Medicine and Health Sciences Commons^™

Investigation Of Vaccination And Social Economic Background In Poliomyelitis, May-Kuen Wong, Fuk-Tan Tang

Rehabilitation Practice and Science

Six hundred cases of poliomyelitis during the last burst out episode in Taiwan of 1982 were analysed. The age distributions of them were very young in majority, 267 cases were below 1 year old (44.5%), 108cases were 1 year old (18.0%), 67 cases were 2 years old (11.2%).Among them, 253 cases were never received any polio vaccination (42.2%), 186 cases only received vaccination for one time (31.0%), 72 cases received twice (12.0%), 52 cases received 3 times (8.7%), only 20 cases accept complete 4 times vaccination (3.3%). Another 17cases were unsure whether received this vaccination or not (2.8%). It was …

Functional Outcome Of Incomplete Spinal Cord Injuries, Fuk-Tan Tang, May-Kuen Wong, Thien-Siew Tan, Shih-Tseng Lee

Rehabilitation Practice and Science

Patients with incomplete spinal cord injury admitted to Chang Gung Memorial Hospital from July 1982 to December 1985 were analysed. Totally , 68 male and 9female patients could be followed up by questionaires. The average age of the was 39.6±9.5years. Among them, 34 cases (44.2%)received primary school education. Traffic accident was the leading cause of injury (37.3%), and falling from height was the second major cause(27.3%). The severity of injury was denoted by Yale Score. There was no statistic correlation between bony lesion and severity of injury. The recovery of bladder function was very good , only one patient need …

A Research Of Functional Orthotic Corrects The Forefoot Varum, Chorng-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Fore foot varum is unsound from the biomechanic point of view, a lot of musculoskeletal discorders may be found, such as hallucis valgus with bunion, achillus tendinitis, chronic arch strain, shin splint, patellofemoral derangement and low back syndrome. ”Fore foot varum is unsound from the biomechanic point of view, a lot of musculoskeletal discorders may be found, such as hallucis valgus with bunion, achillus tendinitis, chronic arch strain, shin splint, patellofemoral derangement and low back syndrome. We tried to catch the negative cast of the foot in neutral position with P-Pcast and took the functional orthotic (Rohadura) from Langer Orthotic …

Acromioclavicular Derangement, Chinn-Dong Chung, Chrong-Song Chuo, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study were to evaluate the acromicolavicular joint factor eliciting the shoulder pain and limitation of movement. We collected 30cases with suspected the A-C joint lesion disclosed by physical examination from O.P.D of the Rehabilation Dept. V.G.H.-T.C sine Sept. '86 to March. '87. The physical findings were (1) local tenderness at the A-C joint area, (2) painful arc at 150 to 180 degree, (3) limited R. O.M. during horizontal adduction and elicited pain at the end range. The patient recieved intra-articular injection at the A-C joint with kenacort 0.5cc +2% xylocaine 0.5cc for therapeutic diagnosis. The patients …

Dance Injuries, Ching-Long Chou, Tao-Chang Hsu, Jiung-Jer Wu

Rehabilitation Practice and Science

Dancing population has been increaseing in Taiwan for the past 15years, but report of studing dance injuries are still few. Eighty-one theatrical dancing students (Male 18, Female 63 ) at National Institute of the Arts and Chinese Culture university were diagnosed and followed in our OPD to study the patterns, severity & mechanisms of dance injuries. A total of 260injuries in the students were reported. We found that the major injury sites by rate were back: 23.46%;ankle: 22.3%;knee: 21.45%; foot:9.23%; hip & thight: 9.6%; other site including: leg, shoulder, elbow, wrist were 14.2%. Approximately three fourths of the dancerelated injuries …

The Excitability Of Spinal Motoneurons In Stroke Patients, Hsin-Ying Chen, Chue-Fun Chen, I-Nan Lien

Rehabilitation Practice and Science

Thirty hemiplegics and 15normal persons were enrolled in this study. Measuring the recovery time of H reflex by dual stimulation technique to tibial nerve was performed to evaluate the excitability of spinal motoneurons. It was found that the recovery time of H reflex in normal persons and nonhemiplegic sides of hemiplegics was 57.0±27.3 msec and 57.3±21.4 msec respectively. The recovery time of hemiplegic sides was 37.5±12.8 msec and it was very significantly shorter than the normal ones. The shortening of the recovery time showed good correlation with the neurological recovery as well as the spasticity of the patients. These findings …

A Preliminary Chinese Version Of The Luria-Nebraska Neuropsychological Battery, Nai-Wen Guo, I-Wen Yuen, Tao-Chang Hsu

Rehabilitation Practice and Science

Content Subscales C1 to C5 and C9 to C11 the Luria-Nebraska Neuropsychological Battery were revised to make a Chinese version. It was administered to 48 brain-damaged patients of a rehabilitation center. Upon Cheching the difficulty levels of test items and the relative coefficients between items and subscales, we corrected 10 unsuitable items and dropped one. This second revision has 200items and 21 Factor Subscales. Mean scores and SD's of the brain-damaged group for every item and every subscale are presented. Finally, some suggestions for future study and application are made.

