Medicine and Health Sciences Commons^™

Digital Rehabilitation For Hand And Wrist Pain: A Single-Arm Prospective Longitudinal Cohort Study, Fabíola Costa, Dora Janela, Maria Molinos, Robert G Moulder, Jorge Lains, Gerard E Francisco, Virgílio Bento, Vijay Yanamadala, Steven P Cohen, Fernando Dias Correia

Faculty, Staff and Student Publications

Introduction: Wrist and hand represent the third most common body part in work-related injuries, being associated with long-term absenteeism. Telerehabilitation can promote access to treatment, patient adherence, and engagement, while reducing health care-related costs.

Objective: Report the results of a fully remote digital care program (DCP) for wrist and hand pain (WP).

Methods: A single-arm interventional study was conducted on individuals with WP applying for a DCP. Primary outcome was the mean change in the Numerical Pain Rating Scale after 8 weeks (considering a minimum clinically important change of 30%). Secondary outcomes were: disability (Quick Disabilities of the Arm, Shoulder, …

Emerging Evidence For Intrathecal Management Of Neuropathic Pain Following Spinal Cord Injury, Jay Karri, James Doan, Christian Vangeison, Marissa Catalanotto, Ameet S Nagpal, Sheng Li

Faculty, Staff and Student Publications

A high prevalence of patients with spinal cord injury (SCI) suffer from chronic neuropathic pain. Unfortunately, the precise pathophysiological mechanisms underlying this phenomenon have yet to be clearly elucidated and targeted treatments are largely lacking. As an unfortunate consequence, neuropathic pain in the population with SCI is refractory to standard of care treatments and represents a significant contributor to morbidity and suffering. In recent years, advances from SCI-specific animal studies and translational models have furthered our understanding of the neuronal excitability, glial dysregulation, and chronic inflammation processes that facilitate neuropathic pain. These developments have served advantageously to facilitate exploration into …

“Machine-Dependent”: The Lived Experiences Of Patients Receiving Hemodialysis In Pakistan, Haseeba Shouket, Eyal Gringart, Dierdre Drake, Ulrich Steinwandel

Research outputs 2022 to 2026

This study aimed to explore the lived experiences of patients receiving maintenance hemodialysis in Pakistan. Purposive sampling was used to recruit 24 patients and six healthcare professionals, each participated in a semi-structured interview. Interpretive Phenomenological Analysis was used to analyze interviews’ data. Two superordinate themes, “The experience of hemodialysis” and “The conceptualizations of hemodialysis” as well as six sub-themes were identified. The experience of hemodialysis was related to, the implications of HD procedure on everyday life, social, cognitive, emotional, financial, and occupational influences. While all participants recognized the importance of hemodialysis for their survival, their conceptualizations of the treatment varied. …

Statistical Analysis Plan For The Stepped-Wedge Clinical Trial Healing Right Way - Enhancing Rehabilitation Services For Aboriginal Australians After Brain Injury, Elizabeth Armstrong, Tapan Rai, Deborah Hersh, Sandra Thompson, Juli Coffin, Natalie Ciccone, Leon Flicker, Dominique Cadilhac, Erin Godecke, Deborah Woods, Colleen Hayward, Graeme J. Hankey, Meaghan Mcallister, Judith Katzenellenbogen

Research outputs 2022 to 2026

Background: Aboriginal Australians are known to suffer high levels of acquired brain injury (stroke and traumatic brain injury) yet experience significant barriers in accessing rehabilitation services. The aim of the Healing Right Way trial is to evaluate a culturally secure intervention for Aboriginal people with newly acquired brain injury to improve their rehabilitation experience and quality of life. Following publication of the trial protocol, this paper outlines the statistical analysis plan prior to locking the database. Methods: The trial involves a stepped wedge design with four steps over 3 years. Participants were 108 adult Aboriginal Australians admitted to one of …

