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Articles 481 - 510 of 1275
Full-Text Articles in Medicine and Health Sciences
The Hypoalgesic Effect Of Tens During Needle Emg Study, Wang-Lin Su, Hsuan-Yi Lin, Gwo-Chi Hu
The Hypoalgesic Effect Of Tens During Needle Emg Study, Wang-Lin Su, Hsuan-Yi Lin, Gwo-Chi Hu
Rehabilitation Practice and Science
Needle electromyography (EMG) is an important diagnostic and prognostic tool in physical medicine. However, some patients are unable to tolerate the pain associated with the procedure. While there has been research in methods aimed at reducing the pain from needle EMG, all have obvious disadvantages.TENS is a widely accepted tool for producing analgesia, but it has not been studied as an analgesic adjunct to needle EMG. We designed a double-blind, randomized, placebo-controlled study to investigate the effectiveness of TENS on alleviating the pain during a needle EMG study.Fifty-nine subjects undergoing needle EMG study in an upper extremity were randomly assigned …
Ultrasonographic Diagnosis Of An Intramuscular Hemangioma In The Thigh: A Casereport, Jau-Jia Lin, Hsien-Hua Liao, Su-Ju Tsai, Chien-Wen Chou, Liu-Ing Bih
Ultrasonographic Diagnosis Of An Intramuscular Hemangioma In The Thigh: A Casereport, Jau-Jia Lin, Hsien-Hua Liao, Su-Ju Tsai, Chien-Wen Chou, Liu-Ing Bih
Rehabilitation Practice and Science
We reported a case of a 21 years old male with left distal medial thigh pain and palpable mass after sports injury. The symptoms persisted for four years even with several kinds of treatment. He was referred to our hospital for ultrasonographic examination and we found a cystic lesion with blurred margin and hypoechoic texture, which was highly suspecious of intramuscular hemangioma within left rectus femoris muscle. After further confirmation by magnetic resonance images, he was referred to our plastic surgeon and then received surgical excision. A cavernous hemangioma was demonstrated by the pathologic stain. He got obvious relief of …
Spontaneous Intracranial Hypotension With Multiple Ischemic Stroke: A Casereport, Won-Jean Lin, Wai-Keung Lee, Yau-Wai Wai, Li-Rong Chen, Cheng-Chih Liao
Spontaneous Intracranial Hypotension With Multiple Ischemic Stroke: A Casereport, Won-Jean Lin, Wai-Keung Lee, Yau-Wai Wai, Li-Rong Chen, Cheng-Chih Liao
Rehabilitation Practice and Science
The causes of cerebrospinal fluid leakage leading to intracranial hypotension are generally iatrogenic or due to trauma. Postural headache is usually a characteristic symptom of intracranial hypotension, although other presenting neurologic symptoms occur, such as cranial nerve injury, vomiting, dizziness, photophobia, ataxia, dementia, coma, or death. A spontaneous cause for intracranial hypotension is uncommon. Intracranial hypotension with ischemic stroke, as described herein, has not been previously reported.A 43-year-old man complained of intermittent headaches for approximately one year, but the symptoms remitted with bedrest. He was ultimately sent to the hospital due to a severe headache. Although there were no significant …
A Pitfall Of Using Ultrasonography In Evaluating Ruptured Long Head Tendon Of The Biceps Brachii: A Casereport, Chien-Hung Shih, Chung-Che Lin, I-Ru Chen, Ya-Fang Lee
A Pitfall Of Using Ultrasonography In Evaluating Ruptured Long Head Tendon Of The Biceps Brachii: A Casereport, Chien-Hung Shih, Chung-Che Lin, I-Ru Chen, Ya-Fang Lee
Rehabilitation Practice and Science
Musculoskeletal ultrasonography is a widely used diagnostic tool to visualize shoulder tendon pathology. The diagnostic accuracy for biceps tendon pathology is high. An empty groove may be seen when there is complete rupture, and the long head tendon markedly retracts into the arm. We report a case of ruptured tendon of the right biceps brachii in a 55-year-old male injured during pull-up exercise 2 years ago. Sonography demonstrated the presence of echoic material filling the bicipital groove. This material erroneously resembled the biceps tendon and resulted in a false first impression of intact tendon. However, a careful longitudinal scan failed …
Investigation Of The Probe Position For Ultrasonography Of The Long Head Of The Biceps Brachii Tendon, Yi-Pin Chiang, Min-Jung Hsu, Ying-Hung Liu, Chia Lee
