Medicine and Health Sciences Commons^™

Investigation Of The Optimal Load-Bearing Characteristics Of Patellar Tendon Bearing (Ptb) Prostheses, Rahamim Seliktar, Theerasakdi Vachranukunkiet, Marcus P. Besser, Denise Kuenzig, A. Esquenazi

Department of Physical Therapy Faculty Papers

The long term goal of the research team is to automate the construction of the lower limb prostheses using Computer Integrated Manufacturing (CIM) techniques.

F-Response Study In C-Spine Degenerative Joint Disease Patient, Chen-Ming Chiu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to compare the significant difference of F Response between normal and C-spine DJD groups and compare one another among different age groups. We chose 10 patients with C-spine DJD in each age groups of 50-60, 60-70, 70-80 age groups. Everyone recived Ulnar and Median N nerve conduction study with subsequent 20 times F responses.The results revealed 1) in Spine DJD with radiclopathy groups, these are prolonged F lateny & decreased F persistence compared to normal groups. 2) no significant difference in F amplitude, F spike, M amplitude, M surface and NCV between normal and …

Clinical Trial Of Pneumatic Pylon In Early Amputation, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

Pneumatic pylon is used for the lower extremity amputees to allow early ambulation and to reduce stump edema postoperatively. The results of pneumatic pylon was studied in 10 patients who received lower extremity amputation form May 1987 to October 1987 at Chang Gung Memorial Hospital.Among them, two cases received above-knee amputation and eight cases received below-knee amputation. No stump pain and skin break-down was noted in all cases studied. Phantom sensation was improved in eight patients. Nine patientshowed complete confidence in the future fitting of permanent prosthesis. They needed shorter training time using permanent prosthesis. Wound infection is high in …

Functional Outcome In Digital Reconstruction With Toe Transfer: Preliminary Report, Yiu-Chung Lau, May-Kuen Wong, Fu-Chan Wei, Shin-Han Wu

Rehabilitation Practice and Science

The functional outcome of 34 cases of digital ampution with toe-to-digit reconstruction in Chang-Gung Memorial hospital, from Jan 1984 to Jan 1987, were evaluated by questionaires.The age of the patients were from 16 to 48 years old, with male in majority (82.3%). Nearly all of them were occupational injury. There were 20 cases with right hand injury, most of them should change hand dominance even after reconstruction surgery (63.2%). In the patients having single thumb loss, whether the reconstruction surgery was used by big toe or second toe, there were no difference in functional deficits of precision pinch (85.7%) and …

Motor Unit Number Index: Estimation Of The Number Of Motor Units In The First Dorsal Interosseous Muscle Of Normal Subjects, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to estimate the number of motor unit in the first dorsal interosseous muscle by using the routine electrodiagnostic techniques. 34 young adult volunteers was included in this study, each subject recevied the following procedures on the first dorsal interosseous muscle: 1. Surface recording of the total surface area, the area under the negative phase, peak amplitude and the base line to negative peak amplitude of the maximal evoked muscle action potential. 2. Same recording parameters but change the recording electrode to concentric needle. 3. Motor unit potential analysis with concentric needle to get the …

Thoracic Outlet Syndrome: A Casereport, Ling-Yue Lin, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

The thoracic outlet syndrome (TOS) is a entrapment syndrome of the neurovascular bundle supplying the upper extremity. There are many disorders have been associated with TOS. We can divide TOS into vascular types and neurogenic types according to it's component parts.the classic type of neurogenic TOS is uncommon. This case has abduction contracture of left shoulder. The electrodiagnostic findings showed typical of neurogenic TOS. Conservative treatment programs were given and the symptoms were subsided after one week.

The Purposeful Use Of An Object In The Development Of Skill With A Prosthesis, Hon Keung Yuen

Masters Theses

Theoretically, perceptual information from the interaction with an object and its surfaces (an affordance) facilitates the development of motor skill. This study investigated the use of an affordance in learning control of flexion and extension of an above-elbow training prosthesis. Fifty-two male college students were randomly assigned to two training procedures: two, 1.5-minute periods of a joining dots activity with a flashlight attached to the hook of the prosthesis (affordance group), and practice moving the prosthesis at the elbow joint (no-affordance group) for the same amount of time. To assess generalization of skill to a different task, each subject traced …

Muscle Stress And The Use Of Body Mechanics, Kathleen Ann Keeler

Masters Theses

The purpose of this study was to examine the amount of lower back muscle stress produced during lifting tasks, using variations in weight and postures. Electromyographic activity of the erector spinae muscles at the L4-5 vertebral level was measured.