Bridging The Gap Between Clinical Service And Academic Education Of Hand-Splinting Practice: Perspectives And Experiences Of Thai Occupational Therapists, Anuchart Kaunnil, Veerawat Sansri, Surachart Thongchoomsin, Kannika Permpoonputtana, Mandy Stanley, Piyawat Trevittaya, Chirathip Thawisuk, Peeradech Thichanpiang

Research outputs 2022 to 2026

A gap in knowledge about current splinting practice exists between the educational program and clinical service. To bridge this gap, we investigated the perspectives and experiences of Thai occupational therapists regarding contemporary hand splinting practices in clinical use. A mixed-method study was designed. An explanatory sequential mixed methods design was used. In the first quantitative phase, a survey questionnaire was mailed to occupational therapists. The questions were regarding contemporary hand splinting practices in clinical use at seven hospitals in the capital city of Bangkok and outskirt areas. In the second phase, semi-structured interviews were completed to explore expert occupational therapists' …

A Virtual Camp For Adolescents With Developmental Disabilities During The Covid-19 Pandemic: Changes In Physical Activity, Function, And Psychosocial Health, Sarah Creveling

College of Graduate Studies: Theses & Dissertations

Adolescents with developmental disabilities (DD) have low levels of physical activity (PA), are more likely to be overweight or obese, and are at an increased risk of developing secondary conditions compared to their typically developing peers. Participation in PA has been linked to a myriad of benefits including improvements in psychosocial health, decreased risk of developing secondary conditions, and opportunities for socialization. Summer camps provide opportunities for adolescents with DD to participate in meaningful activities while being physically active during the summer months when school is out and there is a change in routines, skill and learning loss is a …

The Effects Of Home-Based Exercise Therapy For Breast Cancer-Related Fatigue Induced By Radical Radiotherapy, Georgios Mavropalias, Prue Cormie, Carolyn J. Peddle-Mcintyre, Daniel A. Galvão, Dennis R. Taaffe, Christelle Schofield, Sharon Ray, Yvonne Zissiadis, Robert U. Newton

Research outputs 2022 to 2026

Background: Radiotherapy (RT) can lead to cancer-related fatigue (CRF) and decreased health-related quality of life (HRQoL) in breast cancer patients. The purpose of this trial was to examine the feasibility and efficacy of a home-based resistance and aerobic exercise intervention for reducing CRF and improving HRQoL in breast cancer patients during RT. Methods: Women with breast cancer (N = 106) commencing RT were randomized to 12 weeks of home-based resistance and aerobic exercise (EX) or usual care/control (CON). The primary endpoint was CRF, with secondary endpoints of HRQoL, sleep duration and quality, and physical activity. Measurements were undertaken prior to …

Effects Of A Nurse-Led Tai Chi Programme On Improving Quality Of Life, Mental Wellbeing, And Physical Function Of Women With Breast Cancer: Protocol For A Randomized Controlled Trial, Carol Chunfeng Wang, Sadie Geraghty, Caitlin Fox-Harding, Calvin Wang

Research outputs 2022 to 2026

Objectives:

Quality of life, mental wellbeing, and physical function deteriorate among women with breast cancer. Tai Chi is a moderate form of exercise that may be effective in improving the mental and physical wellbeing, therefore, the quality of life of women with breast cancer. This protocol paper outlines a trial to determine the therapeutic effects of a Tai Chi programme on breast cancer management.