Investigation Of The Probe Position For Ultrasonography Of The Long Head Of The Biceps Brachii Tendon, Yi-Pin Chiang, Min-Jung Hsu, Ying-Hung Liu, Chia Lee
Rehabilitation Practice and Science
Musculoskeletal ultrasound has been utilized in rehabilitation medicine for many years. However, the accuracy and speed of the examination are very operator-dependent. It is often difficult for inexperienced operators to locate target structures quickly. We therefore designed this study to determine the best positioning for the transducer to detect the tendon of the long head of the biceps brachii on shoulder ultrasonography.One hundred people (200 shoulders) were recruited, including 33 men and 67 women, with a mean age of 50.8±12.5 years. Patients sat upright with the arm flexed and the forearm supinated. The ultrasound transducer was placed on the anterior …
Rehabilitation Of Patients With Melas Syndrome: A Casereport, Chia-Sho Yang, Tsung-Ying Li, Shuu-Hai Jiang, Chang-Hung Hsu, Yaw-Don Hsu, Shin-Tsu Chang
Rehabilitation Of Patients With Melas Syndrome: A Casereport, Chia-Sho Yang, Tsung-Ying Li, Shuu-Hai Jiang, Chang-Hung Hsu, Yaw-Don Hsu, Shin-Tsu Chang
Rehabilitation Practice and Science
MELAS (mitochondrial encephalomyopathy, lactic acidosis, and recurrent stroke-like episodes) syndrome is a mitochondrial disorder. Patients with mitochondrial myopathies typically have exercise-induced symptoms. Thus, patients are often advised to avoid exercise, which leads to deconditioning. Currently, the concept of aerobic exercise training as therapy for mitochondrial disease is not well established. We report the case of a patient with adult-onset MELAS, who responded positively to a low intensity rehabilitation program. Low intensity training was safe and significantly improved our patient's physical fitness. During the 20-month follow-up period, there was no significant reduction in muscle strength and function. Therefore, short-term endurance training …
Rehabilitation Of Middle-Aged And Elderly Patients With Rotator Cuff Tear, Chen-Liang Chou, Yuan-Yang Cheng, Ching-Chun Chen, Chia-Ling Chang, Tung-Fu Huang, Shun-Ping Cheng, Tcho-Jen Liu
Rehabilitation Of Middle-Aged And Elderly Patients With Rotator Cuff Tear, Chen-Liang Chou, Yuan-Yang Cheng, Ching-Chun Chen, Chia-Ling Chang, Tung-Fu Huang, Shun-Ping Cheng, Tcho-Jen Liu
Rehabilitation Practice and Science
Rotator cuff tear is one of the most common causes of shoulder disability in middle-aged and elderly people. Although many patients with rotator cuff tear have pain and dysfunction, there is a great variability in the clinical manifestations. The management of rotator cuff tear includes non-operative and operative methods. The purpose of this study was to evaluate the therapeutic effect of rehabilitation and to compare the rehabilitation effects between patients receiving operation or not.Twenty-two patients were enrolled in this study (13 operative and 9 non-operative). Each subject received rehabilitation therapy (including heat packing, TENS, massage, and therapeutic exercise) twice a …
Waveform Symmetry During The Habituation Process Of Sympathetic Skin Response, Wei-Ting Wu, Ya-Ping Huang, Chi-Lun Rau, Hao-Pai Ni, Shin-Liang Pan
Waveform Symmetry During The Habituation Process Of Sympathetic Skin Response, Wei-Ting Wu, Ya-Ping Huang, Chi-Lun Rau, Hao-Pai Ni, Shin-Liang Pan
Rehabilitation Practice and Science
For investigating autonomic function, sympathetic skin response (SSR) is usually used as a non-invasive test. In previous studies, SSR was applied in the patients with neurological diseases (such as stroke), and the amplitude of SSR was compared between the left and right hand (or foot). Most researchers used electrical limb stimulation to elicit SSR in both limbs. However, the symmetry of SSR in healthy subjects has not been well established. Besides, SSR testing may affect the symmetry of SSR. Moreover, although habituation phenomena are commonly seen during SSR testing, few studies have discussed the symmetry of SSR during repetitive SSR …
Retrospective Study Of Long-Term Medical Complications In Spinal Cord Injured Patients, Hui-Wen Yu, Su-Ju Tsai, Fan-Fei Tseng, Yu-Hui Huang, Ying-Ju Shih, Liu-Ing Bih
