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Articles 241 - 270 of 1275
Full-Text Articles in Medicine and Health Sciences
Evaluation Of Pediatric Subjects With Swallowing Disorder Part Ii, Luh Karunia Wahyuni, Ming-Yen Hsiao, Hsing-Kuo Wang, Tyng-Guey Wang
Evaluation Of Pediatric Subjects With Swallowing Disorder Part Ii, Luh Karunia Wahyuni, Ming-Yen Hsiao, Hsing-Kuo Wang, Tyng-Guey Wang
Rehabilitation Practice and Science
The characteristics of pediatric swallowing, anatomical differences between pediatrics and adults, and swallowing problems in common pediatric diseases had been introduced in Part 1 of the article. The common methods for evaluation of pediatric swallowing are discussed in this part. The evaluation of swallowing function in pediatric patients is a great clinical challenge. It requires a team approach, an integration of multiple disciplines, and instrumental evaluations for establishing a diagnosis and developing an appropriate management plan. This article provides an introduction of the vital concept of clinical bedside evaluation and instrumental evaluation including the videofluoroscopic swallow study (VFSS), fibroptic endoscopic …
Incidental Finding Of A Simple Dysraphic State Of A Closed Spinal Dysraphism And Tethered Cord In An Adult Patient With Low Back Pain: A Casereport, Lin-Chien Lee, Hung-Fu Lee, Fu-Kong Lieu
Incidental Finding Of A Simple Dysraphic State Of A Closed Spinal Dysraphism And Tethered Cord In An Adult Patient With Low Back Pain: A Casereport, Lin-Chien Lee, Hung-Fu Lee, Fu-Kong Lieu
Rehabilitation Practice and Science
The recognition of a closed spinal dysraphism without a subcutaneous mass and cutaneous stigmata depends on the development of relevant neurological and urological symptoms and signs. It can also be an incidental finding when symptoms that do not originate from it are investigated. We describe a 39-year-old man who presented with spondylolysis-related low back pain. Plain film showed posterior spina bifida of S1 and magnetic resonance imaging of the L-spine revealed one intradural lipoma at the L5 level and cord tethering. Conservative treatment was suggested because no relevant symptoms or signs of a mass effect of the lipoma or tethered …
Exploring The Possible Effects Of Mountaineering Activities On Sports Injuries, Body Composition And Thigh Muscle Function, Yi-Ting Fang, Chen-Liang Chou, Yi-Cheng Chen, Hong-Jen Chiou, Jin-Jong Chen, Hsuci-Chen Lee, Yi-Fen Shih
Exploring The Possible Effects Of Mountaineering Activities On Sports Injuries, Body Composition And Thigh Muscle Function, Yi-Ting Fang, Chen-Liang Chou, Yi-Cheng Chen, Hong-Jen Chiou, Jin-Jong Chen, Hsuci-Chen Lee, Yi-Fen Shih
Rehabilitation Practice and Science
Background: Mountaineering and hiking have become popular activities recently, but related research in Taiwan has focused mainly on physiological reactions, much more than on the musculoskeletal system. However, the results of studies from abroad cannot be directly transferred because of the unique mountain and forest environment in Taiwan. In addition, chronic mountaineering injuries and derivative benefits in terms of specific physical performances still await further study. Therefore, it is important to investigate the possible relationship between mountaineering activities and musculoskeletal or knee function changes. Purpose: This study seeks to compare the differences in sports injuries, body composition and thigh muscle …
Health-Related Quality Of Life And Hemophilic Arthropathy In Hemophilia Patients, Chih-Ya Chang, Hui-Yi Su, Yung-Tsan Wu, Yu-Chin Chen, Liang-Cheng Chen, Shin-Tsu Chang, Tsung-Ying Li
Health-Related Quality Of Life And Hemophilic Arthropathy In Hemophilia Patients, Chih-Ya Chang, Hui-Yi Su, Yung-Tsan Wu, Yu-Chin Chen, Liang-Cheng Chen, Shin-Tsu Chang, Tsung-Ying Li
Rehabilitation Practice and Science
