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Articles 271 - 300 of 1275
Full-Text Articles in Medicine and Health Sciences
Giant-Cell Tumor Of The Cervical Spine In An Adult Female With Neck Stiffness: A Casereport, Kuan-Yu Chu, Wen-Sheng Liu, Yen-Ting Lai, I-Pu Juang, Shu-Huan Lin
Giant-Cell Tumor Of The Cervical Spine In An Adult Female With Neck Stiffness: A Casereport, Kuan-Yu Chu, Wen-Sheng Liu, Yen-Ting Lai, I-Pu Juang, Shu-Huan Lin
Rehabilitation Practice and Science
Giant-cell tumor of the bone is relatively common in young adults, especially those in the third decades of life. This tumor occurs most frequently in long bones, such as the distal femur or proximal tibia, but rarely in the cervical spine. Giant-cell tumor of the cervical spine is rarely considered in the differential diagnosis of neck pain; thus, diagnosis of giant-cell tumor of the cervical spine is typically delayed or misdiagnosed. We present a case of giant-cell tumor of the cervical spine in a 25-year-old woman initially diagnosed with neck stiffness and muscle strain. She developed upper trunk numbness in …
Quantitative Investigation Of Effect Of Age And Bolus Characteristics On Laryngeal Movement During Swallowing, Tsui-Fen Yang, Rai-Chi Chan, Shinn-Shing Lee, Jia-Chi Wang
Quantitative Investigation Of Effect Of Age And Bolus Characteristics On Laryngeal Movement During Swallowing, Tsui-Fen Yang, Rai-Chi Chan, Shinn-Shing Lee, Jia-Chi Wang
Rehabilitation Practice and Science
Objective: The purpose of this study was to investigate the physiologic changes of swallowing along with normal aging, and to study the influences on swallowing of gender and food consistency.Methods: One hundred adult men and women aged 24 to 80 participated. Each subject underwent a swallowing evaluation, in which a surface transducer was placed on the neck to detect laryngeal movement when they performed a dry swallow and wet swallow for different food consistencies. Main outcome measures included mean onset, mean amplitude and mean duration of the deglutition wave.Results: In this study, the onset of the dry swallow deglutition wave …
A Positron Emission Tomography Study Of Brain Activation In Chinese-Speaking Stutterers, Feng-Chu Tseng, Jung-Lung Hsu, Yen-Kung Chen, Lin-Fen Hsieh, Hung-Che Wang, Fa-Shun Tsai, Ya-Ling Chao
A Positron Emission Tomography Study Of Brain Activation In Chinese-Speaking Stutterers, Feng-Chu Tseng, Jung-Lung Hsu, Yen-Kung Chen, Lin-Fen Hsieh, Hung-Che Wang, Fa-Shun Tsai, Ya-Ling Chao
Rehabilitation Practice and Science
Background/Purpose: Although neuroimage studies on English-speaking stutterers have been reported previously, there was few positron emission tomography (PET) study of brain activation in Chinese- speaking stutterers. The purpose of this study was to investigate brain activation patterns in stutterers who speak Chinese.Each subject was scanned via using a PET scanner with a [18F] deoxyglucose marker. The stutterers group received two separate PET scans, one during solo reading (stuttering condition) and the other during choral reading (fluent condition). The normal speakers had only one scan following solo reading.Significant statistical difference in brain activation between the stutterers during solo reading and normal …
Quantitative Evaluation Of Motor Control Of Upper Limbs After Neuro-Robot Rehabilitation, Shu-Min Chen, Yu-Chia Tsai, Ming-Shaung Ju, Bing-Cheng Kung
Quantitative Evaluation Of Motor Control Of Upper Limbs After Neuro-Robot Rehabilitation, Shu-Min Chen, Yu-Chia Tsai, Ming-Shaung Ju, Bing-Cheng Kung
Rehabilitation Practice and Science
