The aim of this study was to investigate the immediate effects of upper extremity loading exercises on conduction in the median and ulnar nerves in the wrists of hemiplegic patients. Seventeen hemiplegic patients without past history of carpal tunnel syndrome or other confounding diseases and seventeen healthy and physically-matched control subjects were recruited. Nerve conduction tests of the median and ulnar nerves were performed in both arms of patients and healthy controls before and after a set of 30-minute bilateral loading exercise. Significant reductions (p<0.05) were found in median compound motor action potential, median sensory nerve action potential and ulnar …


Spinal Intramedullary Arteriovenous Malformations With Tetraplegia: A Casereport, Ching-Yao Yang, Shin-Liang Pan, Yen-Ho Wang, Wei-Hwa Liaw Dec 2009

Spinal Intramedullary Arteriovenous Malformations With Tetraplegia: A Casereport, Ching-Yao Yang, Shin-Liang Pan, Yen-Ho Wang, Wei-Hwa Liaw

Rehabilitation Practice and Science

Spinal arteriovenous malformations is a rare disease. The initial signs are usually in the forms of nonspecific sensory symptoms such as pains and parasthesia; therefore, it is difficult to conclusively diagnose this disease. Here, we report the case of a 30-year-old woman who suffered from a sudden weakness in the 4 limbs 15 years ago. The symptoms subsided after supportive care; she was discharged from a local hospital without further follow ups. Approximately 5 years ago, she had a sudden attack of pains in her left shoulder. The symptoms rapidly progressed to paralysis of the 4 limbs. She was sent …


Pre-Operative Localization Of A Chest Wall Needle By Ultrasonography: A Casereport, Jannie Ying-Syuan Chen, Tung-Mao Chiang, Yi-Cheng Wu, Chao-Yi Huang, Chih-Chin Hsu, Wen-Chung Tsai Dec 2009

Pre-Operative Localization Of A Chest Wall Needle By Ultrasonography: A Casereport, Jannie Ying-Syuan Chen, Tung-Mao Chiang, Yi-Cheng Wu, Chao-Yi Huang, Chih-Chin Hsu, Wen-Chung Tsai

Rehabilitation Practice and Science

High-resolution ultrasonography is a useful tool for the localization of non-palpable soft-tissue foreign bodies. A 21-year-old female underwent a routine health examination, during which chest radiography revealed a radio-opaque linear foreign body. The foreign body was located within left posterior chest wall, 4 to 5 cm lateral to the T8 spinous process. The shape indicated a needle. The possible presence of a needle in the chest wall meant that an operation to remove it was imperative. There was no tender point or palpable mass present on the chest wall and, consequently, there was difficulty determining the precise location of the …


Assessments Of Spasticity By Hoffmann Reflex Parameters In Patients With Spinal Cord Injury, Juei-Hsiang Wang, Yen-Ho Wang, Chein-Wei Chang, Shin-Liang Pan, Che-Sheng Lin Dec 2009

Assessments Of Spasticity By Hoffmann Reflex Parameters In Patients With Spinal Cord Injury, Juei-Hsiang Wang, Yen-Ho Wang, Chein-Wei Chang, Shin-Liang Pan, Che-Sheng Lin

Rehabilitation Practice and Science

Muscle spasticity is a common problem that affects patients who have suffered spinal cord injury (SCI). It can affect the motor skills, activities of daily living, and quality of life of these patients. The modified Ashworth scale (MAS) is a widely used clinical rating scale for spasticity, but its validity and reliability have been questioned. Much attention has been devoted to the evaluation of spasticity by using electrophysiological approaches. Increased excitation of motor neurons, exaggerated stretch reflex, decreased presynaptic inhibition, and reduced reciprocal inhibition have been found to be associated with spasticity. In several previous studies, the Hoffmann (H) reflex …


The Characteristics Of Visual Perception In Children With Diplegic Cerebral Palsy, Fang-Ling Wang, Ling-Fu Meng, Wan-Ju Tu Dec 2009

The Characteristics Of Visual Perception In Children With Diplegic Cerebral Palsy, Fang-Ling Wang, Ling-Fu Meng, Wan-Ju Tu

Rehabilitation Practice and Science

Visual perception is the ability to manipulate and integrate the visual information received by brain. Early damage involving the structures of visual perception in the brain will give rise to visual perceptual impairment. The periventricular area is one of those structures related to visual perception. Nearly all preterm infants with spastic diplegia exhibit cystic periventricular leukomalacia. Therefore, it has been wondered if children with diplegic cerebral palsy were at risk of visual perceptual impairment. In fact, behavioral studies have shown that many children with diplegic cerebral palsy demonstrate weakness in some subtests of visual perceptual evaluation. Visual closure, figure-ground, and …