Introduction: Hemophilia is an X-linked recessive bleeding disorder caused by a deficiency of coagulation factor VIII (hemophilia A) or IX (hemophilia B). The prevalence of hemophilia is approximately 1 per 105 in the general population. Repeated joint bleeding leads to chronic synovitis, cartilage damage, and bone destruction, yielding reduced range of motion (ROM), painful joints, and muscle atrophy. Hemophilic arthropathy can negatively influence perceptions of health-related quality of life (HRQOL) among hemophilia patients. This study explored the correlation between hemophilic arthropathy and HRQOL among hemophilia patients in Taiwan. Methods: The participants comprised 86 patients enrolled from a hemophilia center. We …
The Treatment Of Pain With Heel Fat Pad Syndrome By Hyaluronic Acid Injection: A Casereport, Wei-Han Chang, Chih-Kuan Wu, Yu-Cheng Pei, Chih-Chi Chen, Alice Mk Wong
The Treatment Of Pain With Heel Fat Pad Syndrome By Hyaluronic Acid Injection: A Casereport, Wei-Han Chang, Chih-Kuan Wu, Yu-Cheng Pei, Chih-Chi Chen, Alice Mk Wong
Rehabilitation Practice and Science
Plantar fasciitis and heel fat pad syndrome are two of the most common causes of plantar heel pain. Because the clinical symptoms and signs are similar, the differential diagnosis between plantar fasciitis and heel fat pad syndrome is important for proper treatment. Unfortunately, conservative treatment strategies are less effective for plantar heel pain caused by heel fat pad syndrome. We present here a 56-year-old male patient with bilateral plantar heel pain that was especially severe in the left foot. We gave him an injection of 2 ml high-concentration, cross-linked hyaluronic acid into the deep derma of the painful heel pad …
Effects Of Low Power Laser On Pain And Balance Dysfunction Caused By Periostitis Of Lower Limb: A Case Series, Hui-Yi Su, Yu-An Hu, Wei-Chun Hsu, Shih-Chi Li, Shin-Tsu Chang
Effects Of Low Power Laser On Pain And Balance Dysfunction Caused By Periostitis Of Lower Limb: A Case Series, Hui-Yi Su, Yu-An Hu, Wei-Chun Hsu, Shih-Chi Li, Shin-Tsu Chang
Rehabilitation Practice and Science
Periostitis of the lower limb is a common problem in sports injury, and an appropriate treatment option is required for this medical issue. The purpose of this study was to assess pain reduction and functional improvement after low power laser therapy in the lower limbs with periostitis. A total of 29 adults (20-40 year-old) who had periostitis at our outpatient clinic were enrolled. The diagnosis of periostitis in the lower limbs was confirmed by skeletal scintigraphy. The treatment protocol adopted rehabilitation intervention involving low power laser treatment 3 times a day for 5 days, and a low-energy dosage of 1.4 …
Lower Extremity Prostheses Related Biomechanics, Valeria Chiu, Ming-Chuan Lin
Lower Extremity Prostheses Related Biomechanics, Valeria Chiu, Ming-Chuan Lin
Rehabilitation Practice and Science
During heel strike, a prosthetic foot must perform ground-reaction force shock absorption, and thereafter, must provide control of the smooth-rhythm plantar flexion movement. During the midstance phase, the foot must provide the controlled advancement of the tibia. During the terminal stance, the anterior part of the foot must act as a hard rocker to provide progression and roll over the toe and to allow center of gravity switching to the opposite site as the tibia advances. The biomechanics of the four-bar linkage knee simulates the motion of the actual human knee joint. It can be discussed by analyzed by five …
Effectiveness Of Resistance (Strength) Training For Patients With Chronic Heart Failure, Yan-Wen Chen
Effectiveness Of Resistance (Strength) Training For Patients With Chronic Heart Failure, Yan-Wen Chen
Rehabilitation Practice and Science