Thirty healthy female subjects participated in the study. Each subject lifted loads of two given weights using both the stooped and squat lifting postures. Electromyographic activity was recorded and averaged throughout each lift.

Results indicated that increased weight resulted in increased stress on the erector spinae muscles, regardless of posture. The squat lifting posture was found to be more stressful on …

The Facet Joint And Low Back Pain: A Clinical Study, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Therapeutic injection of facet joints is now widely practised, but Chinese experience has been infrequently reported. 21patients with suffering from the ”facet syndrome” have been taken from OPD patients, Our series including total 30 intra-articular injections C 2% Xylocaine & Kenacort A preparation provide a diagnostic-therapeutic block; Certainty of joint penetration can be ensured only by the routine use of joint arthrography ￠ Metrazamide. Results indicate that immediate effective is 61.9% for releiving pain. It means this block is a good diagnostic-therapeutic procedure in low back pain patients.

Functional Evaluation Of The Knees In The Patients After Total Knee Replacement, Rou-Zin Shai, Jau-Yih Tsauo, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

The Total Knee Replacement (TKR) is getting more important for management of severe knee joint disorder. In order to understand the changes of knee function after TKR and evaluate the benefits for patient, this research was designed to compare them before operation, three months, six months and twelve months after operation who received TKR operation at Orthopedic Department of National Taiwan University Hospital from Jan to Sep 1986.According to the assessment of 11 patients who were traced for six months and five patients who were traced for twelve months, it indicated that TKR was definitely helpful for those patients with …

Treatment Of Chronic Intractable Pain By Non-Biofeedback Relaxation Technique: An Experience Report, Guo-Wei Chen

Rehabilitation Practice and Science

From January, 1986 through April, 1998, a total 42 patients with chronic intractable pain, age between 25 and 60 years, were treated by non-biofeed back relaxation technique including progressive relaxation, autogenic phrase, Benson's meditation and visual imagery. All patients had ever received medical, surgical and physical treatments but in vein at all.Twenty-eight of 42 patients (66.6%)reported getting apparent to slight improvement after relaxation training. Patients in non-specific pain syndrome group had a higher successful result than those in failed back surgery syndrome, cervical syndrome, and low back syndrome groups. Fourteen of 42 patients failing to get improvement reported some discomfort …

Isokinetic And Isometric Contraction Of The Quadriceps And Hamstring Muscles In Normal Young Adults, Lin-Fen Hsieh, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Summary In order to establish normal data of the isokinetic (IK) and isometric (IM) contraction of the quadriceps (Q) and hamstring (H) muscles, 22 normal young men and 24 normal young women were tested with a Cybex II Isokinetic Dynamometer at the speed of 0,5,10,20,and 30 rpm (0 rpm= isometric contraction). The IM contraction was tested at 45, 60, and 90 degrees of knee flexion in the Q muscles, and at 30, 45, and 60 degrees in the H muscles. Peak IK and IM torque of Q and H were obtained from both sexes. The peak IK torque values were …

Paraplegia Due To Decompression Sickness (19 Cases), Horng-Jeng Shyn

Rehabilitation Practice and Science

Nineteen cases of paraplegia due to decompression sickness were experienced from May 1983 to August 1985. All were the male fishermen. Their ages ranged from twenty-three yeras to fifty yeras.There were five with complete thoracic cord injury, seven with imcomplete thoracic cord injury and one with complete lumber cord injury, six with imcomplete lumber cord injury. All the patients had received hyperbaric treatment and rehabilitation. There were six persons with severe spasticity during discharge. Others had the symptom of mild incontinence. The study shows that early treatment may reduce complication. The most frequent seasons were spring & summer. The majority …

Psychomotor Development In Children With Congental Heart Disease, Tsui-Fen Yang, Betau Hwang, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to assess the psychomotor development in children with congenital heart disease, analyzes the degree of developmental delay and investigate the possible factors that result in psychomotor developmental delay in these cases. Form August 1986 to July 1987, 169 cases with congenital heart disease and 92 normal children as control group were studied. The Kansas Development Screening Chart, which was designed by Dr. Holmes, was used to assess the psychomotor development in these 261 children. The degree in psychomotor factors such as sex, nutritional status, cyanosis, age, number of hospitalization and history of congestive heart …

