Medicine and Health Sciences Commons^™

Temporal And Kinetic Characteristics Of Different Sit-To-Stand Movement Strategies In Females With Osteoporotic Vertebral Compression Fractures, Katie Pei-Hsuan Wu, Yu-Cheng Pei, Mei-Yun Liaw, Wei-Hsien Hong, Jyh-Yuh Ke, Alice M.K. Wong

Rehabilitation Practice and Science

The purpose of this investigation was to objectively identify the temporal and kinetic features of the three different sit-to-stand (STS) strategies in patients with osteoporotic vertebral compression fractures for possible future reference. Fourteen female patients, aged 68.2±7.8 years, with osteoporotic vertebral compression fractures were included. Subjects sat on a height adjustable, armless, backless chair with their feet on force plates to perform STS using simple, flexion, and extension strategies. Temporal and kinetic features, including STS duration, horizontal and vertical momentums, and maximal left-right vertical force differences (Max-LR-VF-Diff) were measured. The flexion strategy allowed for the longest overall STS duration. The …

The Pressure Distribution Of Hemiplegics At The Femoral Greater Trochanter And Sacrum In Different Bed Positions, Chin-Teng Chung, Wei-Feng Tang, Chorng-Song Chou, Lu-Han Liu, May-Hua Liao, Yu-Chun Yin

Rehabilitation Practice and Science

Pressure ulcers frequently develop in hemiplegic stroke patients who are immobilized and bedridden. Common sites for pressure ulcers include the sacrum, greater trochanter of the femur, lateral malleolus, and the heel. Such ulcers cause extra burdens for the whole medical team, the caregiver, and the patients themself. The ulcers also increase more medical cost at the same time. Patients with pressure ulcers also become depressed and less motivated to undergo rehabilitation. The prevention of pressure ulcer formation has thus become an important issue among stroke patients.The most important factor in pressure ulcer formation is the direct pressure of the mattress …

Rehabilitation Of Heat Stroke With Cerebellar Motor Dysfunction: A Casereport, Tsung-Ming Yang, Jo-Tong Chen, Wei-Chih Hung, Nai-Wen Guo, Ta-Shen Kuan

Rehabilitation Practice and Science

Heat stroke is a medical condition, which in its severest form, may lead to multiple organ failure and death. A previous study showed that most survivors recover completely without sequelae, but some survivors have long-term neurological dysfunction, especially cerebellar motor dysfunction. The rehabilitative outcome of such patients with neurological dysfunction has rarely been reported.We present herein a case of a 31 year old male who suffered from heat stroke, followed by acute rhabdomyolysis, renal failure, respiratory failure, cardiac arrhythmia, and cerebellar motor dysfunction. He was transferred to our rehabilitation ward 36 days after the heat stroke injury due to ataxia, …

Analysis Of The Characteristics Of Pressure-Time Curve Under Peak Metatarsal Plantar Pressure Site Of Healthy Adults, Jiunn-Horng Kang, Shih-Ching Chen, Jin-Shin Lai, Wei-Li Hsi

Rehabilitation Practice and Science

The purpose of this study was to describe the characteristics of the pressure-time curve under the peak metatarsal pressure site during walking. Plantar pressures were measured at the forefoot area of 30 healthy adults during walking using high resolution transducers with the first step method. The pressure data at each time frame under the peak metatarsal pressure site were extracted and analyzed. A mathematic model was calculated to approximate this curve with the least square residual. The patterns of pressure-time curves under the peak metatarsal pressure sites were very similar in all subjects. After forefoot contact, it was an increasing …

An Investigation Of Communication Attitudes, Quality Of Communication, And Locus Of Control In Stutterers And Non-Stutterers, Feng-Chu Tseng, Lin-Fen Hsieh

Rehabilitation Practice and Science

Adults with stuttering are not only disfluent in speech, but also have problems in social adjustment and social interactions. That is, stuttering is a speech disorder, as well as a communication disorder. This study was aimed to examine the communication attitudes, the quality of communications, and the locus of control in adults with stuttering. Twenty-five males and six females, aged between 18 and 47 (mean 26.8) participated as the stutter-group in the study. Another group of twenty-five males and six females, aged between 18 and 48, participated as the non-stutter group. All of the participants were administered with Modified Erickson …

The Hypoalgesic Effect Of Tens During Needle Emg Study, Wang-Lin Su, Hsuan-Yi Lin, Gwo-Chi Hu