Methods:

The study will be an interventional, single-blind, double-armed, randomized, and controlled trial involving a 12-week Tai Chi programme for women with breast cancer. Forty participants aged 18 years and above who are diagnosed with breast …

Video Game Rehabilitation For Outpatient Stroke (Vigorous): A Multi-Site Randomized Controlled Trial Of In-Home, Self-Managed, Upper-Extremity Therapy., Lynne V Gauthier, Deborah S Nichols-Larsen, Gitendra Uswatte, Nancy Strahl, Marie Simeo, Rachel Proffitt, Kristina Kelly, Roger Crawfis, Edward Taub, David Morris, Linda Pax Lowes, Victor Mark, Alexandra Borstad

Neuroscience Articles

BACKGROUND: Integrating behavioral intervention into motor rehabilitation is essential for improving paretic arm use in daily life. Demands on therapist time limit adoption of behavioral programs like Constraint-Induced Movement (CI) therapy, however. Self-managed motor practice could free therapist time for behavioral intervention, but there remains insufficient evidence of efficacy for a self-management approach.

METHODS: This completed, parallel, five-site, pragmatic, single-blind trial established the comparative effectiveness of using in-home gaming self-management as a vehicle to redirect valuable therapist time towards behavioral intervention. Community-dwelling adults with post-stroke (>6 months) mild/moderate upper extremity hemiparesis were randomized to receive one of 4 different …

The Differences Response Of Massage Types With Variation Massage Pressure On Running Speed In Popda Sleman Athletics, Riza Galih Mustika Rini, Eddy Purnomo

Jurnal Keolahragaan

This study aims to improve the athlete's performance from the physiological aspect by knowing the differences in the response of sport massage and swedish massage with variations in pressure (light, medium, and heavy) on the hind limbs a 30 m running speed taken four times. This research is a quasi-experimental design, with the research subjects of POPDA Sleman athletic athletes with sample of 20 people. The sample was divided by matching pairs with the aim of both groups getting a balanced power. The treatments used are sports massage with movement manipulation (effleurage, tapotement, shaking/vibration) and swedish massage with movement manipulation …

Evaluasi Manajemen Dan Penanganan Cedera Muskuloskeletal Di Laboratorium Klinik Terapi Fisik Fik Uny Dengan Model Cipp, Fendi Nugroho, Wara Kushartanti, Guntur Guntur

Jurnal Keolahragaan

Penelitian ini bertujuan untuk mengungkapkan evaluasi manajemen dan penanganan cedera muskuloskeletal di Laboratorium Klinik Terapi Fisik Fakultas Ilmu Keolahragaan (FIK) Universitas Negeri Yogyakarta (UNY) dilihat dari (1) context, (2) input, (3) process, dan (4) product (CIPP). Penelitian ini menggunakan desain penelitian evaluatif dengan pendekatan diskriptif kualitatif dan kuantitatif. Subjek penelitian ini yaitu manajer, masseur, pasien Klinik Terapi Fisik Klinik Terapi Fisik FIK UNY. Pengumpulan data dilakukan dengan tiga metode, yaitu kuisioner, wawancara dan observasi. Analisis data dengan melakukan pereduksian data, penyajian data, pemberian kesimpulan. Hasil penelitian evaluasi manajemen di Laboratorium Klinik Terapi Fisik FIK UNY adalah sebagai berikut, (1) …

Developing A Community-Based Rehabilitation Programs In Elderly Nursing Home: A Brief Descriptive Analysis, Melinda Harini, Dosmaria Dosmaria, Herry Herry, Lisa Emilda, Listyani Herman, Nelfidayani Nelfidayani, Putu K. Mahardini, Shynta D. Hantogo, Widya Meiliana, Ikhsan Johnson, Peggy Peggy, Wanarani Aries, Widjajalaksmi Kusumaningsih, Luh K. Wahyuni

ASEAN Journal of Community Engagement

The need for rehabilitation services in nursing homes (NH) for the elderly is increasing each year, and this need is fulfilled both with ordinary clinical rehabilitation center visits, as well as community-based rehabilitation (CBR) inside the facility. However, a proper situation analysis is needed to establish a well-delivered CBR program in the NH, a niche to be fulfilled in this study. This study used a descriptive measurement and cross-sectional design to target the elderly who are living in the NHs. Consecutive sampling was done in the largest NH in Jakarta, in Cipayung District. Participants who were dependently ambulated were assessed …

