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Rehabilitation Practice and Science

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Full-Text Articles in Medicine and Health Sciences

Prosthetic Fabrication Of Elbow Disarticulations: A Casereport, Wai-Keung Lee, Chien-Jung Wang, Tong-Chu Chen, Li-Ting Liu, Li-Chang Chang Jun 2002

Prosthetic Fabrication Of Elbow Disarticulations: A Casereport, Wai-Keung Lee, Chien-Jung Wang, Tong-Chu Chen, Li-Ting Liu, Li-Chang Chang

Rehabilitation Practice and Science

Elbow disarticulation(ED) is very rare in upper limb amputation. Traditionally prosthetic fabrication of ED is fitted with a medial window on the socket for the bulbous distal residual limb to pass through. Afterwards, closing of the medial window is followed for suspension, which usually raises cosmetic concerns on the client's part. This casereport aims to introduce a double socket fabricating method to address the above-mentioned issue to promote the client's life quality and ADL independence.


Neuromyopathy After Heroin Intoxication Of Non-Addictor: A Casereport, Fu-Wen Chen, Chia-Hung Chu, Chin-Teng Chung, Chorng-Sonq Chou Jun 2002

Neuromyopathy After Heroin Intoxication Of Non-Addictor: A Casereport, Fu-Wen Chen, Chia-Hung Chu, Chin-Teng Chung, Chorng-Sonq Chou

Rehabilitation Practice and Science

This 25 years old female was found comatous for 24 hours after she injected heroin for attempting suicide. She had no history of drug abuse and no history of inhalation or injection of heroin. She received naloxone therapy at first. After her general condition became stable, she was transferred to rehabilitation department. The symptoms included left side hemiplegia; redness, swelling, local heat and tenderness over face, ear and submandibular area; lymph node enlargement over neck; left peripheral facial nerve palsy and necrosis over medial side of right thigh. Later, the function of left lower extremity was better, but right lower …


The Therapeutic Effects Of Magnets On Knee Osteoarthritis, Shin-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Lei-Shih Chen, Cheng-Feng Chiang Jun 2002

The Therapeutic Effects Of Magnets On Knee Osteoarthritis, Shin-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Lei-Shih Chen, Cheng-Feng Chiang

Rehabilitation Practice and Science

Background and purpose: Magnets had been applied in the relief of musculoskeletal pain for years. We conducted a double blind study to assess the efficacy of magnets on knee osteoarthritis. Methods: Twenty subjects were recruited in our study. All patients wore braces over the painful knee areas all day long for 1 week except the time of bathing.Ten bands containing magnets and the other 10 bands containing placebos were used in our study. 4 times of measurements were performed before application, 1 hour, 1 day, and 1 week after application. Measurements were obtained by using Visual Analogue Scale (VAS) and …


The Study Of Hemodynamic And Cardiovascular Changes Responding To Head-Up Tilt In The Spinal Cord Injured, Chien-Hung Lai, Shih-Wei Liu, Feng-Chein Lin, I-Chun Chen, Shih-Ching Chen, Chung-Huang Yu, Walter H. Chang Jun 2002

The Study Of Hemodynamic And Cardiovascular Changes Responding To Head-Up Tilt In The Spinal Cord Injured, Chien-Hung Lai, Shih-Wei Liu, Feng-Chein Lin, I-Chun Chen, Shih-Ching Chen, Chung-Huang Yu, Walter H. Chang

Rehabilitation Practice and Science

Postural hypotension (PH) is a common clinical problem encountered in the rehabilitation of patients with spinal cord injury (SCI) above T6. The purpose of our study was to evaluate the effects of graded head-up tilting on common carotid blood flow volume (CCBFV), pulsatility index (PI), blood pressure (BP), and heart rate (HR) of patients with SCI and of healthy subjects.Six patients with an SCI above T6 level and 15 healthy volunteers were recruited in our study. Their HR and BP at each tilt angle (0°, 30°, 45°, 60°, 75°) were recorded using a bedside monitor and personal computer, and their …


Static And Dynamic Plantar Pressure In Diabetic Patients With Advanced Neuropathy, Wei-Li Hsi, Huei-Ming Chai, Ming-Chuan Lin, Chi-Lun Rau, Jin-Shin Lai Jun 2002

