Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons™

Open Access. Powered by Scholars. Published by Universities.®

Taiwan Academy of Physical Medicine and Rehabilitation

2001

Keyword

Articles 1 - 29 of 29

Full-Text Articles in Medicine and Health Sciences

The Research Of Medical Service Quality Evaluation: From The Viewpoint Of Predicting Reclaimed Rate Using Neural Networks, Horng-Jeng Shyu, Chao-Chang Chiu, Pei-Lun Hsu, Meei-Fang Lin Dec 2001

The Research Of Medical Service Quality Evaluation: From The Viewpoint Of Predicting Reclaimed Rate Using Neural Networks, Horng-Jeng Shyu, Chao-Chang Chiu, Pei-Lun Hsu, Meei-Fang Lin

Rehabilitation Practice and Science

The goal of this study was to investigate the subtle interrelationships between the insurance claim’s data and clinic performance of medical institutes. Because the medical claims data increase drastically, the review efforts and processes become rather complex and inefficient. The physicians of review committee should have an enterprise view of the claims.We create the performance indicators from consistent data & meta data established from the clinic performance of medical institutes. We adopted 16 outpatient review indicators. We collected rehabilitation claims in middle branch of NHIB since July 1996 till Feb 1997. The prediction model created using both the neural network …

Go to article

Lumbar Disc Herniation Along With Ruptured Abdominal Aortic Aneurysm: A Casereport And Literature Review, Woan-Chwen Wu, Chen-Liang Chou, Ming-Chi Yung, Shing-Su Chen, Tcho-Jen Liu, Rai-Chi Chan Dec 2001

Lumbar Disc Herniation Along With Ruptured Abdominal Aortic Aneurysm: A Casereport And Literature Review, Woan-Chwen Wu, Chen-Liang Chou, Ming-Chi Yung, Shing-Su Chen, Tcho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

Abdominal aortic aneurysm is a condition affecting nearly 4% of the elderly population. It has a potential for producing a wide range of symptoms, including abdominal pain and back pain. It is rare that abdominal aortic aneurysm presents with paraplegia. From literature review there have been very few reports of patients who sustained lumbar disc herniation along with ruptured abdominal aortic aneurysm. We reported a 68-year-old man with a previously undiagnosed abdominal aortic aneurysm presenting with acute paraplegia. This patient had a history of lumbar disc herniation and was receiving pelvic traction. He survived after operation, but some long-term sequelae, …

Go to article

Metastatic Prostate Cancer Associated With Lumbar Compression Fracture And Spinal Stenosis: A Casereport And Literature Review, Shwu-Fen Sun, Jue-Long Wang, Ping-Hong Lai Dec 2001

Metastatic Prostate Cancer Associated With Lumbar Compression Fracture And Spinal Stenosis: A Casereport And Literature Review, Shwu-Fen Sun, Jue-Long Wang, Ping-Hong Lai

Rehabilitation Practice and Science

We reported a 72 y/o male who had past history of old L1 compression fracture for 1 year. He suffered from falling down accidentally and was operated under impression of L1 burst fracture with cauda equina syndrome. He could ambulate with walker, but persistent back pain was still complained. Two months after operation, he became paralyzed rapidly in 2 days. Neurological examinations showed decreased motor strength of bilateral lower extremities to grade 0-1/5, sensory deficit below T10 dermatome and bilateral extensor plantar response. X-ray film showed an osteoblastic lesion in T9 vertebra body. Magnetic resonance Imaging (MRI) of thoracic spine …

Go to article

The Interaction Between Antidepressants And Spasticity Of Stroke: Casereport, Shih-Wen Lin, Zong-Jing Wang, Young-Hue Yu Dec 2001

The Interaction Between Antidepressants And Spasticity Of Stroke: Casereport, Shih-Wen Lin, Zong-Jing Wang, Young-Hue Yu

Rehabilitation Practice and Science

The upper motor neuron diseases (such as cerebrovascular accidents, traumatic brain injury, spinal cord injury, and multiple sclerosis) frequently cause spasticity of extremities. The medications for treating spasticity include baclofen and diazepam, which take their effect in the central nervous system through their GABAergic action. The incidence of depression in patients with spasticity is much higher than that of the normal population. Many doctors prescribe antidepressants for these patients. Two common used antidepressants are tricyclic antidepressants (TCA) and selective serotonin reuptake inhibitors (SSRI). They could increase serotonin amount in synapses, and induce increased excitability of motor neurons, which in turn …