Tibial Neuropathy After Revision Total Knee Prosthesis: A Casereport, Chun-Ping Wang, Wei-Ting Wu, Lin-Fen Hsieh

Rehabilitation Practice and Science

We describe a 74-year-old woman with right knee osteoarthritis experiencing right tibial neuropathy because of complications of total knee arthroplasty revision. Weakness in the right toe flexors and paresthesia over the sole of the right foot were observed after operation. A nerve conduction study and electromyographic examination indicated right tibial neuropathy. Radiography indicated a prosthesis fragment in the right popliteal fossa, and its location was different before and after surgery. Prosthesis fragment dislodgement was also confirmed through ultrasonography, and the nearby tibial nerve may have been entrapped because of the dislocation process and surrounding tissue fibrosis. Ultrasonography confirmed the prosthesis …

Celecoxib Did Not Impair Proliferation, Migration And F-Actin Formation Of Skeletal Muscle Cells, Hang-Ming Chen, Zhi-Jia Chen, Li-Ping Lin, Wen-Chung Tsai, Jong-Hwei S. Pang

Rehabilitation Practice and Science

Muscle injury is the most common sport related soft-tissue injury. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used for muscle injury treatment. The newest guideline (PEACE and LOVE) from British Journal of Sports Medicine in 2019 emphasized the avoidance of anti-inflammatory modalities in acute phase for the concerning about the negative effect on long-term tissue healing. It has been investigated that NSAIDs impeded cell migration which is crucial role in muscle healing. This study was designed to determine the effects of celecoxib, one of the cyclooxygenase-2 (COX-2) inhibitor on cell proliferation and migration in skeletal muscle cells. MTT assay (3-[4,5-dimethylthiazol- 2-yl]-2,5-diphenyltetrazolium …

Swallowing Rehabilitation Of Dysphagia In Parkinson Disease: Recent Advances And Recommendations, Chin-Man Wang, Yih-Ru Wu, Tyng-Guey Wang

Rehabilitation Practice and Science

Dysphagia is common in Parkinson disease (PD). Dysphagia may affect quality of life in the early stage of PD and can cause dehydration, malnutrition, or even result in pneumonia and mortality in the late stage. Accordingly, management of dysphagia is a crucial issue in PD. Clinicians and researchers should spend more effort developing sensitive evaluation tools and effective intervention strategies for dysphagia in PD. In the early stage of disease, the Swallowing Disturbance Questionnaire, Münich Dysphagia Test for Parkinson’s Disease questionnaire, or noninvasive tools involving surface electromyography or sensors should be used to detect subtle or mild dysphagia. In the …

Management Of Dysphagia In Spinal Muscular Atrophy, Kuo-Chang Wei, Wen-Chin Weng, Tyng-Guey Wang

Rehabilitation Practice and Science

Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disease. SMA phenotypes can be determined by the timing of disease onset and the highest level of motor development reachable by the patient. Generally speaking, proximal muscle involvement is more severe than in the distal extremities. In addition, cervical and the masticatory and pharyngeal muscles were likely affected by the disease, which can cause feeding problems and dysphagia. Clinically, dysphagia is more common among patients with type I and type II SMA. To thoroughly evaluate swallowing-related issues, both subjective information from patients and their caregivers and findings from objective tools including …

Swallowing Exercisesin Enforcing And Augmenting Suprahyoid Muscles To Improve Dysphagia And Upper Esophageal Sphincter Dysfunction For Stroke Patients: A Systematic Reviewarticle, Heng-An Yeh, Yu-Jen Chen

Rehabilitation Practice and Science

Dysphagia often occurs in stroke patients, who may present oral, pharynx, and upper esophageal sphincter dysfunction, including insufficient chewing and stirring bolus ability, poor pharyngeal contraction, pharynx to upper esophageal sphincter incoordination, and relaxation of the upper esophageal sphincter. Insufficient opening of the upper esophageal sphincter is an obstacle for moving a bolus from the pharynx to the esophagus. In addition to provide swallowing training, most of the treatments for upper esophageal sphincter dysfunction are invasive. However, several non-invasive swallowing exercises have been published with the aim of treating upper esophageal sphincter dysfunction. The purpose of this article is to …