Rehabilitation Practice and Science

Needle electromyography (EMG) is an important diagnostic and prognostic tool in physical medicine. However, some patients are unable to tolerate the pain associated with the procedure. While there has been research in methods aimed at reducing the pain from needle EMG, all have obvious disadvantages.TENS is a widely accepted tool for producing analgesia, but it has not been studied as an analgesic adjunct to needle EMG. We designed a double-blind, randomized, placebo-controlled study to investigate the effectiveness of TENS on alleviating the pain during a needle EMG study.Fifty-nine subjects undergoing needle EMG study in an upper extremity were randomly assigned …

Ultrasonographic Diagnosis Of An Intramuscular Hemangioma In The Thigh: A Casereport, Jau-Jia Lin, Hsien-Hua Liao, Su-Ju Tsai, Chien-Wen Chou, Liu-Ing Bih

Rehabilitation Practice and Science

We reported a case of a 21 years old male with left distal medial thigh pain and palpable mass after sports injury. The symptoms persisted for four years even with several kinds of treatment. He was referred to our hospital for ultrasonographic examination and we found a cystic lesion with blurred margin and hypoechoic texture, which was highly suspecious of intramuscular hemangioma within left rectus femoris muscle. After further confirmation by magnetic resonance images, he was referred to our plastic surgeon and then received surgical excision. A cavernous hemangioma was demonstrated by the pathologic stain. He got obvious relief of …

Spontaneous Intracranial Hypotension With Multiple Ischemic Stroke: A Casereport, Won-Jean Lin, Wai-Keung Lee, Yau-Wai Wai, Li-Rong Chen, Cheng-Chih Liao

Rehabilitation Practice and Science

The causes of cerebrospinal fluid leakage leading to intracranial hypotension are generally iatrogenic or due to trauma. Postural headache is usually a characteristic symptom of intracranial hypotension, although other presenting neurologic symptoms occur, such as cranial nerve injury, vomiting, dizziness, photophobia, ataxia, dementia, coma, or death. A spontaneous cause for intracranial hypotension is uncommon. Intracranial hypotension with ischemic stroke, as described herein, has not been previously reported.A 43-year-old man complained of intermittent headaches for approximately one year, but the symptoms remitted with bedrest. He was ultimately sent to the hospital due to a severe headache. Although there were no significant …

A Pitfall Of Using Ultrasonography In Evaluating Ruptured Long Head Tendon Of The Biceps Brachii: A Casereport, Chien-Hung Shih, Chung-Che Lin, I-Ru Chen, Ya-Fang Lee

Rehabilitation Practice and Science

Musculoskeletal ultrasonography is a widely used diagnostic tool to visualize shoulder tendon pathology. The diagnostic accuracy for biceps tendon pathology is high. An empty groove may be seen when there is complete rupture, and the long head tendon markedly retracts into the arm. We report a case of ruptured tendon of the right biceps brachii in a 55-year-old male injured during pull-up exercise 2 years ago. Sonography demonstrated the presence of echoic material filling the bicipital groove. This material erroneously resembled the biceps tendon and resulted in a false first impression of intact tendon. However, a careful longitudinal scan failed …

Investigation Of The Probe Position For Ultrasonography Of The Long Head Of The Biceps Brachii Tendon, Yi-Pin Chiang, Min-Jung Hsu, Ying-Hung Liu, Chia Lee

Rehabilitation Practice and Science

Musculoskeletal ultrasound has been utilized in rehabilitation medicine for many years. However, the accuracy and speed of the examination are very operator-dependent. It is often difficult for inexperienced operators to locate target structures quickly. We therefore designed this study to determine the best positioning for the transducer to detect the tendon of the long head of the biceps brachii on shoulder ultrasonography.One hundred people (200 shoulders) were recruited, including 33 men and 67 women, with a mean age of 50.8±12.5 years. Patients sat upright with the arm flexed and the forearm supinated. The ultrasound transducer was placed on the anterior …

Rehabilitation Of Patients With Melas Syndrome: A Casereport, Chia-Sho Yang, Tsung-Ying Li, Shuu-Hai Jiang, Chang-Hung Hsu, Yaw-Don Hsu, Shin-Tsu Chang

Rehabilitation Practice and Science

MELAS (mitochondrial encephalomyopathy, lactic acidosis, and recurrent stroke-like episodes) syndrome is a mitochondrial disorder. Patients with mitochondrial myopathies typically have exercise-induced symptoms. Thus, patients are often advised to avoid exercise, which leads to deconditioning. Currently, the concept of aerobic exercise training as therapy for mitochondrial disease is not well established. We report the case of a patient with adult-onset MELAS, who responded positively to a low intensity rehabilitation program. Low intensity training was safe and significantly improved our patient's physical fitness. During the 20-month follow-up period, there was no significant reduction in muscle strength and function. Therefore, short-term endurance training …

