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Articles 631 - 660 of 1275
Full-Text Articles in Medicine and Health Sciences
The Effect Of Meditation On Cardiopulmonary Fitness In Patient With Stroke: A Preliminary Report, Nien-Tzu Kao, Chang-Ming Chern, Chen-Liang Chou, Sun-Don Lee, Su-Ying Hung, Tacho-Jen Liu, Rai-Chi Chan
The Effect Of Meditation On Cardiopulmonary Fitness In Patient With Stroke: A Preliminary Report, Nien-Tzu Kao, Chang-Ming Chern, Chen-Liang Chou, Sun-Don Lee, Su-Ying Hung, Tacho-Jen Liu, Rai-Chi Chan
Rehabilitation Practice and Science
It is well documented that regular exercise can improve cardiopulmonary function and health-related fitness. However, major limitation of exercise therapy lies in physiologic and environmental factors, which is particularly true for patients with physical disability such as stroke. A standardized Buddhist meditation skill, Forshang Meditation (FM), was adopted; and this paper described the long-term effects of FM on cardiopulmonary fitness.Seventeen patients ( 1 female and 16 males; mean age 70.8 ± 4.8 years, range 61-78 years ) with a history of cerebrovascular disease and low extremity of hemiplegic side above Brunnstrom stage V were recruited. Baseline data of cardiopulmary function …
Ptosis Following Treatment Of Botulinum Type A For Hemifacial Spasm : A Casereport, Chun-Pei Chuang, Baii-Jia Yang
Ptosis Following Treatment Of Botulinum Type A For Hemifacial Spasm : A Casereport, Chun-Pei Chuang, Baii-Jia Yang
Rehabilitation Practice and Science
Hemifacial spasm is an intermittent, synchronous contraction of ipsilateral facial muscles. Botulinum toxin A injection is an effective and safe symptomatic treatment for hemifacial spasm. In the traditional method, physicians omitted the central upper eyelid area to prevent the development of ptosis, but there may remain some twitches.Here we report a case of Botulinum toxin A injection for left hemifacial spasm with complication of ptosis. Apraclonidine 0.5% ophthalmic solution was used in this patient to facilitate the recovery of ptosis. A 53 y/o woman with Grade 3 left hemifacial spasm received first treatment with total dosage of 45 units of …
Diffused Involvement Of The Spinal Cord In A Patient With Lupus-Related Acute Transverse Myelitis：A Casereport, Huei-Yu Tzeng, Shu-Min Cheng, Jo-Tong Chen, Ta-Shen Kuan, Chrong-Reen Wang
Diffused Involvement Of The Spinal Cord In A Patient With Lupus-Related Acute Transverse Myelitis：A Casereport, Huei-Yu Tzeng, Shu-Min Cheng, Jo-Tong Chen, Ta-Shen Kuan, Chrong-Reen Wang
Rehabilitation Practice and Science
Acute transverse myelitis ( ATM ) is a rare but severe complication of systemic lupus erythema-tosus ( SLE ). Magnetic resonance imaging ( MRI ) is the leading imaging study for diagnosing ATM and monitoring the treatment and/or the progression of the disease. Lesions of the spinal cord of ATM are usually less than 4 spinal segments. Currently, high dose corticosteroid plus cytotoxic agents is recommended to obtain the maximal therapeutic efficacy.A case of lupus-related ATM with diffuse spinal cord involvement is presented. A 21-year-old woman had a 4-year history of SLE. Acute onset of weakness and numbness of bilateral …
Axillary Nerve Injury And Rotator Cuff Rupture After Glenohumeral Joint Dislocation: A Casereport And Literature Review, Jin-Long Jiang, Chin-Teng Chung, Chorng-Sonq Chou, Howard Haw-Chang Lan
Axillary Nerve Injury And Rotator Cuff Rupture After Glenohumeral Joint Dislocation: A Casereport And Literature Review, Jin-Long Jiang, Chin-Teng Chung, Chorng-Sonq Chou, Howard Haw-Chang Lan
Rehabilitation Practice and Science
