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Articles 121 - 150 of 1275
Full-Text Articles in Medicine and Health Sciences
A Pilot Study Of Group-Based Computer-Assisted Cognitive Rehabilitation For Patients With Cognitive Impairment, Wan-Ling Hsu, Tzu-Wei Liao, Yi-Chun Lu, Hsin-Man Chien, I-Shiang Tzeng
A Pilot Study Of Group-Based Computer-Assisted Cognitive Rehabilitation For Patients With Cognitive Impairment, Wan-Ling Hsu, Tzu-Wei Liao, Yi-Chun Lu, Hsin-Man Chien, I-Shiang Tzeng
Rehabilitation Practice and Science
Objective: This study attempted to investigate effects of group-based computer-assisted cognitive rehabilitation for patients with cognitive impairment. Methods: A total of 11 patients with cognitive impairment were included in the study. Cognitive impairment and activities of daily living were assessed using Mini Mental State Exam (MMSE), Montreal Cognitive Assessment (MoCA), Cognitive Abilities. Screening Instrument (CASI C-2.0), Digit Span subtest (DS), Trail Making Test part A (TMT-A), Color Trail Making Test (CTT), Functional Independence Measure (FIM), and Instrumental Activities of Daily Living scale (IADLs) at the beginning of the study, soon after receiving the intervention. Treatment was scheduled for 2 hours …
Secondary Syringomyelia After Subarachnoid Hemorrhage: A Casereport, Shih-Shin Huang, Yen-Liang Ke, Wei-Chi Hsieh, Hung-Chih Hsu, Chien-Min Chen
Secondary Syringomyelia After Subarachnoid Hemorrhage: A Casereport, Shih-Shin Huang, Yen-Liang Ke, Wei-Chi Hsieh, Hung-Chih Hsu, Chien-Min Chen
Rehabilitation Practice and Science
Background: Cerebral artery aneurysm rupture is one of the common causes of subarachnoid hemorrhage. Patients with subarachnoid hemorrhage may have some degree of neurological defects and impairment on activity of daily living. Syringomyelia refer to the cavity formation in spinal cord. Possible etiologies may include congenital and acquired types. Patients with syringomyelia may suffer from limb pain and paresthesia. According to previous studies, secondary syringomyelia due to subarachnoid hemorrhage was not common. Hence, a case with syringomyelia secondary to subarachnoid hemorrhage was presented by introducing the clinical signs and image findings. Moreover, current literatures about syringomyelia secondary to subarachnoid hemorrhage …
Bedside Thyroid Palpation Technique As Indicator For Penetration/Aspiration Risk In Stroke Patients, Yung-Chun Chi, Mu-Hung Tsai, Jerry Tsung-Kai Lin, Yi-Chen Yu, Shih-Chung Chang
Bedside Thyroid Palpation Technique As Indicator For Penetration/Aspiration Risk In Stroke Patients, Yung-Chun Chi, Mu-Hung Tsai, Jerry Tsung-Kai Lin, Yi-Chen Yu, Shih-Chung Chang
Rehabilitation Practice and Science
Background: Bedside thyroid cartilage palpation technique is a quick and non-invasive swallowing screening test. However, the correlation between thyroid cartilage movement and penetration/aspiration risks in stroke patients has not been conclusive to date. Therefore, we compared the result of videofluoroscopic swallowing study (VFSS) and bedside thyroid cartilage palpation to determine the penetration/ aspiration risks in stroke patients. Material and methods: Our study included 53 patients admitted to a medical center for rehabilitation within 6-months of stroke onset. We recorded penetration-aspiration scale by VFSS and compared it with a bedside thyroid cartilage palpation technique. Results: Our results show significant higher rates …
Voice Disorders In Teachers, Hsin-Yu Chien, Feng-Chuan Lin, Yu-Lin Huang
Voice Disorders In Teachers, Hsin-Yu Chien, Feng-Chuan Lin, Yu-Lin Huang
Rehabilitation Practice and Science
Teachers have higher occupational voice demands than the general populations. In addition to speaking intensively in a noisy environment for a long period of time, the lack of vocal hygiene education and vocal training experience will lead to high-risk for developing voice disorders. Although voice disorders are not life-threatening diseases, it affects teachers in many aspects. In addition to impacting teachers' personal physical and psychological condition, it also interferes with the quality of students' learning, which then bring down teachers' teaching and life quality, and even more so on teachers' mental health and career path. In order to help teachers …