Function of the upper limbs is crucial in daily activities. Motor recovery of upper limbs after stroke is slower and less complete than of lower limbs. During the recovery period, abnormal synergies always disturb daily life activity. Various therapeutic techniques have been developed to improve the function of upper limbs after stroke, such as the neuro-rehabilitation robot, which was developed in recent years and shows numerous positive outcomes for upper-limb facilitation after stroke. For the evaluation of motor recovery after stroke, Brunnstrom stages and the Modified Ashworth scale are commonly used and convenient. However, both depend heavily on the evaluator …
The Therapeutic Effects Of Intra-Articular Hyaluronic Acid On The Physical Functioning Of Patients With Knee Osteoarthritis: A Preliminary Report, Chen-Liang Chou, Yuan-Ting Lo, Fu-Wei Liu, Li-Lung Haung, Jin-Jong Chen
The Therapeutic Effects Of Intra-Articular Hyaluronic Acid On The Physical Functioning Of Patients With Knee Osteoarthritis: A Preliminary Report, Chen-Liang Chou, Yuan-Ting Lo, Fu-Wei Liu, Li-Lung Haung, Jin-Jong Chen
Rehabilitation Practice and Science
Osteoarthritis of the knee joints is one of the most disabling diseases among the elderly because it causes limitations affecting many daily activities, and this results a large economic burden on public health. According to the date from the Bureau of National Health Insurance in 2000, the total expenditure of money on total knee replacements due to osteoarthritis reached 2.63 billion dollars, which was the second place in all inpatient medical expenses.The natural course of osteoarthritis of the knee joints is a gradual degeneration. As a result, treatments are aimed at pain alleviation, improving the joint's range of motion and …
Effects Of Intraarticular Botulinum Toxin A In The Treatment Of Ankle Osteoarthritis, Shu-Fen Sun, Chien-Wei Hsu, Yi-Jiun Chou, Yu-Nong Wang, Chiao-Wen Hwang, Mei-Chia Chou, Jue-Long Wang
Effects Of Intraarticular Botulinum Toxin A In The Treatment Of Ankle Osteoarthritis, Shu-Fen Sun, Chien-Wei Hsu, Yi-Jiun Chou, Yu-Nong Wang, Chiao-Wen Hwang, Mei-Chia Chou, Jue-Long Wang
Rehabilitation Practice and Science
Background: Preliminary evidence suggests that Botulinum toxin type A (BoNT-A) injected intraarticularly into painful joints has a significant nociceptive effect. The purpose of this study is to investigate the effects of intraarticular BoNT-A on the pain and physical function for patients with ankle osteoarthritis (OA).Method: A prospective study with 6 months follow-up done in a university-affiliated tertiary care medical center, patients with symptoms and radiographic evidence of ankle OA for at least 6 months were recruited. Patients received intraarticular injections of 100 units of BoNT-A in 2 cc of normal saline. The injections were performed by the same experienced doctor. …
The Associated Factors In Home-Based Rehabilitation Utilization Of Stroke Patients, Shu-Chuan Wu, Yu-Chia Chang, Te-Feng Yeh, Ting-Yu Chang, Wei-Chaio Lu, Chien-Tsai Huang, Chuan-Hsiung Lin, Li-Ling Huang
The Associated Factors In Home-Based Rehabilitation Utilization Of Stroke Patients, Shu-Chuan Wu, Yu-Chia Chang, Te-Feng Yeh, Ting-Yu Chang, Wei-Chaio Lu, Chien-Tsai Huang, Chuan-Hsiung Lin, Li-Ling Huang
Rehabilitation Practice and Science
This study explores the factors correlated to the use of home-based rehabilitation services by stroke patients for whom care is provided according to the state policy pertaining to the 10-year long-term care plan.During July 2008–June 2010, data were collected from 759 stroke patients by using a long-term care management service evaluation form. These patients had initially applied for services at the long-term care centers of the Bureau of Public Health in Taichung County. Of these, 119(15.7%) eventually used home-based rehabilitation services. Using the Andersen health behavior model, we investigated how various factors influence the use of home-based rehabilitation services by …
Effect Of Alendronate And Teriparatide On Bone Mineral Density In Postmenopausal Women, Pei-Tsen Chen, Piya-On Numpaisal, Ching-Chuan Jiang, Hong-Sen Chiang
