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Rehabilitation Practice and Science

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Full-Text Articles in Medicine and Health Sciences

Clinical Effects Of Botulinum Toxin On Spasticity Management In Children With Cerebral Palsy, En-Shiuan Wu, Chia-Ling Chen, Alice M.K. Wong, Ching-Kai Wong, Jun-Xiao Chen, Shin-Ming Lo Dec 2004

Clinical Effects Of Botulinum Toxin On Spasticity Management In Children With Cerebral Palsy, En-Shiuan Wu, Chia-Ling Chen, Alice M.K. Wong, Ching-Kai Wong, Jun-Xiao Chen, Shin-Ming Lo

Rehabilitation Practice and Science

Botulinum toxin type A (BTA) has treated spasticity in cerebral palsy (CP) in recent years. This study investigated both the clinical effects and gait improvements of BTA on spasticity management in children with CP.Twenty-nine children with spastic CP (2-10 years old) were recruited into this study. All subjects received complete clinical assessments, video recording and functional assessments before and 1-3 months after BTA treatment. A questionnaire was employed for the evaluation of parents’ subjective satisfaction. Clinical assessments included muscle tone and joint range of motion (ROM) of bilateral lower limbs. ROMs, including dynamic (R1) and static (R2), were measured by …

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Effect Of Temperature On Type Of Cerebrovascular Accident, Sen-Yung Liu, Ta-Sen Wei, Cheng-Hsiung Hong Dec 2004

Effect Of Temperature On Type Of Cerebrovascular Accident, Sen-Yung Liu, Ta-Sen Wei, Cheng-Hsiung Hong

Rehabilitation Practice and Science

Monthly or seasonal change of climate has been suggested to associate with the incidence and type of stroke, but this association is not conclusive owing to variation in study design and geographic area. The aim of this study was to investigate the short-term effect of temperature variation on type of cerebrovascular accident in first-time stroke patients.There were 1008 in-patients enrolled in this study, including 718 ischemic (infarct) stroke and 290 hemorrhagic stroke patients. The age was 68.9±11.0 years in the infarct and 62.9±13.6 years in the hemorrhagic group; 62%(181 cases) of the infarct group and 55%(395 cases) of the hemorrhagic …

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Differential Impairment And Recovery Of Two Languages In A Bilingual Aphasic Patient: A Casereport, I-Ru Chen, Su-Fen Liao, Ta-Sen Wei Dec 2004

Differential Impairment And Recovery Of Two Languages In A Bilingual Aphasic Patient: A Casereport, I-Ru Chen, Su-Fen Liao, Ta-Sen Wei

Rehabilitation Practice and Science

According to the definition proposed by Grosjean, more than half of the world population is multilingual. Bilingual aphasia is more complex and variable; thus it may need a more individualized rehabilitation program than monolingual aphasia. However, many instances of bilingual aphasia may have been misdiagnosed and treated as monolingual aphasia due to a lack of comprehensive assessment.We present here a change in the language pattern of a bilingual Chinese woman, who initially spoke Cantonese (mother language) and Mandarin (2nd language) very well. She was afflicted by aphasia due to a stroke involving cortical and subcortical lesions in 1999. After rehabilitation …

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Relationships Between Clinical Symptoms And Electrodiagnosis In Carpal Tunnel Syndrome, Pei-Ying Chao, Hui-Lin Lin, Shin-Liang Pan, Chein-Wei Chang Dec 2004

Relationships Between Clinical Symptoms And Electrodiagnosis In Carpal Tunnel Syndrome, Pei-Ying Chao, Hui-Lin Lin, Shin-Liang Pan, Chein-Wei Chang

Rehabilitation Practice and Science

Carpal tunnel syndrome is one of the most common peripheral entrapment neuropathies. Patients with carpal tunnel syndrome experience numbness, pain, and/or weakness in the hands over the median nerve distribution area. In current practice, diagnosis of carpal tunnel syndrome is based on subjective symptoms and objective findings from physical examinations and electrodiagnosis. We examined 40 hands with carpal tunnel syndrome in 24 patients and evaluated the relation between symptom severity and electrodiagnosis. Subjective hand symptoms were obtained by self-administered questionnaire and were categorized as numbness, pain, or motor function according to factor analysis methods. Numbness symptoms were significantly related to …

