Medicine and Health Sciences Commons^™

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 …

Effect Of Added Mass On Human Unipedal Hopping, Gary P. Austin, Gladys E. Garrett, David Tiberio

All PTHMS Faculty Publications

Although hopping is considered a children's activity, it can be used to provide insight into the neuromuscular and biomechanical performance of adults. This study investigated whether mass added during unipedal hopping altered the vertical stiffness, hopping period, and angular kinematics of the lower exteremity of adults. Measures of two-dimensional kinematics and vertical force were made from 10 healthy men during hopping at a preferred period under three conditions: Body Mass, Body Mass +10%, and Body Mass +20%. Adding mass significantly increased hopping period and hip flexion without significantly affecting vertical stiffness, ankle dorsiflexion, or knee flexion. Overall, the findings agreed …

Effect Of Frequency On Human Unipedal Hopping, Gary P. Austin, David Tiberio, Gladys E. Garrett

All PTHMS Faculty Publications

All mature forms of locomotion involve periods of unilateral stance. Unipedal hopping may provide useful information about the neuromuscular and biomechanical capabilities of a single lower extremity in adults. This study investigated whether hopping influenced vertical stiffness and lower extremity angular kinematics during human unipedal hopping. Vertical force and two-dimensional kinematics were measured in 10 healthy males hopping at three frequencies: preferred, +20%, and -20%. At +20%, compared to preferred, vertical stiffness increased 55% as hip flexion, knee flexion, and ankle dorsiflexion decreased, while at -20%, vertical stiffness decreased 39.4% as hip flexion, knee flexion, and ankle dorsiflexion increased. As …

Patterns Of Scholarly Productivity In Physical Therapy Faculty, Ardith L. Williams-Meyer

Loma Linda University Electronic Theses, Dissertations & Projects

Due to the proliferation of entry-level doctorate physical therapy programs (DPT), there are two important qualifications for current physical therapy educators: 1) they should hold academic doctorate degrees and 2) they need to conduct scholarly activity, such as research, to increase the scientific base for physical therapy practice. In order to determine current faculty preparation for the increasing number of DPT programs, this descriptive study compared the current percentage of doctorally prepared faculty teaching in entry-level doctorate and masters degree programs, and determined their contributions through original research, publications as first or contributing authors or presentations, during the last five …

Effect Of Electrode Size, Shape, And Placement On Electrical Current And Subject Comfort During Electrical Stimulation, Bonnie J. Forrester

Loma Linda University Electronic Theses, Dissertations & Projects

Six healthy subjects were studied to determine the optimal size, shape and placement of stimulating electrodes during the application of electrical stimulation (ES) to the biceps, quadriceps, and tibialis anterior muscles. Subjects were recruited to allow for diversity in age, sex, and skin pigmentation. Subjects sat in a custom designed multi-positional chair, which allowed precise positioning of each extremity. After determining the maximal voluntary contraction (MVC) of the muscle and careful determination of the motor point, ES, with a biphasic square wave of 300 ms duration and a frequency of 30 Hz, was used to bring the muscle to 10% …

S.M.I.L.E. (Sensory Motor Integration And Language Experience) You’Re In The Classroom!, Laura Greiss Hess, Kerrie Lemons, Christine Anderson, Milly Davalle, Regina Hedin, Dave Pfanenstiel

Laura Greiss Hess

Western Michigan University Occupational Therapy Department Web Page, Holly Pietrzak, Melissa Byrne

Honors Theses

Website designed for WMU's Occupational Therapy department.

Interprofessional Perceptions Between Occupational Therapists And Physical Therapists: Barriers To Effective Interdisciplinary Team Functioning, Jennifer L. Gober

FIU Electronic Theses and Dissertations

OT and PT practitioners are expected to function as members of an interdisciplinary team effectively. It is important to be aware of the barriers that may create conflict between them. The purpose of this study was to examine interprofessional perceptions regarding interprofessional and practice issues that might serve as barriers to effective interdisciplinary team functioning. A random sample of 400 therapists (200 OTs and 200 PTs) was mailed questionnaires. A total of 182 questionnaires were used for data analysis. Research questions were analyzed using descriptive statistics, frequency distributions, t-tests, and chi-squares.

This study finds that OTs and PTs have differences …

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 …

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 …

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 …

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 …

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 …

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 …

A Preliminary Study On The Reliability Of Physical Performance Measures In Older Day-Care Center Clients With Dementia., Vince Salazar Thomas, Patricia A. Hageman

Journal Articles: Physical Therapy

BACKGROUND: Decline in physical functional ability is an intrinsic component of the dementia syndrome. Reductions in muscle mass and strength represent a major factor in the loss of functional ability Although resistance exercise has been studied as a method for maintaining/recovering function in populations of frail older adults, people with dementia have been systematically excluded because of uncertainty about the reliability of outcome measurements.

OBJECTIVE: The purpose of this study was to determine the test-retest reliability of a battery of established performance-based measures of strength and function among subjects with dementia.

SETTING: A hospital-affiliated adult day-care facility.

SUBJECTS: Twelve of …

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 …

Severe Dysphagia Following The Anterior Surgical Approach To The Cervical Spine : A Casereport, Sung-Yi Pei, Pong-Yuen Wong, Wen-Ching Tzaan, Yuen-Chu Huang, Chih-Kuang Chen

Rehabilitation Practice and Science

The anterior approach is popularized among neurosurgeons for operative exposure of the cervical spine. However, neurological complications of this approach are not uncommon, and little research had been performed regarding the etiology and optimal treatment. The common complications include dysphonia and mild dysphagia. The etiologies of dysphagia following the anterior approach are: (1) hematoma formation, (2) intraoperative tissue damage with subsequent edema, (3) infection, and (4) denervation. Videofluoroscopic examination of swallowing is the most common measurement of cricoph-aryngeal dysfunction; manometry is also used, but to a lesser degree. For cricopharyngeal achalasia, there are five approaches to manage, including: (1) Mendelsohn’s …

關於「A型肉毒桿菌毒素治療半面痙攣」, 裕晴 林, 正宜 謝, 權維 張, 君珮 莊, 百嘉 楊

Rehabilitation Practice and Science

No abstract provided.

