Medicine and Health Sciences Commons^™

Staphylococcal Discitis L3-L4:Early Diagnosis And Treatment With Favorable Result- A Casereport, Chui-Lee Wong, Tzung-Chien Wang

Rehabilitation Practice and Science

A 60 year-old male patient who presented with lumbago, fever, local tenderness over lumbar spine and associated with paravertebral muscle spasm, was prescribed antibiotic therapy 12 days after the onset of initial symptom under the impression of septic lumbar discitis, which was then verified by MRI and microbiology within one week after admission. Early diagnosis and adequate antibiotic therapy gained a favorable result, although the patient needed anterior inlerbody fusion for symptomatic retrolisthesis of L3 on L4 at the sixth week after admission.

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

Vesogenic Erectile Dysfunction In Chronic Spinal Cord Injured Person: A Casereport, Ngok-Kiu Chu, Fuk-Tan Tang, Pong-Yuen Wong, Yung-Ming Lin, May-Kuen Wong, Chi-Fung Tam

Rehabilitation Practice and Science

Sexual dysfunction Wth erectile disability is a common complication in spinal cord injured males. Usually their erectile dysfunction are neurogenic in originn. We have begun to apply intra-cavernous injection of prostaglandin E1(PGE1) for management of erectile dysfunction in spinal cord injuries since 1991 and encouraging results have been achieved. We report here a case of chronic spinal cord injury with vasogenic erectile dysfunction who does not respond to intracaver-nous PGE1 injection. We want to clarify that the use of intracavernous PGE1 injection in application to cavernosography and penile blood flow study is of great value in differential diagnosis of erectile …

Electrophysiological Study Of Shoulder Pain In Stroke Patients, Pao-Tsai Cheng, Chia-En Lee, Mei-Yun Liaw, May-Kuen Wong

Rehabilitation Practice and Science

A total of 50 patients, who had developed hemiplcgia or hcmiparesis as a result of a cerebral vascular disease, were collected for electrophysiologic study. All of these patients were free of peripheral nerve disorder or shoulder joint pathology.MNCV, SNCV, F latencies of bil median nerves and concentric needle eiectromyographic examination were done. The relationship between electrophysiological findings and clinical features of the patients was analyzed. A positive correlation between shoulder pain and presence of shoulder subluxation or shoulder ROM limitation was found. However, no significant correlation of shoulder pain to the severity of motor deficit, sensory impairment or spasticUy of …

Posttramatic Precocious Puberty And Hyperphagia: Casereport, Chih-Fan Yang, Choon-Khim Chong, May-Kuen Wong

Rehabilitation Practice and Science

A case of 4 years 8 months old girl who had the brain insult was followed till 8 years 1 month old. Precocious puberty with hyperphagia was noted. Results of endocrine testing revealed normal pituitary function, but increased to pubertal level of gonadotropins. Radiological study confirmed posttramatic encephalomalacia at right hemisphere including right ventromedial hypothalamus. This report discussed the medical course of the case including rehabilitation management.

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

The Effect Of Eccentric Isokinetic Training At Various Positions On Concentric And Eccentric Strength Of The Quadriceps, Hsiou-An Hu, Choon-Khim Chong, May-Kuen Wong

Rehabilitation Practice and Science

The purpose of this study was to evaluate the effect of quadriceps isokinetic eccentric trainingprogram at the strength of both concentric and eccentric strengths, as well as for the different eccentric training positions. Fifty-two normal subjects (26 male and 26 female), aged 21-32 year, were randomly assigned to a control group and two treatment groups. The first treatment group (n=18) trained in the sitting position and the second treatment group (n=18) trained in the supine position. They received quadriceps isokinetic eccentric training 3 times/week for 8 weeks. The control group (n=16) did not train but was tested at the same …

The Development Of Department Of Physical Medicine And Rehabilitation A New Private General Hospital, Lin-Fen Hsieh, Po-Wei Lin, Tzyh-Cherng Yang, Jung-Sui Hsu