Go to article

A Design Of Rehabilitation Information System For Inpatients: An Experience Of A Medical Center, Mu-Jung Kao, Chih-Tsung Hsieh, Rong-Lin Yang, Mei-Wun Tsai Dec 2001

A Design Of Rehabilitation Information System For Inpatients: An Experience Of A Medical Center, Mu-Jung Kao, Chih-Tsung Hsieh, Rong-Lin Yang, Mei-Wun Tsai

Rehabilitation Practice and Science

Rehabilitation Information System for Inpatients (RISI) was designed for medical administration in the Department of Rehabilitation at a medical center in Taiwan. The RISI includes administration system, patient consultation system, rehabilitation order entry system, rehabilitation therapy system for physical therapy, occupational therapy, and speech therapy, check out system for time and frequency of therapy, and statistic function system.The characteristics of this system includes: 1) integration of systems between outpatients and inpatients; 2) integration of available administration system and patient consultation system; 3) integration of administration and medical system in the department of rehabilitation and 4) operation without paper work. The …

Go to article

Clinical Experience In Asian Type Multiple Sclerosis, Der-Sheng Han, Jau-Jia Lin, Yen-Ho Wang, Chih-Chao Yang Dec 2001

Clinical Experience In Asian Type Multiple Sclerosis, Der-Sheng Han, Jau-Jia Lin, Yen-Ho Wang, Chih-Chao Yang

Rehabilitation Practice and Science

Multiple sclerosis is a heterogeneous disease entity, and also the most common disabling neurological disorder of people in middle life in USA. The prevalence of multiple sclerosis in Asia is lower than that in Western countries of similar latitude. Besides, there are some different features, clinically as well as pathologically, between this disease in Asia and in Western countries. We collected 27 cases diagnosed as clinically definite MS at NTUH between 1990-2000, whose clinical presentations are restricted to optic nerves and spinal cord. Their clinical charts were reviewed retrospectively, and the data was collected in a standard coding sheet. The …

Go to article

Etiology And Rehabilitation Effect Of Stroke In Child: A Casereport, Li-Chen Tung, Kwok-Tak Yeung, Chun-Hou Wang, Wen-I Liang, Liu-Ing Bih Dec 2001

Etiology And Rehabilitation Effect Of Stroke In Child: A Casereport, Li-Chen Tung, Kwok-Tak Yeung, Chun-Hou Wang, Wen-I Liang, Liu-Ing Bih

Rehabilitation Practice and Science

The incidence of strokes in childhood is 2.5/100,000. Of these, occlusive stroke accounts for 57 to 85 percent, and hemorrhagic stroke accounts for 15 to 51 percent. Occlusive stroke is primarily caused by congenital heart defects, and the principal symptom is acute hemiplegia. Hemorrhagic stroke is caused mostly by abnormalities of blood vessels, and is characterized by headache and loss of consciousness. Compared to adults, children have better collateral circulation and incompletely developed brains. The clinical and recovery courses those in children are different from those of adults. The prognosis and the incidence of stroke recurrence are largely determined by …

Go to article

Long-Term Outcome Of Gastrostomy Feeding In Dysphagic Stroke Patients, Tung-Chou Li, Mei-Hue Hsu, Tzong-Hsi Lee Dec 2001

Long-Term Outcome Of Gastrostomy Feeding In Dysphagic Stroke Patients, Tung-Chou Li, Mei-Hue Hsu, Tzong-Hsi Lee

Rehabilitation Practice and Science

Dysphagia is a common reason for long-term enteral feeding in stroke patients. It has been shown that gastrostomy feeding provides better nutrition for stroke patients than nasogastric tube feeding in short term period. However, little is known about the long-term outcome of gastrostomy-assisted feeding in them. In recent years, some of the dysphagic stroke patients began to accept gastrostomy feeding in Taiwan. We herein conducted this study to find and analyze the characteristics and long-term outcome of dysphagic stroke patients who had underwent gastrostomy. Forty-two stroke patients underwent gastrostomy between Jan. 1998 and May 2000 were enrolled in this study. …

Go to article

Cervical Anterior Spinal Artery Syndrome：A Casereport, Jiann-Perng Chen, Baii-Jia Yang Sep 2001

Cervical Anterior Spinal Artery Syndrome：A Casereport, Jiann-Perng Chen, Baii-Jia Yang