Quality Of Life And Aging: Exploring The "Paradox Of Well-Being", Regula H. Robnett

Occupational Therapy Faculty Publications

During the past 50 years, quality of life is a construct that many researchers have studied. Occupational therapists and occupational therapy assistants often claim to improve the quality of their clients' lives. Making note of references to quality of life in the occupational therapy literature, one could gather a list of hundreds of articles. However, in the occupational therapy context, the term quality of life rarely is defined. The words quality and life are easy enough to discern, but the meanings behind the words seem to vary with author. Sometimes, quality of life has been described in vague terms, such …

Prevalence Of Various Upper Extremity Disorders In Patients With Carpal Tunnel Syndrome Versus Patients Without Carpal Tunnel Syndrome, Daniel C. Buda

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose: Increasingly larger numbers of patients present with repetitive strain injuries of the upper extremities, especially carpal tunnel syndrome (CTS). A large number of these patients appear to have more than one upper extremity condition. The purpose of this study was to determine the probability that a patient diagnosed with carpal tunnel syndrome will also be diagnosed with other upper extremity and/or cervical spine disorders.

Subjects: A group of 188 subjects diagnosed with carpal tunnel syndrome and a group of 203 subjects without carpal tunnel syndrome were selected through a chart review of patients at Loma Linda …

2002 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

"Survivor:" Outwit, Outlast, Alumni.

Examination Of Tester Reliability Utilizing The Limits Of Stability Test On The Neurocom Balance Master For Assessing Balance In Healthy Individuals, Casey Bartolo, Katie Miller, Rachael Seals, Christal Stotesbery

Physical Therapy Scholarly Projects

Balance is critical for optimal function in completion of everyday tasks. Physical therapists frequently work with people that have balance disturbances in order to help return them to optimal function. One tool used in the assessment and treatment of balance disorders is the NeuroCom® Balance Master 7.06 (NBM), a computerized forceplate system that provides objective measurements of balance performance. In order to obtain accurate measurements on the NBM, it is necessary that the tester have adequate training. The purpose of this study was to determine the amount of training necessary for a therapist to obtain reliable results using the NBM. …

The Effects Of The "Get Off Your Rocker" Exercise Class On Balance, Heather Bethard, Trish Magee, Susie Mcgarry, Sarah Mcguire

Physical Therapy Scholarly Projects

The purpose of this study was to determine if the six-week "Get Off Your Rocker" balance exercise class, promoted by HealthSouth®, had a significant effect on balance in the geriatric population. If proven to be effective, this class could be an additional tool for physical therapists to utilize to aid in improving a patient's balance.

A total of 22 subjects volunteered to participate in this study. They were randomly divided into two groups: a control group (n=1 0, 8 females and 2 males) and an exercise group (n=12, 8 females and 4 males). All subjects were high functioning and were …

A Survey Of College Students With And Without Low Back Pain: A Comparison Of Risk Factors, Carrie Bristow, Erika Buckhouse, Jessica Nelson

Physical Therapy Scholarly Projects

Many people suffer from low back pain. The lifetime incidence of low back pain has been widely studied in the general population. Previous research has found risk factors that have been correlated with an increase in low back pain. Individuals with low back pain seek different sources of treatment; outcomes of treatments vary. This survey targeted younger adults, specifically college students of ages 18 to 26. The results of this survey attempt to answer these three research questions: 1) What is the lifetime incidence of LBP in young adults ages 18 to 26? 2) In college students, is there a …

Determining The Level Of Knowledge Of Und College Women In Their Childbearing Years Regarding Exercise During Pregnancy, Tricia Flohr, Sara Hoerner, Kari J. Melby

Physical Therapy Scholarly Projects

With an increase in the number of pregnant women exercising, there is an increased need for patient education and the distribution of updated guidelines to promote appropriate exercise activities.

PURPOSE: The purpose of this study was to determine the level of knowledge in English-speaking, college women in their childbearing years attending the University of North Dakota regarding the risks, precautionary measures and recommended modes of exercise during pregnancy.

SUBJECTS & METHODS: Eighty-four women between the ages of 18 and 40 enrolled in the summer school session completed a thirty-one question survey. The survey was used to gather information about the …

An Emg & Motion Analysis Study Of The Elliptical Trainer, Chris Hansen, Jaime Horner, Filip Johnson, Emily Wolkomir

Physical Therapy Scholarly Projects

Background and Purpose

The purpose of this study is to describe lower extremity muscle activity and joint range of motion while moving both forward and backward on an elliptical trainer at minimum and maximum inclines.

Subjects

Ten healthy subjects (7 female and 3 male) gave informed consent to voluntarily participate in this study.

Methods

A single group experimental design was used. A maximum contraction was performed for comparison measure and electromyographic (EMG) data was collected while the subjects performed the stride at the specified variables.

Results

The vastus lateralis was the most active of all the muscles throughout the entire …

Differential Diagnosis And Management Of Spinal Nerve Root- Related Pain, P. Sizer, V. Phelps, G. S. Dedrick, O. Mattijs

Physical Therapy

No abstract provided.