Effect Of Balance In Home Program Training With Head And Neck Stability Device For Teenagers With Cerebral Palsy-A Preliminary Report, Shao-Chih Hsu, Yin-Chou Lin, Chia-Ying Chung, Kuo-Kuang Yeh, Wen-Yu Liu, Shu-Tin Chang, Alice Mk Wong, Chih-Kuang Chen

Rehabilitation Practice and Science

Background and aims: Cerebral palsy (CP) is impaired development in movement and postural control due to brain damage during the fetal or early infancy stage of life. Poor control of the neck muscle affects the peripheral sensory input and central nervous signal output, inhibiting the pre-action feedback response and expected postural regulation, which might result in impaired postural stability of the head and trunk. Therefore, the main purpose of this study is to conduct head and neck vertical stabilization training for teenage students with cerebral palsy, and to examine its balance effect. Methods: In addition to maintaining regular rehabilitation training, …

The Effect Of Exercise Intervention Held In A Community Care Center On Physical Function In Elders With Dementia: A Pilot Study, Jui-Chi Hsu, Jung-Cheng Yang, Yu-Ying Chu, Yi-Chun Chein, Yi-Chen Tsai, Hsiao-Ting Tsai, Ching-Fei Lo, Yen-Ting Lai

Rehabilitation Practice and Science

The care-issue for dementia is becoming more important as the elderly dementia population rapidly increases in Taiwan. Although many studies show exercise intervention is effective in slowing the disease progression of people with dementia living in institutions, there is insufficient evidence regarding individuals with dementia living in the community. Therefore, the purpose of this study is to assess if a once a week group exercise session along with four home exercise sessions per week is effective in improving the balance, mobility, muscle strength and aerobic endurance in community dwelling elders with dementia. This study recruited 18 elders above 65 years …

Therapeutic Efficacy Of Dynamic Hand Splints In Spastic Hemiparetic Hands: A Randomized Controlled Single-Blind Trial, Yi-Ching Huang, Shih-Che Lin, Kai-Hua Chen, Chien-Min Chen, Chia-Hao Chang, Chu-Hsu Lin

Rehabilitation Practice and Science

Background: It is usually challenging to treat patients following stroke or brain injury with spastic hemiparetic upper limbs. Dynamic hand splints have been used to manage this issue for years, but evidence of their efficacy is still lacking. Objective: To investigate the treatment efficacy of dynamic hand splinting in spastic hemiparetic patients. Methods: In this randomized controlled single-blind clinical trial, patients with spastic hemiparesis lasting more than half a year after a stroke or brain injury were enrolled. They were randomly divided into a splint group and a control group, and received 1 month of task-oriented training with or without …

Applying The Pzb Model In Evaluating The Service Quality Of Rehabilitation In A Rural Local Hospital, Guan-Bo Chen, I-Hisu Liou, Hui-Wen Lu, Chien-Hui Li, Ssu-Yu Chen, Sheng-Hui Tuan

Rehabilitation Practice and Science

Background: Previous studies on rehabilitation have rarely focused on the medical service quality. Not to mention studies about the medical service quality of rehabilitation in the rural public hospital. The expectations and needs of the patients and their caregivers should be emphasized. We applied the concept of Parsuraman,-Zeithaml,-Berry (PZB) service quality gap model and expected zone of tolerance to determine the difference in the medical service quality between the expectations and satisfaction of patients and their caregivers who received rehabilitation in a rural local public hospital in southern Taiwan. Methods: We used a 30-item structured questionnaire, modified from the 22- …