Rehabilitation Practice and Science

A 30 year-old male was sent to the emergency department due to chest pain and radiation to left shoulder. Heart disease was suspected but the electrocardiography and cardiac enzyme examination were negative. Tetraplegia with the dissociated sensory loss occurred later. Pain and temperature sensation decreased, but vibration sensation and proprioception were preserved. Urine retention was also noted, but the bladder sensation seemed to be preserved. The anterior spinal artery syndrome at the lower cervical cord level was diagnosed by the clinical presentation and MRI findings. The negative findings of laboratory examination helped exclude other possible causes. The rehabilitation program was …

Go to article

The Role Of Hula-Hoop Exercise In Training Balance Function Of The Elderly, Der-Jiun Yin, Li-Fang Wu, Chorng-Sonq Chou Sep 2001

The Role Of Hula-Hoop Exercise In Training Balance Function Of The Elderly, Der-Jiun Yin, Li-Fang Wu, Chorng-Sonq Chou

Rehabilitation Practice and Science

These years, geriatrics is highly regarded because of increase of the elderly population. The weakness of physical functions caused by aging is natural; therefore, the ability of daily life and activity of the elderly degenerate. Mounting evidence of researches showed that the solution for this problem is internal medicine diagnosis in early stage and regular treatment. Moreover, exercise was also an eff-ective method to improve functional activity in the elderly. The major factors of improving functional activity include the nerve system, musculoskeleton system and body balance. The latter has been an important theme for geriatrics recently. In this study, hula-hoop …

Go to article

The Study Of Post-Polio Syndrome In Tao-Yuan Area, Yau-Wai Wai, Wai-Keung Lee, Ying-Po Hsu, Tsai-Ching Yip Sep 2001

The Study Of Post-Polio Syndrome In Tao-Yuan Area, Yau-Wai Wai, Wai-Keung Lee, Ying-Po Hsu, Tsai-Ching Yip

Rehabilitation Practice and Science

This study aims to investigate the disease process, living environment, physical condition, and current problems of the patients with poliomyelitis in Tao-yuan area. Through a total 151 responses and 55 patients coming to the hospital for follow up, a data base was established to determine the impacts of the direct and indirect factors, including social environment, poor medical resources and lack of public health education. Unfortunately, the number of patients who showed up for further check up is unsatisfactory in schedule due to lack of convenient transportation. However, the data collection of this study would be sufficient for long term …

Go to article

Gait Analysis And Energy Expenditure Of Walking Among Patients With Unilateral Transtibial Amputation, Gwo-Feng Huang, You-Li Chou, Fong-Chin Su, Pei-Hsi Chou Sep 2001

Gait Analysis And Energy Expenditure Of Walking Among Patients With Unilateral Transtibial Amputation, Gwo-Feng Huang, You-Li Chou, Fong-Chin Su, Pei-Hsi Chou

Rehabilitation Practice and Science

Amputations not only cause the loss of limb but also accompany with inconvenience of physical mobility for the patients. The newly developed prosthetic designs make possible to the replacement of amputated parts, thus greatly improve the body mobility and life independence of the patients. However, the real manifestation of the prosthetic gait and the discrepancy between the prosthetic and normal gaits is still lacking, especially there are significant difference in kinematics and kinetics between the sound side and prosthetic side with different type of prosthetic feet.There are two steps in these studies: The first step is analyzing the gait of …

Go to article

The Prognosis And Academic Performance In Children With Hydrocephalus: A Preliminary Report, Chung-Lan Kao, Tai-Tong Wong, Hong-Shin Chen, Chi-Yu Kang, Rai-Chi Chan Sep 2001

The Prognosis And Academic Performance In Children With Hydrocephalus: A Preliminary Report, Chung-Lan Kao, Tai-Tong Wong, Hong-Shin Chen, Chi-Yu Kang, Rai-Chi Chan

Rehabilitation Practice and Science

This study is to determine the prognosis and academic performance in hydrocephalic children with different etiologies. We reviewed the medical records of all the patients who had the diagnoses of hydrocephalus and had been regularly followed between 1983 and 1997. The patients were categorized into six different etiological groups as 1. premature type hydrocephalus, 2. idiopathic hydrocephalus, 3. hydrocephalus occurring after meningitis, 4. hydrocephalus associated with congenital anomalies, 5. hydrocephalus associated with myelomeningocele and 6. hydrocephalus not receiving any surgery. The ages at first shunt insertions, shunt revision rates, causes of shunt revisions, percentage of physical and mental handicap and …