Rehabilitation Practice and Science

The set-up and development of the rehabilitation epartment in a new, middle-sized hospital is an interesting subject and worth to be studied. We prospectively investigated the inpatients and out-patients who had received ehabilitation therapy during the one year period from the opening of Shin Kong Wu Ho-Su Memorial Hospital, Sep 3, 1992, to Aug 31, 1993. The patients' data were analyzed by three major categories: (1) the sources of the patients, (2) the diagnosis of the diseases (ICD-10), (3) the factors relating to the growth of the rehabilitation department. The results showed: (1) mostof our patients came via the introduction …

The Investigation Of Social Outcome For Stroke Patients In Souyhern Taiwan, Jyh-Jong Chang, Tsui-Hsien Chien, Shih-Yin Chen, Young-Tso Lin

Rehabilitation Practice and Science

One hundred and fifty-six stroke patients were investigated to analyze the changes of time or frequency of performing social activities between pre-stroke and post-stroke stages. Modified (Frenchay activities index) questionnaire was used and subjects were devided into three groups by the Barthel scores. Within- subjects Wilcoxon signed-rank test was used to analyze the collected data. The results showed social activities were grossly disrupted in most patients after stroke especially in group I, group II (ADL-dependent groups), while group III (ADL-independent group) was primarily limited in outdoors social activities. Most of the stroke pa-tients spent much time in day-time sleep and …

Recovery Of Facial Motor Function On Rehabilitation Therapy In Patients With Facial Palsy/Paralysis, Shin-Tsu Chang, Fu-Kong Liu

Rehabilitation Practice and Science

The facial expression of functional recovery in patients with peripheral facial paisy/paraiysis on rehabili-tation therapy was investigated. Thirty-four cases of fa-cial palsy were collected from January 1986 to Decem-ber 1991 in the Department of Physicai Medicine and Rehabilitation of Tri-Service General Hospital. Twenty-five cases (74%) were classified as idiopathic and the remaining 9 cases (26%) were as organic facial palsy.The rehabilitation program included daily superficial heat, oii massage, electrical stimulation and active exer-cise of the affected muscles was prescribed and instituted completely. The facial muscular disfigurement was graded into six grades to evaluate before and after the physical therapy. After …

Urological Surveillance And Urologic Complications In Patients With Chronic Spinal Cord Lesions, Liu-Ing Bih, Liang-Fang Chen, Jia-Jang Fuh

Rehabilitation Practice and Science

Renal failure was once the leading cause of death in patients with chronic spinal cord lesions. In western countries, dramatic improvements in urologic care enhancing patient survival have occurred in the last 25 years. Nonetheless, urological complications continue to be the major morbidity in spinal cord injured patients. The purpose of our investigation was to survey the urological complications in patients suffered from spinal cord injuries (SCI) for more than 2 years in Taiwan. Forty-nine male and 11 female patients had comprehensive urological studies prospectively. Of the 49 male patients, 32 (65.3%) had had bladder training in the acute stage. …

Diagnosis And Management Of Spinal Tuberculosis: A Report Of Three Cases, Nai-Chung Huang, Ta-Sen Wei, Uei-Jyh Chen

Rehabilitation Practice and Science

The majority of tuberculosis bacillus infection is in the lung. Although the incidence of infection in the skeletal system is low, spinal tuberculosis is on important cause of hack pain in the Rehabilitation Outpatient Department because it is the most skeletal site affected.During the past year, we managed three cases of spinal tuberculosis. The characteristics of these patients were 1) backache over the thoracolum-bar junction with knocking pain, 2) fair response to analgesics and physical modalities and Paras-pinal abscess noted on MRI (Magnetic Resonance Image) examination. Chemotherapy and surgery were performed in two cases with significant neurological symptoms (weakness and …

