Medicine and Health Sciences Commons^™

中華民國復健醫學會章程, N/A

Rehabilitation Practice and Science

No abstract provided.

Carpal Tunnel Syndrome: Risk Factors Among Hand Therapists, Suzanne Makielski

Masters Theses

The following study examined the presence of risk factors among hand therapists for developing carpal tunnel syndrome. A review of the literature indicated a significant relationship between the incidence of carpal tunnel syndrome and manual workers whose occupational tasks involve repetitive wrist and hand movements. Hand therapists were characterized as manual workers while possessing specialized knowledge and skill in the evaluation and treatment of hand and wrist disorders. Biomechanical analysis of various "hands on" techniques revealed repetitive wrist and hand movements including the use of force and increased risk for injury associated with carpal tunnel syndrome. In order to determine …

Magnetic Stimulation Of Short Latency Cortical Pathway In Recovery Stage Of Unilateral Subcortical Stroke, Baii-Jia Yang, Wang-Lin Su, Dah-Sen Wei

Rehabilitation Practice and Science

SMagnetic stimulation applied to the scalp over the normal motor cortex caused short latency response of contralateral limb muscles. 12 patients with unilateral subcortical stroke for the first time were selected. They had hemiparesis and good motor recovery up to individual finger movements, although mild weakness and clumsiness of affected limbs were still complainted of. Of the twelve patients (eleven men and one woman) the mean age were 54.8±9.3 years. Lesion sites included basal ganglia, thalamus and corona radiata, with six hemorrhage and six infarction. Time since stroke onset to magnetic stimultation were 19.7±23.3 months. Motor conduction latencies from cortex …

Evaluation Of Suppression Periods On Monosynaptic Reflex (H-Reflex) In Young Adults, K. C. Tseng, Helen Sheau-Ping Pan

Rehabilitation Practice and Science

H-Reflex is the most common method in measuring the excitability of a-motor neuron. The aim of this study is to evaluate the suppression periods on H-Reflex in young adults. In clinical application, the amplitude of H-Reflex will be decreased after repetitive stimulation by low frequency current. This inhibitory phenomenon will influence badly on the accurancy of H-Reflex measurement. Our objects to evaluate suppression periods on H-Reflex in young adults will improve the accurancy of H-Reflex measurement.H-Reflex is inhibited after repetitive stimulation. this phenomenon is influenced by multiple factors including: (a) stimulation frequency (b) stimulation intensity (c) stimulation duration. These factors …

Body Composition And Percent Body Fat In Long Distance Runners: Comparison Of Four Methods, I-Wen Penn

Rehabilitation Practice and Science

Body composition characteristics are among the fundamental factors to successful sport performance. Serial assessments of body fat in athletes provide us information about training effect. Long distance running incresaes bone mineral mass, skeletal muscle weight, and plasma volume. Each of these changes may have an impact on the basic assumed constants of the classic two-compartment body composition methods. The aims of the present study was to use the newly developed four- compartment method to evaluate the validity of three two-compartment methods (hydrodensitometry, tritium dilution, and whole body 40k counting) in white male long distance runners (n=10), and to compare the …

A Survey Study Of Sports Injuries In Triathlon, Dah-Shen Guan, June-Liang Lu, Wen-Ling Chen, Sang-L Lin, Tse-Chieh Hsueh

Rehabilitation Practice and Science

Triathlon, an ultraendurance exercise, is a race involving consecutive swimming, bicycling and running which is currently enjoying a tremendous increase in popularity abroad. This study is aimed at assessing the overuse injuries in the training period and the sports injuries during the first triathlon race in Taiwan in 1992.The triathlon race composed of 1.5 Km swimming, 40 Km bike and 10 Km run which must be finished within 3 hours and 40 minutes. With 177 effective questionnaires (86.3% of the 205 race entrants), 94.3% (167 competitor) were men and 5.6% (10 competitor) were women. The average age was 32±9.1 years. …