Retrospective Study Of Long-Term Medical Complications In Spinal Cord Injured Patients, Hui-Wen Yu, Su-Ju Tsai, Fan-Fei Tseng, Yu-Hui Huang, Ying-Ju Shih, Liu-Ing Bih
Rehabilitation Practice and Science
In order to determine the prevalence of medical complications after spinal cord injury, 52 patients who received regular follow up in a rehabilitation hospital (average 14.1 years) were studied. Medical records were reviewarticleed and analyzed, including demographic data, onset duration, neurological level, locomotion, reason for visiting doctor's office, rehospitalization, medication usage, and surgical intervention. The most common complication encountered was constipation (82.7%). Other common complications were neurogenic bladder dysfunction (80.8%), urinary tract infection (75.0%), musculoskeletal pain (71.2%), spasticity (67.3%) and gastrointestinal disturbance (51.9%). reviewarticleing the medical records in the most recent year, constipation was still the most common complication (46.2%). …
Effect Of Kinesio Taping Over Frontal Region On The Attention Of Normal Subjects, Wei-Chi Hsieh, Su-Hsien Lin, Hung-Chih Hsu, Alice May-Kuen Wong, Ka-Kit Siu, Yu-Cheng Pei
Effect Of Kinesio Taping Over Frontal Region On The Attention Of Normal Subjects, Wei-Chi Hsieh, Su-Hsien Lin, Hung-Chih Hsu, Alice May-Kuen Wong, Ka-Kit Siu, Yu-Cheng Pei
Rehabilitation Practice and Science
”Kinesio taping” is a newly developed technique frequently used for the treatment of soft tissue lesions. The Kinesio Tex tape has the skin like elastic property and can be applied with tension at the soft tissue lesion site. This study was designed to assess the effectiveness of ”Kinesio taping” on the attention in normal subjects. In several ways that can be used to assess attention, the well-known Posner paradigm was chosen. This paradigm can assess visual spatial attention by presenting the target participants with cues that direct attention to regions of the visual space within which an imperative stimulus may …
The Discomfort Rating And Pain Relieving Behavior In High Heel Wearers And The Clinical Implication, Wei-Hsien Hong, Yung-Hui Lee, Fuk-Tan Tang, Chia-Ling Chen, Wen-Lung Liu, Yu-Cheng Pei
The Discomfort Rating And Pain Relieving Behavior In High Heel Wearers And The Clinical Implication, Wei-Hsien Hong, Yung-Hui Lee, Fuk-Tan Tang, Chia-Ling Chen, Wen-Lung Liu, Yu-Cheng Pei
Rehabilitation Practice and Science
This study aimed at the development of a questionnaire to investigate the discomfort rating and pain relieving behavior in high heel wearers and to assess any clinical implication. A sample of 317 subjects received the questionnaire. The internal consistency was 0.78-0.85 and the test-retest reliability was 0.85-0.90 (p＜0.0l), indicating the reliability of the questionnaire was adequate. With regard to the factor structure, a 5-factor modality was confirmed, made up of four domains for the comfort rating including ”foot discomfort”, ”biomechanical effect”, ”balance and safety” and ”effect on the daily living” and a final domain, ”measures to relieve pain”. Among these …
Correlation Between Special Physical Testing And Soft Tissue Ultrasound Findings In Evaluation Of Shoulder Pain: Using Likehood Ratio, Shao-Li Han, Han-Shiang Ko, Yau-Wai Wai, Wai-Keung Lee
Correlation Between Special Physical Testing And Soft Tissue Ultrasound Findings In Evaluation Of Shoulder Pain: Using Likehood Ratio, Shao-Li Han, Han-Shiang Ko, Yau-Wai Wai, Wai-Keung Lee
Rehabilitation Practice and Science
Shoulder pain is one of the most troublesome problems evaluated in our clinic. Numerous special physical tests have been developed to localize the origin of such pain. Soft tissue ultrasound, as an ancillary procedure, offers multiple advantages in evaluation of shoulder disorders: reliability, reproducibility, no radiation exposure, and low cost. Many authors have demonstrated that a strong correlation exists between ultrasound and magnetic resonance imaging in detecting shoulder pathology. In the current study, we determined the correlation between clinical presentation, findings on special physical tests, and findings from soft tissue ultrasonography in evaluation of shoulder pain. In order to eliminate …