The recent advancements in cardiac disease treatments have remarkably enhanced the survival rate of patients with chronic heart failure. In patients with exercise intolerance, the accompanied peripheral myopathy plays an important role. Resistance training is beneficial for musculoskeletal function in patients with chronic heart failure. However, the left ventricular myocardial remodeling progression and the hemodynamic response are controversial. Some studies showed that for those with stable heart failure (New York Heart Association functional classes I to III level), the adequate resistance training was beneficial in improvement of aerobic capacity, muscle histology, metabolic function, and left ventricular ejection fraction. In this …
Lipoma Arborescens On Mr Imaging And The Associated Lesions: A Reviewarticle Of 78 Cases, Cheng-Yuan Lin, Cheng-Ming Chiu, Tsung-Ching Lin, Shun-Lung Li, Chia-Yi Shang, Yu-Chiang Chen
Lipoma Arborescens On Mr Imaging And The Associated Lesions: A Reviewarticle Of 78 Cases, Cheng-Yuan Lin, Cheng-Ming Chiu, Tsung-Ching Lin, Shun-Lung Li, Chia-Yi Shang, Yu-Chiang Chen
Rehabilitation Practice and Science
Objective: To identify the different morphologic patterns of lipoma arborescens (LA) and the associated lesions on magnetic resonance (MR) imaging and to evaluate their clinical implication.Methods: We conducted a retrospective reviewarticle of the MR images and medical records of 78 patients diagnosed with LA of the knee (n=73) and shoulder (n=5). The diagnosis of LA was confirmed by the histologic findings in two cases and by the characteristic MR imaging features in the other 76.Results: A typical pattern of villous lipomatous proliferation of the synovium was identified on MR imaging in all cases, as a typical frond-like pattern in 38% …
Intramedullary Astrocytoma Presenting As Cervical And Upper Back Pain: A Casereport, Chao-Pin Yang, Chun-Yuan Cheng, Ying-Hsuan Li
Intramedullary Astrocytoma Presenting As Cervical And Upper Back Pain: A Casereport, Chao-Pin Yang, Chun-Yuan Cheng, Ying-Hsuan Li
Rehabilitation Practice and Science
Intramedullary astrocytomas are rare, accounting for 3% of all central nervous system astrocytomas. Pain is the most common clinical symptom, although symptoms can vary. These tumors typically progress over a period of months to years before the diagnosis is established. An intramedullary astrocytoma and cervical intervertebral disc herniation may coexist; the early symptoms maybe similar and an intramedullary astrocytoma might go undetected and be misdiagnosed as cervical disc herniation. This paper reports a 30-year-old male who presented with cervical and upper back pain extending to the right upper limb. Initially, the diagnosis was a cervical radiculopathy. After rehabilitation, for two …
Effects Of Exercise Training On Cardiorespiratory Fitness And Cardiac Function Among Heart Failure Patients With Decreased Left Ventricular Function: A Pilot Study, Chia-Huei Lin, Bing-Hsiean Tzeng, Li-Chi Chiang, Wen-Chii Tzeng, Liang-Cheng Chen, Shang-Lin Chiang
Effects Of Exercise Training On Cardiorespiratory Fitness And Cardiac Function Among Heart Failure Patients With Decreased Left Ventricular Function: A Pilot Study, Chia-Huei Lin, Bing-Hsiean Tzeng, Li-Chi Chiang, Wen-Chii Tzeng, Liang-Cheng Chen, Shang-Lin Chiang
Rehabilitation Practice and Science
Background: Exercise is not only beneficial for physical and psychological health but can also improve cardiac contractility; thus, exercise can result in the improvement of the functional status of patients who suffer from irreversible damage from heart failure. However, there are limited local data on the effects of moderate-intensity exercise training on cardiorespiratory fitness and left ventricular function among patients with heart failure. Purpose: The aim of our study was to investigate the effects of moderate-intensity exercise training on cardiorespiratory fitness and left ventricular function among patients with heart failure. Methods: This is a pilot study with a single group …
The Effects Of Hyaluronic Acid And Glucosamine On The Migration And Proliferation Of Tenocytes, Chien-Hung Chen, Jin-Fu Huang, Li-Lun Chen, Wen-Chung Tsai, Jong-Hwei S. Pang, Yu-Hsin Liao, Tung-Yang Yu
The Effects Of Hyaluronic Acid And Glucosamine On The Migration And Proliferation Of Tenocytes, Chien-Hung Chen, Jin-Fu Huang, Li-Lun Chen, Wen-Chung Tsai, Jong-Hwei S. Pang, Yu-Hsin Liao, Tung-Yang Yu