Musculo-Skeletal Problems In Fiddlers, Man-Wen Chen, I-Nan Lien

Rehabilitation Practice and Science

According to the questionnaries from 72 subjects of fiddle players, of whom 13 examined, the total rate of musculo-skeletal involvement was 80.6%. There was no obvious different rates between total subjects (including person who played piano or other instruments as a chief one) and the subjects who played violin or viola as a chief instrument.The symptoms occurred most frequently on left side. The ratio between left and right side was 1.9: 1.The most frequently involved muscles were trapezius, levator scapulae and serratus posterior superior. This was closely related to the posture of playing.

A Comparison Of Clinical Assessments Of Disease Activity In Rheumatoid Arthritis, Helen Sheau-Ping Pan, Tao-Chang Hsu

Rehabilitation Practice and Science

12chinical assessments and 4 laboratory tests of disease activity, including a newly designed dolorimeter, have been compared in a group of 42 patients with rheumatoid arthritis seen in 2 disease active and stable stages within 6 months. Number of painful joints, dolorimetry, distance of fingertip-to-distal palmar crease, functional score, C-reactive protein, and grasp strength correlate best with other assessments and tests, and are therefore to be the best clinical indices of disease activity.

The Straight-Leg-Raising Test, Ching-Hwa Chou, Chrong-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

A positive unilateral straight-leg-raising sign is routinely interpreted as indicative of a disc lesion. A review of the literature was undertaken in an attempt to more clearly illustrate the mechanisms and results of the straight-leg-raising test. It was found that a positive straight-leg-raising test has minimal value in differentiating a patient with herniated disc from other patients with low back pain and sciatica.

Treatment For Mandarin Agrammatism: Casereport, Shu-Er Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

A syntax stimulation program, based upon the syntactic hierarchy of difficulty, was used to treat a thirty year old brain injury patient with severe agrammatism. This program is designed to elicit the basic Mandarin sentence constructions using a story completion technique. With 80 sessions of treatment, the patient's spontaneous speech and picture description showed increased phrase length, use of grammatical onstructions and communication skills. From the preliminary study, this program appears to have therapeutic merit in training syntactic skills of agrammatic Chinese patients.

中華民國復健醫學會會章, N/A

Rehabilitation Practice and Science

No abstract provided.

中華民國復健醫學會復健醫學科專科醫師甄審規則, N/A

Rehabilitation Practice and Science

No abstract provided.

Effect Of Choice Making On A Self-Care Activity In Mentally Retarded Adults And Adolescents, Martin S. Rice

Masters Theses

Of central importance to occupational therapy is the issue of motivation in activity. The purpose of this study was to look at the effects of choice on motivation during an activity undertaken by mentally retarded adults and adolescents. Each subject was given a choice of five wrinkled T-shirts that had sports logos on them. The subject chose one but was then asked to iron the T-shirt before he took it to keep. With counterbalancing for order of presentation, each subject also experienced not having a choice between five T-shirts and then ironing the one given to him. The amount of …

Rheumatoid Arthritis: Balancing Activity And Rest, Lynn A. Lowe

Masters Theses

Fatigue is a major symptom of rheumatoid arthritis (RA), along with joint pain, stiffness and functional impairment. Balancing activity and rest in order to decrease fatigue is frequently mentioned by health professionals as an important strategy in the management of the disease. One hundred and three adult men and women with RA were surveyed via a written questionnaire about their experience of fatigue, four types of rest, employment status, duration of illness, age, sex, and advice about rest. Frequencies related to these variables are reported. Some rest variables were found to be significantly correlated with age and fatigue. No significant …

Somatosensory Evoked Potentials In Acute Traumatic Spinal Cord Injury And Its Prognostic Value, May-Kuen Wong, Yiu-Chung Lau, Mei-Yun Liaw