Reliability And Measurement Error In Using A Tape Measure To Determine Limb Circumference, Ching-Yi Wang, Chin-Lin Hsieh, Sheng-Kuang Wu, Chu-Kuei Chang, Chiew-Ju Hsish, Chien-Fen Lin
Reliability And Measurement Error In Using A Tape Measure To Determine Limb Circumference, Ching-Yi Wang, Chin-Lin Hsieh, Sheng-Kuang Wu, Chu-Kuei Chang, Chiew-Ju Hsish, Chien-Fen Lin
Rehabilitation Practice and Science
The purposes of this study were (1) to test the inter-rater and intra-rater reliability of using a tape measure to determine limb circumferences and (2) to report the 95% CI of standard error of measurement (SEM) of repeated measures by the same tester to determine whether a clinically important change has occurred.Forty-six college students (6 men, 40 women) with a mean age of 20 years old volunteered to participate in this study. Subjects reported no neuro-musculo-skeletal diseases or disorders in their upper or lower extremities. To determine the inter-rater reliability, two testers measured the circumference of 4 locations on the …
The Trapezius Reflex: A New Reflex For Bilateral Motor Control, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Chia-Hui Chen, Chang-Zern Hong
The Trapezius Reflex: A New Reflex For Bilateral Motor Control, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Chia-Hui Chen, Chang-Zern Hong
Rehabilitation Practice and Science
Close links between the bilateral trapezii are essential for the stability and coordination of neck and shoulder movements. However, there is no direct neurophysiological evidence to support such a bilateral motor control mechanism. Our study is the first to use an electrodiagnostic method to prove the existence of this reflex. In this study, we have identified a new uniform or standardized technique, named the trapezius reflex (TR), which is able to evaluate proximal shoulder motor function. The TR is defined as an electrically elicited reflex that originates from the synchronized activation of both trapezii by electric stimulation of the accessory …
Investigation Of The Magnetic Resonance Image Findings Of Neck And Shoulder Muscle Pain, Pei-Der Sheu, Jue-Long Wang, Ko-Long Lin, Chi-Chuan Shih, Shwu-Fen Sun, Kuen-Hwang Chen, Chiao-Wen Hwang
Investigation Of The Magnetic Resonance Image Findings Of Neck And Shoulder Muscle Pain, Pei-Der Sheu, Jue-Long Wang, Ko-Long Lin, Chi-Chuan Shih, Shwu-Fen Sun, Kuen-Hwang Chen, Chiao-Wen Hwang
Rehabilitation Practice and Science
In the rehabilitation clinic, neck and shoulder pain are mainly attributed to muscle and fascia pain. Neck and shoulder pain resulting from cervical radiculopathy, such as herniated intervertebral disk, spondylolisthesis, and neuroforamen narrowing, can be detected with nerve conduction study, electromyography, and imaging. However, no objective test is available for the diagnosis of muscle and fascia pain.Although magnetic resonance imaging (MRI) is promising for evaluation of tendon and connective tissue structure, there are no researches for application to neck and shoulder muscle pain. We administered pain questionnaires to 27 patients with soreness of the neck, shoulder, or upper back and …
Does Shortwave Diathermy Reduce The Intractable Spasticity Of Patients With Spinal Cord Injury?, Hung-Tzu Su, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee, Mao-Hsiung Huang
Does Shortwave Diathermy Reduce The Intractable Spasticity Of Patients With Spinal Cord Injury?, Hung-Tzu Su, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee, Mao-Hsiung Huang
Rehabilitation Practice and Science
Spasticity is a hallmark of an upper motor neuron disorder and represents the most important impairments for individuals who care for patients with central nervous system disease. It may have an adverse effect on rehabilitation training. Shortwave diathermy is a modality that produces deep heat. It is usually used to relieve pain and stiffness, promote wound healing and relieve deep muscle spasm.In the present case, we show a 52-year-old male patient with spinal cord injury who has severe spastic hypertonia. He is disabling in motor and daily living. We have tried in vain with various physical therapy and medications. He …
Intraspinal Tumor Associated With Hydrocephalus: A Casereport, Sheng-Hsiang Su, Kuo-Sheng Hung, Jen-Wen Hung