Acute Spinal Cord Injury Complicating With Pulmonary Embolism: A Casereport, Ssu-Yuan Chen, Chun-Liang Wu, Yen-Ho Wang, Juey-Jen Hwang, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Pulmonary embolism (PE) is a life-threatening disease with variable manifestations and thus early diagnosis is difficult among the spinal cord injury (SCI) patients. There are still no clinical reports or statistical data about the PE in SCI patients in Taiwan. However, the incidence of PE in SCI patients was higher than that in general population according to the reports in western countries, and early prevention, diagnosis and treatment were documented to reduce the morbidity and mortality. So the doctor should keep alert to the possible PE in the SCI patients especially when there are new-onset symptoms or signs. Here we …

中華民國復健醫學會章程, N/A

Rehabilitation Practice and Science

No abstract provided.

復健科專科醫師甄審原則, N/A

Rehabilitation Practice and Science

No abstract provided.

The Utility Of Magnetic Stimulation In Peripheral Nerve Study, Wang-Lin Su, Baii-Jia Yang

Rehabilitation Practice and Science

Clinically, we were occasionally asked to evaluate peripheral nerve injuries in patients whose local cutaneous conditions, such as burn wound, crushing wound, skin graft, and gauze overlying limb, were not suitable for percutaneous electrical stimulation or needle EMG. Could the magnetic stimulation be used in these conditions? How much potential deviation could be produced with this technique when the limbs were covered by gauze? Its our purpose to solve these questions.Thirteen young volunteers participated in this tudy. First, we performed the motor and sensory NCV with percutaneous electrical stimulation. Then, the magnetic stimulation was performed with Cadwell MES-10, 9cm pointed …

The Long Term Follow-Up Of Renal Function In Male Spinal Cord Injurd Patients, Min-Way Lai, Chin Lan, Jin-Shin Lai, Liu-Ing Bih, I-Nan Lien

Rehabilitation Practice and Science

The purpose of this study is to discuss the long term changes of renal function in traumatic spinal cord injured patients. This study was carried out on 45 male cases who suffered from complete traumatic spinal cord injury. As a result of injury 17 cases were quadriplegic, 28 were paraplegic. The mean age of these cases was 41.5 years (range from 21 to 60 years). The mean period of these cases since onset to receiving urodynamic study was 2 years and 4 months (range from 1 month to 14 years). All of these cases had accepted at least two urodynamic …

Effect Of Elbow Position On Motor Nerve Conduction Study Of Ulnar Nerve, Shih-Ching Chen, Chao-Jung Chen, Chein-Wei Chang

Rehabilitation Practice and Science

The purpose of this study is to investigate the effect of elbow position on segmental motor nerve conduction velocity (MNCV) of ulnar nerve and compound motor action potential (CMAP) pick up on abductor digiti minimi. The study was performed on 38 ulnar nerves of 19 healthy persons under 4 different joint angles (FE: full extension, F45: flexion 45°, F90: flexion 90°, FF: full flexion). The results show: (1) The latency, amplitude and area of CMAP are all not affected by elbow position. (2) The ulnar MNCV of across elbow segment (AcV) and forearm segment (FV) and the measured length of …

Cardiovascular Response After Isokinetic Power-Endurance Ecercise, Tcho-Jen Liu, Chen-Liang Chou, Chen-Ming Chiu, Tao-Chang Hsu

Rehabilitation Practice and Science

This study was taken to determine the cardiovascular response after isokinetic endurance exercise among different extremities (Upper vs Lower), speeds (High-180°sec vs Low-60°sec), Types (Concentric vs Eccentric). The subjects (N=80) used KinCorn isokinetic dynamometer to perform isokinetic endurance exercise. Systolic & Diastolic pressure, rate pressure product and change ratio were measured at rest and after exercise.Among the lower limb isokinetic endurance exercise, the high speed eccentric contraction group had the significant cardiovascular response; among the upper limb, the low speed concentric had the significant cardiovascular response. Campared with the upper & lower limb group, the lower limb groups had higher …