Static And Dynamic Plantar Pressure In Diabetic Patients With Advanced Neuropathy, Wei-Li Hsi, Huei-Ming Chai, Ming-Chuan Lin, Chi-Lun Rau, Jin-Shin Lai

Rehabilitation Practice and Science

The purpose of the study was to reveal any abnormal distribution of the static and dynamic plantar pressure in the diabetic patients with advanced neuropathy. Sixteen diabetic patients with advanced neuropathy (Group N) and 16 diabetic patients without advanced neuropathy (Group D) were recruited. Advanced neuropathy was determined by inability to perceive the 5.07 Semmes-Weinstein monofilament at one or more sites in each foot. Static plantar pressure was measured during standing, and dynamic plantar pressure was measured during walking. Static plantar pressure was significantly higher (p<0.05) at the posterior part of bilateral central lateral metatarsal heads, while dynamic plantar pressure …


Spinal Epidural Abscess As A Possible Complication Of Acupuncture: Report Of Two Cases, Yi-Hsi Hsieh, Chorng-Sonq Chou Jun 2002

Spinal Epidural Abscess As A Possible Complication Of Acupuncture: Report Of Two Cases, Yi-Hsi Hsieh, Chorng-Sonq Chou

Rehabilitation Practice and Science

Spinal epidural abscess is an uncommon disease, and is rarely reported as a complication of acupuncture. We present two cases of spinal epidural abscess which developed after acupuncture treatment. Case 1 was 61 years old male who suffered from progressive pain and weakness over right upper arm after cervical manipulation and acupuncture. He became qudriplegia with urine retention 6 days later. Cervical MRI showed C3-6 epidural abscess. After operation and antibiotics treatment, he recovered to qudriparesis and could walk with the spastic gait 9 months later. Case 2 was 60 years old female who suffered from fever and right upper …


The Pitfall Of Low Back Pain - Psoas Abscess, Pei-Dery Sheu, Jue-Long Wang, Shwu-Fen Sun, Chiao-Wen Hwang, Kuen-Huang Chen Jun 2002

The Pitfall Of Low Back Pain - Psoas Abscess, Pei-Dery Sheu, Jue-Long Wang, Shwu-Fen Sun, Chiao-Wen Hwang, Kuen-Huang Chen

Rehabilitation Practice and Science

The clinical presentation of psoas abscess is variable and nonspecific. The triad of fever, flank pain, and limitation of hip movement, which is specific for psoas abscess, is present in only less than 30% of the cases. Therefore, delayed diagnosis or misdiagnosis, resulting in the high mortality and morbidity, is not uncommon. A primary psoas abscess has no obvious focus of infection. It is believed that hematogeneous spread occurs from an occult source, analogous to acute osteomyelitis. Hematoma due to trauma may be the pathogenesis. The most common pathogen is staphylococcus. Secondary psoas abscess is defined as occurring by direct …


Crossed Aphasia : Report Of Two Cases, Chih-Hsiang Ho, Fan-Fei Tseng, Liu-Ing Bih, Shu-Fen Tseng Jun 2002

Crossed Aphasia : Report Of Two Cases, Chih-Hsiang Ho, Fan-Fei Tseng, Liu-Ing Bih, Shu-Fen Tseng

Rehabilitation Practice and Science

Crossed aphasia is defined as aphasia due to right hemisphere lesion in dextrals. It is a rare syndrome. It was reported first time in 1899, then it elicited much discussion and studies. Nowadays the pathophysiology of crossed aphasia is still unclear. According to the site of lesion and the characteristics of language, crossed aphasia can be divided into two types. Type I is ”mirror – image”, the features are similar to the left hemisphere lesions. Type II is ”anomalous”, the language features are different from the typical left hemisphere aphasia. The studies of this syndrome are very rare in our …


Acute Urinary Retention Associated With Herpes Zoster : A Casereport, Jyh-Yuh Ke, Chia-Ying Chung, Fuk-Tan Tang, Ming-Che Chao, May-Kuan Wong Jun 2002

Acute Urinary Retention Associated With Herpes Zoster : A Casereport, Jyh-Yuh Ke, Chia-Ying Chung, Fuk-Tan Tang, Ming-Che Chao, May-Kuan Wong