Effect Of Music On Sleep In Young Population, Yu-Yi Chen, Ya-Ju Chang, Hsieh-Ching Chen, Yen-Hsuan Yang, Yu-Ling Chen, Ninc-Hung Chen, Alice M.K. Wong Dec 2009

Effect Of Music On Sleep In Young Population, Yu-Yi Chen, Ya-Ju Chang, Hsieh-Ching Chen, Yen-Hsuan Yang, Yu-Ling Chen, Ninc-Hung Chen, Alice M.K. Wong

Rehabilitation Practice and Science

Sleep, a vital ingredient in life, is an active and complex rhythmic state that may affected the health of people. Based on theory, sedative music may induce relaxation and distraction responses. Music also has the effect on the change of muscular energy, heart rate, respiratory rates, blood pressure, and psychological distress. Music intervention could enhance sleep quality. The purpose of this study was to investigate the effect of music for sleep in young people.Twenty people aged 20-30 years in normal state of sleep were recruited and assigned randomly to different music conditions into this study. Each participant received one night …


Incidence And Risk Factors Analysis Of Lymphedema Secondary To Breast Cancer, Su-Fen Liao, Ya-Fun Lee, Shou-Tung Chen, Shou-Jen Kuo, Wei-Chen Liang, Ta-Sen Wei, Mu-Tai Liu Dec 2009

Incidence And Risk Factors Analysis Of Lymphedema Secondary To Breast Cancer, Su-Fen Liao, Ya-Fun Lee, Shou-Tung Chen, Shou-Jen Kuo, Wei-Chen Liang, Ta-Sen Wei, Mu-Tai Liu

Rehabilitation Practice and Science

Lymphedema, the most significant complication of treatment for breast cancer, can result in substantial psychological and physical morbidity. However, no long-term follow-up lymphedema studies yet exist for Taiwanese breast cancer survivors. This study therefore focused on examining frequency and risk factors of lymphedema secondary to breast cancer in Taiwanese patients. Five hundred and seventy patients who received surgical treatment between 1994 and 2000 at Changhua Christian Hospital were retrospectively investigated in October 2002. The incidence of self-reported edema was 28 percent (161/570), and the incidence of lymphedema with circumference difference greater than 2cm was 8.1 percent (46/570). Eighty-four percent of …


The Recovery Index Of Oxygen Saturation From Orthostatic Syncope In Patients With Spinal Cord Injury, David S. Liu, Alice M. K. Wong, Shih-Ching Chen, Kang-Ping Lin, Chien-Hung Lai, Walter H. Chang Dec 2009

The Recovery Index Of Oxygen Saturation From Orthostatic Syncope In Patients With Spinal Cord Injury, David S. Liu, Alice M. K. Wong, Shih-Ching Chen, Kang-Ping Lin, Chien-Hung Lai, Walter H. Chang

Rehabilitation Practice and Science

Orthostatic hypotension (OH) is a common clinical problem for patients with spinal cord injury (SCI) at the cervical or high thoracic level when they move from the supine position to the upright position. Patients with severe SCI frequently suffer from symptoms of OH during head-up tilt, ranging from slight lightheadedness to full syncope. Tilt-table training is commonly used in clinical physiotherapy to overcome OH syncope, but this also relies on carefully manual control of the tilt angle and training time by the therapist during training. Up till now, it still has no method to estimate the recovery process of OH …


The Research And Development Of Foot Pressure Testing Piece, Mu-Jung Kao, Ming-Jor Lo, Cheng-Kung Cheng, Hung-Wen Wei Dec 2009

The Research And Development Of Foot Pressure Testing Piece, Mu-Jung Kao, Ming-Jor Lo, Cheng-Kung Cheng, Hung-Wen Wei

Rehabilitation Practice and Science

The purpose of this study was to design an insole-style testing piece for a quick and easy dynamic foot pressure test. Current commercial foot pressure systems are costly and complicated to operate. These systems are not suitable for extensive evaluations of patient's foot or orthoses, either.The material used in this research is TPE-PS shock absorption foam. This foam has three special features: (1) excellent surface contact with foot contour, soft textures that do not irritate the foot, (2) creates permanent foot pressure imprints after brief walking, (3) the foam material does not crack or break under excessive foot pressure. When …


Associated Study Between Dopamine Drd2 Gene Polymorphism And Finger Tapping Test, Wen-Hsuan Hou, Tai-Jui Chen Dec 2009