A Focal Survey Of Medical Professionals' Conceptions Of Gastrostomy In Patients With Dysphagia After Stroke In Taiwan, Sheng-Hao Cheng, Yi-Ching Chen, Ming-Yen Hsiao, Tyng-Guey Wang
A Focal Survey Of Medical Professionals' Conceptions Of Gastrostomy In Patients With Dysphagia After Stroke In Taiwan, Sheng-Hao Cheng, Yi-Ching Chen, Ming-Yen Hsiao, Tyng-Guey Wang
Rehabilitation Practice and Science
Background and aims: People with dysphagia may require long-term tube feeding to maintain adequate nutrition. In Taiwan, nasogastric (NG) tubes are more commonly used than gastrostomy tubes. This practice is inconsistent with international treatment guidelines. Medical professionals' attitudes toward treatment may influence patients' decisions. Therefore, we designed a questionnaire to assess whether medical professionals' conceptions of gastrostomy are consistent with current international treatment principles. Methods: We used an online questionnaire hosted on ＂Google Forms＂ to collect medical professionals' conceptions of gastrostomy. Societies related to dysphagia distributed copies of the questionnaire to their members. The professionals included specialists (physiatrists, otolaryngologists, oral …
Retrospective Study Of Neurogenic Bladder Complications In Patients With Chronic Spinal Cord Injury, Sheng-Min Chang, Sheng-Wei Zeng
Retrospective Study Of Neurogenic Bladder Complications In Patients With Chronic Spinal Cord Injury, Sheng-Min Chang, Sheng-Wei Zeng
Rehabilitation Practice and Science
Recent advances in medicine have greatly prolonged the average lifespan of patients with chronic spinal cord injury (SCI). However, many complications arise as the disease enters the chronic phase. SCI is known to cause limb weakness and paresthesia, it also causes multiple system abnormalities that cannot be easily ignored. Particularly troublesome issues develop due to the urinary system complications resulting from the neurogenic bladder. These include overactive bladder, detrusor external sphincter dyssynergia, vesicoureteral reflux, urolithiasis, urinary tract infection (UTI), and even chronic kidney disease. All these issues cause annoying problems that disturb the patient’s health and quality of life. The …
Effectiveness Of Therapeutic Exercise To Improve Arm And Breast Symptoms In The Post-Operative Breast Cancer Patients, Jui-Hsiang Sung, Chao-Chun Huang, Kai-Jie Yang, Kuan-Cheng Chen
Effectiveness Of Therapeutic Exercise To Improve Arm And Breast Symptoms In The Post-Operative Breast Cancer Patients, Jui-Hsiang Sung, Chao-Chun Huang, Kai-Jie Yang, Kuan-Cheng Chen
Rehabilitation Practice and Science
Background: Breast cancer is one of the most common cancers in women worldwide. Current options for breast cancer therapy include surgical excision, radiotherapy, and chemotherapy. Many studies have indicated that multifactorial exercise and complete decongestive therapy have positive effects on post-operative/post-radiotherapy lymphedema and shoulder dysfunction (i.e., range of motion). Quality of life after cancer therapy has been a great concern. Many cancer-specific evaluation tools, such as EORTC QLQ - BR23 for breast cancer, have been established in recent years to evaluate quality of life. Objectives: To confirm the effectiveness of therapeutic exercise and complete decongestive therapy on arm and breast …
Is Vertical Orientation Ability And Visual Feedback Training Strategy Useful For Pusher Syndrome After Stroke: A System Reviewarticle, Chien-Hsun Lee
Is Vertical Orientation Ability And Visual Feedback Training Strategy Useful For Pusher Syndrome After Stroke: A System Reviewarticle, Chien-Hsun Lee
Rehabilitation Practice and Science