Pulmonary Dysfunction In Residents Of Chronic Care Facilities, Tyng-Guey Wang, John R. Bach

Rehabilitation Practice and Science

The study was designed to determine the extent of significant pulmonary　dysfunction in selected residents of chronic care facilities, to find out any relationhip between pulmonary dysfunction and general disability, and explore pulmonary treatment options.Thirty-six nursing facility residents over 80 year old, or with a diagnosis of chronic obstructive pulmonary disease or generalized neurological or neuromuscular disease, were surveyed for extent of disability and pulmonary dysfunction. By comparison with age, height, and sex norms, there were significant restrictive pulmonary syndrome, poor inspiratory muscle strength and endurance and inadequate airway secretion clearance mechanisms in all of the residents studied. In addition, …

Static And Dynamic Balance Testing In Leg Length Discrepancy, Yung-Ming Lin, May-Kuen Wong

Rehabilitation Practice and Science

According to the previous literature, leg length discrepancy within 2.54 cm will be compensated by individual; no management is indicated. Insole modification and external shoe modification will be given for those with leg length discrepancy between 1 to 2 inches. Surgery intervention will be given for those with leg length discrepacy beyong 5 cm or 10 to 15% shorter than that of the sound leg. However, balance change in leg length discrepacy is not well studied.In this study, 63 young normal subjects without leg length discrepacy or neuromuscular disease were tested. Their age ranged from 19 to 32; body height …

Post-Stroke Proximal Femoral Fracture, Shih-Ching Chen, Chein-Wei Chang

Rehabilitation Practice and Science

Post-Stroke Proximal Femoral Fracture (PSPFF) is not uncommon. In the study, We had followed up 156 patients with Proximal Femoral Fracture (PFF) happened during Jul. 1987 and Dec. 1990 via OPD for 1 year to 4 and a half years. Some patients being unable to visit our clinic were followed up by phone or by the chart record. The focus was on the 28 cases with Stroke prior to the PFF.We found PSPFF is apt to happen in cases with motor status around Brunnstrom Stage III&IV. The PSPFF happened almost ipsilaterally to the side of hemiplegia or hemiparesis (84.6%). The …

Hemiplegic Shoulder Pain During Acute Stroke: A Preliminary Report, Jui-Chang Li, Mei-Yun Liaw, Alice M. K. Wong

Rehabilitation Practice and Science

Shoulder pain was probably the most frequent complication of hemiplegia. Despite the extensive interest, there continued to be uncertainty about its etiology.In this study, 71 hemiplegic patients were regularly followed up after their cerebrovascular accidents (CVA) for 3 months (33 men, 38 women, with the mean age of 57 years), with the exclusion from another 21 patients of the previous disorders of hemiplegic shoulders, eg. fractures, dislocations, arthritis, or rotator cuff ruptures, etc. During the 3 months, a full rehabil-itation program was given, which consisted of physical therapy, occupational therapy, training in activities of daily living and speech therapy. Criteria …

Theresult Of Day Care For Combination Of Special Education And Rehabilitation To The Retarded Children, Huey-Jen Lai, Horng-Jeng Shyn, Wen-Hong Pan, Kuen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

The cooperation of Taichung Hsien Assiciation for Retarded Children and Provincial Feng-Yuan Hospital to set up the Day Center of Children Development began since Apr. 4, 1992. This center accept children before school age with psychomotor retardation or cerebral palsy. The main duty was to educate and rehabilitate these children during the day time.The evaluation one year later showed marked improvement in several aspects, including gross motor, fine motor, psychosocial development and self daily care. It influnced the family by making more free time for parents, lowering psychological pressure and improving family interaction/relationship. It had no obvious economic burden to …

Resources For Early Intervention Of The Handicapped Children In Taiwan, Huey-Jen Lai, Wen-Hong Pan, Horng-Jeng Shyn, Kuen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