Go to article

The Effect Of Meditation On Cardiopulmonary Fitness In Patient With Stroke: A Preliminary Report, Nien-Tzu Kao, Chang-Ming Chern, Chen-Liang Chou, Sun-Don Lee, Su-Ying Hung, Tacho-Jen Liu, Rai-Chi Chan Sep 2001

The Effect Of Meditation On Cardiopulmonary Fitness In Patient With Stroke: A Preliminary Report, Nien-Tzu Kao, Chang-Ming Chern, Chen-Liang Chou, Sun-Don Lee, Su-Ying Hung, Tacho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

It is well documented that regular exercise can improve cardiopulmonary function and health-related fitness. However, major limitation of exercise therapy lies in physiologic and environmental factors, which is particularly true for patients with physical disability such as stroke. A standardized Buddhist meditation skill, Forshang Meditation (FM), was adopted; and this paper described the long-term effects of FM on cardiopulmonary fitness.Seventeen patients ( 1 female and 16 males; mean age 70.8 ± 4.8 years, range 61-78 years ) with a history of cerebrovascular disease and low extremity of hemiplegic side above Brunnstrom stage V were recruited. Baseline data of cardiopulmary function …

Go to article

Ptosis Following Treatment Of Botulinum Type A For Hemifacial Spasm : A Casereport, Chun-Pei Chuang, Baii-Jia Yang Sep 2001

Ptosis Following Treatment Of Botulinum Type A For Hemifacial Spasm : A Casereport, Chun-Pei Chuang, Baii-Jia Yang

Rehabilitation Practice and Science

Hemifacial spasm is an intermittent, synchronous contraction of ipsilateral facial muscles. Botulinum toxin A injection is an effective and safe symptomatic treatment for hemifacial spasm. In the traditional method, physicians omitted the central upper eyelid area to prevent the development of ptosis, but there may remain some twitches.Here we report a case of Botulinum toxin A injection for left hemifacial spasm with complication of ptosis. Apraclonidine 0.5% ophthalmic solution was used in this patient to facilitate the recovery of ptosis. A 53 y/o woman with Grade 3 left hemifacial spasm received first treatment with total dosage of 45 units of …

Go to article

Diffused Involvement Of The Spinal Cord In A Patient With Lupus-Related Acute Transverse Myelitis：A Casereport, Huei-Yu Tzeng, Shu-Min Cheng, Jo-Tong Chen, Ta-Shen Kuan, Chrong-Reen Wang Sep 2001

Diffused Involvement Of The Spinal Cord In A Patient With Lupus-Related Acute Transverse Myelitis：A Casereport, Huei-Yu Tzeng, Shu-Min Cheng, Jo-Tong Chen, Ta-Shen Kuan, Chrong-Reen Wang

Rehabilitation Practice and Science

Acute transverse myelitis ( ATM ) is a rare but severe complication of systemic lupus erythema-tosus ( SLE ). Magnetic resonance imaging ( MRI ) is the leading imaging study for diagnosing ATM and monitoring the treatment and/or the progression of the disease. Lesions of the spinal cord of ATM are usually less than 4 spinal segments. Currently, high dose corticosteroid plus cytotoxic agents is recommended to obtain the maximal therapeutic efficacy.A case of lupus-related ATM with diffuse spinal cord involvement is presented. A 21-year-old woman had a 4-year history of SLE. Acute onset of weakness and numbness of bilateral …

Go to article

Axillary Nerve Injury And Rotator Cuff Rupture After Glenohumeral Joint Dislocation: A Casereport And Literature Review, Jin-Long Jiang, Chin-Teng Chung, Chorng-Sonq Chou, Howard Haw-Chang Lan Sep 2001

Axillary Nerve Injury And Rotator Cuff Rupture After Glenohumeral Joint Dislocation: A Casereport And Literature Review, Jin-Long Jiang, Chin-Teng Chung, Chorng-Sonq Chou, Howard Haw-Chang Lan

Rehabilitation Practice and Science

Dislocation of the glenohumeral joint is a frequent disorder that occurs among traumatic injuries of the shoulder. There are differences in the dislocation between young and older patients. Recurrent instability is more common to follow traumatic anterior dislocation of the glenohumeral joint in young patients than older patients. Neurologic complications and associated soft tissue injuries after a glenohumeral dislocation occur more frequently in patients around 40 years of age and older.A 73-year-old patient suffered from dislocation of left glenohumeral joint after falling down. Paralysis of left shoulder muscle was found after the close reduction. Physical examinations disclosed loss of active …