Rehabilitation Practice and Science

Urinary retention is an uncommon complication of herpes zoster infection. It may happen secondary to a neurogenic bladder when the sacral dorsal root ganglia are involved. As a result, painful vesicular eruptions spreading over sacral dermatomes, such as buttock and perineum, may develop. Bladder and/or bowel dysfunction may occur as well, including urinary retention, constipation, and/or incontinence. The herpes zoster lesions usually have an unilateral dermatomal distribution. A 55-year-male patient with herpes zoster infection involving bilateral S2-S4 dermatomes is demonstrated. Acute urinary retention occurred 2 days before skin vesicular eruptions. His urine analysis revealed normal finding. Urodynamic study was taken …


Comparison Of The Therapeutic Effects Of One-Shot Electroacupuncture And Surface Electroacupuncture In Cervical Pain Patients, Ru-Lan Hsieh, Wen-Chung Lee Mar 2002

Comparison Of The Therapeutic Effects Of One-Shot Electroacupuncture And Surface Electroacupuncture In Cervical Pain Patients, Ru-Lan Hsieh, Wen-Chung Lee

Rehabilitation Practice and Science

The objective of this study was to investigate the therapeutic effects of one-shot electroacu-puncture (EA) versus one-shot surface electroacupuncture (SEA) in cervical pain patients. A total of 51 patients were recruited in this randomized control study. Control group (n=13) received medication only. EA group (n=21) received medication plus one-shot of EA.SEA group (n=17) received medication plus one-shot of SEA. Therapeutic effects were measured by Visual Analogue Scale (VAS), body surface score, pain pressure threshold and Quebec Back Pain Disability Scale. The therapeutic effects were shown immediately after the one-shot treatment in both the EA group and the SEA group. In …


A Randomized Controlled Trial Of Electroacupuncture On Therapeutic Effects For Recurrent Ischemic Stroke Patients, Ru-Lan Hsieh, Tsu-Chin Li, Yu-Chun Yen, Wen-Chung Lee Mar 2002

A Randomized Controlled Trial Of Electroacupuncture On Therapeutic Effects For Recurrent Ischemic Stroke Patients, Ru-Lan Hsieh, Tsu-Chin Li, Yu-Chun Yen, Wen-Chung Lee

Rehabilitation Practice and Science

The application of acupuncture on stroke patients is becoming popular. However, the effectiveness of acupuncture therapy on recurrent ischemic stroke has not been well studied. This randomized controlled study compared the therapeutic effectiveness of recurrent ischemic stroke patients who received conventional rehabilitation (including medication, physical therapy, occupational therapy, and/or speech therapy) (control group) versus those who received conventional rehabilitation plus additional 8 courses of electroacupuncture therapy (acupuncture group). A physiatrist who was unaware of the treatment status of the patients regularly assessed the patients with the Functional Independence Measure (FIM) and Fugl-Meyer Assessment (FMA) at before treatment, 2 weeks and …


Pediatric Spontaneous Spinal Epidural Hematoma: A Casereport, Tung-Chou Li, Mei-Hue Hsu Mar 2002

Pediatric Spontaneous Spinal Epidural Hematoma: A Casereport, Tung-Chou Li, Mei-Hue Hsu

Rehabilitation Practice and Science

Spontaneous spinal epidural hematoma is a rare disease and may result in permanent neurological damages. The main causes include anticoagulant therapy, vascular anomalies, hypertension, blood dyscrasias, drug abuse, neoplasm, iatrogenic epidural anesthesia or rarely spinal surgery. Spontaneous spinal epidural hematoma generally occurs in adults between ages of 40 to 50 and rarely appears in children. We reported a 5-year-old girl who was admitted with severe acute abdominal pain as the initial chief complaint. Two days after admission, the patient had bilateral legs weakness progressively; then a thoracic spine epidural hematoma was diagnosed by spinal magnetic resonance imaging examination. After emergency …


Functional Outcome Of Patients With Brain Tumor After Comprehensive Rehabilitation – A Comparison With Stroke Patients, Meng-Chun Wu, Tyng-Guey Wang, Chein-Wei Chang Mar 2002

Functional Outcome Of Patients With Brain Tumor After Comprehensive Rehabilitation – A Comparison With Stroke Patients, Meng-Chun Wu, Tyng-Guey Wang, Chein-Wei Chang