Rehabilitation Practice and Science
Tendinopathy or tendon rupture is a common disease. Studies have showed that hyaluronic acid and glucosamine benefit the process of tendon repair. Tendon healing requires the migration of tenocytes to the repair site, followed by the proliferation and synthesis of the extracellular matrix. However, the effects of hyaluronic acid and glucosamine on tenocytes remain to be explored. Here, we treated tenocytes from rat Achilles tendons with hyaluronic acid or glucosamine. The ability of tenocytes to migrate and proliferate was assessed by transwell filter migration assay and MTT (3-[4,5-Dimethylthiazol-2-yl]-2,5- diphenyltetrazolium bromide) assay, respectively. Results from transwell filter migration assays showed that …
Kneeling Leg Curl With Internal Rotation Training Improves Agility In Patients With Anterior-Posterior Laxity Of Knee, Chih-Kuan Wu, Shu-Chun Huang, Kuan-Chou Chen, Cheng-Hsiu Lai, Chia-Hua Kuo, Shih-Wei Chou
Kneeling Leg Curl With Internal Rotation Training Improves Agility In Patients With Anterior-Posterior Laxity Of Knee, Chih-Kuan Wu, Shu-Chun Huang, Kuan-Chou Chen, Cheng-Hsiu Lai, Chia-Hua Kuo, Shih-Wei Chou
Rehabilitation Practice and Science
Objective: Whether strengthening exercises emphasizing on internal rotators of the knee are more effective in improving shuttle-run agility of the knees with anterior-posterior laxity (AP laxity). Methods: Twenty men with AP laxity of knee were randomly assigned to the three experimental groups in different strengthening modes: plate-loaded squat press (SP), plate-loaded kneeling leg curl with internal rotation (KLCIR), and kneeling leg curl (KLC). Control group with stable knees received no training. Anterior-posterior laxity, shuttle-run agility, and isokinetic strength were evaluated before and after training. Results: Those with AP laxity of knee have poorer performance in the shuttle run test than …
Sensory Integration Dysfunction Affects Effectiveness Of Speech Therapy On Children With Functional Articulation Disorders, Li-Chen Tung, Ching-I Hu, Chin-Kai Lin, Ching-Lin Hsieh, Daniel Chiung-Jui Su, Ching-Chi Chen
Sensory Integration Dysfunction Affects Effectiveness Of Speech Therapy On Children With Functional Articulation Disorders, Li-Chen Tung, Ching-I Hu, Chin-Kai Lin, Ching-Lin Hsieh, Daniel Chiung-Jui Su, Ching-Chi Chen
Rehabilitation Practice and Science
Purpose: To compare the efficacy of speech therapy on children with functional articulation disorder with and without sensory integration dysfunction. Method: 20 young children were divided into two groups, those without sensory integration dysfunction (normal group, 10 children) and those with it (abnormal group, 10 children). The Mandarin Consonant Articulation Test for Preschool Children was administered on the children before and after therapy for articulation function. The oral motor function was evaluated by the Riley Motor Problems Inventory Oral Motor Tasks. Total of treatment sessions was recorded after the therapy. Results: Differences between the two groups in terms of age, …
The Effect Of Health Promotion With Physical Therapy And Intra-Articular Hyaluronic Acid For Knee Osteoarthritis, Chen-Liang Chou, Wen-Hsu Sung, Fu-Wei Liu, Hsuci-Chen Lee, Li-Lung Haung, Jin-Jong Chen
The Effect Of Health Promotion With Physical Therapy And Intra-Articular Hyaluronic Acid For Knee Osteoarthritis, Chen-Liang Chou, Wen-Hsu Sung, Fu-Wei Liu, Hsuci-Chen Lee, Li-Lung Haung, Jin-Jong Chen
Rehabilitation Practice and Science
Purpose: Knee osteoarthritis (knee OA) is a common chronic disease that affects elderly. Intra-articular injection of hyaluronic acid (IAHA) and physical therapy for knee OA have been shown to have clinical benefits in randomized, clinical trials separately. However, it is generally accepted that optimal management of knee OA requires a combination of pharmacologic and nonpharmacologic treatment. Currently, few studies have directly evaluated the benefits of combining the 2 treatments for knee OA. The purpose of this study explored the efficacy of interventions in patients with knee osteoarthritis through combined IAHA and physical therapy. This study investigated the potential benefit of …