Effect Of Alendronate And Teriparatide On Bone Mineral Density In Postmenopausal Women, Pei-Tsen Chen, Piya-On Numpaisal, Ching-Chuan Jiang, Hong-Sen Chiang
Rehabilitation Practice and Science
Background: Alendronate and teriparatide have been proved to benefit osteoporosis patients in some prospective studies. However, no data have been described about the clinical practice of these medications and their efficacy in Taiwanese people.Method: We reviewarticleed the medical records of an outpatient clinic at National Taiwan University Hospital from 2008 to 2010, and collected data on the postmenopausal women diagnosed with osteoporosis or spinal compression fracture. Lumbar spinal bone mineral density (BMD) was recorded at baseline and at 6, 12, 18, 30, and 42 months after initiating therapy. We compared the patients' BMD before and after the treatment by paired …
A Ruptured Baker's Cyst Mimicking Deep Vein Thrombosis In A Patient With Rheumatoid Arthritis: A Casereport, Ting-Chun Chou, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Szu-Li Tsai
A Ruptured Baker's Cyst Mimicking Deep Vein Thrombosis In A Patient With Rheumatoid Arthritis: A Casereport, Ting-Chun Chou, Chung-Liang Lai, Ming-Miau Tsai, Chuan-Chin Leu, Szu-Li Tsai
Rehabilitation Practice and Science
Baker's cysts arise from a distension of a gastrocnemio-semimembranosus bursa, which are often associated with knee pathology including osteoarthritis, rheumatoid arthritis, and other inflammatory arthropathies. Clinical presentations of Baker's cysts are posterior knee swelling, tightness, and pain. Knee joint aspiration and intra-articular corticosteroid injection can relieve symptoms. However, treating underlying diseases is more important for recurrence prevention. Cyst rupture is a complication of Baker's cysts and may induce leg swelling and pain mimicking deep vein thrombosis. It is difficult to distinguish between a ruptured Baker's cyst and deep vein thrombosis because of similar symptoms. If a ruptured Baker's cyst is …
The Correlation Of Lumbar Spine Flexibility And Lumbar Extensor Activity In Healthy Adults, Chung-Che Lin, Ta-Sen Wei, Pen-Ta Liu
The Correlation Of Lumbar Spine Flexibility And Lumbar Extensor Activity In Healthy Adults, Chung-Che Lin, Ta-Sen Wei, Pen-Ta Liu
Rehabilitation Practice and Science
The modified fingertip-to-floor method is one of the clinical measurements used to assess forward bending. The present research is based on recording the measurements obtained by lumbar extensor surface electromyography (EMG) during the modified ”fingertip-to-floor” method in order to investigate the correlation between the two approaches. Our hypothesis is that poorer flexibility of the low back is associated with larger amplitude of low back extensor surface EMG activity.Measurements were obtained from 36 subjects (12 male and 24 female aged 28.9±5.3 year-old). The subjects stood on a wooden box and bent forward so that measurements could be taken. The top of …
The Effect Of Vibration On Shoulder Strength And Flexibility Of Volleyball Athletes, Yun-Tai Lin, Hsing-Kuo Wang, Shao-Yi Liu, Tzyy-Yuang Shiang
The Effect Of Vibration On Shoulder Strength And Flexibility Of Volleyball Athletes, Yun-Tai Lin, Hsing-Kuo Wang, Shao-Yi Liu, Tzyy-Yuang Shiang
Rehabilitation Practice and Science
Purpose: The aim of this study was to compare the effect of vibration and static stretching on shoulder strength and flexibility of volleyball athletes.Methods: Fifteen female volleyball athletes were randomly divided into 2 groups: 8 athletes who received vibration training were allocated to the vibration-stretching group and 7 athletes who did not receive vibration training comprised the static-stretching group. During a 6-week training period, pre- and post-tests were conducted using a Biodex system to evaluate the shoulder flexibility and the maximal isokinetic torque of the biceps and the anterior deltoid muscle.Results: After 4 weeks of training, the maximal isokinetic torque …
