Medicine and Health Sciences Commons^™

The Effects Of Different Weight Bearing On Spasticity During Exercise In Stroke Patients, Sue-May Kang, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the effects of different weight bearing on reducing spasticity in stroke patients. Quantity of spasticity was defined as level of associated reaction during exercise. It can be measured by surface integrated EMG levels.Thirty cerebrovascular accident patients (Brunnstrom's stage II-V in upper extremity) performed forward target-touching exercise in sitting position. The exercise was performed with affected shoulder flexion and keeping elbow straight while the associated reaction in same side biceps brachii was monitored by integrated EMG levels and the weight bearing of both feet was measured by 2 weights. All factors influencing spasticity …

The Study Of Atlantoaxial Subluxation And/Or Dislocation, Miin-Her Sheu, Chinn-Dong Chung, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Neck pain and neck stiffness are among the commonest clinical complaints resulting from atlantoaxial subluxation and dislocation and also most easily lead to misdiagnosis and inadequate management. We defined the clinical characteristics of atlantoaxial subluxation and/or dislocation in 25 patients hospitalized from Jan 1987 to Aug 1989, who were studied retrospectively. The commonest symptoms were found to be neck stiffness, followed by numbness of limbs, neck pain and motor weakness in decreasing frequency. The commonest physical findings were limitation of neck motion, followed by decrease of muscle power, sensory impairment and hyperreflexia in decreasing frequency. Traffic accident was the commonest …

Effect Of Therapist-Initiated Versus Self-Initiated Vestibular Stimulation On Vocalization In Children With Autism, Carol L. Maddox

Masters Theses

Therapist-initiated vestibular stimulation was compared to self-initiated stimulation to determine their relative effects on vocalization in children with autism. Vocalizations produced during table-top activities were also compared to those produced during vestibular stimulation. Two children with autism participated in the study. Vestibular stimulation was provided by a hammock swing. All vocalizations were recorded during a total of thirteen 15-minute test sessions.

Results indicated that in this study: (a) There was no significant difference in quantity of vocalizations produced during self-initiated versus therapist-initiated vestibular stimulation, and (b) there was a significant increase in vocalizations during vestibular stimulation as compared to during …

Standing Time While Engaged In An Upper Extremity Activity Versus Standing Time While Not Engaged In An Upper Extremity Activity, Wendy A. Smith

Masters Theses

The standing time of recent (within four weeks) cerebral vascular accident subjects while engaged in an upper extremity activity (tile trivet) was compared to the same subjects standing time while not engaged in an upper extremity activity. The subjects from a rehabilitation center ranged in age from 30 to 85 years. For each subject three sessions were randomly recorded for each condition. Lights were connected to the knee and buttock pad so that, if activated, they alerted the data collector that the subject was leaning.

The findings from this study indicated that subjects stood longer while engaged in upper extremity …

Quantitative Analysis Of Elbow Flexor And Elbow Extensor In Hemiplegic Patients, Tsu-Sheng Shiau, Hwei-Rong Tseng, Tao-Chang Hsu

Rehabilitation Practice and Science

Subjective semi-quantitative method is often used to evaluate the severity of spasticity in clinical condition. The purpose of this study is to develope an objective and quantitative model to evaluate the severity of spasticity for hemiplegic patients. We utilize Kin-Corn III isokinetic machine to evaluate 16 hemiplegic patients with 8 velocities from 5 to 210 degrees per second. The elbow joints of subjects are pulled when subjects totally relaxed and under no influence of gravity. The curve of resistance force was recorded and analyzed. We found 150 degrees per second is the best velocity for the evluation. And for elbow …

Outcome Of Severe Low Back Pain, Chii-Liang Chyuan, May-Kuen Wong

Rehabilitation Practice and Science

Low back pain is a suffering condition which frequently results in limitation of activity of daily living. The frequent recurrence of low back pain makes patient accept different therapeutic tries. The purpose of this study was to compare the effects of physical therapy and surgical therapy for severe low back pain.Sixty two patients who had been admitted to our departement of rehabilitation for severe low back pain were collected. Among Them, 41 were males. 21 were females. The major cause of low back pain was intervertebral disc herniation, about 66.6%. The most frequent precipitating factor of low back pain was …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