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Long-Term Prosthesis Use And Functional Outcome Among Patients With Lower Extremity Amputations, Je-Kuei Yang, Ming-Chuan Lin, Ssu-Yuan Chen, Ching Lan, Jin-Shin Lai, I-Nan Lien Dec 2004

Long-Term Prosthesis Use And Functional Outcome Among Patients With Lower Extremity Amputations, Je-Kuei Yang, Ming-Chuan Lin, Ssu-Yuan Chen, Ching Lan, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

The purpose of this study was to investigate prosthesis use among patients who underwent lower extremity amputation owing to peripheral vascular disease and evaluate their functional outcome after returning to the community. We retrospectively reviewarticleed medical charts of patients who underwent lower extremity amputation from 1993 to 1999. The causes of amputation, the level of amputation and patient's health condition were recorded. We then surveyed the patients by telephone, and recorded the stump condition, difficulties encountered in daily activities, and functional status. From January 1993 to December 1999, 347 patients underwent lower-limb amputations in our hospital. Of them, 174 died, …

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Supratentorial Primitive Neuroectodermal Tumors: A Casereport, Chien-Min Chen, Chin-Man Wang, Shih-Ming Jung, Pao-Tsai Cheng, Alice M.K. Wong Dec 2004

Supratentorial Primitive Neuroectodermal Tumors: A Casereport, Chien-Min Chen, Chin-Man Wang, Shih-Ming Jung, Pao-Tsai Cheng, Alice M.K. Wong

Rehabilitation Practice and Science

Supratentorial primitive neuroectodermal tumors are a very rare brain tumor. This reports the case of a 14 year old girl who visited our emergency department owing to severe headache and vomiting. One 72mm×45mm mass located at the left corpus callosum and extending to the left ventricle was identified by Brain magnetic imaging. The tumor was removed and the pathology demonstrated highly cellular tumor with poorly differential cells and brisk miotic activity. Based on the tumor location and pathology, a supratentorial primitive neuroectodermal tumor was diagnosed. Following the surgery the patient presented with right side weakness, unsteady gait, and speech difficulty. …

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Thickening Of Finger Extensor Tendons In Hemiplegic Hands Of Stroke Patients, Nai-Hsin Meng, Sui-Foon Lo, Ting-I Han, Yi-Fang Hu, I-Shien Tseng, Mu-Jung Kao Dec 2004

Thickening Of Finger Extensor Tendons In Hemiplegic Hands Of Stroke Patients, Nai-Hsin Meng, Sui-Foon Lo, Ting-I Han, Yi-Fang Hu, I-Shien Tseng, Mu-Jung Kao

Rehabilitation Practice and Science

Thickening of finger extensor tendons in hemiplegic hands of stroke patients has never been reported. We reported 11 patients with stroke who experienced gradual onset of a painless swelling at the dorsal aspect of the hemiplegic wrist. Soft tissue sonography revealed that the swellings were mainly composed of thickened finger extensor tendons. This thickening typically involved the tendons of the 4th dorsal extensor compartment between the proximal carpal and mid-metacarpal levels. The maximal thickness of these tendons could reach over three times that of the corresponding tendons of the contralateral hand. The synovial tissue surrounding the thickened tendon was also …

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Primary Adrenal Insufficiency Developing After Traumatic Brain Injury: A Casereport, June-Kai Chen, Tien-Wen Chen, Ming-Cheng Weng, Mao-Hsiung Huang Dec 2004

Primary Adrenal Insufficiency Developing After Traumatic Brain Injury: A Casereport, June-Kai Chen, Tien-Wen Chen, Ming-Cheng Weng, Mao-Hsiung Huang

Rehabilitation Practice and Science

There have been isolated reports in the literature of the natural history and less than complete knowledge of the epidemiology and the pathophysiology of endocrine alteration occurring after traumatic brain injury (TBI). This article describes one primarily adrenal-dysfunction patient with severe TBI who had no evidence of present or prior adrenal autoimmune disease, infection, hemorrhage, or malignancy. It is suggested that this distinct condition can be labeled as ”primary adrenal insufficiency (PAI) developing after TBI”.