The early intervention of the handicapped children should include psychological consultation of the whole family members, rehabilitation, special education, the intact program for his whole life. The resources for early intervention in Taiwan still are very few and such incomplete that parents should solve all problems that may happen to them by themself. They may go to the rehabilitation department in any hospital, or just send the child to Home or Day School-for Handicapped children. The rehabilitation departments usually give the child a set of time per week for treatment. The Home or Day School provide a living enviroment, but …

Chronic Gastrointestinal Problems In Sci Patients, Yen-Chun Wu, Jiunn-Ren Su, Tse-Chieh Hsueh

Rehabilitation Practice and Science

Spinal cord injury (SCI) patients suffered from motor and sensory impairement, as well as neurogenic bladder dysfunction and gastrointestinal (GI) problems. The pathogenesis and clinical presentation of GI problems in SCI patients are different from that of the general populations. This study is to evaluate the GI problems in SCI patients.Questionares were mailed to 52 SCI patients lived in Tainan or Chai-I from Sept 1991 to Dec 1991. Fourty-three questionares were sent back. There are 38 male and 5 female patients. The age distribution is from 18 year-old to 69 year-old. The interval of SCI is from 1 year to …

Spinal Tumor-Pitfall In Diagnosis Of Cva: Casereport, June-Liang Lu, Giin-Gi Wang, Tse-Chieh Hseuh

Rehabilitation Practice and Science

It has been reported that neurilemomas comprise approximately 30% of primary intraspinal neoplasms. Spinal cord tumors, sometimes without spinal symptoms, occasionally cause signs and symptoms of intracranial disease in the form of papilledema and/or hydrocephalus.The association of hydrocephalus with benign extramedullary spinal cord tumors is particularly rare. The incidence was only 1% to 3%. So, in the diagnosis of intraspinal tumor, the associated presentations of intracranial hypertension were as important as hydrocephalus. Especially, when some of these signs and symptoms were noted in the elderly, intraspinal lesion should also be taken into consideration in addition to the most common cause …

Spinal Epidural Abscess Presenting As Lower Back Pain: A Casereport And Literature Review, Tso-Liang Wang, Hsin-Ying Chen, Young-Shung Shen

Rehabilitation Practice and Science

Spinal epidural abscess (SEA) is a rare infectious disorder often subject to a delayed diagnosis. In two United States hospitals, the incidence was between 0.2 and 1.2 per 10000 admissions. There are still no reports about the incidence of SEA in Taiwan. In this report, we present a 57-year-old diabetic woman who suffered from severe lower back pain for one week prior to admission. Neither physical infectious signs nor obvious neutrophilia was apparent.The responses to electrotherapy and nonsteroidal anti-inflammatory drugs were poor. The result of magnetic resonance imaging (MRI) study demondtrated an epidural soft tissue mass extemding from the L3-4 …

Cervical Cord Injury With Parasite Caused Abdomen Problem: Casereport, Yued-Cheng Chen, Yiu-Chung Lau, Chen-Peng Leong, May-Kuen Wong

Rehabilitation Practice and Science

Abdominal fullness, vomiting & local ileus are complicated in Spinal Cord Injured patients. Most of these problems are due to neurogenic cause, but we cannot neglect other causative factors like: Metabolism, parasitic infestation, food induced., otherwise we may get caught in the dilemma of medicat treatment.Cordially we present a case of parasitic infestation in a Cervical spine injured patient who developed unknown fever, abdominal fullness & problem of vomiting for your reference.

Lumbosacral Perineurial Cysts Caused Cauda Equina Syndrome Which Temporarily Relieved By Pelivic Traction: Casereport, Chui-Lee Wong, Mei-Hue Hsu

Rehabilitation Practice and Science

Sacral perineurial cyst is an uncommon entity. It can be the cause of a sciatica or cauda equina syndrome. Reportd here is a case of multiple lumbosacral perineurial cysts with cauda equina syndrome, who experienced remarkable improvement of symptoms after each course of pelvic traction which was initially prescribed under the impression of lumbar spondylosis. Pelvic traction may probably serve as a palliative treatment temporarily for some patients with only mild symptoms or patients whose general condition is not suitable for surgery.