Stroke patients with pusher syndrome (PS) have a longer recovery time than those without this disorder. This special syndrome causes difficulty in maintaining balance when sitting or standing, with sufferers ＂pushing and leaning＂ automatically to hemi-side. PS patients may also have cognition impairment, hemi-neglect, or aphasia. Alleviating all these factors requires extensive training for therapists, however, few undergo such training. Wang et. al. published a reviewarticle article in Taiwan Journal of Physical Medicine and Rehabilitation in 2005, and the conclusions drawn were: 1) PS patients have abnormal subjective posture and vertical orientation ability; 2) training strategies that use visual feedback …
Effectiveness Of Post-Acute Rehabilitation On Functional Outcome After Hip Fracture, Yen-Ju Wang, Pei-Hsin Lin, Li-Ning Peng, Mu-Jung Kao, Serena Y.C Lin, Kuan-Hua Huang, Yen-Fang Chen, Miao-Ru Liang
Effectiveness Of Post-Acute Rehabilitation On Functional Outcome After Hip Fracture, Yen-Ju Wang, Pei-Hsin Lin, Li-Ning Peng, Mu-Jung Kao, Serena Y.C Lin, Kuan-Hua Huang, Yen-Fang Chen, Miao-Ru Liang
Rehabilitation Practice and Science
Objective: We investigated the effectiveness of functional recovery after 2-week post-acute rehabilitation in elderly people with hip fractures. Design: We divided the patients (N = 129) into 2 groups: the post-acute care (PAC) group (N = 90) that received 2-week in-hospital rehabilitation and the control group (N =39) that were discharged immediately. Outcomes were measured according to the Barthel Index (BI) score. Results: The BI scores at 2 weeks, 3 months, and 6 months were higher in the PAC group than those in the control group, especially for transfer and mobility. Males, aged less than 80 years old, or who …
Bpc 157 Promotes Skeletal Muscle Cells Migration In Association With Up-Regulation Of Paxillin And Vinculin Expression, Szu-Heng Wang, Li-Ping Lin, Miao-Sui Lin, Jong-Hwei S. Pang, Wen-Chung Tsai
Bpc 157 Promotes Skeletal Muscle Cells Migration In Association With Up-Regulation Of Paxillin And Vinculin Expression, Szu-Heng Wang, Li-Ping Lin, Miao-Sui Lin, Jong-Hwei S. Pang, Wen-Chung Tsai
Rehabilitation Practice and Science
BPC 157 was first isolated from human gastric juice. It is a stable 15-amino acid fragment (GEPPPGKPADDAGLV), and the healing-promoting effects of BPC 157 have been reported on muscle injury. The aim of this study was to investigate the effect and molecular mechanism of BPC 157 on migration of skeletal muscle cells. Skeletal muscle cells were isolated from the gastrocnemius muscle of Sprague-Dawley rats, and treated with BPC 157. The cell migration was evaluated by transwell filter migration assay. The spreading of cells was evaluated microscopically. The protein expressions of paxillin and vinculin (which were positive regulators of cell migration) …
Assessment Practices Followed By Speech-Language Pathologists For Clients With Suspected Speech Sound Disorder In Taiwan: A Survey Study, Yen-Ning Chang, Li-Li Yeh
Assessment Practices Followed By Speech-Language Pathologists For Clients With Suspected Speech Sound Disorder In Taiwan: A Survey Study, Yen-Ning Chang, Li-Li Yeh
Rehabilitation Practice and Science
Speech sound disorder (SSD) is one of the most frequently occurring types of human communication disorders. Approximately one-fourth of the clients of speech-language therapy clinics are diagnosed with SSD by speech-language pathologists (SLPs). Thus, investigating the professional development of SSD assessment by SLPs across various working contexts in Taiwan is important. The present study used a specifically designed questionnaire on SSD assessment. A sample size of 150 SLPs, who comprised 18% of all SLPs in Taiwan (the northern, middle, southern, and eastern regions), were invited to fill in the questionnaire anonymously. The questionnaire contained the following topics: time spent for …
Serial Electromyographic Evaluations In Patients With Unilateral Vocal Fold Paralysis, Yu-Wei Hu, Tuan-Jen Fang, Ying-Hsun Chen, Szu-Heng Wang, Wei-Sen Chen, Shao-Chih Hsu, Yu-Cheng Pei