The Correlation Between Distance Of Two Point Discrimination In Hand And Performance Of Functional Discriminative Activeity In Normal Young Adults: A Preliminary Study, Sue-May Kang, Shen-Chang Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the difference of the distance of two point discrimination between distal and proximal areas in hands and the correlation between the performance of functional discriminative activity and the distance of two point discrimination.The moving and static two point discrimination distances of bilateral hands were measured in thirty normal young college students. Each of them performed the tests of functional discriminative activity by searching red-beans mixed in a container of rice and recognizing the numbers (from zero to nine) engraved on ten rubber stamps. The results revealed that (1) The distance of two …

Comparative Study Of Recording Electrode On First Donrsal Interosseous And Abductor Digiti Minimi In Cubital Tunnel Syndrome, Gii-Hsiang Hsu, Rai-Chi Chan, Tu-Bin Chu, Tao-Chang Hsu

Rehabilitation Practice and Science

Cubital tunnel syndrome is the common entrapment/compression mononeuropathy diagnosed in the electromyography (EMG) laboratory. Slowing of the elbow segment's motor conduction velocity is a primary identifier of anab normality. The purpose of this study is to compare the difference of the conduction velocity with recording in First Dorsal Interosseous (FDI) and Abductor digiti minimi in cubital tunnel syndrome (CuTS).The subjects included three groups: one study group consist of 24 upper limbs with CuTS which were diagnosed by NCS & needle EMG.. Another two control groups consist of 52 normal upper limbs which were fmther divided into older group (＞30 years …

Playing Related Health Problems In Taiwan Music Students: A Preliminary, I-Wen Penn, Pi-Chang Sun, Hwa-Ann Chang, Tao-Chang Hsu

Rehabilitation Practice and Science

Performance-induced injuries among musicians have been concerned by many people in recent years. The purpose of this study was to understand the occurrence and nature of playing related injuries among collegiate music students in Taiwan. The other purposes were to know how they treat their injuries, the predisposing factors of injury, and their practice and health habits.One hundred and ninty collegiate music students were asked to complete a retrospective survey questionnaire about playing related injuries. 62.1% of the students had experienced musculoskeletal injuries during their music career, with the most frequent affected area as follows: hand and wrist (57.0%), forearm …

Antalgic Gait Of The Pelvic Girdle Dysfunction: Two Cases Report, Ching-Maw Lin, Chinn-Dong Chung, Chorng-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

The dysfunction or pathomechanics of sacroiliac joint is a common cause of low back pain. The sacroiliac joints are nonweight bearing joints that function to absorb forces from various directions. Pyogenic infection of the sacroiliac joint resulted in limited hip mobility and pain when the peivis was compressed. The first case was diagnosed as septic arthritis and reported.Infectious processes in the retroperitoneal space often involve the iliopsoas muscle. The infection usually is secondary to other intra-abdominal or intra-pelvic inflammatory processes However they rarely arise primarily within the retroperitoneum. These primary infections occur most often in younger patients and usually will …

Inclusion Body Myositis: Report Of A Case, Chein-Wei Chang, Tien-Jye Chang, Ming-Shiang Wu, Che-Yen Chen

Rehabilitation Practice and Science

A female of age 30 years developed a muscular weakness in proximal extremities during 2 years and responded poorly to steroid treatment. Creatine kinase in isoenzymic MM form was markedly elevated according to a serum muscle enzyme test. Electromyography examination showed a myopathic feature. Histopathological tests in muscle biopsy specimens revealed prominent cytoplasmic vacuoles rimmed by basophilic granules under space optical microscopy, and abundant intranuclear filamentous inclusions in electron microscopy. These clinical features and athological especially electron microscopic findings are considered to be of paramount importance for the diagnosis of inclusion body myositis.