Chinese Version And Norms Of The Mini-Mental State Examination, Nai-Wen Guo, Hsiu-Chih Liu, Pai-Fan Wong, Kwong-Kun Liao, Sui-Hing Yan, Kong-Ping Lin, Cho-Yu Chang, Tao-Chang Hsu

Rehabilitation Practice and Science

Since M. F. Folstein & S. E. Folstein (1975) designed the Mini-Mental State Examination (MMSE) for grading evaluation of patients with cognitive impairement, the MMSE test has become the most popularly used test instrument both in clinical and epithological studies. We standiaried the Chinese form of MMSE, this paper reports the norms, and outlines the importances of using different criteria depending on pt's education level. The Chinese MMSE has all the terms and components of the origenal MMSE, namely: time & place orientation, registration, attention & calculation, recall, language & constructional ability, but we increased the total score from 30 …

Erb's Palsy: Etiology And Prognosis, Yau-Wai Wai, Chue-Fun Chen

Rehabilitation Practice and Science

This study was carried out on 67 children with obstetric palsy in the Department of physical Medicine and Rehabilition of the National Taiwan. University. It revealed that birth weight of more than 3500 gm would have higher prevalence of the palsy. There was no significant evidence to support the palsy had any relationship to patient's sex, presentation, parity, mode of delivery and lateralization of the lesion.The follow up intervals ranged from 3 months to 6 years, with the mean 2 years and 3 months. The recovery rate of these children was rather satisfactory. One year after the injury the ratio …

Functional Evaluation Of The Cervical Orthosis, May-Kuen Wong, Choon-Khim Chong, Yau-Yau Wai

Rehabilitation Practice and Science

For investigation of the effectiveness of 5 cervical orthoses which were made in Taiwan, cervical motion was evaluated quantitatively by using roentgenograms and overhead goniometry. Thirty normal young men were divided into five groups for the study of normal control, soft collar, rigid collar, 4 poster brace, Somi brace, which another 5 cases of cervical fracture were studied with Halo vest application.The subject was immobilized in a straight back chair to eliminate trunk motion, lateral cervical spine films were taken in neutral, flexion and extension without or with each orthosis; anterioposteral film for lateral bending and overhead goniometry for rotation …

Prosthetic Fitting For Limb Amputee In 15 Years (1971-1985), Ming-Chuan Lin, I-Nan Lien, Tong-Tsu Chen

Rehabilitation Practice and Science

The prosthetic workshop of National Taiwan University Hospital was established in 1970. There were 665 amputees recieved prosthetic fitting at the workshop from the beginning of 1971 to the end of 1985. Among these amputees, 307 patients were the victims of black-foot-disease, and has ben reported previously. Therefore, the present study included the rest of 358 amputees, 278 males and 80 females with male/female ratio 3.5: 1. The site of extremity involved were 160 in right and 198 in left, which revealed no significant difference statistically (p＞0.05). In total 358 cases, there were 105 upper extremity amputees and 253 lower …

Cauda Equina Syndrome And Lumbar Disc Herniation, Chinn-Dong Chung, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Hearniation of lumbar disc (HIVD) causing compression of the cauda equina is rare but needs urgent diagnosis and surgical treatment. Cauda equina syndrome (CES) has been described as a complex of low back pain, bilateral or unilateral sciatica, saddle anesthesia and motor weakness in the lower extremities that may progress to paraplegia with bowel and urinary bladder incontinence. The onset of bladder and rectal paralysis with saddle anesthesia should be viewed with a high index of suspicion in a patient with backache and sciatica. Three C.E.S. cases out of 169 H.I.V.D. cases who had been operated in our hospital were …

Spinal Cord Injury With Perforated Ileum: Casereport, Ching-Yang Lin, Min-Teh Cheng

Rehabilitation Practice and Science

The patient with a spinal cord lesion may not have the early signs of peritonitis such as pain, local tenderness and local muscular rigidity, therefore it is extremely difficult to make an early diagnosis of an acute abdominal lesion. Important clues to the underlying lesion may be found in referred pain, local or systemic spasticity, blood pressure and temperature variation, sweating patterns, changing abdominal sign.This was a 37 years old female who had hospitalized following a car accident which resulted in c7 complete quadriplegiac7 Two years later, she was admitted because of severe nausea, vomitting, profused sweating, poor appetite, general …