Serial Electromyographic Evaluations In Patients With Unilateral Vocal Fold Paralysis, Yu-Wei Hu, Tuan-Jen Fang, Ying-Hsun Chen, Szu-Heng Wang, Wei-Sen Chen, Shao-Chih Hsu, Yu-Cheng Pei
Rehabilitation Practice and Science
Background: Unilateral vocal fold paralysis causes incomplete closure of the glottis. Clinical manifestations include hoarseness and dysphagia, thus hindering the patients' quality of life. To characterize chronological laryngeal electromyographic changes, this prospective study evaluated laryngeal electromyography and voice at two time points in patients with unilateral vocal fold paralysis. Study design: A retrospective study. Methods: In this study, 12 patients with unilateral vocal fold paralysis who did not receive surgical treatment or injection therapy were recruited. Laryngeal electromyography was performed on the thyroarytenoid-lateral cricoarytenoid (TA-LCA) muscle complex and cricothyroid (CT) muscle, and quantitative analysis was conducted on the TA-LCA muscle …
Risk Factors For Concussion And Head, Neck, And Facial Injuries In Amateur Mixed Martial Arts Athletes, Hsin-Chin Lin, Carl P. C. Chen, Tung-Yang Yu, Yu-Ann Wang, Szu Heng Wang, Yu-Min Chien
Risk Factors For Concussion And Head, Neck, And Facial Injuries In Amateur Mixed Martial Arts Athletes, Hsin-Chin Lin, Carl P. C. Chen, Tung-Yang Yu, Yu-Ann Wang, Szu Heng Wang, Yu-Min Chien
Rehabilitation Practice and Science
The popularity of mixed martial arts (MMA) has been on the rise globally since the year 2000 and Taiwan is no exception. Because MMA is a contact sport, it can cause sport-related injuries, especially concussion and head, neck, and facial injuries. This is the first study to analyse the risk of concussion and other head, facial, and neck injuries in amateur MMA competitions in Taiwan. Forty-eight competitors were enrolled in this study. The epidemiology of injuries was recorded and analysed using logistic regressions and odds ratios in STATA 14; data analysed included locations and incidence of concussion and head, neck, …
Factors Influencing The Use Of Inpatient Rehabilitation Services Among Amputees In Acute Hospitals: An Observational Study, Ya-Ling Huang, Ming-Chung Yang, Chun-Chieh Wu, Tung-Chou Li
Factors Influencing The Use Of Inpatient Rehabilitation Services Among Amputees In Acute Hospitals: An Observational Study, Ya-Ling Huang, Ming-Chung Yang, Chun-Chieh Wu, Tung-Chou Li
Rehabilitation Practice and Science
Objective: To examine rates of inpatient rehabilitation (IR) use in a nationwide amputee and determine factors associated with receiving rehabilitation services during acute admission. Methods: This research is a retrospective observational study. We sampled data from a nationally representative sample of 1,000,000 enrollees of the single-payer government-based National Health Insurance (NHI) program in Taiwan from 1996 to 2013. Claims data for rehabilitation during index admission after amputation were analyzed, and factors associated with IR use were identified. Multivariable logistic regression was performed with adjustment for clustering to identify which factors were independently associated with acute IR referral. Results: Among the …
Determinants Of Stroke Inpatient Charge In Chronic Rehabilitation Wards Of A Community Hospital In Taiwan, Allen C.L. Hsu, Miao-Ming Chen, Chih-Kuang Chen
Determinants Of Stroke Inpatient Charge In Chronic Rehabilitation Wards Of A Community Hospital In Taiwan, Allen C.L. Hsu, Miao-Ming Chen, Chih-Kuang Chen
Rehabilitation Practice and Science
Stroke is a disease with severe consequences which impose a considerable socio-economic burden on patients and society. In developed countries, stroke patients alone generate about 3-4% of the direct costs within the healthcare system. The costs of rehabilitation and long-term care of disabled stroke survivors are expected to rise even further because of the increasing number of the aging population and declining stroke case-fatality rates. The aims of the paper are to evaluate the factors that may influence costs of stroke patients in chronic rehabilitation wards for better management of medical resources. This study was conducted at a local general …
