Medicine and Health Sciences Commons^™

Shoulder Injury In Taiwan Elite Baseball Players: Role Of Ultrasonographic Examination, Jau-Jia Lin, Hsing-Kuo Wang, Shin-Liang Pan, Tyng-Guey Wang

Rehabilitation Practice and Science

Shoulder injuries occurred frequently in elite baseball players. They are generally evaluated by questionnaire and physical examination and lacking of objective study such as a high-resolution ultrasonography especially in Taiwan. This study attempted to investigate the status of shoulder injuries in Taiwan elite baseball players by questionnaire and physical examination and defined the role of ultrasonographic examination in this type of injury.Twenty four elite college baseball players were recruited in this study. All the participants completed a questionnaire consisting of the training and injury history, and underwent Speed test, Empty can test, and Hawkins-Kennedy impingement test. Ultrasonographic examination was conducted …

Urinary Incontinence In Young Female Athletes Of Taiwan, Alice M. K. Wong, Yu-Cheng Pei, Pin-Pin Huang, Hung-Wei Cheng, Shi-Wei Chou, Chia-Yin Li

Rehabilitation Practice and Science

To determine whether women participated in sport, even these young nulliparous female athletes, are more prone to have urinary incontinence in Taiwan. Four hundred and forty- six young female students were included in this study. All of them were nulliparous. Our subjects consisted of 260 varsity athletes, 106 athletes of high school, and 80 varsity non-athletes. They were requested to complete questionnaires on the type of major sport, intensity of training, menstrual history, sport injury, and urinary incontinence. The results showed that the athletes group had a greater body height and weight and a higher prevalence of urinary incontinence (10.0% …

Relationships Between Pain, Pain Behavior, Anxiety, And Muscle Tension During Electrodiagnosis, Yu-Cheng Pei, Simon F. T. Tang, Wei-Chi Hsieh, Ming-Che Chao, Alice M. K. Wong, Kai-Hua Chen

Rehabilitation Practice and Science

The purpose of the study was to investigate the interaction between pain, pain behavior, anxiety, and muscle tension during electrodiagnosis, and to examine the anxiolytic and pain-relieving effects of traditional Chinese music. Two measuring tools, including electrodiagnosis pain behavior checklist (EPBC) and electromyography muscle tension scale (EMTS) were developed to objectively assess the subject's pain and muscle tension, respectively. Sixty-one patients were included in this study and were randomly divided into background music group and control group. EPBC and EMTS were concurrently measured during electrodiagnosis, which consisted of nerve conduction velocity and electromyography (EMG) studies. Linear analog anxiety scale (LAAS) …

The Correlation Between Reflex Sympathetic Dystrophy Syndrome And Smoking, Cheng-Yi Li, Shou-Min Ni, Ding-Shun Ho, Shiou-Ping Lin, Huan Chiao, Kao-Chung Tsai

Rehabilitation Practice and Science

Reflex sympathetic dystrophy syndrome (RSDS) is a chronic painful syndrome, which may cause extreme pain and disability of the involved limbs of the patients. The unknown of causes of RSDS keep patients and clinicians from early prevention of this syndrome. Smoking may affect the sympathetic system. The purpose of this study was to find whether smoking has the prominent correlation with the morbidity of RSDS.This is a retrospective study by surveying the medical records of patients with RSDS admitted in Tri-Service General Hospital from January 1996 to December 2001. The possible trigger factors, lesion sites and the prevalence of smoking …

Reliability And Peak Pressure Measurement At Metatarsal Heads With High Resolution System, Jiunn-Homg Kang, Jin-Shin Lai, Wei-Li Hsi

Rehabilitation Practice and Science

The purpose of the study was to measure the peak pressure under the metatarsal heads (MTH) of young men and women in walking with high resolution pressure system and to determine their reliability. The peak pressure of sixteen health men and women, aged from twenty-one to thirty-five years-old, were measured at the first, second and third metatarsal head by high resolution pressure system for ten repetitions using first-step method. Peak pressure at the second MTH (68.2±43.9 N/cm2 for women, 52.6±21.1 N/cm2 for men) was significantly higher than the first MTH (28.4±13.8 N/cm2 for women, 35.5±18.2 N/cm2 for men) and third …

Spinal Cord Infarction: Report Of Two Cases, Nien-Chin Hsiao, Chung-Lan Kao, Rai-Chi Chan

Rehabilitation Practice and Science

Spinal cord infarction is a rare disease. It is even more uncommon that spinal cord infarction occurs in a patient without any cardiovascular disease. Anterior spinal artery syndrome is much more common than the posterior spinal artery syndrome due to the difference in collateral supply. We present two patients with spinal cord infarction. In both patients, the clinical picture was stereotyped: sudden onset of weakness of limbs, sensory loss below the level of infarction and sphincter dysfunction. Treatment for the two patients was supportive and they had a good recovery over a period of weeks.