Rehabilitation Of Middle-Aged And Elderly Patients With Rotator Cuff Tear, Chen-Liang Chou, Yuan-Yang Cheng, Ching-Chun Chen, Chia-Ling Chang, Tung-Fu Huang, Shun-Ping Cheng, Tcho-Jen Liu

Rehabilitation Practice and Science

Rotator cuff tear is one of the most common causes of shoulder disability in middle-aged and elderly people. Although many patients with rotator cuff tear have pain and dysfunction, there is a great variability in the clinical manifestations. The management of rotator cuff tear includes non-operative and operative methods. The purpose of this study was to evaluate the therapeutic effect of rehabilitation and to compare the rehabilitation effects between patients receiving operation or not.Twenty-two patients were enrolled in this study (13 operative and 9 non-operative). Each subject received rehabilitation therapy (including heat packing, TENS, massage, and therapeutic exercise) twice a …

Waveform Symmetry During The Habituation Process Of Sympathetic Skin Response, Wei-Ting Wu, Ya-Ping Huang, Chi-Lun Rau, Hao-Pai Ni, Shin-Liang Pan

Rehabilitation Practice and Science

For investigating autonomic function, sympathetic skin response (SSR) is usually used as a non-invasive test. In previous studies, SSR was applied in the patients with neurological diseases (such as stroke), and the amplitude of SSR was compared between the left and right hand (or foot). Most researchers used electrical limb stimulation to elicit SSR in both limbs. However, the symmetry of SSR in healthy subjects has not been well established. Besides, SSR testing may affect the symmetry of SSR. Moreover, although habituation phenomena are commonly seen during SSR testing, few studies have discussed the symmetry of SSR during repetitive SSR …

Retrospective Study Of Long-Term Medical Complications In Spinal Cord Injured Patients, Hui-Wen Yu, Su-Ju Tsai, Fan-Fei Tseng, Yu-Hui Huang, Ying-Ju Shih, Liu-Ing Bih

Rehabilitation Practice and Science

In order to determine the prevalence of medical complications after spinal cord injury, 52 patients who received regular follow up in a rehabilitation hospital (average 14.1 years) were studied. Medical records were reviewarticleed and analyzed, including demographic data, onset duration, neurological level, locomotion, reason for visiting doctor's office, rehospitalization, medication usage, and surgical intervention. The most common complication encountered was constipation (82.7%). Other common complications were neurogenic bladder dysfunction (80.8%), urinary tract infection (75.0%), musculoskeletal pain (71.2%), spasticity (67.3%) and gastrointestinal disturbance (51.9%). reviewarticleing the medical records in the most recent year, constipation was still the most common complication (46.2%). …

Effect Of Kinesio Taping Over Frontal Region On The Attention Of Normal Subjects, Wei-Chi Hsieh, Su-Hsien Lin, Hung-Chih Hsu, Alice May-Kuen Wong, Ka-Kit Siu, Yu-Cheng Pei

Rehabilitation Practice and Science

”Kinesio taping” is a newly developed technique frequently used for the treatment of soft tissue lesions. The Kinesio Tex tape has the skin like elastic property and can be applied with tension at the soft tissue lesion site. This study was designed to assess the effectiveness of ”Kinesio taping” on the attention in normal subjects. In several ways that can be used to assess attention, the well-known Posner paradigm was chosen. This paradigm can assess visual spatial attention by presenting the target participants with cues that direct attention to regions of the visual space within which an imperative stimulus may …

Language Delays And The Influence Of Therapeutic Riding: A Case Study Of An Autistic Child, Nadia Suckarieh

Graduate Theses

Autism is a Pervasive Development Disorder characterized by stereotype behavior and trouble with communication. One focus of working with this population is increasing the verbal and communication ability of the nonverbal individuals. The present study focused on the effects a six-week therapeutic horseback riding program would have on the stereotypical behaviors present in a six-year-old autistic child, and if this program would help the his verbalization and communication ability. The Psychoeducation Profile, 3rd Edition was used to measure possible changes the intervention might have influenced. The result of the study indicated there was a decrease in the child’s physical stereotype …

Functional Ankle Instability Does Not Effect The Average Center Of Pressure Position In The Coronal Plane, Jessica A. Presnell