Effect Of Arm Spasticity Grade On Blood Pressure Measurement, Chia-Min Lin, Huei-Yu Lo, Wai-Keung Lee, Meng-Tai Chen
Effect Of Arm Spasticity Grade On Blood Pressure Measurement, Chia-Min Lin, Huei-Yu Lo, Wai-Keung Lee, Meng-Tai Chen
Rehabilitation Practice and Science
Objective: The arm spasticity in patients with stroke has been proved to affect blood pressure measurement. However, earlier studies showed inconsistent results of how the spasticity affected the measurement of blood pressure. In some cases, measurement of blood pressure in patients' involved arm is necessary, so the purpose of this study was to investigate the effect of spasticity grade on blood pressure measurement in patients with stroke.Methods: We recruited 50 patients with hemiplegia or hemiparesis after stroke. The grade of arm spasticity was assessed using the modified Ashworth scale (MAS), while the bilateral brachial artery pressure was measured using an …
Cardiac Rehabilitation After Coronary Artery Bypass Graft Or Heart Valve Replacement Surgery-Experience Of A Medical Center, Ding-Hao Liu, Yi-Cheng Chen, Su-Ying Hung, Chen-Liang Chou
Cardiac Rehabilitation After Coronary Artery Bypass Graft Or Heart Valve Replacement Surgery-Experience Of A Medical Center, Ding-Hao Liu, Yi-Cheng Chen, Su-Ying Hung, Chen-Liang Chou
Rehabilitation Practice and Science
Background and Purpose: Cardiac rehabilitation (CR) is a long-term program that includes exercise prescription, education, and counseling on the limitation of physiological and psychological effects of cardiac disease and to enhance the psychosocial and vocational status of selected patients. In spite of CR being approved for patients who have experienced the consequences of coronary artery disease and for those who have had heart valve surgery, CR is widely underused. The aim of this study was to research the current status of CR for patients receiving coronary artery bypass graft (CABG) or heart valve replacement (HVR) in a medical center in …
Efficacy Of Echo-Guided Extracorporeal Shock Wave Therapy For Calcific Supraspinatus Tendinopathy: A Case Series Study, Ju-Wen Cheng, Wen-Chung Tsai, Chien-Hung Chen, Chien-Hung Chen
Efficacy Of Echo-Guided Extracorporeal Shock Wave Therapy For Calcific Supraspinatus Tendinopathy: A Case Series Study, Ju-Wen Cheng, Wen-Chung Tsai, Chien-Hung Chen, Chien-Hung Chen
Rehabilitation Practice and Science
Approximately 50% of patients with calcific tendinitis of the rotator cuff experience shoulder pain. Shock wave therapy is a non-invasive alternative treatment that is effective in pain relief, function restoration, and deposit resorption. In our study, we used ultrasonography-guided shock wave therapy for the targeted treatment of calcific supraspinatus tendinopathy.We retrospectively assessed 9 patients (8 women, 1 man; age 33-57 years) who had received echo-guided extracorporeal shock wave therapy for calcific supraspinatus tendinopathy from 2006 to 2012. Pain measured by the numerical rating scale (NRS) was compared before and after therapy. The length and width of the calcification spot on …
Investigating The Core Competencies For Rehabilitation-Related Therapists In Three Hospitals Belonging To A Medical Association In Southern Taiwan, Hing-Man Wu, Kuo-Shu Yuan, Daniel Chiung-Jui Su, Willy Chou
Investigating The Core Competencies For Rehabilitation-Related Therapists In Three Hospitals Belonging To A Medical Association In Southern Taiwan, Hing-Man Wu, Kuo-Shu Yuan, Daniel Chiung-Jui Su, Willy Chou
Rehabilitation Practice and Science