F Wave Frequency: Its Value In The Diagnosis Of Lumbar Radiculopathy: Preliminary Report, Yau-Wai Wai

Rehabilitation Practice and Science

The purpose of this paper was to find F wave frequency in normal subjects and patients with sciatica, in order to know if there any significant difference in appearance between them, whether this kind of examination could provid a noninvasive methoid in the diagnosis of lumbar radiculopathy.Among the 22 volunteered normal subjects, there was no significiant difference between bilateral lower extremities for the mininal, mean and maximal values of tibial and deep peroneal F-wave latency and their F-frequencies. Of the 16 patients who have sciatica symptoms, 14 of them have received spinal computerized tomography examination. It was showed that herniated …

Distal Sensory Latency Of Median Nerve In Poliomyelitis Patients, Ming-Chuan Lin, Chein-Wei Chang, Chue-Fun Chen, I-Nan Lien

Rehabilitation Practice and Science

It has benn recognized that overuse of wrist may induce abnormal median nerve. Most of the poliomyelitis patients compensate the weakness of the lower extremities by overusing their upper extremities, so that they were expected to have a higher incidence of abnormal median nerve.Totally 70 cases including 24 men and 46 women attended for this study. They were divided into three groups: group I , 34 poliomyelitis patients who used crutches; group II ,15 poliomyelitis patients who did not use crutches; group III , 21 normal control. The mean ages were 27.6 years in group I , 26.5 years in …

Analysis Of Muscular Quantitative Evaluation And Functional Status Of Stroke Patients, Mei-Lan Chang, Sheau-Ping Pan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purposes of this study were to quantitatively evaluate the muscular strength and spasticity of stroke patients and to find out the significant relationships between different functions and torques of muscle groups in mode and speed specificity of isokinetic evaluation.This study was to use isokinetic hydralic drive machine (GGT-3000, The Medizin-Electronic System, GmbH, West Germany) to measure quantitatively muscular activities of elbow and knee flexor and extensor muscular groups of 53 patients. Affected side was measured in passive motion at speed 10°/s, 120°/s and concentric contraction and eccentric contraction motion at speed 60°/s. Sound side was measured in concentric and …

Effects Of Hip And Knee Angle To Kenn Flexion And Extension Torque In Isometric And Isokinetic Exercises, Shiu-Ching Lee, May-Kuen Wong, Yang-Hua Lin, Ho-Hsin Chey

Rehabilitation Practice and Science

In order to study the effects of hip and knee angle to knee flexion and extension torque and other measurements obtained from Cybex 340 isokinetic dynamometer in isometric and isokinetic exercises, twenty normal young adults were tested at various hip position(SITTING:hip 85°,SEMIRECLINED:hip 135°, SUPINE: hip 180°) and different speeds (ISOMETRIC:0° /sec, LOW SPEED ISOKINETIC:60°/sec, HIGH SPEED ISOKINETIC:180°/sec). Adequate warm-up exercise and rest was requested between each test in this study.In isometric flexion exercises, the greatest torque value was obtained at supine position. The torque value was decreasing as knee flexion angle increasing. In isometric extension exercises, there was no significant …

Investigation Of The Effects Of Chinese Shadow-Boxing On Physical Performance, May-Kuen Wong, Jin-Shin Lai, Ching Lan, Choon-Khim Chong

Rehabilitation Practice and Science

Chinese shadow-boxing (Tai Chi Chuan) is a representative traditional exercise for health promotion. It has been developed for many dynasties, and well established in its own model at the end of Ming Dynasty(AC 1644). It consists many fundamental postures with slow graceful movements in addition to the proper rhythm of deep breathing and mind concentration.In order to evaluate the effects of Tai Chi Chuan, 110 cases were divided into 2 groups in this study. The middle age group aged from 52 to 65 included 35 Tai Chi Chuan practitioners (15 male and 20 female), compared with 33 sedentary subjects(15 male …

A Study Of Menstruation In Young Chinese Female Athletes, Choon-Khim Chong, May-Kuen Wong

