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Rehabilitation and Therapy

2002

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Articles 1 - 30 of 32

Full-Text Articles in Medicine and Health Sciences

Shoulder Injury In Taiwan Elite Baseball Players: Role Of Ultrasonographic Examination, Jau-Jia Lin, Hsing-Kuo Wang, Shin-Liang Pan, Tyng-Guey Wang Dec 2002

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 …

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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 Dec 2002

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% …

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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 Dec 2002

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) …

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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 Dec 2002

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 …

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Reliability And Peak Pressure Measurement At Metatarsal Heads With High Resolution System, Jiunn-Homg Kang, Jin-Shin Lai, Wei-Li Hsi Dec 2002

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 …

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Spinal Cord Infarction: Report Of Two Cases, Nien-Chin Hsiao, Chung-Lan Kao, Rai-Chi Chan Dec 2002

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.

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Progressive Ischemic Myelopathy Due To Painless Aortic Dissection: A Casereport, Hung-Chang Chueh, Shu-Huan Lin, Li-Sheng Huang Dec 2002

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 …

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A Comparison Of Handedness Performance In Different Types Of Cerebral Palsied Children, Ling-Fu Meng, Keh-Chung Lin, Hsin-Tai Lin Sep 2002

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 …

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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 Sep 2002

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 …

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Anticoagularnt Therapy In Primary Antiphospholipid Syndrome Patient After Cerebrovascular Accident : A Casereport, Hsu-Ping Chien, Willy Chou, Yu-Lin Wang, Kao-Chang Lin Sep 2002

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.

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Bilateral Facial Palsy: A Casereport And Literature Review, Yu-Chin Chen, Shin-Ching Chen, Chien-Chung Lai, Chien-Hung Lai, Chih-Yu Chiu Sep 2002

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 …

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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 Sep 2002

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, …

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Diffuse Idiopathic Skeletal Hyperostosis: A Casereport, Huan Chiao, Liang-Cheng Chen, Guo-Shu Huang, Kao-Chung Tsai Sep 2002

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 …

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The Prognosis Of Stroke During Pregnancy, Tzong-Horng Tasy, Chau-Peng Leong, Yiu-Chung Lau, Chia-Wei Liou, Te-Yao Hsu Sep 2002

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 …

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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 Jun 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 …

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The Pitfall Of Low Back Pain - Psoas Abscess, Pei-Dery Sheu, Jue-Long Wang, Shwu-Fen Sun, Chiao-Wen Hwang, Kuen-Huang Chen Jun 2002

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 …

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Prosthetic Fabrication Of Elbow Disarticulations: A Casereport, Wai-Keung Lee, Chien-Jung Wang, Tong-Chu Chen, Li-Ting Liu, Li-Chang Chang Jun 2002

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.

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Acute Urinary Retention Associated With Herpes Zoster : A Casereport, Jyh-Yuh Ke, Chia-Ying Chung, Fuk-Tan Tang, Ming-Che Chao, May-Kuan Wong Jun 2002

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 …

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The Therapeutic Effects Of Magnets On Knee Osteoarthritis, Shin-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Lei-Shih Chen, Cheng-Feng Chiang Jun 2002

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 …

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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 Jun 2002

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 …

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Neuromyopathy After Heroin Intoxication Of Non-Addictor: A Casereport, Fu-Wen Chen, Chia-Hung Chu, Chin-Teng Chung, Chorng-Sonq Chou Jun 2002

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 …

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Crossed Aphasia : Report Of Two Cases, Chih-Hsiang Ho, Fan-Fei Tseng, Liu-Ing Bih, Shu-Fen Tseng Jun 2002

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 …

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Spinal Epidural Abscess As A Possible Complication Of Acupuncture: Report Of Two Cases, Yi-Hsi Hsieh, Chorng-Sonq Chou Jun 2002

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 …

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Comparison Of The Therapeutic Effects Of One-Shot Electroacupuncture And Surface Electroacupuncture In Cervical Pain Patients, Ru-Lan Hsieh, Wen-Chung Lee Mar 2002

Comparison Of The Therapeutic Effects Of One-Shot Electroacupuncture And Surface Electroacupuncture In Cervical Pain Patients, Ru-Lan Hsieh, Wen-Chung Lee

Rehabilitation Practice and Science

The objective of this study was to investigate the therapeutic effects of one-shot electroacu-puncture (EA) versus one-shot surface electroacupuncture (SEA) in cervical pain patients. A total of 51 patients were recruited in this randomized control study. Control group (n=13) received medication only. EA group (n=21) received medication plus one-shot of EA.SEA group (n=17) received medication plus one-shot of SEA. Therapeutic effects were measured by Visual Analogue Scale (VAS), body surface score, pain pressure threshold and Quebec Back Pain Disability Scale. The therapeutic effects were shown immediately after the one-shot treatment in both the EA group and the SEA group. In …

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A Randomized Controlled Trial Of Electroacupuncture On Therapeutic Effects For Recurrent Ischemic Stroke Patients, Ru-Lan Hsieh, Tsu-Chin Li, Yu-Chun Yen, Wen-Chung Lee Mar 2002

A Randomized Controlled Trial Of Electroacupuncture On Therapeutic Effects For Recurrent Ischemic Stroke Patients, Ru-Lan Hsieh, Tsu-Chin Li, Yu-Chun Yen, Wen-Chung Lee