Progressive Ischemic Myelopathy Due To Painless Aortic Dissection: A Casereport, Hung-Chang Chueh, Shu-Huan Lin, Li-Sheng Huang

Rehabilitation Practice and Science

The clinical appearance of aortic dissection is characterized by the sudden, acute chest or abdominal pain, accompanied by coldness in the limbs and sweating-like symptoms of shock. Absent pulse or asymmetric pulse was observed in some patients. If the feeding arteries of the specific organs are located in the false lumen, this may lead to sudden loss of blood supply to the tissue e.g. spinal cord, resulting in cord damage. In the previous reports, approximately 20% of the individuals with aortic dissection might have neurological deficit resulting from insufficiency of blood supply. Most of the patients had suffered from severe …

A Randomized Controlled Clinical Trial To Evaluate The Effects Of Noncontact Normothermic Wound Therapy On Chronic Full-Thickness Pressure Ulcers, Luther C. Kloth, Joseph E. Berman, Marilyn Nett, Paula Papanek, Sonia Dumit-Minkel

Physical Therapy Faculty Research and Publications

OBJECTIVE: To determine the effect of noncontact normothermic wound therapy (NNWT) versus standard wound care on chronic full-thickness pressure ulcers.

DESIGN: Prospective, randomized, controlled trial

SETTING: Veterans administration medical center and 7 long-term-care facilities

PATIENTS: 40 inpatients with 43 Stage III and IV pressure ulcers

INTERVENTIONS: A sterile noncontact wound dressing was applied to 21 wounds for 24 hours per day, 7 days per week. Each day after the wound was irrigated and the noncontact dressing was changed, a heating element in the dressing was activated for 3 1-hour periods for 12 weeks or until wound closure. Twenty-two control wounds …

A Comparison Of Handedness Performance In Different Types Of Cerebral Palsied Children, Ling-Fu Meng, Keh-Chung Lin, Hsin-Tai Lin

Rehabilitation Practice and Science

The purpose of this study was to survey the handedness performance in the children with cerebral palsy (CP). One hundred and eighty two cerebral palsied children were referred for study by the primary schools in the Taipei city. Handedness Inventory with two factors was developed and sent to their parents. Response to the survey was 116 (116/182 = 64%) with 101 of them being analyzed in this study. The mean handedness quotient was 34.39. It became 53.33, 46.59, and .32 in diplegias, quadriplegias and hemiplegias, respectively. One-way analysis of variance revealed statistically significant differences among these three types. Quadriplegias and …

Effectiveness Of Home Based Team Rehabilitation:An Experience Of Tai-Chung City, Mu-Jung Kao, Hui-Chih Chiu, Nai-Hsin Meng, Sui-Foon Lo, Mei-Wun Tsai

Rehabilitation Practice and Science

A survey of effectiveness of home based team rehabilitation at Tai-Chung City was done form January to December 2001. Nineteen subjects (76.0% of total samples) were adopted for analysis. The rehabilitation programs included intervention once per week for six months and three times evaluation of ADL function. The results showed that 1) Both the first three months home based team rehabilitation and the following three months intervention had effectiveness on Barthel ADL index; the scores improved from 42.11±27.90 to 46.32±29.67 and 51.58±30.42 after 3 months and 6 months intervention; 2) Severity had inverse correlation to the score of Barthel ADL …

Anticoagularnt Therapy In Primary Antiphospholipid Syndrome Patient After Cerebrovascular Accident : A Casereport, Hsu-Ping Chien, Willy Chou, Yu-Lin Wang, Kao-Chang Lin

Rehabilitation Practice and Science

Primary antiphospholipid syndrome is a rare disease of vasculopathy, which is usually found in the stroke partient with onset during childhood and young adulthood. We report a female patient who had a history of multiple spontaneous abortions in the past. However, the diagnosis was not made until a cerebrovascular accident happened to her. After then, she started to receive anticoagulant therapy and rehabilitation program. No further cerebrovascular accident occurred in the following 22 months. By this report, we remind that a female patient with history of frequent abortion needs to be investigated carefully to search the possibility of antiphospholipid syndrome.