C2 Neurilemmoma: Originally Misapprehended As Psychogenic Headache And Nuchalgia-Casereport, Chui-Lee Wong, Mei-Hue Hsu

Rehabilitation Practice and Science

A patient with headache and nuchalgia for three years was initially diagnosed as psychogenic origin. Spinal cord compression syndrome was unrecognized until motor evoked potential study showing abnormal findings. Excision of a nearly 3x2x2 cm dumbbell extra-and intradural tumor, which arose from the right C2 root, was performed after MRI documentation. Histologic diagnosis was neurilemmoma. Motor evoked potential study is useful in spinal cord diagnostics. The particular value of complete history-taking and exact neurological examination should not be underestimated.

Heterotopic Ossification Complicated With Vascular Compression In A Spinal Cord Iniury Patient - A Casereport, Cheu-Wen Wang, Ming-Teh Cheng

Rehabilitation Practice and Science

A 32 year-old male patient fell down from 4th floor and T12 paraplegia developped. Three months after injury, right thigh swelling and pain were noted. Range of motion of right hip joint was also limited. X-ray of right hip joint didn't reveal any abnormal finding. But Tc 99m-methylene diphosphonate (MDP) three phase bone scan showed estra-osseous accumulation anterior-medial to greater trochancter of right femur bone. The serum alkaline phosphatase was also increased. Indomethacin 25 mg Tid was given and passive range of motion exercises were performed. Ten days later, theX-ray demonstrated abnormal calcification around right hip. Two more weeks later, …

復健科專科醫師甄審原則, N/A

Rehabilitation Practice and Science

No abstract provided.

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

Assessment Of Stimulated Single-Fiber Electromyography In Paralytic Muscles Of Patients With Spinal Cord Injury, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Neuronal dropout accompanied with axonal degeneration may occur below the level of cord lesion after spinal cord injury (SCI). By using a sensitive electrodiagnostic method of stimulated single fiber electromyography (SFEMG), it is possible to assess the functional integrity of neuromuscular transmission in paralytic muscles of SCI. Neuromuscular jitter and fiber density were measured in 21 anterior tibial muscles of 18 patients with SCI and 11 muscles in 11 normal controls. The results showed an increased mean jitter value but without increased fiber density in SCI patients. There is a positive correlation between the increased jitter and the disease duration …

Sports Injuries In Athletes, Shih-Wei Chou, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

The purpose of this study was determine the influence of the biofeed-back index to the muscle tension of the shoulder in Cello student. Data analysis of 14 students included before performance, during performance and after performance. The result revealed biofeed-back index higher in left shoulder then right shoulder after performance. It was compatible with the physical examination as injury side in left shoulder more then right shoulder.The tension condition (sensitivity ＞10 μv) during performance included abnormal posture, unfamilial changing position of left fingers and performing weak sound in right hand bow and elevation in right elbow. The most vulnarable duration …

The Use Of Low Tempersture Thermoplastics In Fracture Brace, Fuk-Tan Tang

Rehabilitation Practice and Science

From 1989 to 1991, five cases of humeral shaft fractures and one case of ulnar shaft pathological fracture were treated with the low temperature thermoplastic functional fracture brace, while three cases of lumbar spine fractures were treated with a　custom-made spinal brace molded by low temperature thermoplastics.All patients with humeral shaft fractures achieved bone healing within 8 to 12 weeks. There was varus angulation averaging 7°and anterior angulation averaging 8°present. The majority of patients were found to have minimal loss of range of motion in the shoulder. In the case of the patient with pathological ulnar shaft fracture, functional movement …