Associated Study Between Dopamine Drd2 Gene Polymorphism And Finger Tapping Test, Wen-Hsuan Hou, Tai-Jui Chen

Rehabilitation Practice and Science

Neurotransmitter dopamine has relation with neuro-psychiatric disease, it also has effect on motor function for healthy individuals and also determines the outcome of rehabilitation for neuro-psychiatric disease patients. Finger Tapping Test (FTT), a neuro-psychological test, is thought to be associated with dopamine. Therefore, the goal of this study is to investigate the association relationship between dopamine genes polymorphism (DRD2 TaqI) and FTT. Method: We recruit healthy Han Chinese, age between 20 and 60 years old, having no neuro-psychiatric illness and family history for dopamine genes polymorphism (DRD2 TaqI) and FTT assessment. Result: Total 106 cases were enrolled in the study. …


Clinical Experience Of Ventriculoperitoneal Shunt Dysfunction In A Patient With Hydrocephalus After Brain Injury: A Casereport, Shean-Jing Lin, Yun-Yee Chen, Mu-Jung Kao, Ching-Yang Lin, Sheng-Huang Hsiao Dec 2009

Clinical Experience Of Ventriculoperitoneal Shunt Dysfunction In A Patient With Hydrocephalus After Brain Injury: A Casereport, Shean-Jing Lin, Yun-Yee Chen, Mu-Jung Kao, Ching-Yang Lin, Sheng-Huang Hsiao

Rehabilitation Practice and Science

We report a case of an adult patient with post-traumatic hydrocephalus who was treated using a ventriculoperitoneal (VP) shunt with a fixed pressure setting valve. Slit ventricle syndrome was found two months later and an antisiphon device (ASD) was added. A fixed pressure valve with ASD was found not to be optimal in terms of improving his neurological symptoms and a programmable valve system was therefore implanted with a pressure setting of 140 mmH2O in the beginning. The valve then was gradually programmed to reduce down to 70 mmH2O over two months. This case demonstrates that selection of a shunting …


Combining Therapeutic Ultrasound And Breast Massage For Plugged Ducts: Three Casereports, Yu-Chun Lee, Xiu-Yong Hong, Chin-Teng Chung, Wei-Chih Chen, Hui-Mi Liu, Si-Wa Chan Dec 2009

Combining Therapeutic Ultrasound And Breast Massage For Plugged Ducts: Three Casereports, Yu-Chun Lee, Xiu-Yong Hong, Chin-Teng Chung, Wei-Chih Chen, Hui-Mi Liu, Si-Wa Chan

Rehabilitation Practice and Science

Plugged ducts are a common problem during lactation. They often occur when the breast is not emptied properly, or when there is local pressure on the breast. Plugged ducts usually occur three to four weeks postpartum. Symptoms include a sensitive lump with well-defined margins in the breast. There may be pain and tenderness in the affected area, although this is not necessarily accompanied by systemic symptoms such as high-grade fever. Milk flow can be blocked and sometimes a tiny white spot can be seen at the opening of the mammary duct on the nipple. Without treatment, plugged ducts can lead …


Ultrasonographic Diagnosis Of Bicipitoradial Bursitis: A Casereport, Kuan-Wen Chen, Yi-Pin Chiang Dec 2009

Ultrasonographic Diagnosis Of Bicipitoradial Bursitis: A Casereport, Kuan-Wen Chen, Yi-Pin Chiang

Rehabilitation Practice and Science

The bicipitoradial bursa is located between the distal biceps tendon and the radial tuberosity. The bursa functions as a buffer to reduce the friction between tendon and bone during pronation of the forearm. Bicipitoradial bursitis most frequently results from repetitive mechanical microtrauma by supination and pronation movements of the forearm, and it may cause painful swelling at the antecubital fossa. However, only a few cases of bicipitoradial bursitis have been reported to be diagnosed by ultrasound. We report a case of a 32-year-old woman with a tender soft tissue mass in her right antecubital area. Musculoskeletal ultrasound depicted a distended …


Clinical Diagnosis Of Mild Misalignment Of Symphysis Pubis Using Ct Scan With Three-Dimensional Reconstruction Of Pelvis: A Casereport, Cheng-Hung Lin, Ching-Hung Hung, Nam-Seng Goh, Chen-Chang Hsiung Dec 2009

Clinical Diagnosis Of Mild Misalignment Of Symphysis Pubis Using Ct Scan With Three-Dimensional Reconstruction Of Pelvis: A Casereport, Cheng-Hung Lin, Ching-Hung Hung, Nam-Seng Goh, Chen-Chang Hsiung