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Metatarsal Stress Fracture: A Casereport, Chwan-Chin Leu, Chorng-Song Chou, Chin-Teng Chung, Chun-Fu Wang Dec 2004

Metatarsal Stress Fracture: A Casereport, Chwan-Chin Leu, Chorng-Song Chou, Chin-Teng Chung, Chun-Fu Wang

Rehabilitation Practice and Science

A stress fracture is defined as a partial or complete fracture of bone due to the inability to withstand non-violent stress applied in a rhythmic, repeated, subthreshold manner. It could occur in any kind of sport. However, it usually occurs in running-based sports and running or jogging. Initial diagnosis of stress fracture is difficult. A careful study of the patient's history amd physical examination combined with appropriate radiographic examination, or if indicated, scintigraphy, provides a highly accurate diagnosis.A 19-year-old male athlete suffered from insidious onset of pain in the right forefoot after judo training. This focal pain eventually precluded any …

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Lumbar Pathological Fracture Due To Salmonella Osteomyelitis Mimics Compression Fracture, Ming-Fong Tsai, Zong-Jing Wang, I-Chiun Lu, Chi-Hung Chiu Dec 2004

Lumbar Pathological Fracture Due To Salmonella Osteomyelitis Mimics Compression Fracture, Ming-Fong Tsai, Zong-Jing Wang, I-Chiun Lu, Chi-Hung Chiu

Rehabilitation Practice and Science

We describe a patient with Salmonella vertebral osteomyelitis who presented with severe low back pain. An initial diagnosis of compression fracture was based on clinical symptoms and signs, as well as imaging studies. During hospitalization, the patient developed a fever. A repeat MRI, positive blood cultures, and abscess culture results obtained during an operative procedure confirmed the diagnosis of Salmonella vertebral osteomyelitis. Salmonella vertebral osteomyelitis is rare, and its clinical presentation may mimic other common diseases such as compression fracture. This case illustration suggests that in patients with rapidly progressive low back pain, fever, and poor response to treatment, vertebral …

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Alcohol-Related Central Pontine Myelinolysis: A Casereport, Tai-Te Lee, Vikey Huang Dec 2004

Alcohol-Related Central Pontine Myelinolysis: A Casereport, Tai-Te Lee, Vikey Huang

Rehabilitation Practice and Science

Central pontine myelinolysis (CPM) characterizes demyelinolysis of the central basal pons without involving the nerve axon. The etiology and incidence are unclear. According to previous reports, CPM occurs most often in chronic alcoholism, followed by hyponatremia due to rapid correction of electrolyte imbalance. Clinical manifestations of CPM include consciousness disturbance, lethargy, impaired brain function, dysphasia, dysarthria, four limbs weakness, ataxia, decreased deep tendon reflex, hypotension and seizure. The treatment of CPM includes supportive management with enough nutrition intake and rehabilitation programs. Our casereport is a 47 year old male with the history of diabetics mellitus, hypertension and chronic alcoholism. He …

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Long-Term Treatment Of Hemifacial Spasm With Type A Botulinum Toxin, Yu-Ching Llin Dec 2004

Long-Term Treatment Of Hemifacial Spasm With Type A Botulinum Toxin, Yu-Ching Llin

Rehabilitation Practice and Science

Hemifacial spasm is a rare movement disorder. It is characterized by recurrent, involuntary tonic or clonic contraction of the muscles innervated by unilateral facial nerve. It may affect patient’s vision and has great cosmetic or psychological impacts. Oral drugs including anticonvulsants, baclofen and benzodiazepines often have little effect. Surgery has potentially serious complications. After numerous clinical studies, botulinum toxin is now recommended as the primary treatment of choice for most hemifacial spasm cases.The purpose of this study is to retrospectively evaluate the dose, effect and side effects of long-term treatment of hemifacial spasm with type A botulinum toxin. Between November …