Bilateral Facial Palsy: A Casereport And Literature Review, Yu-Chin Chen, Shin-Ching Chen, Chien-Chung Lai, Chien-Hung Lai, Chih-Yu Chiu

Rehabilitation Practice and Science

Bilateral peripheral facial palsy (BPFP) is a rare disease. It occurs in less than one percent of patients with facial palsy. The average annual incidence rate is 0.13 to 0.2 persons per million. The etiologies of BPFP differ a little from those of unilateral peripheral facial palsy. The diagnosis depends on a series of complete examinations. We reported two cases with BPFP. One was bilateral simultaneous, and the other was bilateral alternating type. Case one was a patient with Guillain-Barre syndrome. His residual bilateral facial palsy lasted more than two months after the paresis of four limbs had subsided. The …

Treatment Of Chronic Plantar Fasciitis With Extracorporeal Shock Wave, Wen-Tung Yang, Cheng-Liang Chou, Po-Jung Pan, Hong-Jen Chiou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

Extracorporeal shock wave therapy (ESWT) has shown success in the alleviation of painful heels and other orthopedic conditions such as tennis elbow, calcifying tendinopathy of the shoulder, and nonunion fractures of the long bones. The purpose of this study is to evaluate the effectiveness of ESWT on chronic plantar fasciitis, and to monitor the complication of ESWT.Forty patients were enrolled in the study, however, 10 patients dropped out after first session due to intolerable pain during the course of treatment. Two patients were symptom-relief after the first session of treatment, and the other 2 patients were loss of follow-up. Therefore, …

Diffuse Idiopathic Skeletal Hyperostosis: A Casereport, Huan Chiao, Liang-Cheng Chen, Guo-Shu Huang, Kao-Chung Tsai

Rehabilitation Practice and Science

Diffuse idiopathic skeletal hyperostosis (DISH) is a common disorder in middle-aged and elderly patients but often ignored. It is characterized by calcification and ossification of the spinal ligaments, as well as entheseal ossification within extraspinal sites. The etiology of DISH is still unknown. It can result in chronic pain and stiffness and occasionally severe disability. It often mimiks with spondylosis and ankylosing spondylitis. We report a 71-year-old male patient who suffered from chronic back and shoulders pain for many years. DISH was diagnosed after a series of examinations. The symptoms of the patient were improved temporarily after medical treatments and …

The Prognosis Of Stroke During Pregnancy, Tzong-Horng Tasy, Chau-Peng Leong, Yiu-Chung Lau, Chia-Wei Liou, Te-Yao Hsu

Rehabilitation Practice and Science

Background: This study focused on the differences in incidence, mortality, epidemiology, causes, risk factors, severity, and prognosis between two groups of patients; a stroke-during-pregnancy (SDP) group and a stroke-of-young-female (SYF) group with similar physical status. We investigated whether pregnancy was a contributing factor to stroke, and reviewed the maternal characteristics and fetal outcome for patients suffering from stroke during pregnancy.Methods: Based on a restrospective analysis of stroke occurring during pregnancy and in young female patients during the 8-year period from January 1991 to February 1999 at Kaohsiung ST. Joseph Hospital and Chang-Gung Hospital. In both groups, all patients underwent diagnostic …

5 Questions–And Answers–About Negative Pressure Wound Therapy, Luther C. Kloth

Physical Therapy Faculty Research and Publications

No abstract provided.

The Development Of Occupational Therapy In Kenya, Mindy C. Owens

Masters Theses

Occupational therapy is a profession that is growing throughout the world. Kenya is one country in which occupational therapy is fairly well established. The purpose of this study was to document how occupational therapy has evolved over recent years. A major focus of this study was to identify the educational levels of occupational therapists in Kenya, types of practice settings, prominent diagnoses of patients treated, utilization of rehabilitation services, current trends and practice in occupational therapy, and acquisition, use, and maintenance of adaptive equipment.

The Development of Occupational Therapy in Kenya survey was sent to 28 practicing occupational therapists in …

Effects Of Ibuprofen And Vicoprofen (R) On Physical Performance After Exercise-Induced Muscle Damage, Jaci L. Van Heest, Jim Stoppani, Tim P. Scheett, Valerie Wherley

All PTHMS Faculty Publications

Objective: To determine the effects of Vicoprofen® and ibuprofen on aerobic performance, agility, and pain after exercise-induced muscle damage. Design: Double-blind randomized, placebo-controlled, repeated-dose clinical trial. Setting: Human-performance and sports-medicine laboratory. Participants: 36 healthy men. Methods and Measures: Baseline testing was performed, 72 hours after which subjects performed eccentric exercise to induce muscle damage. They were evaluated for pain 24 hours postdamage and placed randomly into 3 groups: Vicoprofen (VIC), ibuprofen, or placebo (P). Postdamage testing was performed every day for 5 days. Subjects performed an economy run and a t-agility test to determine exercise performance. Results: The drugs had …