The Investigation Between Voiding Function Medication And The Risk Of Bladder Cancer In Patients With Spinal Cord Injury, Kai-Hua Chen, Ting-Yao Wang, Chien-Min Chen, Chuan-Pin Lee, Yao-Hsu Yang, Chu-Hsu Lin, Kuan-Yu Kung, Vincent Chin-Hung Chen

Rehabilitation Practice and Science

Bladder cancer (BC) is a chronic complication of spinal cord injury (SCI). Limited studies have focused on the risks of BC in SCI patients using voiding function medication for bladder dysfunction. In this retrospective, national-wide, population-based cohort study, SCI patients with registration in the National Health Insurance Research Database (NHIRD) from 1998 to 2013 were included. We investigated the risk of BC in SCI patients administered voiding function medications and other comorbidities by 2-year landmark analysis. SCI patients were divided into medication user (bethanechol, oxybutynin, or tolterodine) and non-medication user groups at landmark period. They were followed until the development …

Extracorporeal Shock Wave Therapy For Delayed Diagnosis Of Proximal Radial Head Fracture With Nonunion: A Casereport, Yi-Chen Lin, Ta-Sen Wei

Rehabilitation Practice and Science

Fracture of the proximal radial head is the most common elbow fracture. However, a non-displaced proximal radial head fracture may be overlooked on plain radiographs. This casereport describes a 52-year-old female patient who sustained a right elbow injury after a traffic accident, with delayed diagnosis of radial head fractures and subsequent nonunion. After 10 sessions of focal extracorporeal shock wave therapy (ESWT), the pain and range of motion improved and a sequential x-ray revealed smooth cortical bone and increased density of the proximal radial head. This report reveals that (1) non-displaced proximal radial head fractures can be overlooked on plain …

Poststroke Swallowing Rehabilitation And Recent Development, Shu-Fen Sun, Ping-Hsin Chang, Chien-Wei Hsu, I-Hsiu Liou

Rehabilitation Practice and Science

Dysphagia is a common poststroke complication. It is associated with aspiration, malnutrition, dehydration, and disability, and it may increase the risk of pneumonia, and even death. Early diagnosis and treatment of patients with dysphagia reduces not only the aforementioned risks, but also the length of hospitalization and overall healthcare expenditures. Patients with poststroke oropharyngeal dysphagia exhibit highly variable patterns of swallowing abnormalities, and the related symptoms remain challenging to identify clinically. Patients who have experienced stroke should be screened for dysphagia as early as possible on admission and prior to any form of oral intake. Those who fail dysphagia screening …

Reversal Of Left Ventricular Remodeling Associated With High-Intensity Interval Training Promoting Cardiorespiratory Fitness In Heart Failure Patients, Hsien-Te Chu, Tieh-Cheng Fu, Jong-Shyan Wang, Chih-Chin Hsu

Rehabilitation Practice and Science

This study was designed to explore the high-intensity interval training (HIIT) effects on cardiorespiratory fitness as well as the reversal of left ventricle (LV) remodeling, and association between them in heart failure (HF) patients. We included HF patients under our HF care program between 2009 and 2018. The 17 HF patients enrolled in the study were further divided into in-hospital supervised HIIT (n=8) or medical care (control) (n=9) groups according to their preference. All participants underwent cardiovascular magnetic resonance imaging (CMR) examination and a cardiopulmonary exercise test (CPET) before the exercise intervention or medical care. The HIIT participants had 36 …

Research Of Medical Service Quantity And Quality Of Rehabilitation In A Rural Public Health Center, Guan-Bo Chen, Hung-Tzu Su, Chien-Hui Li, Yung-Heng Lee, Fung-Yi Chen, Hong Lin, Sheng-Hui Tuan