The Comparison Of The Dynamic Balance Abilities Between Young And Elderly Adults, Chen-Yang Kao, Shun-Hwa Wei, Chao-Chih Lee, Fu-Kong Lieu
The Comparison Of The Dynamic Balance Abilities Between Young And Elderly Adults, Chen-Yang Kao, Shun-Hwa Wei, Chao-Chih Lee, Fu-Kong Lieu
Rehabilitation Practice and Science
Background: Falls are one of high risk factors to the quality of health of elderly adults. A study with early screening for potential high risk factors for elderly adults is helpful to reduce the incidence of falls. Little research has been done to evaluate elderly adults in terms of limits of stability (LOS). Moreover, regarding elderly adult balance, most focuses have been placed on their feet when standing for long periods of time and looking at the static center of pressure (COP) change; few focuses have been placed on the dynamic parameter changes during weight shifting.Purpose: To compare dynamic balancing …
The Effect Of Unstable Sling Exercise Training For A Long Jump Athlete With Lumbar Spondylolysis: A Casereport, Shih-Chung Cheng, Chia-Lin Chen, Won-Jean Lin, Hsiao-Yun Chang
The Effect Of Unstable Sling Exercise Training For A Long Jump Athlete With Lumbar Spondylolysis: A Casereport, Shih-Chung Cheng, Chia-Lin Chen, Won-Jean Lin, Hsiao-Yun Chang
Rehabilitation Practice and Science
Spondylolysis is a common problem that may contribute to lower back pain in athletes participating in a variety of activities. We currently present a casereport describing an athlete aged 21 years who was participating in the long jump on the national stage with ranked 1 in Taiwan. A diagnosis of spondylolysis at the 5th lumbar vertebrae was made following complaints of pain in the lower back-diagnosis was confirmed using a radiology examination. The athlete was prescribed a conservative rehabilitation program that included regular physical therapy, an eight-week core stability training program, and a six-month unstable resistance training program. Treatment effectiveness …
Unilateral Knee Pain As Clinical Presentation Of Spinal Dural Arteriovenous Fistula: A Casereport, Liang-Ting Lin, Shu-Fen Sun, Jue-Long Wang, Pei-Te Hsu
Unilateral Knee Pain As Clinical Presentation Of Spinal Dural Arteriovenous Fistula: A Casereport, Liang-Ting Lin, Shu-Fen Sun, Jue-Long Wang, Pei-Te Hsu
Rehabilitation Practice and Science
Spinal dural arteriovenous fistula (SDAVF) is a rare disease. The principal clinical manifestation of SDAVF is myelopathy, with variable but nonspecific symptoms including progressive weakness of the lower extremities, back pain, bowel and bladder dysfunction, and impotence. Diagnosis is often delayed. Knee pain as the chief complaint of SDAVF is rare. The present casereport describes a 49-year-old man with a history of SDAVF, for which he had twice received endovascular embolization, who presented with profound pain in the right knee when attending the study rehabilitation clinic. He had no history of trauma. Physical examination revealed upper motor neuron signs in …
Congenital Thoracic Scoliosis Presenting As Torticollis: A Casereport, Tzu-Yi Chou, Pei-Yu Yang, Nai-Hsin Meng
Congenital Thoracic Scoliosis Presenting As Torticollis: A Casereport, Tzu-Yi Chou, Pei-Yu Yang, Nai-Hsin Meng
Rehabilitation Practice and Science
Torticollis is a manifestation of various underlying conditions that refers to a specific positioning of the neck, such that the head is tilted to one side with the chin turned toward the opposite direction. Torticollis can be classified into muscular and non-muscular types. Congenital thoracic scoliosis is a rare cause of non-muscular torticollis. We report the case of an eight-month-old female infant presenting with persistent torticollis at birth. The initial impression was muscular torticollis. However, her symptom persisted after rehabilitation. After a series of surveys, congenital thoracic scoliosis, a very rare cause of non-muscular torticollis, was diagnosed. Most cases of …