Objectives: Few studies have focused on job competency among medical-technical staff in hospitals. This study investigated the core competencies for a professional job among rehabilitation-related therapists, and examined how these competencies are applied to human resource management in hospitals, including recruitment, selection, placement, development, and promotion. Methods: A total of 113 rehabilitation-related therapists (comprising 67 physical therapists, 34 occupational therapists, and 12 speech therapists) from 3 hospitals belonging to a medical association in Southern Taiwan participated in the study. A test of competency using the ＂Nine Competencies Star＂ system developed by 1111 Job Bank was administered to the participants. The …
Medical Utilization Among Patients With Cerebral Palsy, Ching-Yi Chen, Ching-Chun Lin, Jiunn-Horng Kang
Medical Utilization Among Patients With Cerebral Palsy, Ching-Yi Chen, Ching-Chun Lin, Jiunn-Horng Kang
Rehabilitation Practice and Science
This study aimed to investigate the differences of medical utilization between patients with cerebral palsy (CP) and patients without using a population-based database in Taiwan. Data on the sampled subjects and their medical utilization were retrieved from the ＂Longitudinal Health Insurance Database (LHID2000)＂. This study comprised of 2317 patients with CP and 6961 comparison subjects. Medical utilization was evaluated in the one-year follow-up period as follows: number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatment. A multivariate regression analysis was used to evaluate the relationship between CP and total costs of health care …
The Relationship Between Heart Rate Turning Point And Anaerobic Threshold In Patients With Cardiopulmonary Diseases, Yi-Tien Su, Su-Ying Hung, Chen-Liang Chou
The Relationship Between Heart Rate Turning Point And Anaerobic Threshold In Patients With Cardiopulmonary Diseases, Yi-Tien Su, Su-Ying Hung, Chen-Liang Chou
Rehabilitation Practice and Science
Background: Exercise training is an efficient way to improve physical performance. Training at an intensity of a certain level of the anaerobic threshold (AT) is a successful and frequently adopted method to increase both maximal and submaximal exercise capacity. Several methods are currently used to detect the AT. Analysis of the respiratory gas exchange allows identification of the AT and is currently advocated as the ＂gold standard＂. The heart rate turning point (HRTP) is a downward or upward change from the linear HR work relationship evidenced during incremental exercise testing and has been reported to coincide with AT. Purpose: The …
Early Physical Therapy Intervention For A Child With Williams-Beuren's Syndrome And Presenting With Icf Model For Individual Activity And Participation: A Casereport, Shin-Mei Liu, Feng-Yin Lien, Shin-Tsu Chang, Heng-Yi Chu
Early Physical Therapy Intervention For A Child With Williams-Beuren's Syndrome And Presenting With Icf Model For Individual Activity And Participation: A Casereport, Shin-Mei Liu, Feng-Yin Lien, Shin-Tsu Chang, Heng-Yi Chu
Rehabilitation Practice and Science
Williams-Beuren's syndrome (W-B syndrome) is one of the genetic diseases, often comes with cardiovascular disease, abnormality of facial and teeth structure, poor motor control, delayed development of cognition and spatial sense. Here we present one child with W-B syndrome who underwent early intervention since she was 7 months old. After 20-month training, the child has made impressive progress in motor function and abilities of carrying ADL. Furthermore, by giving the parents instructions and guidelines for home programs, the relationship between the child and her parents also improved a lot. As the matter of fact, this casereport showed that the early …
Effects Of A Modified Module Insole On Foot Deformity And Pain In High Arch Foot, Pin-Yang Hung, Mei-Wun Tsai, Young-Hue Yu, Ming-Jor Lo, Yen-I Chiang, Wei-Hua Ho, Mu-Jung Kao
Effects Of A Modified Module Insole On Foot Deformity And Pain In High Arch Foot, Pin-Yang Hung, Mei-Wun Tsai, Young-Hue Yu, Ming-Jor Lo, Yen-I Chiang, Wei-Hua Ho, Mu-Jung Kao
Rehabilitation Practice and Science