Rehabilitation Practice and Science

Background: Liugui District, that locates in the rural Kaohsiung city, is defined as the area with insufficient medical resources by National Health Insurance. In 2017, service of rehabilitation was established in Liugui District with the help from Department of Health, Kaohsiung City Government. It's an innovative model by combining the private physical therapy clinic with public health center and it was the first one in Taiwan. The physical therapy clinic was run by a private therapist and it was set up in the Liugui public health center. The rehabilitation outpatient clinic service was provided by one physiatrist from Ci-Shan hospital …

The Health Insurance Resources Utilization And Rehabilitation Intervention In Patients With Traumatic Spinal Cord Injury: A Pilot Study, Pao Huang, Jen-Hung Wang, Chih-Cheng Fan, Po-Ting Chen, Chung-Chao Liang

Rehabilitation Practice and Science

Spinal cord injury is associated with a substantial and long-term economic burden on both the patients and the national health insurance. Due to the advancements in medical techniques, the mortality rate of patients with spinal cord injury has decreased. Moreover, as the life expectancy has increased in Taiwan, patients with spinal cord injury may need long-term rehabilitation to restore their functions of daily living and prevent further complications. Nonetheless, long-term rehabilitation would increase the economic burden on the long-term care facilities, as expected. This study aimed to analyze the impact (from admission to 3-year follow-up after discharge) of medical expenses …

Unilateral Diaphragm Paralysis Secondary To Subarachnoid Hemorrhage And Ischemic Stroke With Phrenic Nerve Dysfunction: A Casereport, Shih-Shin Huang, Chien-Min Chen, Chia-Hung Lin

Rehabilitation Practice and Science

Background: Cerebrovascular accident may lead to neurological symptoms and functional defects. Impaired respiratory and swallowing function as well as limited mobility make pneumonia a common complication after stroke. The diaphragm is innervated by the phrenic nerve and is a major respiratory muscle. Phrenic nerve dysfunction can lead to diaphragm paralysis and result in abnormal respiratory function. Cerebrovascular accident of cerebral hemisphere is one of the etiologies of phrenic nerve dysfunction and can lead to respiratory symptoms. There are few discussions in current literature regarding secondary diaphragm paralysis after cerebrovascular accident of cerebral hemisphere. This casereport presents the clinical signs of …

Myxoid Liposarcoma: A Soft-Tissue Sarcoma Mimicking Hematoma In A Baseball Player, Chia-Hua Lee, Hao-Hung Tsai, Yat-Yin Law, Chuan-Chao Lin

Rehabilitation Practice and Science

There are multiple histological types of soft-tissue sarcomas (STS) that are associated with different prognoses. Liposarcoma (LPS) is the most frequent subtype of STS in extremities and trunk wall in Taiwan.The myxoid liposarcoma is the second most common subtype of LPS and is associated with an intermediate-grade malignancy. STS and hematoma may be difficult to differentiate clinically. We report a case of a 35-year-old male presented with a mass lesion over the left thigh, which was initially misinterpreted as a hematoma on ultrasound. We also conducted a magnetic resonance imaging (MRI) study, which revealed the possible diagnosis of STS. After …

Periarticular Dextrose Prolotherapy For Patients With Primary Knee Osteoarthritis: A Casereport And Literature Reviewarticle, Yen-Jou Ho, Yao-Jen Chen, Chi-Chung Ho, Sheng-Wei Zeng, Su-Ju Tsai, Long-Wei Dai

Rehabilitation Practice and Science

Knee osteoarthritis (OA) is a common disease that primarily afflicts older adults. The mainstream management of knee OA involves integrative practice, including patient education, weight reduction, exercise, pharmacological therapy, and non-pharmacological modalities. However, prolotherapy with hypertonic dextrose via either intra-articular or periarticular injection, or a combination of both techniques, has become a strong evidence-based treatment or adjuvant therapy that may be used in addition to conservative management. In the literature, two studies have compared the effects of intra-articular and periarticular prolotherapy for knee OA and reveal comparable effects. In addition, the periarticular approach has fewer side effects and post-injection pain. …