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Market Analysis For The Need Of Individualized Assisted Device In Patients With Physical-Mental Disabilities, Chau-Peng Leong, Shih-Wei Chou, Tsong-Hwa Lin, Jen-Li Pan, Yu-Cheng Pei, Ngok-Kiu Chu, Kin-Chung Lai, Kuo-Hsien Tu, Simon F.T. Tang Dec 2004

Market Analysis For The Need Of Individualized Assisted Device In Patients With Physical-Mental Disabilities, Chau-Peng Leong, Shih-Wei Chou, Tsong-Hwa Lin, Jen-Li Pan, Yu-Cheng Pei, Ngok-Kiu Chu, Kin-Chung Lai, Kuo-Hsien Tu, Simon F.T. Tang

Rehabilitation Practice and Science

The number of people with physical-mental disabilities in Taiwan was 711,064 in the year 2000. The difficulties in performing activities of daily lives and social function handicaps in these people can often be alleviate with the proper application of assisted device. The individualized need of assisted device in people with physical-mental disabilities was never investigated in Taiwan. Therefore, the objectives in this investigation were to: 1. understand the need of assisted device in people with physical-mental disabilities, 2. understand the need of individualized assisted device in people with physical-mental disabilities, 3. observe the similarities and differences in the need for …

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Orthoses Utilization And Daily Functional Status In Patients With High Level Cervical Cord Injury, Yao-Ting Wu, Chin-Hung Tseng, Ming-Shun Wu, Chia-Li Chen, Chi-Ming Shih, Liu-Ing Bih Dec 2004

Orthoses Utilization And Daily Functional Status In Patients With High Level Cervical Cord Injury, Yao-Ting Wu, Chin-Hung Tseng, Ming-Shun Wu, Chia-Li Chen, Chi-Ming Shih, Liu-Ing Bih

Rehabilitation Practice and Science

Patients with high-level cervical cord injuries are dependent in most activities of daily living (ADL) because they possess very little residual motor function. The utilization of appropriate assistive devices could enhance their independence and improve their quality of life.A prospective study was conducted with 11 male tetraplegic patients between 22 to 51 years of age (mean, 32.0±10.0 years), living in central Taiwan, with C4 or C5 cord injuries; the duration of their injuries ranged between 16 to 125 months (mean, 56.8±28.6 months). After a home visit and an individual interview, we found that these patients could perform 1 to 8 …

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Fixation With Vertebral Prosthesis Following Vertebral Fracture In Ankylosing Spondylitis : A Casereport, Tieh-Cheng Fu, Chin-Man Wang, Pao-Tsai Cheng, Shih-Wei Chou, Fuk-Tan Tang, Alice M. K. Wong Dec 2003

Fixation With Vertebral Prosthesis Following Vertebral Fracture In Ankylosing Spondylitis : A Casereport, Tieh-Cheng Fu, Chin-Man Wang, Pao-Tsai Cheng, Shih-Wei Chou, Fuk-Tan Tang, Alice M. K. Wong

Rehabilitation Practice and Science

The subject patient was a case of ankylosing spondylitis (AS). Because of recurrent fine vertebral fracture combined with pseudoarthrosis and neurological deficiency, the patient had received several conventional surgical interventions over ten years. A year before the present admission, the patient suffered lower limbs weakness and received surgical intervention with thoracic corpectomy and fixation with vertebral prosthesis, anterior spinal instrumentation and posterior fusion with pedicle screw at Stanford hospital in the U.S.A. The patient tolerated the procedure well and achieved some improvement in his leg sensation and muscle power. The patient then returned to Taiwan for rehabilitation therapy at Chang-Gung …