There are no definite conclusions for effective treatments on foot orthosis for high arch foot. The aim of this study was to assess the effectiveness of modified module insole on foot deformity and foot pain in high arch foot patients. This study recruited 81 adults whose arch index of ＞0.21with 37 in the orthosis group and 44 in the control group. All participants have no evidence of neurological deficits at legs, foot deformities and abnormal gait patterns. A modified module insole with 3/4 length arch support was tried for the orthosis group. The 8-week trial was followed by an 8-week …
Sonographic Features Of Eosinophilic Fasciitis With Asymmetrical Symptoms: A Casereport, Yan-Hao Chen, Huey-Wen Liang, Tyng-Guey Wang
Sonographic Features Of Eosinophilic Fasciitis With Asymmetrical Symptoms: A Casereport, Yan-Hao Chen, Huey-Wen Liang, Tyng-Guey Wang
Rehabilitation Practice and Science
Eosinophilic fasciitis is a rare rheumatological disorder, with the clinical presentations of myalgia, symmetrical skin induration, and peripheral eosinophilia. Because of overlapping symptoms with other rheumatological disorders, early diagnosis of eosinophilic fasciitis is difficult. The confirmatory diagnosis relies on full-thickness skin biopsy. Imaging studies are also used for evaluation and diagnosis. Among them, high-resolution sonography has the advantage of high accessibility over other imaging modalities in detecting musculoskeletal disorder, but the sonographic features of eosinophilic fasciitis are rarely reported. This study reported a 24-year-old woman who was diagnosed as eosinophilic fasciitis with rare presentation of asymmetric involvement. She had left …
A Young Stroke Patient With Bardet-Biedl Syndrome: A Casereport, Erh-Chun Chen, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee
A Young Stroke Patient With Bardet-Biedl Syndrome: A Casereport, Erh-Chun Chen, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee
Rehabilitation Practice and Science
Bardet-Biedl syndrome (BBS) is a rare inherited disease. Up to date, there have been 14 known BBS-related mutation genes, resulting in ciliopathy with multiple abnormalities such as obesity, pigmentary retinopathy, polydactyly, learning disabilities, poor coordination, renal dysfunction, diabetes and hypertension. This case was a 29-year-old male, who was diagnosed as Bardet-Biedl syndrome since childhood and then was followed up for control of complications. He suffered from stroke at age of 29. Risks of young stroke were surveyed. Poorly controlled hypertension, hyperlipidemia, hyperglycemia and hyperfibrinogenemia were noted. No other examination revealed abnormality. He had received treatment of stroke in acute phase, …
Cerebral Stroke And Spinal Infarction After Coronary Artery Bypass Graft: A Casereport, Chun-Sheng Hsu, Hsiao-Wei Lin, Hsi-Hsun Su, Shu-Chuan Wu
Cerebral Stroke And Spinal Infarction After Coronary Artery Bypass Graft: A Casereport, Chun-Sheng Hsu, Hsiao-Wei Lin, Hsi-Hsun Su, Shu-Chuan Wu
Rehabilitation Practice and Science
Cerebral stroke and spinal cord infarction are rare complications after coronary artery bypass graft (CABG). The coexistence of them in one case is extremely rare. Cerebral microemboli generated during CABG is connected to acute ischemic stroke. Spinal cord infarction after CABG is related to hypoperfusion of the spinal cord. Except for the cardiovascular disease, the use of cardiopulmonary bypass during or after surgery is also a risk factor for both of the complications. They are not only increase the length of hospital stay but also contribute to patient's poor prognosis.We reported a 61-year-old male, with histories of hypertension, type II …
The Effect Of Botulinum Toxin Type A On Chronic Neck-Shoulder Pain: A Casereport, Sin-Hao Ho, Shih-Chung Chang, Yao-Jen Chen, Amy I-Hui Lin, Su-Ju Tsai
The Effect Of Botulinum Toxin Type A On Chronic Neck-Shoulder Pain: A Casereport, Sin-Hao Ho, Shih-Chung Chang, Yao-Jen Chen, Amy I-Hui Lin, Su-Ju Tsai