Thoracic Pain In A Collegiate Runner (Case Report), Gary P. Austin, W. T. Benesky

All PTHMS Faculty Publications

This case study describes the process of examination, re-examination, and intervention for a collegiate runner with mechanical thoracic pain preventing athletic participation and limiting daily function. Unimpaired function fully returned in less than 3 weeks with biweekly sessions to re-establish normal and painfree thoracic mechanics via postural hygiene, exercise, mobilization, and manipulation. The outcome of this case study supports the original hypothesis that the pattern of impairments was in fact responsible for the functional limitations and disability in this athlete. At the time of publication the athlete was without functional limitations and had fully returned to competitive sprinting for the …

Comparisons Of Perceived Exertion Of Elliptical Training Versus Treadmill Exercise, Marcisha Brazley

Morehead State Theses and Dissertations

A thesis presented to the faculty of the College of Education at Morehead State University in partial fulfillment of the requirements for the Degree of Master of Arts by Marcisha Brazley on June 28, 2002.

The Study Of Hemodynamic And Cardiovascular Changes Responding To Head-Up Tilt In The Spinal Cord Injured, Chien-Hung Lai, Shih-Wei Liu, Feng-Chein Lin, I-Chun Chen, Shih-Ching Chen, Chung-Huang Yu, Walter H. Chang

Rehabilitation Practice and Science

Postural hypotension (PH) is a common clinical problem encountered in the rehabilitation of patients with spinal cord injury (SCI) above T6. The purpose of our study was to evaluate the effects of graded head-up tilting on common carotid blood flow volume (CCBFV), pulsatility index (PI), blood pressure (BP), and heart rate (HR) of patients with SCI and of healthy subjects.Six patients with an SCI above T6 level and 15 healthy volunteers were recruited in our study. Their HR and BP at each tilt angle (0°, 30°, 45°, 60°, 75°) were recorded using a bedside monitor and personal computer, and their …

The Pitfall Of Low Back Pain - Psoas Abscess, Pei-Dery Sheu, Jue-Long Wang, Shwu-Fen Sun, Chiao-Wen Hwang, Kuen-Huang Chen

Rehabilitation Practice and Science

The clinical presentation of psoas abscess is variable and nonspecific. The triad of fever, flank pain, and limitation of hip movement, which is specific for psoas abscess, is present in only less than 30% of the cases. Therefore, delayed diagnosis or misdiagnosis, resulting in the high mortality and morbidity, is not uncommon. A primary psoas abscess has no obvious focus of infection. It is believed that hematogeneous spread occurs from an occult source, analogous to acute osteomyelitis. Hematoma due to trauma may be the pathogenesis. The most common pathogen is staphylococcus. Secondary psoas abscess is defined as occurring by direct …

Prosthetic Fabrication Of Elbow Disarticulations: A Casereport, Wai-Keung Lee, Chien-Jung Wang, Tong-Chu Chen, Li-Ting Liu, Li-Chang Chang

Rehabilitation Practice and Science

Elbow disarticulation(ED) is very rare in upper limb amputation. Traditionally prosthetic fabrication of ED is fitted with a medial window on the socket for the bulbous distal residual limb to pass through. Afterwards, closing of the medial window is followed for suspension, which usually raises cosmetic concerns on the client's part. This casereport aims to introduce a double socket fabricating method to address the above-mentioned issue to promote the client's life quality and ADL independence.

Acute Urinary Retention Associated With Herpes Zoster : A Casereport, Jyh-Yuh Ke, Chia-Ying Chung, Fuk-Tan Tang, Ming-Che Chao, May-Kuan Wong

Rehabilitation Practice and Science

Urinary retention is an uncommon complication of herpes zoster infection. It may happen secondary to a neurogenic bladder when the sacral dorsal root ganglia are involved. As a result, painful vesicular eruptions spreading over sacral dermatomes, such as buttock and perineum, may develop. Bladder and/or bowel dysfunction may occur as well, including urinary retention, constipation, and/or incontinence. The herpes zoster lesions usually have an unilateral dermatomal distribution. A 55-year-male patient with herpes zoster infection involving bilateral S2-S4 dermatomes is demonstrated. Acute urinary retention occurred 2 days before skin vesicular eruptions. His urine analysis revealed normal finding. Urodynamic study was taken …