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Randomized Clinical Trial For Efficacy Of Mobilization With Movement Versus End-Range Mobilization Techniques In The Treatment Of Adhesive Capsulitis Of Shoulder Joint, Shih-Hsin Tan, Ying-Tzu Tai, Kai-Lin Hwang, Ting-Chung Wu, Chorng-Sonq Chou Dec 2003

Randomized Clinical Trial For Efficacy Of Mobilization With Movement Versus End-Range Mobilization Techniques In The Treatment Of Adhesive Capsulitis Of Shoulder Joint, Shih-Hsin Tan, Ying-Tzu Tai, Kai-Lin Hwang, Ting-Chung Wu, Chorng-Sonq Chou

Rehabilitation Practice and Science

The objective of this stud is to compare the efficacy between mobilization with movement (MWM) and end-range mobilization techniques (EMTs) in the management of adhesive capsulitis. Eighteen and twenty-two patients from MWM and EMT groups, respectively, who returned after two-week follow-up were evaluated. This was a randomized, evaluator-blind, parallel comparison study. Active and passive range of motion (ROM) for flexion, internal and external rotation, abduction and pain scale were assessed regularly by the same physical therapist. Pain reduction was observed in most of the patients. The proportion of patients with the same or worse condition after one month of follow-up …

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Effect Of Neuromuscular Electrical Stimulation On Postural Hypotension In Patients With Cervical Cord Injury, Max J. L. Chen, Pao-Tsai Cheng, Mei-Yun Liaw, Alice M.K. Wong, Wei-Shung Wong, Tshe-Shun Shie Dec 2003

Effect Of Neuromuscular Electrical Stimulation On Postural Hypotension In Patients With Cervical Cord Injury, Max J. L. Chen, Pao-Tsai Cheng, Mei-Yun Liaw, Alice M.K. Wong, Wei-Shung Wong, Tshe-Shun Shie

Rehabilitation Practice and Science

Postural hypotension is often observed in patients with cervical spinal cord injury. It may cause syncope, and interfere with sitting and standing trainings. Neuromuscular electrical stimulation (NMES) was reported to be able to alleviate and even prevent postural hypotension. The exact mechanism is not certain yet, but it may be related to vagal reflexes or muscle pumping actions. To investigate the effect of NMES on tetraplegic patients, we have recruited 10 patients with acute cervical spinal cord injuries (American Spinal Injury Association Impairment Scale A and B) suffering from postural hypotension. These patients were randomly divided into 2 groups: four …

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Effects Of Aerobic Exercise Training On Insulin Sensitivity, Serum Lipids, And Cardiorespiratory Fitness In Patients With Type 2 Diabetes, Shang-Lin Chiang, Chia-Huei Lin, Cheng-Wen Ho, Kao-Chung Tsai, Chou-Ping Chiou Dec 2003

Effects Of Aerobic Exercise Training On Insulin Sensitivity, Serum Lipids, And Cardiorespiratory Fitness In Patients With Type 2 Diabetes, Shang-Lin Chiang, Chia-Huei Lin, Cheng-Wen Ho, Kao-Chung Tsai, Chou-Ping Chiou

Rehabilitation Practice and Science

Little is known about the relation of planned exercise to insulin sensitivity in type 2 diabetes in Taiwan. Thus, the purpose of this study was to explore the effects of a 12-week aerobic exercise program on insulin sensitivity, serum lipids, cardiorespiratory fitness, and blood pressure in patients with type 2 diabetes. This study had a quasi-experimental design and used purposive sampling. The samples consisted of 13 eligible patients with type 2 diabetes. Each subject underwent a 12-week exercise program (30 minutes a day, 3 days a week, and at 60% maximum oxygen uptake). Wilcoxon signed rank test was performed to …

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A Study Of Cognition And Willingness Of Hospital Managers On Setting Up Fitness Centers, Tsan-Hon Liou, Po-Wei Lin, Jing-Hwa Wey, Chun-Chieh Chiu, Chung-Pao Lin, Yu-Sheng Liao Dec 2003