Rehabilitation Practice and Science
Neck and shoulder pain is a common clinical complaint. However, the associated mechanism of this condition is thought to be multifactorial and is not yet fully understood. Various studies and multiple clinical experiences have shown the effectiveness of treatment with botulinum toxin type A in the improvement of dystonia and muscle spasticity. The mechanism of the analgesic effect of botulinum toxin type A has also been widely investigated. Many studies have addressed the use of botulinum toxin type A in the treatment of myofascial pain, but its effectiveness and side effects remain controversial. This casereport describes a young woman with …
Clinical Application Of Evoked Potentials And Pedicle Screw Stimulation During Correction Of Severe Scoliosis: A Casereport, Hung-Wen Chen, Chi-Kuang Feng, Jan-Wei Chiu, Chih-Jou Lai, Rai-Chi Chan, Tsui-Fen Yang
Clinical Application Of Evoked Potentials And Pedicle Screw Stimulation During Correction Of Severe Scoliosis: A Casereport, Hung-Wen Chen, Chi-Kuang Feng, Jan-Wei Chiu, Chih-Jou Lai, Rai-Chi Chan, Tsui-Fen Yang
Rehabilitation Practice and Science
Surgical intervention is frequently suggested for scoliosis patients who have a Cobb's angle of more than 50 degrees and who are not responding to conservative treatment such as bracing. In addition, surgical intervention prevents further deterioration of spinal curvature, preserves cardiopulmonary function, provides cosmetic benefits, and improves quality of life for patients. Although the goal of surgical intervention is to improve the balance and function of the spine, iatrogenic spinal cord and nerve injury remains a major concern. Certain instruments are useful in preventing this type of iatrogenic injury. A combination of somatosensory-evoked potentials, motor-evoked potentials, and pedicle screw stimulation …
Phase I Cardiac Rehabilitation Among Patients With Acute St-Elevation Myocardial Infarction, Yun-Yi Lin, Chi-Ming Lee, Ching Lan, Ssu-Yuan Chen, Shu-Fang Hsiao, Pei-Chen Lu, Pei-Chin Suen, Mei-Yu Chen, Yen-Ho Wang, Jin-Shin Lai
Phase I Cardiac Rehabilitation Among Patients With Acute St-Elevation Myocardial Infarction, Yun-Yi Lin, Chi-Ming Lee, Ching Lan, Ssu-Yuan Chen, Shu-Fang Hsiao, Pei-Chen Lu, Pei-Chin Suen, Mei-Yu Chen, Yen-Ho Wang, Jin-Shin Lai
Rehabilitation Practice and Science
Background and Purpose: Phase I cardiac rehabilitation (CR) programs have been shown to be effective and beneficial for patients with acute myocardial infarction. However, only few studies have evaluated the determinants of treatment frequency in phase I CR. The aim of this study was to investigate the current administration of phase I CR for patients who have acute ST-elevation myocardial infarction (STEMI) and have undergone percutaneous coronary intervention (PCI) in a medical center in Taiwan.Methods: We retrospectively reviewarticleed the medical records of 30 patients with STEMI who were admitted to the coronary care unit (CCU) between December 2009 and March …
Torticollis As An Initial Sign Of Septo-Optic Dysplasia: A Casereport, Pei-Chi Hsiao, Yu-Kun Tsui, Li-Chen Tung, Shu-Han Yang, Willy Chou
Torticollis As An Initial Sign Of Septo-Optic Dysplasia: A Casereport, Pei-Chi Hsiao, Yu-Kun Tsui, Li-Chen Tung, Shu-Han Yang, Willy Chou
Rehabilitation Practice and Science
Torticollis is characterized by a lateral head tilt with chin rotation toward the opposite side. Congenital muscular torticollis remains the most common etiology in infancy. However, many different conditions, including anomaly of central nervous system, can cause the condition. The differential diagnosis is therefore important.An 8-month-old baby girl presented to our rehabilitation clinic with torticollis since 3 months of age. Her body weight, height and general appearance were normal at birth. At examination, horizontal nystagmus was noted while she gazed toward the right side, as well as head tilting to the left and chin pointing at the opposite side. There …