Shoulder And Upper Extremities Function In Patients With Head And Neck Cancer After Selective Neck Dissection, Han-Chin Hsieh, Chau-Peng Leong, Yan-Yuh Lee, Chih-Yen Chien, Chia-Hsuan Lin, Yu-Chi Huang
Shoulder And Upper Extremities Function In Patients With Head And Neck Cancer After Selective Neck Dissection, Han-Chin Hsieh, Chau-Peng Leong, Yan-Yuh Lee, Chih-Yen Chien, Chia-Hsuan Lin, Yu-Chi Huang
Rehabilitation Practice and Science
Background: Shoulder dysfunction is common after nerve-sparing selective neck dissection (SND). We aimed to assess the upper extremity function and shoulder pain in patients with head and neck cancer (HNC) after SND. Methods: In this cross-sectional study, we enrolled 38 patients with HNCs after SND and evaluated shoulder active range of motion (ROM), muscle strength, pain, and the Disabilities of the Arm, Shoulder and Hand Score (DASH) questionnaire for upper extremity function on operative and non-operative sides. Results: Significant reductions in shoulder motions, muscle strength, and higher level of shoulder pain were observed on the operative side after SND. Worse …
Elastic Band Training Improves Adiposity And Physical Performance In Adults With Prader-Willi Syndrome: A Pilot Study, Valeria Chiu, Sheng-Hsun Chou, Hsin-Chi Wu, I-Shiang Tzeng, Che-Yi Chao, Pei-Jung Huang, Li-Ping Tsai
Elastic Band Training Improves Adiposity And Physical Performance In Adults With Prader-Willi Syndrome: A Pilot Study, Valeria Chiu, Sheng-Hsun Chou, Hsin-Chi Wu, I-Shiang Tzeng, Che-Yi Chao, Pei-Jung Huang, Li-Ping Tsai
Rehabilitation Practice and Science
OBJECTIVE: The aim of this study was to investigate the changes in the regional fat distribution of body composition and the physical performance of adults with Prader-Willi syndrome (PWS) after progressive elastic band (EB) training. METHODS: Participants were trained three times per week, performing three sets of 15-20 repetitions for each of the exercises with EB for 24 weeks. Changes in body composition were measured using dual-energy X-ray absorptiometry. Physical performance was assessed by determination of hand grip strength, the timed up-and-go test, the 30-second chair stand test, the 2-minute step test, and the Berg Balance Scale. RESULTS: Six participants …
Cytomegalovirus Infection Complicated With Severe Rhabdomyolysis And Dysphagia: A Casereport And Literature Reviewarticle, Heng-An Yeh, Yu-Jen Chen, Jean-Lon Chen
Cytomegalovirus Infection Complicated With Severe Rhabdomyolysis And Dysphagia: A Casereport And Literature Reviewarticle, Heng-An Yeh, Yu-Jen Chen, Jean-Lon Chen
Rehabilitation Practice and Science
Cytomegalovirus(CMV) is a common virus that usually occurs in immunocompromised patients. After primary infection with CMV, the virus becomes latent in multiple organs and can later be reactivated during severe immune system dysregulation. Rhabdomyolysis is a disease of human muscle cell necrosis, and the rapid dissolution of damaged or injured muscles may lead to acute kidney injury or multiple organ failure. After reviewarticleing relevant literature, patients with severe rhabdomyolysis caused by CMV infection are rarely reported and even less commonly, CMV leads to severe dysphagia. The patient was a 35-year-old woman without underlying disease. Two months before hospitalization,she visited the …
A Systematic Reviewarticle Of Turning Difficulties In Individuals With Stroke, Pei-Yi Chou, Shu-Chun Lee
A Systematic Reviewarticle Of Turning Difficulties In Individuals With Stroke, Pei-Yi Chou, Shu-Chun Lee
Rehabilitation Practice and Science
Introduction: Making turn is a challenging task that is reported as one of the activities that most frequently leads to fall in stroke patients. Among community-dwelling older adults, hip fractures are eight times more likely to result from falls while making turns than from falls while walking straight. The stroke patients have asymmetric posture and movements due to hemiparesis, thus their turning performance may varied depending on the direction of the turn. Therefore, the purpose of this systematic reviewarticle was to summarize the characteristics of turning after stroke and discuss the possible neuromuscular mechanisms of turning difficulties. Methods: Searches of …