A Study Of Cognition And Willingness Of Hospital Managers On Setting Up Fitness Centers, Tsan-Hon Liou, Po-Wei Lin, Jing-Hwa Wey, Chun-Chieh Chiu, Chung-Pao Lin, Yu-Sheng Liao

Rehabilitation Practice and Science

In the United States, the hospital-based fitness centers were rapidly developed in recent years and, in fact, they have already had over twenty years history. However, the concept is just at beginning stage in Taiwan. This investigation was directed against the managers of the hospital in Taiwan. To collect the interest of cognition and willingness of hospital managers on the issue of setting up a fitness center. One hundred and ninety-eight questionnaires were sent out and 138 reclaimed. The rate of reclaims was 69.7%. They included 78 managers of doctor and 60 managers of non-doctor. The results of the study …

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Moyamoya Disease In Children: A Casereport, Chung-Li Tseng, Chia-Ying Chung, Chia-Ling Chen, Pao-Tsai Cheng, Simon F. T. Tang, Alice M. K.Wong Dec 2003

Moyamoya Disease In Children: A Casereport, Chung-Li Tseng, Chia-Ying Chung, Chia-Ling Chen, Pao-Tsai Cheng, Simon F. T. Tang, Alice M. K.Wong

Rehabilitation Practice and Science

This work describes motor, cognition and emotional problems in a child with Moyamoya disease before and after rehabilitation. Following comprehensive rehabilitation, the girl achieved improved gross motor, fine motor, cognition and emotional control. Moyamoya disease is an important cause of childhood ischemic stroke. Moyamoya disease has a bimodal age distribution, with one group of pediatric age (around first decade of life), and a second group of adults in the 30 to 40-year-old age range. Moyamoya disease involves progressive idiopathic stenosis and eventual occlusion of the large cerebral arteries at the circle of Willis. The pathogenesis of Moyamoya disease remains unclear. …

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Slit Ventricle Syndrome In A Hemorrhagic Stroke Patient After A Shunt Surgery: A Casereport, Tung-Yang Yu, Sai-Cheung Lee, Jin-Rong Lin, Chih-Chin Hsu Dec 2003

Slit Ventricle Syndrome In A Hemorrhagic Stroke Patient After A Shunt Surgery: A Casereport, Tung-Yang Yu, Sai-Cheung Lee, Jin-Rong Lin, Chih-Chin Hsu

Rehabilitation Practice and Science

A 55-year-old male patient suffered from left intracranial hemorrhage received craniotomy and removal of intracerebral hematoma. Ventriculoperitoneal shunt was implanted for the complication of hydrocephalus. The skull was put back later because of stable status. He developed scalp necrosis and, therefore several times of debridement was done. The skull was taken away under the suspicion of osteomyelitis. However, he had vomiting, somnolence, urinary incontinence and unable to walk two months after this procedure. Computed tomography showed slit ventricles in right hemisphere. The shunt was then removed and his clinical conditions improved. Slit ventricle syndrome is commonly seen in children, rather …

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Acute Inflammatory Demyelinating Polyradiculoneuropathy: A Casereport, Ya-Fang Lee, Nai-Chiung Huang, Ta-Sen Wei Dec 2003

Acute Inflammatory Demyelinating Polyradiculoneuropathy: A Casereport, Ya-Fang Lee, Nai-Chiung Huang, Ta-Sen Wei

Rehabilitation Practice and Science

Acute inflammatory demyelinating polyradiculoneuropathy (AIDP), also known as Guillain-Barre syndrome (GBS)，the most common illness that causes acute and generalized paralyzing condition in the post-polio era, is diagnosed dependent on the base of clinical manifestations with supportive evidence of electrophysiologic study and cerebrospinal fluid examination. GBS often begins with the distal part of four limbs followed by a progressive course as ascending weakness and may even involve respiratory , facial or oropharyngeal muscles. Spinal fluid examination often reveals elevated protein concentration without associated increase in cells. Plasma exchange has become the gold standard of GBS treatment; in patients contraindicated for plasma …