The Impact Of Traumatic Brain Injury On The Rehabilitation Process : A Literature Review, Laura B. Brown

Electronic Dissertations and Theses

A discussion of the incidence and prevalence of Traumatic Brain Injury (TBI) is presented. A focus on the cognitive deficits and vocational rehabilitation is maintained throughout the paper. Cognitive deficits such as language, memory, and communication skills are discussed. Common rehabilitation appraches are presented for cognitive rehabilitation. Vocational rehabilitation and components of the services network utilized for IBI rehabilitation are described. The cost effectiveness of the TBI rehabilitation model is discussed. Exemplary programs for both cognitive and vocational rehabilitation are described.

Hypothesis For Prediction Of Stimulant Drug Effectiveness Utilizing Sensory Integrative Diagnostic Methods, Judith Giencke Kimball

Occupational Therapy Faculty Publications

Despite extensive research, there has been no way to predict before drug administration which children with attention deficit hyperactivity disorder (ADHD) will respond to medication intended to calm them. A drug trial is the current method used. This paper discusses the action of stimulant medications and presents a hypothesis as to why they work on some children and not others. Sensory integration theory, particularly on vestibular system measures, that involves differential diagnosis of certain types of ADHD children, is used to explain why some children respond to stimulant medications.

Acceleration Of Wound Healing With High Voltage, Monophasic, Pulsed Current, Luther C. Kloth, Jeffery A. Feedar

Physical Therapy Faculty Research and Publications

The purpose of this study was to determine whether high voltage electrical stimulation accelerates the rate of healing of dermal ulcers. Sixteen patients with stage IV decubitus ulcers, ranging in age from 20 to 89 years, participated in the study. The patients were assigned randomly to either a Treatment Group (n = 9) or a Control Group (n = 7). Patients in the Treatment Group received daily electrical stimulation from a commercial high voltage generator. Patients in the Control Group had the electrodes applied daily but received no stimulation. The ulcers of patients in the Treatment Group healed at a …

The Effects Of Group Incentive Plans On Individual Performance, Karen Geralyn Stoneman

Masters Theses

A simulated work environment was utilized to study the effects of group incentive plans on individual performance on an assembly task. The subjects in the study were college students who worked in groups of a small size, a medium size, or a large size. A reversal design was utilized in which the first condition was an individual incentive condition, the second was a group incentive condition, and the final was the return to an individual incentive condition.

The results showed: (a) individual performance did not significantly change when individuals were switched from an individual to a group incentive plan; (b) …

Age Differences In Bimanual Coordination, Paul Amrhein, George Stelmach, Noreen Goggin

Department of Psychology Faculty Scholarship and Creative Works

A bimanual coordination experiment was conducted in which two groups of 10 male and female participants, elderly (67 to 75 years of age) and young (21 to 25 years of age), produced unimanual, bimanual symmetrical (equal extent amplitude), and bimanual asymmetrical (unequal extent amplitude) movements. In addition to an overall increase in performance latency, the elderly group exhibited a linear increase in response initiation (RT) with increases in task complexity similar to that of the young group. However, the elderly participants showed a proportional increase over the young participants in response execution latency (MT). Further, the elderly group had a …

1988 Touro College Physical Therapy Program Yearbook, Touro College Physical Therapy Program

Yearbooks and Newsletters

1988 Touro College Physical Therapy Program Yearbook. This program was based in Huntington, NY and was a precursor to the School of Health Sciences.

The Effect Of Involvement In Recreation And Community Activities On The Self Concept Of In-Center Hemodialysis Clients, Teresa Ann Sweat

Legacy ETDs

This study consisted of 20 subjects. The treatment group consisted of 10 subjects from the Statesboro and Vidalia Dialysis Centers. The control group consisted of 10 subjects from the Metter Dialysis Center. Treatment consisted of: 1) establishing client-therapist rapport, 2) assisting subjects with their knowledge of recreation as a means for developing self awareness, self worth, and related participatory and decision making skills, 3) assisting subjects with exploration and acquisition of specific recreation interests and skills, and 4) bridging the gap between the subjects and their community. Self concept was measured using the pre and post test administration of the …