Go to article

A Survey Of In-Line Skaters' Injuries In Taipei, Teh-Ken Yang, Lin-Fen Hsieh Jun 2001

A Survey Of In-Line Skaters' Injuries In Taipei, Teh-Ken Yang, Lin-Fen Hsieh

Rehabilitation Practice and Science

In-line skating has grown to become a popular sport and recreational activity in the past few years. This study was designed to survey the sport injuries in in-line skaters and its relating factors. 240 subjects (136 males and 104 females) were sampled from two public parks in Taipei (Ta-An Park and Sun Yat-Sen Memorial Hall), which are the most representative of the in-line skaters’ population in Taipei city. Ages ranged from 3 to 50 (mean, 17) years old. 126 (52%) subjects had skated for more than one year, and 159 (66.5%) had injury while skating.Data collected revealed four most commonly …

Go to article

Return To School After Spinal Cord Dysfunction In Central Taiwan, Hong-Li Lee, Liu-Ing Bih, Hua Ting, Shih-Chung Chang, Li-Chen Tung Jun 2001

Return To School After Spinal Cord Dysfunction In Central Taiwan, Hong-Li Lee, Liu-Ing Bih, Hua Ting, Shih-Chung Chang, Li-Chen Tung

Rehabilitation Practice and Science

This retrospective study explores the physical and emotional barriers faced by individuals with spinal cord dysfuntion when returning to school. All subjects lived in central Taiwan. The questionnaires of 20 cases were successfully completed. The ages of them at the time of the disorder ranged from 0 to 20 years (mean of 10.9 years). Regarding the education level, 7 of 20 were graduated from or remained in university or college, 8 in high school, 3 in junior high school, and 2 in kindergarten. More than half (52%) stated the architectural barrier, most commonly mentioned, was lack of the elevator to …

Go to article

Ischemic Degeneration Of The Posterior Tibial Tendon In Rabbits, Jeng-Yi Shieh, Tyng-Guey Wang, Jan-Show Chu, Chung-Li Wang Jun 2001

Ischemic Degeneration Of The Posterior Tibial Tendon In Rabbits, Jeng-Yi Shieh, Tyng-Guey Wang, Jan-Show Chu, Chung-Li Wang

Rehabilitation Practice and Science

脛後肌肌腱斷裂的病態生理現象至今仍未有廣泛的研究。本文的目的乃利用兔子動物模型來探討缺血在脛後肌肌腱退化中可能扮演之角色。我們利用40隻紐西蘭白兔將之分為四組，將一段脛後肌肌腱的內行性與外行性營養供應途徑阻斷其一或同時阻斷，三星期後將此段肌腱取出，做病理學之觀察。實驗結果顯示，缺血的確可以造成兔子脛後肌肌腱的退化甚至斷裂。而肌腱內行性的血流循環乃脛後肌肌腱主要的營養供應途徑，從外面滑膜囊液滲透進入肌腱的養份並不足以維持脛後肌肌腱的完整性。脛後肌肌腱所承受的張力會加重缺血對肌腱所造成的傷害。

Go to article

Exercise Training During Hemodialysis For The Patients With End-Stage Renal Failure, Hang-Tan Lin, Chiu-Chu Lin, Yu-Lin Wang, Rong-Bin Hong, Meng-Huei Lin, Wen-Chun Huang, Li-Wen Hsien, Wil-Ly Chou Jun 2001

Exercise Training During Hemodialysis For The Patients With End-Stage Renal Failure, Hang-Tan Lin, Chiu-Chu Lin, Yu-Lin Wang, Rong-Bin Hong, Meng-Huei Lin, Wen-Chun Huang, Li-Wen Hsien, Wil-Ly Chou

Rehabilitation Practice and Science

The purposes of this study were to explore the feasibility of exercise training during hemodialysis for end-stage renal failure patients, and the effect of exercise training on cardiopulmonary endurance, blood and biochemical changes. The purposive sample was recruited from a medical center in southern Taiwan. A total of 20 hemodialysis patients underwent a 30-50 minutes stationary bicycle training ( 3 times a week for 12 weeks ) within the first two hours of the hemodialysis period. Exercise testing was administered to measure cardiopulmonary endurance and the change of blood and biochemical data before and after the 12-weeks exercise training program. …