Rehabilitation Practice and Science

The patients who suffered from symphysis pubis injury would normally be treated in two clinical departments. Symphysis pubis diastasis is an uncommon intrapartum complication which may occur in women with some associative factors such as macrosomic fetus, small pelvis, and rapid descent of presenting part during spontaneous vaginal delivery. The automotive side impacts are a leading cause of injuries to the pubic symphysis which might be combined with major pelvic trauma. Other factors that might contribute to this type of injury is general fall events, although very rare, which would induce minor symphysis pubis injury. Recently, we presented with a …


Electric Stimulation For The Bladder Dysfunction In Patients With Spinal Cord Injury, Chao-Min Wang, Yen-Ho Wang Dec 2009

Electric Stimulation For The Bladder Dysfunction In Patients With Spinal Cord Injury, Chao-Min Wang, Yen-Ho Wang

Rehabilitation Practice and Science

Bladder dysfunction makes huge impact on the patients with spinal cord injury. It not only causes inconvenience in daily living, but also leads to many complications, including life-threatening renal failure. Traditional methods had been brought into greater use for the management of bladder dysfunction, such as indwelling catheter, clean intermittent catheterization, external condom catheter, bladder augmentation and so on. Electric stimulation is an effective treatment for both bladder voiding and storage dysfunction and it can be used in many different location. The electrodes can be placed on spinal cord, nerve root, peripheral nerve, bladder and skin by surgical implantation, needle …


Quantitative Analysis Of Bladder Compliance In Healthy Subjects, Su-Ju Tsai, Tsung-Ho Ying, Yu-Lin Kao, Yu-Hui Huang, Chun-Yao Yu, Liu-Ing Bih Dec 2009

Quantitative Analysis Of Bladder Compliance In Healthy Subjects, Su-Ju Tsai, Tsung-Ho Ying, Yu-Lin Kao, Yu-Hui Huang, Chun-Yao Yu, Liu-Ing Bih

Rehabilitation Practice and Science

Bladder compliance expresses the relationship between bladder volume and detrusor pressure and is generally regarded as a measure of bladder stiffness or distensibility. Based on the varied selection criteria during the urodynamic study, differences in bladder compliance often exist. The objective of this study was to provide reference ranges for ”normal” variability in bladder compliance among healthy subjects.A total of twenty-four healthy subjects, twelve men and twelve women with mean age of 25.2 years and estimated maximal capacity (EMC) of 393 ml, were enrolled in this study. During the standardized procedures of urodynamic study, pairs of data on bladder volume …


Occurrence Of Segmental Zoster Paresis In The Right Arm Of An Adult With Multiple Sclerosis: A Casereport, Shih-Han Lin, Wen-Shiang Chen Dec 2009

Occurrence Of Segmental Zoster Paresis In The Right Arm Of An Adult With Multiple Sclerosis: A Casereport, Shih-Han Lin, Wen-Shiang Chen

Rehabilitation Practice and Science

Segmental zoster paresis is a rare complication of cutaneous herpes zoster. Clinical diagnosis of segmental zoster paresis depends upon a history of painful vesicular eruptions in a dermatomal distribution, followed by muscle weakness in the related myotomes. We report the case of a 45-year-old woman with opticospinal type multiple sclerosis with recent cutaneous herpes zoster and right shoulder girdle weakness. Differential diagnosis included multiple sclerosis relapse, zoster myelitis, segmental zoster shoulder paresis, cervical radiculopathy, and shoulder joint or soft-tissue disorders. MRI with gadolinium enhancement of the spinal cord 1 week after the onset of symptoms showed neither new multiple sclerosis …


Acute Renal Failure After Ingestion Of Polyethylene Glycol Electrolyte Lavage Solution For Bowel Preparation In A Chronic Spinal Cord Injury Patient: A Casereport, Ping-Hsin Ko, Ya-Ling Huang, Yen-Ho Wang, Huey-Wen Liang, Shin-Liang Pan Dec 2009

Acute Renal Failure After Ingestion Of Polyethylene Glycol Electrolyte Lavage Solution For Bowel Preparation In A Chronic Spinal Cord Injury Patient: A Casereport, Ping-Hsin Ko, Ya-Ling Huang, Yen-Ho Wang, Huey-Wen Liang, Shin-Liang Pan

Rehabilitation Practice and Science

Intravenous pyelography (IVP) is a common tool for evaluating the upper urinary tract in spinal cord injury patients. To obtain a proper image, bowel preparation is required. Among the regimens for bowel preparation, polyethylene glycol (PEG) electrolyte lavage solution has a good cleansing quality and fewer side effects. Nonetheless, adverse effects of the regimen, though rare, have been reported. We describe a spinal cord injury patient who suffered from acute renal failure as a result of PEG-related toxicity, after taking oral PEG electrolyte lavage solution for bowel preparation. A 57-year-old woman who had sustained spinal cord injury for 11 years …