The Effect Of Ice Pack On Lumbar Range Of Motion In Patients With Low Back Pain And Lumbar Sacralization, Shih-Chieh Lin, Yi-Chun Hung, Yin-Chou Lin, Wei-Han Chang, Yu-Tsai Tu, Shih-Wei Chou
The Effect Of Ice Pack On Lumbar Range Of Motion In Patients With Low Back Pain And Lumbar Sacralization, Shih-Chieh Lin, Yi-Chun Hung, Yin-Chou Lin, Wei-Han Chang, Yu-Tsai Tu, Shih-Wei Chou
Rehabilitation Practice and Science
Purpose: This research was designed to investigate the short-term effect of an ice pack on lumbar range of motion in patients. Patients with low back pain caused by sacralized fifth lumbar spine were selected after clinical diagnosis.Method: Twenty-four subjects were recruited for this study. Twelve subjects with low back pain who were diagnosed with sacralized fifth lumbar spine were selected as the experimental group, and twelve healthy subjects were selected as the control group. The age, body height, and weight of the patients in the two groups were compared. Measurements of lumbar range of motion were used as the pretest …
The Results Of The 2010 New System For Assessment Of Disability In Hualien County: A Preliminary Study, Pao Huang, Pei-Lin Wu, Chih-Cheng Fan, Chung-Chao Liang
The Results Of The 2010 New System For Assessment Of Disability In Hualien County: A Preliminary Study, Pao Huang, Pei-Lin Wu, Chih-Cheng Fan, Chung-Chao Liang
Rehabilitation Practice and Science
Objective: This study uses the assessment results from the new system of the disability assessment schedule to investigate the relationships between the short version of the WHODAS 2.0 and the body functions, activities and participation, and environmental factors in this schedule. The influence of using this assessment schedule on changes in disability levels is analyzed.Method: In total, this study recruits 148 individuals with disabilities in Hualien County as cases for study. The new system assessment schedule from the ICF's promotion program is adopted to perform an assessment. The assessment items include body functions, activities and participation, environmental factors, and the …
Mirror Image Artifact Of Sonography Mimicking Intraosseous Tumor: A Casereport, Zong-Han Yang, Lu-Wen Chen, Chia-Chieh Wu, Chung-Che Lin
Mirror Image Artifact Of Sonography Mimicking Intraosseous Tumor: A Casereport, Zong-Han Yang, Lu-Wen Chen, Chia-Chieh Wu, Chung-Che Lin
Rehabilitation Practice and Science
Although mirror-image artifacts of soft tissue sonography are not common, they produce phantom pictures and may lead to misdiagnosis. Relevant literature on mirror-image artifacts, even casereports, are rare. We described a 70-year-old female initially having a painless, immovable nodule with an insidious onset on her right anterior middle leg. After she received an initial physical examination and a radiographic approach, musculoskeletal sonography disclosed an oval non-compressible hypoechoic tumor, which seemed to invade the bony cortex medial to her tibia crest. A real, dome-shaped tumor above the tibia bone with an intraosseous mirror-image artifact was detected after MRI study, and the …
Application Of Digital Volume Pulse Analysis In Patients With Spinal Cord Injury, Wei-Lun Tsai, Alice May-Kuen Wong, Yu-Cheng Pei, Yu-Ru Lin, Yu-Hsin Liao, Shu-Chun Huang
Application Of Digital Volume Pulse Analysis In Patients With Spinal Cord Injury, Wei-Lun Tsai, Alice May-Kuen Wong, Yu-Cheng Pei, Yu-Ru Lin, Yu-Hsin Liao, Shu-Chun Huang
Rehabilitation Practice and Science