Rehabilitation Practice and Science

In order to investigate the problem of menstrual dysfunction among young female athletes in the Chinese population.152 female athletes participating in the 1988 Taiwan Area Athletic Meet (TAAM) were surveyed via questionnaire. Among the athletes who were younger than 18 years, those who were premenarchetrained had delayed menarche (13.7±1.1 years), which was statistically significant, when compared with the postmenarche-trained group (13.0±1.4 years)and the college students in general population(12.8±1.0 years) (p＜0.05 and p＜0.0001,respectively).For the problem of irregular menstrual pattern,athletes who were trained after menarche were studied. It was found that the percentage of athletes with regular menstrual cycle declined from 78% …

A Survey Study Of Sports Injuries In Cyclists, Chen-Liang Chou, Jin-Jong Chen, Tcho-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

Bicycle injuries are the most common sports injuries in U.S. There are different causes, types, and sites of sports injury between amateur and professional cyclist. 16 Asian Games cyclists of our country participated in this survey study of cyclic sports injuries. We used questionaire and physical examination to complete this study. According to the result of questionaire, the most frequently lesion sites were: knee (87.5%), low back (81.3%), hand (56.3%). The others were; ankle, head, upper extremity. hip (in their orders of frequency). Acoordng to the result of physical examination, the most frequently found types of injuries were: muscle strain …

Urinary Tract Infection Is Spinal Cord Injury Patients Undergoing Bladder Training, Chen-Fen Huang, May-Kuen Wong

Rehabilitation Practice and Science

The difficulty of micturition due to neurogenic bladder in victims of spinal cord injury (SCI) is a common consequence, and also a clinical challenge in the period of rehabilitation for such patients. Intermittent catheterization program (ICP) is a widely employed management for such dysfunction of bladder, however, the occurance of urinary tract infection (UTI) is inevitable. Thus. we carried out this study to investigate the prevention methods of UTI in clinical practice.A total number of 127 patients, between the age of 16 and 80, were enrolled in this study of UTI while undergoing a period of intermittent catheterization. During the …

Clinical Application Of The Preschool Language Scale-Chinese Version, Yu-Mei Chung, Tao-Chung Hsu

Rehabilitation Practice and Science

Preschool Language Scale (1979) was revised for use under the title of Preschool Language Scale-Chinese Version (PLS-C) in 1986. During the past three years, PLS-C has been used at the Taipei Veterans General Hospital to appraise children's language development, to evaluate their maturational lags. strengths and deficiencies. This report is to discuss the clinical use of PLS-C. and six different types of cases who have received long-term speech-language intervention are reported.It has been found that PLS-C is clinically useful for each type of speech-language delayed children. The PLS-C results are good measures of children's progress. The PLS-C results of pure …

Using Spectrogram To Evaluate Dysarthric Treatment Effectiveness, Shu-Er Lee, Ma-Li Huang, Tao-Chang Hsu

Rehabilitation Practice and Science

Dysarthria may be defined as a group of speech disorders resulting from disturbance in muscular control due to damage in the central or peripheral nervous system. It encompasses coexisting neurogenic disorders of several or all the basic processes of speech - respiration, phonation, articulation, resonance and prosody. Although auditory discrimination can provide subjective evaluation of dysarthric speech before and after treatment, objective evaluation can help us to establish standards for clinical evaluation of acoustic charade- ristics.Six dysarthric and four normal control subjects were evaluated in this study. Sound spectrographic analysis was done of speech samples in vowel prolongation /ah/, oral …

Nemaline Myopathy: A Casereport, Chein-Wei Chang, I-Nan Lien, Pen-June Wang, Sho-Fen Huang, Hey-Chi Hsu

Rehabilitation Practice and Science

A 5 year-old boy had non-progressive myopathy since 2 years of age. Muscle enzymes were normal. Electromyography showed a myopathic feature. Prominantly disseminated nemaline bodies and predominant type I muscle fibers were found in muscle biopsy specimen. The clinical and morphological findings supported the existence of a rare form of congenital myopathy.

復健科專科醫師甄審原則, N/A

Rehabilitation Practice and Science

No abstract provided.

Home Adaptations For Persons With Chronic Disabilities: An Educational Model., Ruth E. Levine, Laura N. Giltin

Department of Occupational Therapy Faculty Papers

This paper offers a method by which to train students in the provision of culturally relevant, in-home environmental adaptations for persons with chronic disabilities. On the basis of a theoretical framework, the student therapist learns about the client's life-style and offers adaptations that evolve from a collaborative problem-solving process. The training process has been developed and refined over a 3-year period. A case study illustrates the student's application of theory and practice and the outcome for the client of this service provision approach.