Rehabilitation Practice and Science

The somatosensory evoked potentials following tibial nerve stimulation were recorded in 18 patients with acute traumatic spinal cord injuries at 3 to 5 weeks. The results were correlated with the patient's neurological recovery.One cervical case had absent transmission in unilateral cortical SEP but still with good neurological recovery later on, one lumbar case had no recorded SEP either at L2 or cortical level got complete recovery within 3 months. Two thoracic SCI had only prolong latencies in SEP, but no any neurological recovery at all. There was no constant rule between prolong latencies to severity of dysfunction or degree of …

Influence Of Reference Electrode To Motor Unit Potential Parameters: Ouantitative Comparison Between Monopolar And Concentric Needles, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to determine the influence of the reference electrode to the motor unit action potential parameters including amplitude, duration, surface area, phases and turns by reading the same recording area by monopolar and cocentric needles. A concentric needle was stuck into the subject's anterior tibialis muscle, online motor unit analysis was done by EMG-computer combinations. The sinal from the active recording electrode was shunted to another EMG-computer set for analysis of the same motor unit by adding a surface electrode as a reference electrode (monopolar needle recording pattern). After collecting 200 motor unit potentials, data …

Crossed Aphasia: Casereport, Choon-Khim Chong, May-Kuen Wong, Jorie Wu

Rehabilitation Practice and Science

Crossed aphasia is defined as the combination of left hcmiplegia (-paresis) and aphasia in a right-handed patient. The incidence of such cases is very low, reported as 0.4%-3.75% in all aphasics. Henderson (1983) reviewed that for the crossed aphasics, the correlation between fluency and infaret localization was similar to that of right-handed aphasics with left hemisphere lesion.A fluent jargon aphasia following a right cerebral infraction developed in a 52-year-old right-handed Chinese woman. She was a case of myxoma in left atrium with sudden onset of cerebral infarction. Computed tomographic scan showed a large infarction in right basal ganglion, temporal and …

中華民國復健醫學會復健醫學科專科醫師繼續教育實施辦法, N/A

Rehabilitation Practice and Science

No abstract provided.

A Comparison Of An Ideal And A Real Quality Of Work Life Program, Noreen Goldschmidt

Masters Theses

The purposes of this study were to examine the differences between: (a) a real and idealized Quality of Work Life program; (b) individual groups and the idealized Quality of Work Life program, and (c) groups surveyed.

Two departments were surveyed to obtain perceptions of a Quality of Work Life program existing within a utility company located in the state of Michigan.

Percentages were calculated on the Agree and Strongly Agree response alternatives for all items included on the survey. For the three comparisons made the difference in percent was tested at the.05 level of significance. The results indicated that the …

Neonatal Ck Value And Early Detection Of Duchenne Muscular Dystrophy, Yaw-Wei Wei, Chue-Fun Chen

Rehabilitation Practice and Science

Early detection of patients or carrier of Duchenne muscular dystrophy with elevated CK is well documented in the literature. The purpose of this study is to find out normal CK value of cord blood during paripurm, in order to provide a diagnostic reference of DMD. Totally 327 newborn infants were evaluated for the cord blood CK value during paripurm. It revealed the mean CK value was 117.９±61.1IU／(ranged from 31.4to 455IU/1)the mean cord blood CK value of the male newborn was 125.1±69.8IU/1 and that of the female was 110.9±52.9IU/1. It showed a significant sex difference (P＜0.05). There was no definite CK …

中華民國復健醫學會復健醫學科訓練綱要, N/A

Rehabilitation Practice and Science

No abstract provided.

Head And Trunk Movement Responses In Healthy Children To Induced Versus Self-Induced Lateral Tilt, Donnalee Milette, Rose Marie Rine

Physical Therapy Faculty Research

The purpose of our study was to determine head and trunk movement responses that occur in healthy 7-year-old children during induced and self-induced lateral tilt. Twenty subjects, while tailor sitting on a tiltboard, participated in three trials of both induced and self-induced left and right lateral displacements. Measurements of neck and trunk lateral flexion; trunk counterrotation; and neck, trunk, and body anterior-posterior movement were obtained from slide transparencies made at three stages of tilt (original position, initial tilt, and full tilt). For each subject in the two test conditions, changes in these measurements between the stages of tilt were determined …