Rehabilitation Practice and Science

The impairment of neurological functions is a common problem in patients with brain tumor, which may further disturb their ability of performing activity of daily living and ambulation. Comprehensive rehabilitation program has been reported to resume the above functions of the patients in this group. The purpose of this study was attempted to compare the functional outcome and cost-effect of rehabilitation between the patients with brain tumor and stroke. The study was a retrospective study and the data was obtained by chart review. Thirty-four patients with brain tumor, admitted in a rehabilitation ward, within a period of 5 years were …


Homocysteinemia Complicated With Recurrent Ischemic Stroke: A Casereport And Literature Review, Kai-Hua Chen, Chin-Man Wang, Pao-Tsai Cheng, Fuk-Tan Tang, May-Kuen Wong Mar 2002

Homocysteinemia Complicated With Recurrent Ischemic Stroke: A Casereport And Literature Review, Kai-Hua Chen, Chin-Man Wang, Pao-Tsai Cheng, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

Cerebrovascular disease (CVD) is a major cause of death in our country. The major risk factors of CVD include old age, hypertension, diabetic mellitus, previous stroke and transient ischemic attack. In recent years, homocysteinemia has been recognized as an independent risk factor of different vascular occlusive diseases, such as CVD and peripheral vascular disease.We reported a 56-year-old man with chronic renal insufficiency who had coronary arterial disease and recurrent ischemic stroke. The risk factors included hypertension, hyperlipidemia, hyperurinemia and previous CVD were identified in this patient. Anticardiolipin antibody and homocysteine were examined in this patient owning to frequent episodes of …


Post-Myelographic Arachnoiditis : A Casereport And Literature Review, Ko-Long Lin, Jue-Long Wang, Ping-Hong Lai Mar 2002

Post-Myelographic Arachnoiditis : A Casereport And Literature Review, Ko-Long Lin, Jue-Long Wang, Ping-Hong Lai

Rehabilitation Practice and Science

Spinal arachnoiditis (SA) is a rare disease. However, it would lead to severe disability. The most common causes of SA are post-myelographied retention of pantopaque and complications of spinal operations. The most common anatomical level is addressed to the lumbar spine. Clinically, the symptoms were diversiform, including poor-controlled pain, numbness or weakness of one or more extremities, paresthesias, bowel incontinence, bladder incontinence, and retention of urine or stool, etc. The fluctuation between progression and improvement was also noted. Because the symptoms failed to improve as time went by, many scholars viewed SA as a kind of cancer. The clinical presentation …


Customized Chair Insert-Type Sitting Support Orthosis For Children With Physical Disability, Jen-Wen Hung, Yee-Hwa Wu, Chau-Peng Leong Mar 2002

Customized Chair Insert-Type Sitting Support Orthosis For Children With Physical Disability, Jen-Wen Hung, Yee-Hwa Wu, Chau-Peng Leong

Rehabilitation Practice and Science

For children with severely physical disability, carefully devised sitting aid is necessary. Since each child has his own problems, the solution should be individualized. The supporting seat usually cannot be obtained from the standardized wheelchair and their accessories. We, therefore, decided to develop a customized chair insert-type sitting support orthosis.The fabrication technique is based on vacuum consolidation. The child was prone on a wedge. A bead bag (Versa Form) covered dorsally from head to thigh. A negative mold was obtained by vaccum consolidation technique, and the resulting impression was recorded by using AquaplastTM. Then we obtained a rough orthosis, the …


Severe Dysphagia Following The Anterior Surgical Approach To The Cervical Spine : A Casereport, Sung-Yi Pei, Pong-Yuen Wong, Wen-Ching Tzaan, Yuen-Chu Huang, Chih-Kuang Chen Mar 2002

Severe Dysphagia Following The Anterior Surgical Approach To The Cervical Spine : A Casereport, Sung-Yi Pei, Pong-Yuen Wong, Wen-Ching Tzaan, Yuen-Chu Huang, Chih-Kuang Chen