The Correlation Between Spasticity Of Upper Limbs And Functional Performance In Acute And Subacute Stroke Patients, Wan-Ling Hsu, Pei-Jung Huang, Wei-Hsiu Chang, Chi-Tzu Feng
The Correlation Between Spasticity Of Upper Limbs And Functional Performance In Acute And Subacute Stroke Patients, Wan-Ling Hsu, Pei-Jung Huang, Wei-Hsiu Chang, Chi-Tzu Feng
Rehabilitation Practice and Science
Objective: This study attempted to investigate the correlation between severity of spasticity and functional recovery in acute and subacute stroke patients. Methods: A total of 22 acute and subacute stroke patients were analyzed. Methods used to evaluate outcomes included Modified Ashworth Scale (MAS) for assessing upper limbs spasticity; Fugl-Meyer Assessment (FMA-UE), Box and Block Test (BBT) for assessing the motor ability of upper limbs; Functional Independence Measure (FIM) for assessing independent of daily life, and Stoke Impact Scale (SIS) for evaluating the quality of life. Results: Correlation was found between MAS and FMA-UE (p=.01), BBT (p=.02) and two subtests of …
An Acute Non-Traumatic Rib Fracture Detected By Ultrasound And A Reviewarticle Of The Literature, Tze Chao Wee, Chueh-Hung Wu, Tyng-Guey Wang
An Acute Non-Traumatic Rib Fracture Detected By Ultrasound And A Reviewarticle Of The Literature, Tze Chao Wee, Chueh-Hung Wu, Tyng-Guey Wang
Rehabilitation Practice and Science
Ultrasound is increasingly used for the diagnosis of musculoskeletal conditions, particularly in soft tissue injuries. In some cases, it is useful for the evaluation of fractures. A 54-year-old woman presented with focal a non-traumatic right-sided chest pain. Physical examination revealed a focal area of tenderness on palpation. Erect chest X-ray was unremarkable. A focused musculoskeletal ultrasound was carried out to examine the area of tenderness and a rib fracture which was not detected on the erect chest X-ray was diagnosed during sonographic examination. A brief literature reviewarticle on the use of ultrasound in the diagnosis of fracture, in particular rib …
Return To Work And Health Management In Patients With Work-Related Musculoskeletal Disorder: Literature Reviewarticle, Yi-Chieh Lien, Jang-Ting Wei, Yi-Shiung Horng
Return To Work And Health Management In Patients With Work-Related Musculoskeletal Disorder: Literature Reviewarticle, Yi-Chieh Lien, Jang-Ting Wei, Yi-Shiung Horng
Rehabilitation Practice and Science
Work-related musculoskeletal disorders (WRMSDs) are cumulative traumatic disorders that result from work-related ergonomic factors, such as repetitive motion, forceful exertion, awkward posture, holding a vibrating tool, and working in an environment that causes whole-body vibration. These risk factors may induce tendinitis, tenosynovitis, entrapment neuropathy, bursitis, meniscus tear, and even herniation of the lumbar intervertebral disc. WRMSDs may not only affect a patient's health and quality of life but also entail substantial economic and labor costs. Methods for early diagnosis of WRMSDs and management of workplace risk factors must be determined. In addition, vocational rehabilitation should be offered to individuals with …
Accuracy Of Residual Urinary Volume Measurements In Patients With Neurogenic Bladder When Using A Portable Ultrasound Bladder Scanner, Yao-Hung Yang, Chung-Yao Chen
Accuracy Of Residual Urinary Volume Measurements In Patients With Neurogenic Bladder When Using A Portable Ultrasound Bladder Scanner, Yao-Hung Yang, Chung-Yao Chen
Rehabilitation Practice and Science