Orthostatic hypotension is a common complication following spinal cord injury (SCI). However, an easy method to quantify the degree of vasomotor impairment below the level of injury is lacking. We postulated that SCI patients with different sympathetic reserves exhibited different digital volume pulse contours. Thirty-one patients with high chronic SCI (above the T6 neurologic level) and 28 low-level SCI patients (below T6) were recruited. Thirty-two age- and BMI-matched healthy participants were enrolled in the control group. All participants were positioned on a tilting table for five minutes in each of the following: supine rest (SR), 60-degree head-up tilt (HUT), and …
Related Factors In Children With The Motor Development Delay And Flat Feet, Hui-Wen Cheng, Chin-Kai Lin, Ching-Shiang Chi, Mei-Hua Tang
Related Factors In Children With The Motor Development Delay And Flat Feet, Hui-Wen Cheng, Chin-Kai Lin, Ching-Shiang Chi, Mei-Hua Tang
Rehabilitation Practice and Science
Condition of flat feet is a common among preschool children. Clinical studies show that children with developmental delays have problems similar to flat feet, perhaps of a more and complicated nature compared to the normal children. As literature on flat feet in children with developmental delays was hardly available, the main topic of this study was to explore factors associated with flat feet in preschool children with developmental delays, and the effect of flat feet on lower-extremity functions.The 50 participants in this study were selected from 88 children aged 4-6 years with motor delay. They were divided into two groups …
Ankle Joint Flexibility, Muscle Strength, And Unilateral Stance Balance Of Elite Men's High School Basketball Players: A Preliminary Study, Meng-Tai Chen, Chia-Hong Chen, Wai-Keung Lee, Chia-Ming Lin
Ankle Joint Flexibility, Muscle Strength, And Unilateral Stance Balance Of Elite Men's High School Basketball Players: A Preliminary Study, Meng-Tai Chen, Chia-Hong Chen, Wai-Keung Lee, Chia-Ming Lin
Rehabilitation Practice and Science
Objective: This study aimed to investigate ankle dorsiflexion flexibility, ankle invertor and evertor muscle isokinetic performance and balance during unilateral stance in high school division I basketball players. This study also aimed to investigate the similarities and differences between the dominant and non-dominant leg of the basketball players.Method: Thirty-six high school division I basketball players were recruited. The exclusion criteria were sustaining injuries in the lower limbs within the past 3 months and experiencing residual symptoms of pain in the ankle joints. Further, the study was conducted such that the test performances were not affected by the training that the …
Ipsilateral Hemiparesis Caused By Supratentorial Stroke: Two Casereports, Yen-Chung Chen, Ta-Sen Wei, Chih-Lin Chen
Ipsilateral Hemiparesis Caused By Supratentorial Stroke: Two Casereports, Yen-Chung Chen, Ta-Sen Wei, Chih-Lin Chen
Rehabilitation Practice and Science
A common symptom that occurs after strokes is impaired contralesional motor function and contralateral limbs weakness. Such weakness of the limbs is often found in a supratentorial stroke. Two patients with ipsilateral limbs weakness after supratentorial stroke events were reported. One was a recurrent ischemic stroke in the right frontal lobe with right hemiparesis; the other was a new ischemic stroke in the right thalamus with right hemiparesis. There were few reported cases of ipsilateral hemiparesis caused by a supratentorial cerebral lesion. The mechanism of such symptoms may be related to 1. Activation and cortical reorganization within the motor areas …
Kabuki Syndrome: A Casereport, Hsin-I Wu, Shih-Jay Tzeng, Chang-Hsien Yu
Kabuki Syndrome: A Casereport, Hsin-I Wu, Shih-Jay Tzeng, Chang-Hsien Yu
Rehabilitation Practice and Science