Go to article

The Effect Of Transection Of Innervating Nerve On Spontaneous Electrical Activity Of Myofascial Trigger Spot In Rabbit Skeletal Muscle, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen, Chi-Hsien Chien, Chang-Zern Hong Jun 2001

The Effect Of Transection Of Innervating Nerve On Spontaneous Electrical Activity Of Myofascial Trigger Spot In Rabbit Skeletal Muscle, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen, Chi-Hsien Chien, Chang-Zern Hong

Rehabilitation Practice and Science

肌筋膜疼痛症候群(MPS)以激痛點(MTrP)的存在為其特徵，局部抽搐反應(LTR)和自發性電位活動(SEA)是激痛點之兩個很重要的客觀性指標。激痛點的基本單元，就是肌筋膜激痛點小點(MTrP locus)，它包含了感覺性成分(感覺小點；或LTR小點)與運動性成分(活動小點；或SEA小點)。在動物實驗中發現，在高於支配該肌肉之下運動神經元處截斷其脊髓後，兔子的LTR在脊髓休克期時會被暫時性地壓抑，可見LTR顯然經由脊髓來做調節。在激痛點裡的SEA，是因為乙醯膽素(Acetylcholine)過量釋放所引起的不正常之終板電位(endplate potentials)。不過，由於SEA的出現率在脊髓截斷後並沒有很明顯的改變，SEA應該不是經由脊髓來做調節。本研究收集了十四隻紐西蘭成兔，來評估所支配之神經被切除後，其對激痛點的SEA所造成的影響。我們在兔子坐骨神經切除前、切除之後、切除後第一天、切除後第二天、切除後第一週、切除後第二週、切除後第三週與切除後第一個月，分別追蹤兔子股二頭肌上SEA的發生率。發現SEA在神經切除後還持續存在約一天，但從切除後第二天開始，SEA就消失不見了，直到本研究追蹤結束時。由本研究的結果可知，SEA的發生，神經脈衝傳導的神經性因素是比較不重要，而神經介質傳導的內分泌性因素則相當重要。此研究更進一步證實肌筋膜激痛點裡的SEA，是運動終板機能障礙所導致的一種局部性的現象。

Go to article

Intramuscular Sensory Neurolysis : A New Technique To Control Spasticity, Chang-Zern Hong Mar 2001

Intramuscular Sensory Neurolysis : A New Technique To Control Spasticity, Chang-Zern Hong

Rehabilitation Practice and Science

This preliminary report demonstrated a new technique, “intramuscular sensory neurolysis” (IMSN), to control the muscle spasticity. Similar to myofascial trigger point (MTrP) injection, the needle were rapidly inserted, for a short distance (1 mm) each thrust, into the MTrP region (in the endplate zone) to elicit local twitch responses to identify the terminal sensory fibers for phenol injection. Immediate relief of spasticity was noticed both subjectively and objectively after IMSN. As compared with the traditional motor point block, the advantage of IMSN includes: 1) less time (usually 3-5 minutes for each MTrP region) required to perform the whole procedure in …

Go to article

Correlation Between Clinical Status And Gait Performance Of Hemiplegic Stroke Patients, Ta-Shen Kuan, Fong-Chin Su Mar 2001

Correlation Between Clinical Status And Gait Performance Of Hemiplegic Stroke Patients, Ta-Shen Kuan, Fong-Chin Su

Rehabilitation Practice and Science

The objectives of this study were to assess the gait patterns of stroke patients, and to evaluate the correlation between gait variables and clinical status of stroke patients. A Motion Analysis System was used to collect gait data of temporal-spatial and kinematic variables from stroke patients and age-matched controls. Twenty-three ambulatory stroke patients (age 55±10 years; time since stroke 9.7±7.1 months) were analyzed. Nine age-matched healthy elderly subjects were recruited as a control group. Stroke patients had slower walking speed, increased stance period and decreased swing period in the unaffected limb. Gait symmetry was compromised. The temporal-spatial variables could not …

Go to article

The Knowledge, Attitude And Behavioral Intention Of Taditional Chinese Medicine Among People With Spinal Cord Injury, Hong-Li Lee, Liu-Ing Bih, Pesus Chou Mar 2001