Estimating the post-voiding residual urine amount is essential for managing patients with neurogenic bladder. Accurate post-voiding residual urine estimation provides guidance for the appropriate frequency of catheter drainage and reduces the rate of urinary tract infection. Although urethral catheterization is the most accurate method of estimating post-voiding residual urine, a bladder scanner-a noninvasive portable ultrasound device-constitutes an alternative method. In this study, we retrospectively reviewarticleed the residual urine amount in patients with neurogenic bladder of different etiologies using a bladder scanner and urethral catheterization. Data for 144 bladder scans and urethral catheterizations in 39 patients were analyzed, revealing that the …
Idiopathic Thoracic Intradural Spinal Arachnoid Cyst Associated With Syringomyelia: A Casereport And Literature Reviewarticle, Jou Yu Lin, Michael Mu Huo Teng, Fu-Kong Lieu, Szu-Fu Chen
Idiopathic Thoracic Intradural Spinal Arachnoid Cyst Associated With Syringomyelia: A Casereport And Literature Reviewarticle, Jou Yu Lin, Michael Mu Huo Teng, Fu-Kong Lieu, Szu-Fu Chen
Rehabilitation Practice and Science
We report an adult woman who presented with lower limb weakness and dysesthesia caused by a thoracic spinal arachnoid cyst associated with syringomyelia. Before the diagnosis was made by thoracic magnetic resonance imaging, she was diagnosed with lumbar spondylosis and underwent lumbar spinal surgery; however, her symptoms were not relieved. The patient received multilevel laminectomy and cyst resection after thoracic pathology was identified. An upper motor neuron lesion, although rare, should be considered a differential diagnosis when leg symptoms and signs develop. For patients with leg weakness and pain, we emphasize a detailed neurological examination to localize the lesion to …
Comparison Of Laryngeal Excursion In Stroke Patients With And Without Penetration/Aspiration By Videofluoroscopy Swallowing Study, Yun-Fang Lee, Yung-Chun Chi, Shih-Chung Chang
Comparison Of Laryngeal Excursion In Stroke Patients With And Without Penetration/Aspiration By Videofluoroscopy Swallowing Study, Yun-Fang Lee, Yung-Chun Chi, Shih-Chung Chang
Rehabilitation Practice and Science
Objective: Post-stroke dysphagia is associated with increased morbidity and mortality in acute stroke patients due to malnutrition or aspiration. This study compares the hyolaryngeal movement during swallowing between post-stroke dysphagia patients with and without penetration/aspiration by videofluoroscopy swallowing study (VFSS). The goal was to find out possible defects in swallow mechunism for improving post-stroke dysphagia swallowing training. Method: We retrospectively collected VFSS images from stroke in-patients in a medical center in Central Taiwan from October 2015 to April 2017. The subjects were subdivided according to the VFSS results and 8-point penetration-aspiration scale (PAS) into those with penetration/aspiration (PAS ≥ 3) …
Hand Temperature And Heart Rate Variability In Stroke Patients When Using Yole Hands And Conventional Elastic Bandages During Passive Upper Limb Exercises, Mei-Yi Lee, Chun-Han Yang, Ko-Long Lin, Shih-Ming Chen, Shu-Shi Chen
Hand Temperature And Heart Rate Variability In Stroke Patients When Using Yole Hands And Conventional Elastic Bandages During Passive Upper Limb Exercises, Mei-Yi Lee, Chun-Han Yang, Ko-Long Lin, Shih-Ming Chen, Shu-Shi Chen
Rehabilitation Practice and Science
Therapeutic exercise can mitigate sensorimotor deficit and improve motor function in the upper limbs of stroke patients. During physical rehabilitation, elastic bandages (EB) are often used to secure stroke patients' affected upper limbs to exercise equipment. However, the application of EB can reduce blood flow and lower skin temperature in patients' hands. Furthermore, reduced skin temperature can lead to autonomic nervous reactions, of which heart rate variability (HRV) is an effective indicator. This study investigates the correlation between hand temperature and HRV. Stroke patients' hand temperatures and HRVs were documented during passive upper limb exercises, and the results between the …
Effect Of Comorbidity On Functional Recovery In Patients With Stroke, Kuo-Chuan Chiu, Pei-Hsin Lin, Serena Y.C Lin, Mu-Jung Kao