Community-Based Occupational Therapy With A Head-Injured Adult., Elizabeth Depoy

Department of Occupational Therapy Faculty Papers

In the early 1970s, the National Head Injury Foundation identified 422,000 adults with permanent brain damage caused by traumatic head injury. It is estimated that 400,000 new cases of varying severity are treated in hospitals each year, the majority of whom are previously employed young adult men. Although many persons with traumatic brain injuries are able to return to productivity, approximately 35% of the adults who have been rated as mildly head injured on the Glascow Coma Scale (Teasdale & Jennet, 1974) never return to work and have difficulty reentering society after restorative efforts are discontinued (Rosenthal, Griffith, Bond, & …

The Effects Of Activity Group Structure On Cohesion, Engagement, And Affective Meanings In Acute-Care Psychiatric Patients, Hope L. Brucki

Masters Theses

Through activity analysis, occupational therapists identify various components of group structure and group processes for use in therapeutic activities. This study compared the effects of individual activity group structure (members engage in individual projects) and common activity group structure (members share a common project) in a sample of 38 acute-care psychiatric patients. Subjects were randomly assigned to one of eight theme-oriented poster-making groups, four for each experimental condition. Cohesion among group members was measured by the Group Environment Scale (GES), engagement was assessed by the Group Climate Questionnaire-Short Form (GCQ-S), and affective meanings were evaluated by Osgood's short-form semantic differential …

The Evaluation Of Factors Affecting Adherence To An Exercise Program Among College Students, Mark Robert Dean

Dissertations

Though investigative studies have identified the many benefits of aerobic exercise for both biological and behavioral health, only a small percentage of individuals maintain regular exercise. Team or group exercise programs report higher participation rates, but studies of individually prescribed exercise programs typically report problems of compliance and attrition. The purpose of the present study was to evaluate the effectiveness of various interventions--including the provision of course bonus points, cash lottery, and partner assignment--designed to increase exercise compliance among college students. Thirty-two student volunteers reporting "no current exercise" were randomly assigned to either the "partner" or the "individual" exercise group. …

Serial Casting: Clinical Applications For The Adult Head-Injured Patient, Cynthia Zablotny, Maureen Forte Andric, Charlotte Gowland

Faculty Publications - College of Physical Therapy

Serial casting has been used for over a decade to manage soft tissue contractures in patients with traumatic head injuries. Its use has also extended to the prevention of contractures in extremities exhibiting potentially deforming spasticity. This article will review the causes of soft tissue contractures and discuss how serial casting can manage such deformities. It will also identify how a serial casting program can be modified and integrated with other therapeutic efforts as the head-injured patient progresses physically and cognitively. Finally, it will address the timing and priority of casting in the patient's overall program.

Using Neuromuscular Electrical Stimulation To Facilitate Limb Control In The Head-Injured Patient, Cynthia Zablotny

Faculty Publications - College of Physical Therapy

Neuromuscular electrical stimulation (NMES) has been used to treat a variety of extremity problems in head-injured patients. Specifically, NMES has been used to gain motor control, reduce joint contractures, and reduce muscle hypertonicity.1 Such uses rely on intact peripheral nerve excitability to generate the desired muscular response. This article will present some clinically relevant methods of maximizing the effectiveness of NMES programs for facilitating limb control in the head-injured patient. Stimulator features that help ensure treatment success will be identified. The special cognitive considerations that must be addressed when using NMES on the head-injured patient will also be discussed. The …

The Influence Of A Rehabilitation Program On Perceived Exertion In Cardiac Patients, Maria Jean Miller

Dissertations and Theses @ UNI

The purpose of this study was to determine the difference in the correlation between ratings of perceived exertion (RPE) and heart rate during a graded exercise treadmill test in entry level cardiac rehabilitation participants and those participants that had been in a program for more than 28 months. Files containing the results of graded exercise treadmill tests for 22 entry level participants (G2) and 18 participants that had been in a rehabilitation program for more than 28 months (G1) were utilized. None of the subjects were currently taking medications that would alter the heart rate. The Bruce protocol was used …

Effectiveness Of A Video Recorded Ocean Scene Technique As A Relaxation Therapy, David M. Ford

Masters Theses

The purpose of this study was to examine the effectiveness of a video recorded ocean scene as a relaxation technique by comparing it with an established method, progressive relaxation training (Jacobson, 1938) on their ability to affect the following physiological measurements: systolic blood pressure, diastolic blood pressure, pulse, and respiration.

Thirty female elementary school teachers participated in this study and were randomly assigned to one of three treatment groups: Video Recorded Ocean Scene Group, Progressive Relaxation Training Group, and Self Directed Relaxation Group (used as control). The general protocol for each treatment group consisted of a forty minute session with …