The Therapeutic Effects Of Magnets On Knee Osteoarthritis, Shin-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Lei-Shih Chen, Cheng-Feng Chiang

Rehabilitation Practice and Science

Background and purpose: Magnets had been applied in the relief of musculoskeletal pain for years. We conducted a double blind study to assess the efficacy of magnets on knee osteoarthritis. Methods: Twenty subjects were recruited in our study. All patients wore braces over the painful knee areas all day long for 1 week except the time of bathing.Ten bands containing magnets and the other 10 bands containing placebos were used in our study. 4 times of measurements were performed before application, 1 hour, 1 day, and 1 week after application. Measurements were obtained by using Visual Analogue Scale (VAS) and …

Static And Dynamic Plantar Pressure In Diabetic Patients With Advanced Neuropathy, Wei-Li Hsi, Huei-Ming Chai, Ming-Chuan Lin, Chi-Lun Rau, Jin-Shin Lai

Rehabilitation Practice and Science

The purpose of the study was to reveal any abnormal distribution of the static and dynamic plantar pressure in the diabetic patients with advanced neuropathy. Sixteen diabetic patients with advanced neuropathy (Group N) and 16 diabetic patients without advanced neuropathy (Group D) were recruited. Advanced neuropathy was determined by inability to perceive the 5.07 Semmes-Weinstein monofilament at one or more sites in each foot. Static plantar pressure was measured during standing, and dynamic plantar pressure was measured during walking. Static plantar pressure was significantly higher (p＜0.05) at the posterior part of bilateral central lateral metatarsal heads, while dynamic plantar pressure …

Neuromyopathy After Heroin Intoxication Of Non-Addictor: A Casereport, Fu-Wen Chen, Chia-Hung Chu, Chin-Teng Chung, Chorng-Sonq Chou

Rehabilitation Practice and Science

This 25 years old female was found comatous for 24 hours after she injected heroin for attempting suicide. She had no history of drug abuse and no history of inhalation or injection of heroin. She received naloxone therapy at first. After her general condition became stable, she was transferred to rehabilitation department. The symptoms included left side hemiplegia; redness, swelling, local heat and tenderness over face, ear and submandibular area; lymph node enlargement over neck; left peripheral facial nerve palsy and necrosis over medial side of right thigh. Later, the function of left lower extremity was better, but right lower …

Crossed Aphasia : Report Of Two Cases, Chih-Hsiang Ho, Fan-Fei Tseng, Liu-Ing Bih, Shu-Fen Tseng

Rehabilitation Practice and Science

Crossed aphasia is defined as aphasia due to right hemisphere lesion in dextrals. It is a rare syndrome. It was reported first time in 1899, then it elicited much discussion and studies. Nowadays the pathophysiology of crossed aphasia is still unclear. According to the site of lesion and the characteristics of language, crossed aphasia can be divided into two types. Type I is ”mirror – image”, the features are similar to the left hemisphere lesions. Type II is ”anomalous”, the language features are different from the typical left hemisphere aphasia. The studies of this syndrome are very rare in our …

Spinal Epidural Abscess As A Possible Complication Of Acupuncture: Report Of Two Cases, Yi-Hsi Hsieh, Chorng-Sonq Chou

Rehabilitation Practice and Science

Spinal epidural abscess is an uncommon disease, and is rarely reported as a complication of acupuncture. We present two cases of spinal epidural abscess which developed after acupuncture treatment. Case 1 was 61 years old male who suffered from progressive pain and weakness over right upper arm after cervical manipulation and acupuncture. He became qudriplegia with urine retention 6 days later. Cervical MRI showed C3-6 epidural abscess. After operation and antibiotics treatment, he recovered to qudriparesis and could walk with the spastic gait 9 months later. Case 2 was 60 years old female who suffered from fever and right upper …

A Problem-Based Learning Approach To Facilitate Evidence-Based Practice In Entry-Level Health Professional Education, Michelle M. Lusardi, Pamela Levangie, Beverly D. Fein

All PTHMS Faculty Publications

This article will provide an overview of the problem-based learning process, and an illustration of how problem-based learning can facilitate development of critical appraisal necessary for evidence-based practice. It will trace the development of problem-based learning as an educational methodology for entry-level health professional education. The information seeking and appraisal themes common to both problem-based learning and evidence-based practice will be examined, along with the roles and responsibilities of faculty and tutors who are part of problem-based learning courses or curricula. Examples of strategies for student assessment will be discussed, for both mastery of didactic content and for contribution to …