Kabuki syndrome (KS) is a rare congenital disorder characterized by distinctive facial features, skeletal anomalies, dermatoglyphic abnormalities, mild to moderate mental retardation and postnatal growth deficiency. Although first reported in Japan, it has been recognized in other parts of the world. The present case with KS is a five-year-old boy. Because of his pervasive developmental delay, he received care in rehabilitation programs hosted by our hospital. He had prominent ears, depressed nasal tip, long palpebral fissures, and long eyelashes. The common features of KS in him are postnatal growth retardation, moderate mental retardation, scoliosis, cleft palate, flat feet, fifth finger …
Foot Pain Related Factors For Nursing Aides At Long-Term Care Institutions: A Preliminary Study, Chien-Hua Huang, Won-Tin Chang, Chun Pei, Chih-Chin Hsieh, Shu-Chuan Wu
Foot Pain Related Factors For Nursing Aides At Long-Term Care Institutions: A Preliminary Study, Chien-Hua Huang, Won-Tin Chang, Chun Pei, Chih-Chin Hsieh, Shu-Chuan Wu
Rehabilitation Practice and Science
Nursing aides at long-term care institutions need to stand and walk all day. As a result, the average burden of lower limbs for nursing aides is greater than nurses was. Feet have to bear the bodies weight as well as for support, shock absorption, and wear and tear from walking. This study investigated major factors of foot pain as caused by functional activities or the abnormal foot structures from prolonged standing and walking due to work. The participants were nursing aides at a special education school in central Taiwan. The first questionnaire gathered foot pain history for the previous three …
Correlation Of Joint Symptoms And Imaging Studies Among Patients With Hemophilia, Yen-Chun Chen, Ta-Sen Wei, Tsung-Ju Wu, Chen-Chen Liu, Ming-Ching Shen
Correlation Of Joint Symptoms And Imaging Studies Among Patients With Hemophilia, Yen-Chun Chen, Ta-Sen Wei, Tsung-Ju Wu, Chen-Chen Liu, Ming-Ching Shen
Rehabilitation Practice and Science
Hemophilia is an Ⅹ-linked congenital bleeding disorder, with deficiency of coagulation factor Ⅷ (hemophilia A) or factor Ⅸ (hemophilia B). Hemophilia patients often have hemarthrosis with severe joint pain, which results in joint immobility and subsequent muscle atrophy, joint contracture, and gait disturbance. This study investigated the symptoms and severity, joint involvement, and imaging findings of hemophilia patients in Taiwan.A total of 51 male participants, including 40 with hemophilia A, aged from 6 to 69 years (mean age: 27.2±15.6 years), were recruited. We evaluated clinical symptoms and joint conditions using the Colorado Physical Examination, and imaging findings using the Pettersson …
Effects Of Home-Based Modified Constraint-Induced Movement Therapy In Children With Spastic Cerebral Palsy: A Preliminary Study, Fei-Chuan Chen, Ching-Yi Wu, Hsieh-Ching Chen, Keh-Chung Lin, Chia-Ying Chung, Chia-Ling Chen
Effects Of Home-Based Modified Constraint-Induced Movement Therapy In Children With Spastic Cerebral Palsy: A Preliminary Study, Fei-Chuan Chen, Ching-Yi Wu, Hsieh-Ching Chen, Keh-Chung Lin, Chia-Ying Chung, Chia-Ling Chen
Rehabilitation Practice and Science
Previous studies have shown beneficial effects of modified constraint-induced movement therapy (mCIMT) in improving motor functions of the upper extremities in children with spastic cerebral palsy (CP). However, there are few studies which have used kinematic analysis to validate the effectiveness and mechanisms underlying motor improvement after mCIMT. To promote clinical applicability and children's compliance with mCIMT, this study attempted to investigate the effects of home-based mCIMT in children with spastic CP using integration of clinical measures and kinematic analysis.This study used a randomized controlled trial design. Twelve children with spastic CP (6 boys and 6 girls) were randomly assigned …
Bilateral Cataract Caused By High-Voltage Electrical Injury: A Casereport, Chin-Man Wang, Jui-Yung Yang, Pei-Ying Hsueh, Yu-Cheng Pei, Cheng-Fung Tsai, Katie P. Wu