Rehabilitation Practice and Science

The anterior approach is popularized among neurosurgeons for operative exposure of the cervical spine. However, neurological complications of this approach are not uncommon, and little research had been performed regarding the etiology and optimal treatment. The common complications include dysphonia and mild dysphagia. The etiologies of dysphagia following the anterior approach are: (1) hematoma formation, (2) intraoperative tissue damage with subsequent edema, (3) infection, and (4) denervation. Videofluoroscopic examination of swallowing is the most common measurement of cricoph-aryngeal dysfunction; manometry is also used, but to a lesser degree. For cricopharyngeal achalasia, there are five approaches to manage, including: (1) Mendelsohn’s …


關於「A型肉毒桿菌毒素治療半面痙攣」, 裕晴 林, 正宜 謝, 權維 張, 君珮 莊, 百嘉 楊 Mar 2002

關於「A型肉毒桿菌毒素治療半面痙攣」, 裕晴 林, 正宜 謝, 權維 張, 君珮 莊, 百嘉 楊

Rehabilitation Practice and Science

No abstract provided.


The Research Of Medical Service Quality Evaluation: From The Viewpoint Of Predicting Reclaimed Rate Using Neural Networks, Horng-Jeng Shyu, Chao-Chang Chiu, Pei-Lun Hsu, Meei-Fang Lin Dec 2001

The Research Of Medical Service Quality Evaluation: From The Viewpoint Of Predicting Reclaimed Rate Using Neural Networks, Horng-Jeng Shyu, Chao-Chang Chiu, Pei-Lun Hsu, Meei-Fang Lin

Rehabilitation Practice and Science

The goal of this study was to investigate the subtle interrelationships between the insurance claim’s data and clinic performance of medical institutes. Because the medical claims data increase drastically, the review efforts and processes become rather complex and inefficient. The physicians of review committee should have an enterprise view of the claims.We create the performance indicators from consistent data & meta data established from the clinic performance of medical institutes. We adopted 16 outpatient review indicators. We collected rehabilitation claims in middle branch of NHIB since July 1996 till Feb 1997. The prediction model created using both the neural network …


Clinical Experience In Asian Type Multiple Sclerosis, Der-Sheng Han, Jau-Jia Lin, Yen-Ho Wang, Chih-Chao Yang Dec 2001

Clinical Experience In Asian Type Multiple Sclerosis, Der-Sheng Han, Jau-Jia Lin, Yen-Ho Wang, Chih-Chao Yang

Rehabilitation Practice and Science

Multiple sclerosis is a heterogeneous disease entity, and also the most common disabling neurological disorder of people in middle life in USA. The prevalence of multiple sclerosis in Asia is lower than that in Western countries of similar latitude. Besides, there are some different features, clinically as well as pathologically, between this disease in Asia and in Western countries. We collected 27 cases diagnosed as clinically definite MS at NTUH between 1990-2000, whose clinical presentations are restricted to optic nerves and spinal cord. Their clinical charts were reviewed retrospectively, and the data was collected in a standard coding sheet. The …


Metastatic Prostate Cancer Associated With Lumbar Compression Fracture And Spinal Stenosis: A Casereport And Literature Review, Shwu-Fen Sun, Jue-Long Wang, Ping-Hong Lai Dec 2001

Metastatic Prostate Cancer Associated With Lumbar Compression Fracture And Spinal Stenosis: A Casereport And Literature Review, Shwu-Fen Sun, Jue-Long Wang, Ping-Hong Lai

Rehabilitation Practice and Science

We reported a 72 y/o male who had past history of old L1 compression fracture for 1 year. He suffered from falling down accidentally and was operated under impression of L1 burst fracture with cauda equina syndrome. He could ambulate with walker, but persistent back pain was still complained. Two months after operation, he became paralyzed rapidly in 2 days. Neurological examinations showed decreased motor strength of bilateral lower extremities to grade 0-1/5, sensory deficit below T10 dermatome and bilateral extensor plantar response. X-ray film showed an osteoblastic lesion in T9 vertebra body. Magnetic resonance Imaging (MRI) of thoracic spine …


Lumbar Disc Herniation Along With Ruptured Abdominal Aortic Aneurysm: A Casereport And Literature Review, Woan-Chwen Wu, Chen-Liang Chou, Ming-Chi Yung, Shing-Su Chen, Tcho-Jen Liu, Rai-Chi Chan Dec 2001

Lumbar Disc Herniation Along With Ruptured Abdominal Aortic Aneurysm: A Casereport And Literature Review, Woan-Chwen Wu, Chen-Liang Chou, Ming-Chi Yung, Shing-Su Chen, Tcho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