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Assessment Of Physical Fitness To Age And Sex In Middle And Older Persons With Independent Activities Of Daily Living, Kai-Hua Chen, Shi-Wei Chou, In-Chou Lin, River S. H. Su, Wei-Shun Huang, Alice M. K. Wong Sep 2003

Assessment Of Physical Fitness To Age And Sex In Middle And Older Persons With Independent Activities Of Daily Living, Kai-Hua Chen, Shi-Wei Chou, In-Chou Lin, River S. H. Su, Wei-Shun Huang, Alice M. K. Wong

Rehabilitation Practice and Science

Previous studies have investigated the relationship between impaired physical fitness and the decline of living function in the elderly population. This study is to investigate the fitness profile in the middle and older persons, and to observe the effect of age on fitness.This study recruited 108 subjects, with independent ambulation skills in a Taipei community. There were 59 males and 49 females. The average age was 70.0±6.2 year-old in male and 65.9±8.9 year-old in female, respectively. The fitness components, including body composition, muscle fitness, flexibility, cardiopulmonary fitness, balance, and reaction time, were measured by either field or laboratory methods. The …

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Sequential Myofascial Trigger Point Injection To Treat A Patient With Myofascial Pain Syndrome Associated With Reflex Sympathetic Dystrophy: A Casereport, Ta-Shen Kuan, Chang-Zern Hong Sep 2003

Sequential Myofascial Trigger Point Injection To Treat A Patient With Myofascial Pain Syndrome Associated With Reflex Sympathetic Dystrophy: A Casereport, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

A patient with traumatic rotator cuff tear of right shoulder developed severe myofascial pain syndrome with reflex sympathetic dystrophy (RSD) involving the right upper extremity. She was unable to take any type of manual therapy or needle treatment due to severe allodynia in the whole right upper limb. She visited our pain clinic about 2 months after the onset of trauma. She received myofascial trigger point (MTrP) injection beginning with injection into the MTrP of the right first dorsal interosseous muscle, followed by injecting MTrPs of the right wrist-finger extensors and right anterior deltoid muscles. The allodynia was remarkably reduced. …

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Posttraumatic Pelvic Lymphocele: A Casereport, Nai-Chiung Huang, Sen-Yung Liu, I-Ru Chen, Ta-Sen Wei Sep 2003

Posttraumatic Pelvic Lymphocele: A Casereport, Nai-Chiung Huang, Sen-Yung Liu, I-Ru Chen, Ta-Sen Wei

Rehabilitation Practice and Science

The development of pelvic lymphocele is usually a complication following renal transplantation as well as pelvic lymphadenectomy for gynecologic or urologic cancers. Pelvic lymphocele after blunt trauma is rare described before. Asymptomatic patients are managed with observation and follow-up imaging studies. Symptomatic lymphoceles need to be treated by means of percutaneous needle aspiration or drainage. We reported a case of low back pain after a fall with delayed onset of ispilateral thigh swelling. Computed tomography revealed a fluid-filled mass in the pelvis. After treatment by CT-guided percutaneous aspiration, all symptoms rapidly resolved without recurrent symptoms in 6 months follow-up.

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Traumatic Dissection Of Axillary Artery And Brachial Plexopathy After Motorcycle Accident: A Casereport, Wen-Chy Hou, Chen-Liang Chou, Tcho-Jen Liu, Rai-Chi Chan, Cheng-Hsiung Huang Sep 2003

Traumatic Dissection Of Axillary Artery And Brachial Plexopathy After Motorcycle Accident: A Casereport, Wen-Chy Hou, Chen-Liang Chou, Tcho-Jen Liu, Rai-Chi Chan, Cheng-Hsiung Huang

Rehabilitation Practice and Science

At present time, motorcycle accident can be found frequently. It not only can lead to abrasion, and fracture, thrombosis and nerve injury as well. This casereport presented with a 23 year-old male suffered from a motorcycle accident, with multiple abrasion wound over body. He was first sent to emergency room at LMD with x-ray taken and revealed no fracture. This patient presented with inability to raise his right arm, thus the doctor attributed the condition to his pain. After five hours at observation room, patient and his family found his right upper limb was cold and pulseless. The emergency angiography …