Effect Of Comorbidity On Functional Recovery In Patients With Stroke, Kuo-Chuan Chiu, Pei-Hsin Lin, Serena Y.C Lin, Mu-Jung Kao
Rehabilitation Practice and Science
Objectives: Stroke is a vital cause of acute neurological dysfunction. This study evaluated the prevalence of comorbidities and their effects on functional recovery in patients with stroke. Methods: This was a prospective study. The participants were 105 patients with acute stroke with moderate to severe functional disability who were admitted for comprehensive rehabilitation. The participants were 76 patients who underwent the Post-acute Care-Cerebrovascular Diseases program and 29 participants who accepted a regular rehabilitation program within 6 months after stroke. The effect of each comorbidity on the patients' post-hospitalization daily living activities was analyzed based on the Charlson Comorbidity Index (CCI). …
The Preliminary Results Of Extracorporeal Shockwave Therapy In Patients With Piriformis Syndrome, Ching-Fen Huang, Tien-Wen Chen, Cyuan-Fong Li, Yu-Hsuan Hsiao, Chia-Hsin Chen, Mao-Hsiung Huang
The Preliminary Results Of Extracorporeal Shockwave Therapy In Patients With Piriformis Syndrome, Ching-Fen Huang, Tien-Wen Chen, Cyuan-Fong Li, Yu-Hsuan Hsiao, Chia-Hsin Chen, Mao-Hsiung Huang
Rehabilitation Practice and Science
The study was designed to evaluate the therapeutic effect of extracorporeal shockwave therapy (ESWT) on the rehabilitation of patients with piriformis syndrome. Thirty-six patients diagnosed with unilateral piriformis syndrome were included and allocated randomly into three groups, Groups A-C, with twelve patients in each group. Patients in Groups A-C all received conventional physical modalities programs, including hot packs and interferential current therapy, three times weekly for six weeks. Patients in Group B received an extra twenty minutes of stretching exercise therapy after physical modalities therapy, and Group C received the same therapy as in Group B and extra shockwave therapy …
Effects Of Lidocaine On Migration, Proliferation, Collagen Expression And Cytotoxicity Of Tendon Cells, Hsiang-Ning Chang, Jong-Hwei S Pang, Miao-Sui Lin, Wen-Chung Tsai
Effects Of Lidocaine On Migration, Proliferation, Collagen Expression And Cytotoxicity Of Tendon Cells, Hsiang-Ning Chang, Jong-Hwei S Pang, Miao-Sui Lin, Wen-Chung Tsai
Rehabilitation Practice and Science
Background: Lidocaine is commonly used for the treatment of a variety of tendinopathies in combination with corticosteroids injection. Purpose: The goal of this study was to evaluate the effect of lidocaine on migration, proliferation, protein expressions of type I and III collagen and cytotoxicity of tendon cells. Methods: Rat Achilles tendon cells were divided into control and study groups (treated with 0.1%, 0.15%, and 0.2% lidocaine). Tendon cell migration and proliferation were assessed using transwell filter migration assay and MTT assay, respectively. Cytotoxicity of lidocaine was evaluated by the LDH-Cytotoxicity assay. The protein expression of type I and type III …
Effect Of Aerobic Dance Training In Adults With Prader-Willi Syndrome: A Pilot Study, Fei-Chuan Chen, Shih-Yun Hon, Li-Ping Tsai
Effect Of Aerobic Dance Training In Adults With Prader-Willi Syndrome: A Pilot Study, Fei-Chuan Chen, Shih-Yun Hon, Li-Ping Tsai
Rehabilitation Practice and Science
Objective: Aerobic Dance Training has beneficial effects in improving physical fitness. However, there were few studies validating the physical fitness effectiveness of Aerobic Dance Training in Prader-Willi Syndrome patients (PWS). This study aims to investigate the effects of Aerobic Dance Training in PWS adults, by using integrated clinical measurements of physical fitness. Methods: This is a matched controlled study design. Twelve Prader-Willi Syndrome patients received either Aerobic Dance Training or conventional physiotherapy for 8 weeks (2 times per week for 2 hours each session). Clinical measurements of physical fitness were analyzed before and after the intervention and were followed at …