Rehabilitation Practice and Science

The application of acupuncture on stroke patients is becoming popular. However, the effectiveness of acupuncture therapy on recurrent ischemic stroke has not been well studied. This randomized controlled study compared the therapeutic effectiveness of recurrent ischemic stroke patients who received conventional rehabilitation (including medication, physical therapy, occupational therapy, and/or speech therapy) (control group) versus those who received conventional rehabilitation plus additional 8 courses of electroacupuncture therapy (acupuncture group). A physiatrist who was unaware of the treatment status of the patients regularly assessed the patients with the Functional Independence Measure (FIM) and Fugl-Meyer Assessment (FMA) at before treatment, 2 weeks and …

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Pediatric Spontaneous Spinal Epidural Hematoma: A Casereport, Tung-Chou Li, Mei-Hue Hsu Mar 2002

Pediatric Spontaneous Spinal Epidural Hematoma: A Casereport, Tung-Chou Li, Mei-Hue Hsu

Rehabilitation Practice and Science

Spontaneous spinal epidural hematoma is a rare disease and may result in permanent neurological damages. The main causes include anticoagulant therapy, vascular anomalies, hypertension, blood dyscrasias, drug abuse, neoplasm, iatrogenic epidural anesthesia or rarely spinal surgery. Spontaneous spinal epidural hematoma generally occurs in adults between ages of 40 to 50 and rarely appears in children. We reported a 5-year-old girl who was admitted with severe acute abdominal pain as the initial chief complaint. Two days after admission, the patient had bilateral legs weakness progressively; then a thoracic spine epidural hematoma was diagnosed by spinal magnetic resonance imaging examination. After emergency …

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Functional Outcome Of Patients With Brain Tumor After Comprehensive Rehabilitation – A Comparison With Stroke Patients, Meng-Chun Wu, Tyng-Guey Wang, Chein-Wei Chang Mar 2002

Functional Outcome Of Patients With Brain Tumor After Comprehensive Rehabilitation – A Comparison With Stroke Patients, Meng-Chun Wu, Tyng-Guey Wang, Chein-Wei Chang

Rehabilitation Practice and Science

The impairment of neurological functions is a common problem in patients with brain tumor, which may further disturb their ability of performing activity of daily living and ambulation. Comprehensive rehabilitation program has been reported to resume the above functions of the patients in this group. The purpose of this study was attempted to compare the functional outcome and cost-effect of rehabilitation between the patients with brain tumor and stroke. The study was a retrospective study and the data was obtained by chart review. Thirty-four patients with brain tumor, admitted in a rehabilitation ward, within a period of 5 years were …

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Homocysteinemia Complicated With Recurrent Ischemic Stroke: A Casereport And Literature Review, Kai-Hua Chen, Chin-Man Wang, Pao-Tsai Cheng, Fuk-Tan Tang, May-Kuen Wong Mar 2002

Homocysteinemia Complicated With Recurrent Ischemic Stroke: A Casereport And Literature Review, Kai-Hua Chen, Chin-Man Wang, Pao-Tsai Cheng, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

Cerebrovascular disease (CVD) is a major cause of death in our country. The major risk factors of CVD include old age, hypertension, diabetic mellitus, previous stroke and transient ischemic attack. In recent years, homocysteinemia has been recognized as an independent risk factor of different vascular occlusive diseases, such as CVD and peripheral vascular disease.We reported a 56-year-old man with chronic renal insufficiency who had coronary arterial disease and recurrent ischemic stroke. The risk factors included hypertension, hyperlipidemia, hyperurinemia and previous CVD were identified in this patient. Anticardiolipin antibody and homocysteine were examined in this patient owning to frequent episodes of …

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Post-Myelographic Arachnoiditis : A Casereport And Literature Review, Ko-Long Lin, Jue-Long Wang, Ping-Hong Lai Mar 2002

Post-Myelographic Arachnoiditis : A Casereport And Literature Review, Ko-Long Lin, Jue-Long Wang, Ping-Hong Lai

Rehabilitation Practice and Science

Spinal arachnoiditis (SA) is a rare disease. However, it would lead to severe disability. The most common causes of SA are post-myelographied retention of pantopaque and complications of spinal operations. The most common anatomical level is addressed to the lumbar spine. Clinically, the symptoms were diversiform, including poor-controlled pain, numbness or weakness of one or more extremities, paresthesias, bowel incontinence, bladder incontinence, and retention of urine or stool, etc. The fluctuation between progression and improvement was also noted. Because the symptoms failed to improve as time went by, many scholars viewed SA as a kind of cancer. The clinical presentation …

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Customized Chair Insert-Type Sitting Support Orthosis For Children With Physical Disability, Jen-Wen Hung, Yee-Hwa Wu, Chau-Peng Leong Mar 2002

Customized Chair Insert-Type Sitting Support Orthosis For Children With Physical Disability, Jen-Wen Hung, Yee-Hwa Wu, Chau-Peng Leong

Rehabilitation Practice and Science

For children with severely physical disability, carefully devised sitting aid is necessary. Since each child has his own problems, the solution should be individualized. The supporting seat usually cannot be obtained from the standardized wheelchair and their accessories. We, therefore, decided to develop a customized chair insert-type sitting support orthosis.The fabrication technique is based on vacuum consolidation. The child was prone on a wedge. A bead bag (Versa Form) covered dorsally from head to thigh. A negative mold was obtained by vaccum consolidation technique, and the resulting impression was recorded by using AquaplastTM. Then we obtained a rough orthosis, the …

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