Intraspinal Tumor Associated With Hydrocephalus: A Casereport, Sheng-Hsiang Su, Kuo-Sheng Hung, Jen-Wen Hung
Rehabilitation Practice and Science
Intraspinal tumor associated with hydrocephalus is a well known but uncommon phenomenon. It is difficult to diagnose accurately if clinical hydrocephalus symptoms are presented, comprising unsteady gait, urinary incontinence, dementia, headache and papilledema. The patient in this study was a 77 years old male whose main problems included impaired walking, dementia and delirium. He received V-P shunt because of brain CT disclosing communicating hydrocephalus. Patient consciousness improved following operation, but bilateral lower limb weakness became worse. Following spinal MRI examination, an intraspinal tumor at L1 level was noted. The patient underwent laminectomy and partial tumor removal, but metastatic intraspinal adenocarcinoma …
Delayed Neuropathy Due To Organophosphate Intoxication: A Casereport, Chiao-Chien Chen, Lin-Fen Hsieh
Delayed Neuropathy Due To Organophosphate Intoxication: A Casereport, Chiao-Chien Chen, Lin-Fen Hsieh
Rehabilitation Practice and Science
Organophosphates (OP) are inhibitors of acetylcholinesterase. OP intoxication results in an accumulation of acetylcholine. Clinical signs and symptoms of acute OP poisoning include salivation, incontinence, vomiting, muscle weakness, hypertension, palpitation, restlessness, headache, drowsiness, confusion and seizure. After the acute stage of OP intoxication some patients recover fully, but others have neurologic sequelae, including central and peripheral neuropathy. Individuals with milder cases may recover fully within several months; however, more severe cases may result in persistent sequelae.A 20-year old woman attempted suicide by drinking organophosphate pesticide in 1995. Although emergency and acute medical treatments saved her life, she developed delayed neuropathy, …
復健醫學之眞義, The Editors
The Relation Between Pre-And Postoperative Anxiety And Uncertainty In Orthopaedic Surgical Patients, Kuang-Chi Huang, Shing-Sheng Wu, Jane Liang, Kao-Chung Tsai
The Relation Between Pre-And Postoperative Anxiety And Uncertainty In Orthopaedic Surgical Patients, Kuang-Chi Huang, Shing-Sheng Wu, Jane Liang, Kao-Chung Tsai
Rehabilitation Practice and Science
To understand the concerns of orthopaedic surgical patients and to enhance the quality of nursing care, the pre-and postoperative anxiety and uncertainty levels of orthopaedic surgical patients were determined and the relations among these factors explored. A descriptive correlation design was used and 44 adult orthopaedic surgical patients were selected by convenience sampling from a medical center in Taipei. Data were collected through structured questionnaires to obtain relevant demographic variables, the State-Trait Anxiety Inventory (STAI), and Mishel's Uncertainty in Illness Scale (MUIS). The main results included: (1) Mean scores of pre-and postoperative anxiety of 40.68 (SD=13.39) and 37.94 (SD=9.87), respectively; …
Event-Related Potentials Of Visual Spatial Attention In Healthy Subjects, Chu-Hsu Lin, Yu-Cheng Pei, Chia-Ying Chung, Pao-Tsai Cheng, Chia-Ling Chen, Alice M.K. Wong
Event-Related Potentials Of Visual Spatial Attention In Healthy Subjects, Chu-Hsu Lin, Yu-Cheng Pei, Chia-Ying Chung, Pao-Tsai Cheng, Chia-Ling Chen, Alice M.K. Wong
Rehabilitation Practice and Science
Visual attention can be manipulated by temporal and spatial factors of stimuli. The purpose of this study is to investigate the underlying mechanism of visual spatial attention of healthy subjects through event-related potential (ERP) study.The subjects of the study were 17 healthy adults, mean age 23.3 years. The visual stimuli were generated by the Neurostim system and presented in groups of eight under three different conditions: cueing (valid, invalid), delay (100 ms, 800 ms) and visual field sides (right and left). ERPs were recorded by 10 Neuroscan systems electrodes placed on each subject's scalp. The latencies and amplitudes of ERPs …
Phenomena Correlated To Stroke Patients With Pusher Syndrome, Hung-Che Wang, Ling-Fu Meng
Phenomena Correlated To Stroke Patients With Pusher Syndrome, Hung-Che Wang, Ling-Fu Meng
Rehabilitation Practice and Science