Effects Of High Voltage Galvanic Stimulation On Sleep And Health-Related Quality Of Life Among Hemodialysis Patients, Min-Dauw Chung, Mu-Jung Kao, Chiu-Ching Huang, Yu-Wen Cheng, Mei-Wun Tsai Dec 2009

Effects Of High Voltage Galvanic Stimulation On Sleep And Health-Related Quality Of Life Among Hemodialysis Patients, Min-Dauw Chung, Mu-Jung Kao, Chiu-Ching Huang, Yu-Wen Cheng, Mei-Wun Tsai

Rehabilitation Practice and Science

Background/Purpose: Disturbances in sleep and health-related quality of life (HRQL) are common in hemodialysis patients. The aim of this study was to investigate the effects of high voltage galvanic stimulation (HVGS) on blood chemistry, sleeping quality and HRQL among hemodialysis patients.Methods: This is an experimental one way repeated measure design. We enrolled 19 patients from a major hemodialysis center. All patients underwent whole body FT-9000 HVGS therapy, 20 minutes per session, three times per week, for 12 weeks. The assessments of therapeutic effectiveness including basic blood cell counts and biochemistry, Short Form-36 (SF-36) health survey, and the Pittsburgh sleep quality …


The Hemineglect And Hemianopia In Right Hemispheric Stroke Patients, Yung-Nan Hsu, Liu-Ing Bih, Chang-Zern Hong Dec 2009

The Hemineglect And Hemianopia In Right Hemispheric Stroke Patients, Yung-Nan Hsu, Liu-Ing Bih, Chang-Zern Hong

Rehabilitation Practice and Science

This study investigated whether a stroke patient with left hemianopsia, which was confirmed by the perimetric test, may also have hemineglect. The relationship between hemineglect and hemianopia in patients with right hemispheric stroke was evaluated. Eleven subjects with left unilateral neglect underwent three testing sessions separated in time. The three test sessions, including cancellation and static perimetric tests, were performed at approximately 3 months, 4 months, and 7 months post the onset of the stroke. For the cancellation test, patients were asked to circle 60 marks on the test paper, and the number of marks correctly circled was scored. For …


Treatment Of Piriformis Myofascial Pain Syndrome Related To Lumbar Facet Lesion: A Casereport, Nai-Phon Wang, Fang-Chuan Kuo, Yueh-Ling Hsieh, Shyi-Kuen Wu, Chang-Zern Hong Dec 2009

Treatment Of Piriformis Myofascial Pain Syndrome Related To Lumbar Facet Lesion: A Casereport, Nai-Phon Wang, Fang-Chuan Kuo, Yueh-Ling Hsieh, Shyi-Kuen Wu, Chang-Zern Hong

Rehabilitation Practice and Science

This casereport describes a patient with chronic pain due to piriformis myofascial pain syndrome related to lumbar facet joint lesion. The purpose is to demonstrate the elimination of the underlying etiological lesion by lumbar facet joint injection with steroid suspension for a complete and effective treatment of piriformis myofascial pain syndrome in order to obtain a permanent pain relief. A 46 year-old male patient had chronic pain in the right gluteal region and right leg (with tingling) for many years. Initially, he had been treated as piriformis syndrome with oral medicine, physical therapy and local injection, and had only temporary …


Dislocation With Locking Of The Bilateral Facet Joints Followed By Spontaneous Rapid Reduction In An Elderly Lady With Cervical Spine Injury: A Casereport, Yih-Tsen Lai, Dar-Ming Lai, Huey-Wen Liang Dec 2009

Dislocation With Locking Of The Bilateral Facet Joints Followed By Spontaneous Rapid Reduction In An Elderly Lady With Cervical Spine Injury: A Casereport, Yih-Tsen Lai, Dar-Ming Lai, Huey-Wen Liang

Rehabilitation Practice and Science

The main causes of cervical spine injury vary among different age groups. Elderly people have a tendency to sustain injuries due to falls, which is a low energy mechanism of injury. Here, we report a case of a 76-year-old woman who fell down from sitting and suffered severe dislocation of the C5 on the C6 vertebra and locking of the bilateral facet joints. She showed spontaneous reduction of the dislocation on a magnetic resonance image taken 3 h after the injury. After surgical fixation of the dislocated cervical spine, she was transferred for rehabilitation therapy. Gradually neurological and functional improvement …