Cerebral Infarction Due To Blunt Neck Trauma-Report Of A Case And Review Of The Literature, Jeng-Yi Shieh, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Traumatic common carotid artery (CCA) injury with subsequent cerebral infarction is a rare cause among stroke patients. we report a male aged 33 years who suffered from weakness of left limbs about 12 hours after blunt neck trauma. About 48 hours later, computerized tomography (CT) of the head revealed a low-density lesion over the territory of the right middle cerebral artery (MCA). Carotid Doppler ultrasound examination showed two thrombi within the right proximal CCA. Angiography revealed a long segment of narrowed right CCA with gradual tapering of the right internal carotid artery (ICA). Delayed diagnosis might have adversely influenced his …

Biofeedback Assessment In Shoulder Injury Of Cello Students, Horng-Jeng Shyu, Chen-Chieh Chang, Huey-Jen Lay, Wen-Hong Pan, Kuen-Lin Wu

Rehabilitation Practice and Science

The purpose of this study was determine the influence of the biofeed-back index to the muscle tension of the shoulder in Cello student. Data analysis of 14 students included before performance, during perfomance and after performance. The result revealed biofeed-back index higher in left shoulder then right shoulder after performance. It was compatible with the physical examination as injury side in left shoulder more then right shoulder.The tension condition (sensitivity ＞10 μv) during performance included abnormal posture, unfamilial changing position of left fingers and performing weak sound in right hand bow and elevation in right elbow. The most vuinarable duration …

The Effect Of Computer-Assisted Instruction On The Development Of Diagnostic Reasoning Skills Among Occupational Therapy Students, Judith Lynn Freeman

Masters Theses

Diagnostic reasoning is an essential feature of the occupational therapy treatment process. Acquisition of diagnostic reasoning skills is difficult for students, however, because of paradoxical developmental limitations faced during transition from classroom to clinical learning environments. Educators in pre-professional occupational therapy curriculums are searching for educational methods to prepare students for diagnostic reasoning tasks inherent in practice.

This experimental study compared a computer-simulated diagnostic reasoning activity with a more traditional case study reviewing activity in terms of effect on accuracy of problem identification among occupational therapy students. Results found no significant difference between the effect of computer-assisted instruction and case …

The Optimal Interelectrode Distance For Sensory Nerve Action Potential, Yu-Lien Chou, Sheau-Ping Helen Pan

Rehabilitation Practice and Science

The value of sensory nerve action potential depends on a well-defined interelectrode distance, although there is no uniformity about the optimal recording montage in the published literature. The purpose of this investigation was to quantify the effect of different interelectrode distance upon amplitude, duration, surface area, and onset latency of the sensory nerve action potential (SNAP) obtained by the antidromic method. In 30 healthy subjects, the sensory nerve action potentials from the sural nerve of right lower limb were recorded with the active recording electrode posterior to the lateral malleolus and the reference electrode placed 1 cm, 2 cm, 3 …

The Cardiorespiratory Function Of Male Qi Gong Practitioners And Tai Chi Chuan Players During Cycle Ergometry, Ching Lan, Shi-Wei Chou, Jin-Shin Lai, May-Kuen Wong, I-Nan Lien

Rehabilitation Practice and Science

Qi Gong is a special type of Chinese traditional conditioning exercise, consisting of three major components: dynamic sitting posture, meditation, and diaphragmatic exercise.In order to evaluate the differences of the cardiorespiratory function between Qi Gong and Tai Chi Chuan practitioners, there are three groups, each group including 10 male middle-aged subjects, with matched age and body size: (1) Qi Gong practitioners for at least one year; (2) Tai Chi chuan players for average 5.8 rears; (3) sedentary subjects. Breath-by-breath measurement of cardiorespiratory function was obtained by incremental exercise of leg cycling. In the maximal exercise, (l) the Tai Chi Chuan …