Stroke patients who cannot maintain a balanced sitting or standing position fall toward one specific side. There can be a strong tendency to actively use non-hemiplegic extremities to push the body away from the sound side. As well, patients may resist any attempt to correct their postures and finally fall toward the hemiplegic side. This falling asymmetry phenomenon has been termed ”Pusher syndrome.” The syndrome often occurs coincident with frequent lapses in consciousness, poor motor control, impaired sensory status, spatial neglect, and limited perceptual function. Recent observations have indicated that Pusher syndrome is strongly related to body orientation deficit and …
Down Syndrome With Os Odontoideum And Spinal Cord Injury: A Casereport, Li-Chen Tung, Yu-Lin Wang, Chen-Yu Chou, Hui-Chun Juan, I-Hsien Wu, Willy Chou
Down Syndrome With Os Odontoideum And Spinal Cord Injury: A Casereport, Li-Chen Tung, Yu-Lin Wang, Chen-Yu Chou, Hui-Chun Juan, I-Hsien Wu, Willy Chou
Rehabilitation Practice and Science
Down syndrome is a genetic disorder caused by trisomy on chromosome 21 that occurs in 1 of every 800 live births. Down syndrome can involve skeletal malformations that include patella or hip dislocation, genu valgus and atlanto-axial instability (AAI). Prompt recognition and treatment of the latter is important. This casereport describes an odontoid fracture due to AAI in a seven-year-old with Down syndrome.
Since October 2000, the child had involved in robust activities including floor tumbling and hand stands. Beginning in April 2001, the right extremities showed signs of weakness and there was an unsteady gait. Upon physical examination, AAI …
Critical Illness Polyneuropathy: A Casereport, Chin-Man Wang, Li-Fang Lee, Chu-Chi Chen, Alice M.K. Wang, Fuk-Tan Tang, Pao-Tsai Cheng
Critical Illness Polyneuropathy: A Casereport, Chin-Man Wang, Li-Fang Lee, Chu-Chi Chen, Alice M.K. Wang, Fuk-Tan Tang, Pao-Tsai Cheng
Rehabilitation Practice and Science
It is often difficult to isolate the etiology of acute weakness in the critically ill population because of multiple etiologies. Recently, critical illness polyneuropathy (CIP), a syndrome of unknown etiology was added to the differential diagnosis. The frequency of CIP is approximately 50-70% in patient with sepsis and/or systemic inflammatory response syndrome and multiple organ dysfunction syndrome. This casereport presents a 66 year-old male who has diabetic mellitus for five years. He suffered from distal limbs numbness without muscle atrophy for nearly two years. Prior to admission, he was treated as muscle strain over right thigh in another hospital repeatedly, …
The Impact Of Low Back Pain On Patient's Sexual Life, Tien-Sung Yeh, Ta-Shen Kuan, I-Ning Tang, Chia-Hui Chen, Chang-Zern Hong
The Impact Of Low Back Pain On Patient's Sexual Life, Tien-Sung Yeh, Ta-Shen Kuan, I-Ning Tang, Chia-Hui Chen, Chang-Zern Hong
Rehabilitation Practice and Science
Low back pain (LBP) has various adverse effects on the functional status of a patient's life, including a patient's sex life. This study evaluated the impact of LBP on the sexual life of patients. Forty-eight patients, including 27 men and 21 women, were recruited for this study. Their mean age was 44 years old. The average duration of LBP was 47.7 months. The mean visual analog scale (VAS) before the treatment of LBP was 5.9, while mean VAS at the time of the study was 3.6.Frequency of intercourse affected by LBP was noted in 60.9% of our patients. Forty percent …
Spontaneous Spinal Epidural Hematoma: A Casereport, Shiou-Ping Lin, Da-Tong Ju, Kao-Chung Tsai, Ming-Fu Hsieh
Spontaneous Spinal Epidural Hematoma: A Casereport, Shiou-Ping Lin, Da-Tong Ju, Kao-Chung Tsai, Ming-Fu Hsieh
Rehabilitation Practice and Science
Spontaneous spinal epidural hematoma (SSEH) refers to a spinal epidural hematoma that is not secondary to trauma, incidental, and iatrogenic (such as lumbar puncture or spinal anesthesia). SSEH represents 0.3%-0.9% of spinal epidural space-occupying lesions. It is a rare spinal emergency, yet a diagnostic challenge. We reported a 21-year-old young male who was admitted with sudden weakness of bilateral lower limbs and difficulty in urination. The cervical epidural hematoma was noted by spinal magnetic resonance imaging examination. After emergency decompressive operation and postoperative rehabilitation, the patient had gradual improvement of neurological function, yet the presence of slight neurogenic bladder dysfunction. …