All-Inclusive List of Electronic Theses and Dissertations

Context: It is not known if functionally unstable ankles have a different medial to lateral center of pressure placement compared to the contralateral uninjured limb. Objective: To compare the average medial/lateral position of the center of pressure, from the midline of the foot, in functionally unstable ankles to the contralateral uninjured ankle. Design: A 1 X 2 within subject design guided this study. The independent variable was ankle health (functional ankle instability or uninjured). Setting: Laboratory. Patients or Other Participants: Twenty-six, physically-active, volunteers who suffer from unilateral functional ankle instability (F AI) [M: 10 F: 16 age: 21±2.1 y ht: …

Sensory Integration: It's Not Just For Children, Renee Watling, Stefanie Bodison, Diana A. Henry, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

Sensory integration theory and intervention techniques were originally developed by A. Jean Ayres, PhD, OTR, beginning in the late 1960s. Her pioneering work integrated scientific information from neuroscience, psychology, occupational therapy, and human development in an effort to help explain the relationship among experience, brain development, and function. Ayres's theory of sensory integration provides a solid foundation for understanding the impact of sensation on occupational performance across the life span. Although much of the existing work related to sensory integration addresses occupational performance issues in children, some believe the theory and framework to be important across the life span. However, …

Liver Transplant Recipient With Calcineurin-Inhibitor Induced Pain Syndrome: A Case Report, Nethra S. Ankam, Md, Stanley R. Jacobs, Md

Department of Rehabilitation Medicine Faculty Papers

Setting: University Hospital

Patient: 65-year-old female status-post liver transplant secondary to cirrhosis.

Case Description: Prior to the rehabilitation consult on post-operative day 42, she had an episode of acute rejection requiring rapid escalation of cyclosporine dosage, later changed to high dose tacrolimus for immunosuppression, resulting in high blood levels of both calcineurin inhibitors. She then complained of paroxysms of 10/10 pain over her entire body not relieved by opioids despite escalation in medication by the acute pain service. She was not participating in a rehabilitation program because of pain. Examination revealed an anxious woman for whom any tactile stimulation …

Functional Rehabilitation: Managing Low Back Pain Through Activities-Of-Daily-Living Education, Timothy E. Speicher, R. Daniel Martin, Robert M. Desimone

All PTHMS Faculty Publications

After trauma to the low back, a decrease in intervertebral joint stiffness can occur, which can lead to inability of the motor-control system to compensate for the tasks imposed on the tissues, resulting in spinal instability. Intervertebral joint stiffness can be thought of as a tightening of a corset around a spine segment, facilitated through coactivation of small and large spinal muscles. The motor-control system might be able to adapt initially with cocontractions of the intrinsic muscles, but an unbalanced demand between the small and large muscles can lead to muscle fatigue and poor task performance. The inability of the …

Rehabilitation Of A Patient With Diabetic Myonecrosis: A Case Report, Nethra S. Ankam, Md, Vishal Kancherla, Do, Stanley R. Jacobs, Md

Department of Rehabilitation Medicine Faculty Papers

Setting: Inpatient rehabilitation unit at a university hospital

Patient: 37-year-old male with diabetic myonecrosis.

Case Description: The patient had a long-standing history of uncontrolled diabetes mellitus with multiple comorbidities, including end-stage renal disease on dialysis and diabetic myonecrosis of the left biceps femoris diagnosed by biopsy and magnetic resonance imaging (MRI.) On this admission, he presented with right leg pain and swelling, found to be a reoccurrence of diabetic myonecrosis in the vastus lateralis, medialis, and intermedius, diagnosed by MRI only. Prior to admission, he lived alone in a wheelchair inaccessible duplex and required minimal assistance with housekeeping.

Assessment/Results: …

Comparison Of Frontal Plane Trunk Kinematics And Hip And Knee Moments During Anticipated And Unanticipated Walking And Side Step Cutting Tasks, Jeff R. Houck, Andrew Duncan, Kenneth E. De Haven

Faculty Publications - College of Physical Therapy

Background: Frontal plane trunk and lower extremity adjustments during unanticipated tasks are hypothesized to influence hip and knee neuromuscular control, and therefore, contribute to anterior cruciate ligament (ACL) injury risk. The aims of this study were to examine frontal plane trunk/hip kinematics and hip and knee moments (measures of neuromuscular control) during unanticipated straight and side step cut tasks.