Bilateral Cataract Caused By High-Voltage Electrical Injury: A Casereport, Chin-Man Wang, Jui-Yung Yang, Pei-Ying Hsueh, Yu-Cheng Pei, Cheng-Fung Tsai, Katie P. Wu
Rehabilitation Practice and Science
Few victims can survive high-voltage electric burns in which the electricity passes through the scalp. Notably, 0.7% to 8.0% of these survivors will progressively develop cataracts caused by the electric injury. This report presents a unique case manifested with rapid visual deterioration as a result of posterior subcapsular cataract. A 36-year-old male was incidentally injured by an electric burn of 11,000 volts during work. Immediately following the injury, his vision remained sufficient in daily activities. Unfortunately, progressive non-painful visual loss developed in his right eye within a month during rehabilitation training and then later in the left eye. Ophthalmologist confirmed …
Ulnar, Median, And Radial Neuropathies After Coronary Artery Bypass Surgery: A Casereport, Wang-Lin Su, Chia-Yu Hsu
Ulnar, Median, And Radial Neuropathies After Coronary Artery Bypass Surgery: A Casereport, Wang-Lin Su, Chia-Yu Hsu
Rehabilitation Practice and Science
Peripheral neuropathies after cardiac surgery are usually attributed to manipulation during the surgical procedure itself. A 54-year-old man developed left ulnar, median, and radial neuropathies after off-pump coronary artery bypass surgery. An electrodiagnostic study indicated a lesion located in the distal part of the upper arm. In view of the anatomy, this patient most likely developed neuropathy associated with intraoperative blood pressure monitoring. Iatrogenic peripheral neuropathy after cardiac surgery should be carefully assessed to find the exact cause.
Dysphagia In Critical Illness Polyneuropathy And Myopathy: A Casereport, Hung-Chou Chen, Yen-Hsia Hsu, Shin-Ching Chen, Tyng-Guey Wang, Sung-Hui Tseng, Jiunn-Horng Kang
Dysphagia In Critical Illness Polyneuropathy And Myopathy: A Casereport, Hung-Chou Chen, Yen-Hsia Hsu, Shin-Ching Chen, Tyng-Guey Wang, Sung-Hui Tseng, Jiunn-Horng Kang
Rehabilitation Practice and Science
Critical illness polyneuropathy and myopathy (CIPNM) is a common complication seen in patients with critical illness. However, long-lasting oropharyngeal dysphagia in patients with CIPNM has not been reported previously. Besides, severe dysphagia is also a rare condition in patients with diabetes. Here, we present the case of a woman with diabetes, who developed neuromuscular weakness after recovery from severe pneumonia and respiratory failure. Brain lesion was excluded by magnetic resonance imaging of brain. CIPNM was confirmed by nerve conduction and electromyographic studies. Videofluoroscopic swallow study showed severe oropharyngeal dysphagia. The general weakness and functional status improved gradually after rehabilitation. However, …
Swallowing Therapy In Children With Bilateral Cleft Lip And Palate: A Casereport, Shih-Chung Chang, Ching-Ching Yang, Yu-Hui Huang
Swallowing Therapy In Children With Bilateral Cleft Lip And Palate: A Casereport, Shih-Chung Chang, Ching-Ching Yang, Yu-Hui Huang
Rehabilitation Practice and Science
Other than craniofacial anomaly, children with cleft lip and palate usually have problems of speech and swallowing. Therefore, in addition to multiple sessions of operations for repair and reconstruction, active rehabilitation is also required to improve their function of speech and swallowing. This report disclosed a ten-year-old boy who depended on nasogastric tube feeding and respired via tracheotomy after birth because of bilateral cleft lip and palate as well as subglottic stenosis. He started training of swallowing and speech at the age of 8. However, having lacked adequate practice for a long period of time, coordination and strength of his …