A Ganglion Cyst Of Posterior Cruciate Ligament Detected By Ultrasonographic Examination: A Casereport, Yu-Chou Hung, Jeng-Yi Shieh, Tyng-Guey Wang, Chein-Wei Chang
A Ganglion Cyst Of Posterior Cruciate Ligament Detected By Ultrasonographic Examination: A Casereport, Yu-Chou Hung, Jeng-Yi Shieh, Tyng-Guey Wang, Chein-Wei Chang
Rehabilitation Practice and Science
A ganglion cyst of the posterior cruciate ligament (PCL) is a rare condition and it is usually an incidental finding of magnetic resonance imaging (MRI) or arthroscopy. Recent advances in ultrasound technology and the development of high-resolution transducers have enabled detailed imaging of musculoskeletal structures. We describe a 21-year-old female who complained of left knee pain after a slip and fall. A sonogram showed an echo-free, multilocular lesion with posterior enhancement, just posterior to the PCL. A ganglion cyst of the PCL was suspected, and the diagnosis was subsequently confirmed by MRI. To the best of our knowledge, this is …
Gait Deviations In Patients With Early Osteoarthritis Of The Knee, Yin-Chou Lin, Chih-Kuan Chen, Ngok-Kiu Chu, Jung-Feng Chang, Yiu-Chung Liu, Simon Fuk-Tan Tang
Gait Deviations In Patients With Early Osteoarthritis Of The Knee, Yin-Chou Lin, Chih-Kuan Chen, Ngok-Kiu Chu, Jung-Feng Chang, Yiu-Chung Liu, Simon Fuk-Tan Tang
Rehabilitation Practice and Science
We design a case control study to evaluate the gait deviations of patients with early osteoarthritis(OA) of the knee, which are subtle and difficult to observe clinically. Twenty-six patients with symptomatic OA were recruited from the outpatient department. The control group consisted of 20 normal subjects who were matched for age, body weight, and body height. Both the patient and control groups were subjected to a similar protocol of gait analysis with comfortable speed. The peak value of angular displacement of pelvic tilt up, pelvic tilt down, knee valgus, ankle dorsifexion, and ankle rotation were significantly lower (p＜0.05) in the …
Short-Term Results In Patients After Transmyocardial Laser Revascularization, Chen-Liang Chou, Benjamin Ing-Tiau Kuo, Chih-Jou Lai, Shun-Ping Cheng, Tcho-Jen Liu, Shian-Ting Lai
Short-Term Results In Patients After Transmyocardial Laser Revascularization, Chen-Liang Chou, Benjamin Ing-Tiau Kuo, Chih-Jou Lai, Shun-Ping Cheng, Tcho-Jen Liu, Shian-Ting Lai
Rehabilitation Practice and Science
Patients with symptomatic end-stage coronary artery disease, who had poor response to percutuneous transluminal coronary angioplaoty or coronary artery bypass grafting, the transmyocardial laser revascularization (TMR) seems to be an alternative method to relieve disabling ischemic symptoms. The purpose of this study was to evaluate the short-term results (about post-op 12 weeks) after TMR.Thirty patients were enrolled in the study. We used ”New York Heart Association functional classification” and ”stages of stable angina” to evaluate the functional changes after operation. The drug medicine was also reviewarticleed. All functional evaluation showed significant improvement after TMR but increased in using cardiac drug …
Study On Treatment Effects Of Integrated Approach For Stuttering Adults, Feng-Chu Tseng, Shu-Lan Yang
Study On Treatment Effects Of Integrated Approach For Stuttering Adults, Feng-Chu Tseng, Shu-Lan Yang
Rehabilitation Practice and Science
There are 200 thousand stutterers in Taiwan. In addition to disfluency, they may have social or work adaptation problem. The purpose of this research is to study the efficacy of integrated approach combining stuttering modification therapy and fluency shaping therapy in stuttering adults. Seventeen stuttering adults were included in this study. The experimental group consisted of 7 males and 4 females with average age of 26.73 (SD=7.37). The average age of the control group was 26.67 (SD=7.92), which consisted of 5 males and 1 female. The members of experimental group attended a two-day stuttering workshop for 14 hours, then participated …