Methods: Kinematic and kinetic variables were collected while subjects performed two anticipated tasks, including walking straight (ST) and side step cutting (SS), and two unanticipated tasks (STU and SSU). Foot placement, thorax–pelvis–hip kinematic variables and hip and knee moments were calculated …

Supraspinal Fatigue Does Not Explain The Sex Difference In Muscle Fatigue Of Maximal Contractions, Sandra K. Hunter, Jane E. Butler, Gabrielle Todd, Simon C. Gandevia, Janet L. Taylor

Exercise Science Faculty Research and Publications

Young women are less fatigable than young men for maximal and submaximal contractions, but the contribution of supraspinal fatigue to the sex difference is not known. This study used cortical stimulation to compare the magnitude of supraspinal fatigue during sustained isometric maximal voluntary contractions (MVCs) performed with the elbow flexor muscles of young men and women. Eight women (25.6 ± 3.6 yr, mean ± SD) and 9 men (25.4 ± 3.8 yr) performed six sustained MVCs (22-s duration each, separated by 10 s). Before the fatiguing contractions, the men were stronger than the women (75.9 ± 9.2 vs. 42.7 ± …

Preparing For The Next Natural Disaster – Need For A Who Coordinating Centre, Mohammad Wasay, Saad Shafqat

Department of Medicine

No abstract provided.

Myotonometric Measurements Of Muscle During Changes In Gravitational Forces, Charles Leonard, Daniel L. Feeback, James Sykes, Eric Kruger

Physical Therapy and Rehabilitation Science Faculty Publications

Goal: Assess operational characteristics and reliability of the Myotonometer, a portable medical device that quantifies muscle tone and strength, while gravitational forces are changing.

The Relationship Among Sensory Preferences, Play Preferences, Motivation, And Mastery In Guiding Children's Play: A Review Of The Literature, Part 2, Elissa Miller, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

Currently, the emphasis throughout health care is on providing evidence-based practice. Occupational therapy practitioners are involved in critical examination of the profession's assumptions and beliefs and are conducting research that supports its theoretical underpinnings. In many areas of practice, practitioners have created bodies of literature to support interventions; and in other areas, we rely on literature from fields outside of the profession. Pediatric occupational therapy is no exception. Although exciting research is currently under way, existing research from outside the profession supports many of our methods and beliefs. A review of the literature found evidence from both inside and outside …

Scapular-Stabilization Exercises: Early-Intervention Prescription, Jason Brumitt

Faculty Publications - College of Physical Therapy

This article highlights exercise prescription to enhance scapular stabilization during the initial phase of rehabilitation, with additional tips for subsequent progression to exercises incorporating the kinetic chain.

The Effect Of Prophylactic Ankle Bracing On Star Excursion Balance Measures In Uninjured Subjects, Lisa Marie Hardy

All-Inclusive List of Electronic Theses and Dissertations

Context: Reports of bracing on whole body bilateral movements and single directional motions are unclear about whether or not the performance of uninjured active people is affected. Objective: To isolate the braced limb, while performing multidirectional tasks, to gain a better understanding of the effects of bracing on performance. Design: A 1 X 3 repeated measures design with the bracing condition (unbraced, lace-up, and semi-rigid) as the independent variable. Setting: Laboratory. Patients or Other Participants: Thirtysix uninjured, physically-active, volunteers (M: 18, F: 18, age: 23 .6±2. 7y, ht: 173.8±9.3cm, mass: 74.4±12.7kg, reach leg length: 91.9±5.lcm). Main Outcome Measure(s): The average …

The Role Of The Certified Strength And Conditioning Specialist In Preventing Childhood Obesity, Jason Brumitt

Faculty Publications - College of Physical Therapy

Obesity is a leading cause of many chronic diseases. The likelihood of adult obesity increases if one is obese as a child. Certified Strength and Conditioning Specialist professionals in the high school setting can promote health and fitness to our youth through education and exercise prescription.

Correlation Between Impairment And Motor Performance During Reaching Tasks In Subjects With Spastic Hemiparesis, Charles Leonard, Kelsey A. Gardipee, Jennifer R. Koontz, John-Henry Anderson, Scott A. Wilkins

Physical Therapy and Rehabilitation Science Faculty Publications

Objective: The main purposes of this study were to examine, in subjects with chronic hemiparesis following a stroke: (i) the correlations between tests of muscle tone, stiffness, spasticity, paresis and co-contraction, and (ii) the correlations of these tests and measurements of impairment to upper extremity motor performance.

Design: Prospective, cross-sectional, correlation matrix using sample of convenience.

Subjects: Thirteen subjects with chronic hemiparesis secondary to a cerebrovascular accident (stroke) were tested.

Methods: Subjects were assessed using the Fugl-Meyer Upper Extremity Motor Assessment, modified Ashworth scale, deep tendon reflexes, and muscle characteristics that included quantification of muscle stiffness, paresis and co-contraction during …