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The Diagnosis Of Amyotrophic Lateral Sclerosis And Associated Rehabilitation Issues: A Casereport, Chih-Gang Chang, Chen-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan Sep 2003

The Diagnosis Of Amyotrophic Lateral Sclerosis And Associated Rehabilitation Issues: A Casereport, Chih-Gang Chang, Chen-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease of unknown etiology. Even though it is uncommon, there are cases seen. Thus it is important for clinicians to understand and catch the key points to its diagnosis. Patients with ALS would usually present with the combination of upper and lower motor neuron symptoms and signs. When the typical combination was found in several anatomic areas in an elderly man especially, the diagnosis is direct. We must also note that at early stage of ALS, the patient can present predominantly with either upper or lower motor neuron symptoms and signs confining only …

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Functional Disability In Patients Of Right Hemisphere Lesions With And Without Hemineglect, Her-Cherng Wang, Chau-Peng Leong, Jui-Kun Chang, Hsiu-Juan Lin, Kwo-Shieng Tuo, Kai-Lan Chang, Sheng-Hsiang Su Sep 2003

Functional Disability In Patients Of Right Hemisphere Lesions With And Without Hemineglect, Her-Cherng Wang, Chau-Peng Leong, Jui-Kun Chang, Hsiu-Juan Lin, Kwo-Shieng Tuo, Kai-Lan Chang, Sheng-Hsiang Su

Rehabilitation Practice and Science

Hemineglect is a common symptom and sign in patients with right hemisphere lesion. These patients usually have problems of reduced awareness of stimuli from left side. This study aims to evaluate the correlation between presence of hemineglect and functional disability in patients with right hemispheric stroke or traumatic brain injury. Forty patients who were diagnosed as right hemispheric stroke or traumatic brain injury as verified by computed tomography scan or magnetic resonance image participated in the study. Based on the criteria on Schekenberg test (line bisection test), patients were divided into two groups: 20 with hemineglect and 20 without hemineglect. …

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The Effect Of Pulmonary Function Training In Chronic Tetraplegic Patients: Pilot Study, Tai-Ann Chen, Yu-Xang Huang, Wai-Keung Lee, Yau-Wai Wai Sep 2003

The Effect Of Pulmonary Function Training In Chronic Tetraplegic Patients: Pilot Study, Tai-Ann Chen, Yu-Xang Huang, Wai-Keung Lee, Yau-Wai Wai

Rehabilitation Practice and Science

Pulmonary complication is the main cause of death in the persons with spinal cord injury (SCI). The purpose of this study was to evaluate if pulmonary function training can improve lung function in chronic (onset more than 1 year) tetraplegic patients. There are 14 subjects (9male and 5 female), including C4 to C7 (11 complete; 3 incomplete), mean duration of injury is 5.14 years. They were arranged the rehabilitation training including respiratory muscle training for 4 weeks. Spirometry records such as vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), forced vital capacity (FVC), forced …

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An Investigation Of Age, Causes And Locations Associated With Moderate To Severe Burns In Infants And Young Children, Chin-Mao Chen, Jen-Yu Schoung, Chwen-Yng Su, Chun-Sheng Hsieh Sep 2003

An Investigation Of Age, Causes And Locations Associated With Moderate To Severe Burns In Infants And Young Children, Chin-Mao Chen, Jen-Yu Schoung, Chwen-Yng Su, Chun-Sheng Hsieh

Rehabilitation Practice and Science

The purposes of this study were to investigate the circumstances of occurrences in 53 patients with moderate to severe burns under 12 years of age, who were admitted to the burn center of the Armed Forces Tsoying Hospital in Kaohsiung from June 1998 to May 2000. The subjects were further divided into three age groups: 0-3 years, 3-6 years, and at least six but less than twelve years old for pairwise comparisons purpose.The results showed that the overall ratio of male to female was 2.3. Scalds accounted for 75.5% of all burns, whereas the remaining 24.5% were ascribed to flame …

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