Ua3/8 Raymond Preston Health & Activities Center Groundbreaking, Wku President's Office

WKU Administration Documents

Program of activities for the groundbreaking ceremonies for the Raymond Preston Health & Activities Center.

Commencement Program 1990 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

2 | Biography on Calvin B. Rock

3 | The Academic Procession

4 | Combined Conferring of Degrees

7 | Candidates for Degrees (Riverside Campus)

10 | Candidates for Degrees (Loma Linda Campus)

Effects Of Trigger Point Massage And Transcutaneous Electrical Stimulation On Muscular Tension In The Upper Trapezius, Kathryn L. Strum

All-Inclusive List of Electronic Theses and Dissertations

The study investigated the treatment methods of trigger point massage therapy and transcutaneous electrical muscle stimulation (TENS) with the intent of clarifying which method decreased the level of muscular tension in the upper trapezius muscle more effectively over various time periods. The members of the Indiana State University softball team, consisting of sixteen women, were the subjects for this study. The subjects were randomly assigned to one of three groups: a trigger point massage group; a TENS group; and a control group. Using electromyography, the subjects were tested four times throughout the treatment procedure. The control group participated in the …

1990 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1990 Touro College School of Health Sciences Yearbook

Play Behavior And Occupational Therapy., Roseann C Schaaf

Department of Occupational Therapy Faculty Papers

The effectiveness of treatment methods on a person's ability to carry out occupational roles competently is of interest to occupational therapists. This case study demonstrated how play, as an occupational role of childhood and as a measure of competence, can be used to evaluate the effectiveness of occupational therapy that uses a sensory integrative approach. The positive changes in C.C.'s play behavior support the basic philosophy of sensory integration, which states that an increase in sensory integrative functions will improve competence (in this study, competence is defined as play), that is, that a person will have the ability to carry …

Assessing Joint Mobility Of The Lower Extremities When Walking In Water Through The Use Of Motion Analysis, Jennifer Evitts

Presidential Scholars Theses (1990 – 2006)

Despite the lack of any attempts to quantify the ROM while walking in water, several products have recently been introduced which utilize the concept of an underwater treadmill to harness the advantages of walking in water, one of which includes an increase in ROM. The purpose of this study is to utilize motion analysis to qualitatively and quantitatively analyze the ROM of the ankle, knee, and hip when walking in the water and to compare these results to those observed when walking on land .

A Study Of The Relationship Between Improvement In Physical Status And Self-Esteem In Geriatric Patients, Kate A. Hayner

Masters Theses

The improvement in physical abilities in the geriatric population after occupational therapy was investigated to determine whether self-esteem would also improve. Fifteen subjects from three different nursing homes were measured. All of the subjects were referred to occupational therapy by their physician.

Treatment was implemented by trained rehabilitation aides after an occupational therapist assessed each subject and determined the need for therapy. Measurable goals were set for each subject to improve dysfunctional areas and reviewed with each resident and rehabilitation aide responsible for implementing the treatment program.

Types of treatment consisted of active and passive range of motion, strengthening, retrograde …

The Effect Of Horseback Riding Activity On The Tibialis Anterior, Vastus Lateralis, And Rectus Abdominis Of A Paraplegic, Laurie A. Price

Masters Theses

Horses are now being used in various programs under various conditions. The use of horses for therapy and recreation for the physically and mentally disabled first began in Germany and Switzerland. The United States now has many schools and different riding programs as well.

Riding seems to be especially beneficial to those with neurological impairments. Treatment of paraplegia is very limited but recreational activities are advancing. The use of the horse is beneficial for paraplegics emotionally as well as physically. Measurements and evaluations of these benefits are lacking. This project analyzes and measures the physical benefits of horseback riding on …

Investigation Of The Optimal Load-Bearing Characteristics Of Patellar Tendon Bearing (Ptb) Prostheses, Rahamim Seliktar, Theerasakdi Vachranukunkiet, Marcus P. Besser, Denise Kuenzig, A. Esquenazi

Department of Physical Therapy Faculty Papers

The long-term goal of the research team is to automate the construction of lower limb prostheses using computer integrated manufacturing (CIM) techniques.

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.