The Knowledge, Attitude And Behavioral Intention Of Taditional Chinese Medicine Among People With Spinal Cord Injury, Hong-Li Lee, Liu-Ing Bih, Pesus Chou

Rehabilitation Practice and Science

The goal of this study was to explore knowledge, attitude and behavioral intention towards traditional Chinese medicine (TCM) among people with spinal cord injury (SCI). 155 valid sample questionnaires were collected and the following results were drawn from descriptive and inferential statistical analysis. The item with highest percentage being answered accurately was ”traditional Chinese drugs are made in different forms, such as boiled soup, pills, or condensed powder”. The greatest agreement regarding attitude toward positive tendency to TCM was ”agree that SCI victims are free of charge to take TCM service under the policy of health insurance”. Regarding behavioral intention …

Go to article

The Effects Of Magnets On Nerve Conduction Studies In Human, Shih-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Wei-Han Chiang, Jing-Hwa Way, Cheng-Feng Chiang Mar 2001

The Effects Of Magnets On Nerve Conduction Studies In Human, Shih-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Wei-Han Chiang, Jing-Hwa Way, Cheng-Feng Chiang

Rehabilitation Practice and Science

Background and purpose: Magnetic fields have been widely used in diagnosis and treatment of diseases. The purpose of this study is to investigate the effects of magnets on nerve conduction studies (NCS) in human. Methods: After excluding subjects with peripheral neuropathy or diabetic neuropathy, 12 normal subjects were recruited (mean age is 30.0 ± 5.2 years old; 5 are female and 7 are male). Two magnets were individually placed on the left distal wrist crease and on the forearm 5 cm distal to the elbow crease, where the median nerve goes underneath. NCS was performed before and 15 minutes during …

Go to article

Scoliosis Among The Students Of Elementary Schools In Taitung City, Yun-Sheng Chen, Chien-Feng Huang Mar 2001

Scoliosis Among The Students Of Elementary Schools In Taitung City, Yun-Sheng Chen, Chien-Feng Huang

Rehabilitation Practice and Science

The goal of the study is to assess the prevalence, severity, and correlation with sex and age associated with scoliosis in elementary school children in Taitung city. A total of 5,611 children were screened characteristically for scoliosis using Adam’s forward bending test. Those schoolchildren who had positive forward bending test were referred to hospital for whole spinal radiographs, so that the Cobb angle could be quantified to evaluate the severity of scoliosis. 115 children had positive signs in screening test for scoliosis; the positive rate was 2.05% (girls: 2.46%, boys: 1.68%); and the positive rate of the children above 10 …

Go to article

Treatment Of Atlanto-Axial Rotatory Subluxation With Manipulation, Sen-Wei Tsai, Chomg-Sonq Chou Mar 2001

Treatment Of Atlanto-Axial Rotatory Subluxation With Manipulation, Sen-Wei Tsai, Chomg-Sonq Chou

Rehabilitation Practice and Science

Infantile torticollis is a common condition in rehabilitation clinics. Acute torticollis due to atlanto-axial rotatory subluxation, however, is an uncommon condition in children. The diagnosis is usually delayed due to difficulty in the evaluation of roentgenograms, as well as to clinicians’ unawareness of this disorder. Delayed unrecognized atlanto-axial subluxation may make the treatment more complicated. Here, we review three cases who had atlanto-axial rotatory subluxation successfully treated with manipulation.

Go to article

"Intractable Hiccup Associated With Lateral Medullary Syndrome : A Casereport And Literature Review, Chiao-Wen Hwang, Jue-Long Wang, Shwu-Fen Sun, Yuh-Te Lin Mar 2001

"Intractable Hiccup Associated With Lateral Medullary Syndrome : A Casereport And Literature Review, Chiao-Wen Hwang, Jue-Long Wang, Shwu-Fen Sun, Yuh-Te Lin

Rehabilitation Practice and Science

Intractable hiccup, or chronic hiccup, is a rare manifestation. Although it is not common in the patients with cerebral infarction, the incidence of intractable hiccup seems to be higher in brainstem stroke. Because of intractable hiccup, the patients will be severely affected physically and emotionally during feeding, sleep activities, and even rehabilitation program. Intractable hiccup also results in a lot of complications, such as malnutrition, weight loss, aspiration pneumonia, myofascial pain syndrome, reflux esophagitis and sliding hernia. There are numerous therapies for intractable hiccup recommended through the years, but the effects are variable. Here we discuss more details about the …

Go to article