Abdominal aortic aneurysm is a condition affecting nearly 4% of the elderly population. It has a potential for producing a wide range of symptoms, including abdominal pain and back pain. It is rare that abdominal aortic aneurysm presents with paraplegia. From literature review there have been very few reports of patients who sustained lumbar disc herniation along with ruptured abdominal aortic aneurysm. We reported a 68-year-old man with a previously undiagnosed abdominal aortic aneurysm presenting with acute paraplegia. This patient had a history of lumbar disc herniation and was receiving pelvic traction. He survived after operation, but some long-term sequelae, …


Etiology And Rehabilitation Effect Of Stroke In Child: A Casereport, Li-Chen Tung, Kwok-Tak Yeung, Chun-Hou Wang, Wen-I Liang, Liu-Ing Bih Dec 2001

Etiology And Rehabilitation Effect Of Stroke In Child: A Casereport, Li-Chen Tung, Kwok-Tak Yeung, Chun-Hou Wang, Wen-I Liang, Liu-Ing Bih

Rehabilitation Practice and Science

The incidence of strokes in childhood is 2.5/100,000. Of these, occlusive stroke accounts for 57 to 85 percent, and hemorrhagic stroke accounts for 15 to 51 percent. Occlusive stroke is primarily caused by congenital heart defects, and the principal symptom is acute hemiplegia. Hemorrhagic stroke is caused mostly by abnormalities of blood vessels, and is characterized by headache and loss of consciousness. Compared to adults, children have better collateral circulation and incompletely developed brains. The clinical and recovery courses those in children are different from those of adults. The prognosis and the incidence of stroke recurrence are largely determined by …


Long-Term Outcome Of Gastrostomy Feeding In Dysphagic Stroke Patients, Tung-Chou Li, Mei-Hue Hsu, Tzong-Hsi Lee Dec 2001

Long-Term Outcome Of Gastrostomy Feeding In Dysphagic Stroke Patients, Tung-Chou Li, Mei-Hue Hsu, Tzong-Hsi Lee

Rehabilitation Practice and Science

Dysphagia is a common reason for long-term enteral feeding in stroke patients. It has been shown that gastrostomy feeding provides better nutrition for stroke patients than nasogastric tube feeding in short term period. However, little is known about the long-term outcome of gastrostomy-assisted feeding in them. In recent years, some of the dysphagic stroke patients began to accept gastrostomy feeding in Taiwan. We herein conducted this study to find and analyze the characteristics and long-term outcome of dysphagic stroke patients who had underwent gastrostomy. Forty-two stroke patients underwent gastrostomy between Jan. 1998 and May 2000 were enrolled in this study. …


A Design Of Rehabilitation Information System For Inpatients: An Experience Of A Medical Center, Mu-Jung Kao, Chih-Tsung Hsieh, Rong-Lin Yang, Mei-Wun Tsai Dec 2001

A Design Of Rehabilitation Information System For Inpatients: An Experience Of A Medical Center, Mu-Jung Kao, Chih-Tsung Hsieh, Rong-Lin Yang, Mei-Wun Tsai

Rehabilitation Practice and Science

Rehabilitation Information System for Inpatients (RISI) was designed for medical administration in the Department of Rehabilitation at a medical center in Taiwan. The RISI includes administration system, patient consultation system, rehabilitation order entry system, rehabilitation therapy system for physical therapy, occupational therapy, and speech therapy, check out system for time and frequency of therapy, and statistic function system.The characteristics of this system includes: 1) integration of systems between outpatients and inpatients; 2) integration of available administration system and patient consultation system; 3) integration of administration and medical system in the department of rehabilitation and 4) operation without paper work. The …


The Interaction Between Antidepressants And Spasticity Of Stroke: Casereport, Shih-Wen Lin, Zong-Jing Wang, Young-Hue Yu Dec 2001

The Interaction Between Antidepressants And Spasticity Of Stroke: Casereport, Shih-Wen Lin, Zong-Jing Wang, Young-Hue Yu