Microtumor-Studies On Clinical Manifestations Of Myofascial Pain Syndrome, Yuan-Hong Yei, Chorng-Sonq Chou

Rehabilitation Practice and Science

Myofascial pain syndrome is a common diagnosis in the outpatient department. Ciinicians often emphasize pain management and neglect the under-lying causes. This study was based on 5 cases of microtumor manifested with myofascial pain syndrome. The data were collected from April 1984 to December 1991 in Veterans General Hospital Taichung. The clinical symptoms which lasted from 1 month to 17 years, physical examination which included active, passive & resisted active ROM, painpattern, image study, operative findings and outcome will be discussed. We should pay more attention to the underlying causes of myofascial pain syndrome. This study reports the possibility of …

Investigation Of The Relationship Between Pelvic Tilt And Unilateral Sacroiliac Pain, Beth-Anne Moody Jones

Rehabilitation Sciences Theses & Dissertations

Low back pain is the nation's leading cause of disability. Differential diagnosis of a low back injwy can be complicated and uncommon disorders can be overlooked. Many of the signs and symptoms related to low back pain may in fact be caused by sacroiliac dysfunction. Reliability of the current clinical tests for detection of sacroiliac involvement has been of concern. Recently more focus has been given to the use of pelvic tilt measurement as a source of clinical information on the sacroiliac joint. The purpose of this study was to examine the correlation of unilateral sacroiliac dysfunction with asymmetrical changes …

Occupational Therapists As Consultants In Florida Schools : A Survey, Leigh Ann Agee

FIU Electronic Theses and Dissertations

Little research has been done on how well prepared occupational therapists feel to perform the role of consultant. This study investigated the perceptions of occupational therapists acting as consultants in Florida schools, how much education/training they have received and how they perceive their consultation skills. Participants in the study were sent a questionnaire and measures of central tendency were calculated on each item. Crosstabulations using Fisher's exact test were completed to investigate any relationship between type of consultation model used and relationships with educators. A one way ANOVA was conducted to investigate any relationship between self-perceived consultant skills and age, …

Bridging Conflicting Ideologies: The Origins Of American And British Occupational Therapy., Ruth L. Schemm

Department of Occupational Therapy Faculty Papers

Occupational therapy practice has bridged two contradictory value systems for more than 100 years. This article describes the origins of practice ideas in both the United States and Britain and demonstrates that founding members of the occupational therapy profession all shared a core of humanistic beliefs while embracing the emerging paradigm of scientific medicine. The result has been an intellectual tension between the biological and the psychosocial aspects of practice. For more than 75 years, occupational therapists struggled to balance the art and science of patient care; recent debates on modalities, practice domains, and research priorities indicate that the unifying …

Job Satisfaction Of School-Based Physical Therapists, Leonard Elbaum

FIU Electronic Theses and Dissertations

Recruitmuent and retention of Physical Therapists (PTs) by public school systems has been identified in the literature as a significant problem, and the resultant shortage of school-based PTs hinders the capability of school systems to deliver physical therapy services to exceptional students as mandated by federal statute. The purpose of this study was to assess the level of job satisfaction among physical therapists who currently work in public school settings. Job satisfaction can be an important factor affecting recruitment and retention.

A systematic sample of 462 school-based PTs was chosen to receive via mail a survey instrument which requested information …

The Study Related To Muscle Power Of Knee Extensor And Flexor In Normal People, Chinn-Dong Chung, Chorng-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Isokinetic exercise is performed at a constant speed throughout the range of motion. As the muscle is appiied by force, it encounters a proportional opposing resistance so as to keep the speed of movement eonslanl. Where the muscle is tronger, the resistance increases. The distinct advantage of isokinetic exercise is that it permits the muscle work fully throughout its range of motion.There are many advantages for isokinetic test. They inciude safty, efficiency, accomodating resistance, accuracy and reliability of test data, permanent objective recording and accomodaiion to pain.Thirty gentlemen and twenty ladies arc tested by LIDOACT in our study. The purposes …