Rehabilitation Practice and Science

The upper motor neuron diseases (such as cerebrovascular accidents, traumatic brain injury, spinal cord injury, and multiple sclerosis) frequently cause spasticity of extremities. The medications for treating spasticity include baclofen and diazepam, which take their effect in the central nervous system through their GABAergic action. The incidence of depression in patients with spasticity is much higher than that of the normal population. Many doctors prescribe antidepressants for these patients. Two common used antidepressants are tricyclic antidepressants (TCA) and selective serotonin reuptake inhibitors (SSRI). They could increase serotonin amount in synapses, and induce increased excitability of motor neurons, which in turn …


Cervical Anterior Spinal Artery Syndrome:A Casereport, Jiann-Perng Chen, Baii-Jia Yang Sep 2001

Cervical Anterior Spinal Artery Syndrome:A Casereport, Jiann-Perng Chen, Baii-Jia Yang

Rehabilitation Practice and Science

A 30 year-old male was sent to the emergency department due to chest pain and radiation to left shoulder. Heart disease was suspected but the electrocardiography and cardiac enzyme examination were negative. Tetraplegia with the dissociated sensory loss occurred later. Pain and temperature sensation decreased, but vibration sensation and proprioception were preserved. Urine retention was also noted, but the bladder sensation seemed to be preserved. The anterior spinal artery syndrome at the lower cervical cord level was diagnosed by the clinical presentation and MRI findings. The negative findings of laboratory examination helped exclude other possible causes. The rehabilitation program was …


The Study Of Post-Polio Syndrome In Tao-Yuan Area, Yau-Wai Wai, Wai-Keung Lee, Ying-Po Hsu, Tsai-Ching Yip Sep 2001

The Study Of Post-Polio Syndrome In Tao-Yuan Area, Yau-Wai Wai, Wai-Keung Lee, Ying-Po Hsu, Tsai-Ching Yip

Rehabilitation Practice and Science

This study aims to investigate the disease process, living environment, physical condition, and current problems of the patients with poliomyelitis in Tao-yuan area. Through a total 151 responses and 55 patients coming to the hospital for follow up, a data base was established to determine the impacts of the direct and indirect factors, including social environment, poor medical resources and lack of public health education. Unfortunately, the number of patients who showed up for further check up is unsatisfactory in schedule due to lack of convenient transportation. However, the data collection of this study would be sufficient for long term …


Gait Analysis And Energy Expenditure Of Walking Among Patients With Unilateral Transtibial Amputation, Gwo-Feng Huang, You-Li Chou, Fong-Chin Su, Pei-Hsi Chou Sep 2001

Gait Analysis And Energy Expenditure Of Walking Among Patients With Unilateral Transtibial Amputation, Gwo-Feng Huang, You-Li Chou, Fong-Chin Su, Pei-Hsi Chou

Rehabilitation Practice and Science

Amputations not only cause the loss of limb but also accompany with inconvenience of physical mobility for the patients. The newly developed prosthetic designs make possible to the replacement of amputated parts, thus greatly improve the body mobility and life independence of the patients. However, the real manifestation of the prosthetic gait and the discrepancy between the prosthetic and normal gaits is still lacking, especially there are significant difference in kinematics and kinetics between the sound side and prosthetic side with different type of prosthetic feet.There are two steps in these studies: The first step is analyzing the gait of …


The Prognosis And Academic Performance In Children With Hydrocephalus: A Preliminary Report, Chung-Lan Kao, Tai-Tong Wong, Hong-Shin Chen, Chi-Yu Kang, Rai-Chi Chan Sep 2001

The Prognosis And Academic Performance In Children With Hydrocephalus: A Preliminary Report, Chung-Lan Kao, Tai-Tong Wong, Hong-Shin Chen, Chi-Yu Kang, Rai-Chi Chan

Rehabilitation Practice and Science

This study is to determine the prognosis and academic performance in hydrocephalic children with different etiologies. We reviewed the medical records of all the patients who had the diagnoses of hydrocephalus and had been regularly followed between 1983 and 1997. The patients were categorized into six different etiological groups as 1. premature type hydrocephalus, 2. idiopathic hydrocephalus, 3. hydrocephalus occurring after meningitis, 4. hydrocephalus associated with congenital anomalies, 5. hydrocephalus associated with myelomeningocele and 6. hydrocephalus not receiving any surgery. The ages at first shunt insertions, shunt revision rates, causes of shunt revisions, percentage of physical and mental handicap and …