Dislocation of the glenohumeral joint is a frequent disorder that occurs among traumatic injuries of the shoulder. There are differences in the dislocation between young and older patients. Recurrent instability is more common to follow traumatic anterior dislocation of the glenohumeral joint in young patients than older patients. Neurologic complications and associated soft tissue injuries after a glenohumeral dislocation occur more frequently in patients around 40 years of age and older.A 73-year-old patient suffered from dislocation of left glenohumeral joint after falling down. Paralysis of left shoulder muscle was found after the close reduction. Physical examinations disclosed loss of active …
The Role Of Hula-Hoop Exercise In Training Balance Function Of The Elderly, Der-Jiun Yin, Li-Fang Wu, Chorng-Sonq Chou
The Role Of Hula-Hoop Exercise In Training Balance Function Of The Elderly, Der-Jiun Yin, Li-Fang Wu, Chorng-Sonq Chou
Rehabilitation Practice and Science
These years, geriatrics is highly regarded because of increase of the elderly population. The weakness of physical functions caused by aging is natural; therefore, the ability of daily life and activity of the elderly degenerate. Mounting evidence of researches showed that the solution for this problem is internal medicine diagnosis in early stage and regular treatment. Moreover, exercise was also an eff-ective method to improve functional activity in the elderly. The major factors of improving functional activity include the nerve system, musculoskeleton system and body balance. The latter has been an important theme for geriatrics recently. In this study, hula-hoop …
Ischemic Degeneration Of The Posterior Tibial Tendon In Rabbits, Jeng-Yi Shieh, Tyng-Guey Wang, Jan-Show Chu, Chung-Li Wang
Ischemic Degeneration Of The Posterior Tibial Tendon In Rabbits, Jeng-Yi Shieh, Tyng-Guey Wang, Jan-Show Chu, Chung-Li Wang
Rehabilitation Practice and Science
脛後肌肌腱斷裂的病態生理現象至今仍未有廣泛的研究。本文的目的乃利用兔子動物模型來探討缺血在脛後肌肌腱退化中可能扮演之角色。我們利用40隻紐西蘭白兔將之分為四組，將一段脛後肌肌腱的內行性與外行性營養供應途徑阻斷其一或同時阻斷，三星期後將此段肌腱取出，做病理學之觀察。實驗結果顯示，缺血的確可以造成兔子脛後肌肌腱的退化甚至斷裂。而肌腱內行性的血流循環乃脛後肌肌腱主要的營養供應途徑，從外面滑膜囊液滲透進入肌腱的養份並不足以維持脛後肌肌腱的完整性。脛後肌肌腱所承受的張力會加重缺血對肌腱所造成的傷害。
Return To School After Spinal Cord Dysfunction In Central Taiwan, Hong-Li Lee, Liu-Ing Bih, Hua Ting, Shih-Chung Chang, Li-Chen Tung
Return To School After Spinal Cord Dysfunction In Central Taiwan, Hong-Li Lee, Liu-Ing Bih, Hua Ting, Shih-Chung Chang, Li-Chen Tung
Rehabilitation Practice and Science
This retrospective study explores the physical and emotional barriers faced by individuals with spinal cord dysfuntion when returning to school. All subjects lived in central Taiwan. The questionnaires of 20 cases were successfully completed. The ages of them at the time of the disorder ranged from 0 to 20 years (mean of 10.9 years). Regarding the education level, 7 of 20 were graduated from or remained in university or college, 8 in high school, 3 in junior high school, and 2 in kindergarten. More than half (52%) stated the architectural barrier, most commonly mentioned, was lack of the elevator to …
The Effect Of Transection Of Innervating Nerve On Spontaneous Electrical Activity Of Myofascial Trigger Spot In Rabbit Skeletal Muscle, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen, Chi-Hsien Chien, Chang-Zern Hong
The Effect Of Transection Of Innervating Nerve On Spontaneous Electrical Activity Of Myofascial Trigger Spot In Rabbit Skeletal Muscle, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen, Chi-Hsien Chien, Chang-Zern Hong
Rehabilitation Practice and Science
肌筋膜疼痛症候群(MPS)以激痛點(MTrP)的存在為其特徵，局部抽搐反應(LTR)和自發性電位活動(SEA)是激痛點之兩個很重要的客觀性指標。激痛點的基本單元，就是肌筋膜激痛點小點(MTrP locus)，它包含了感覺性成分(感覺小點；或LTR小點)與運動性成分(活動小點；或SEA小點)。在動物實驗中發現，在高於支配該肌肉之下運動神經元處截斷其脊髓後，兔子的LTR在脊髓休克期時會被暫時性地壓抑，可見LTR顯然經由脊髓來做調節。在激痛點裡的SEA，是因為乙醯膽素(Acetylcholine)過量釋放所引起的不正常之終板電位(endplate potentials)。不過，由於SEA的出現率在脊髓截斷後並沒有很明顯的改變，SEA應該不是經由脊髓來做調節。本研究收集了十四隻紐西蘭成兔，來評估所支配之神經被切除後，其對激痛點的SEA所造成的影響。我們在兔子坐骨神經切除前、切除之後、切除後第一天、切除後第二天、切除後第一週、切除後第二週、切除後第三週與切除後第一個月，分別追蹤兔子股二頭肌上SEA的發生率。發現SEA在神經切除後還持續存在約一天，但從切除後第二天開始，SEA就消失不見了，直到本研究追蹤結束時。由本研究的結果可知，SEA的發生，神經脈衝傳導的神經性因素是比較不重要，而神經介質傳導的內分泌性因素則相當重要。此研究更進一步證實肌筋膜激痛點裡的SEA，是運動終板機能障礙所導致的一種局部性的現象。
A Survey Of In-Line Skaters' Injuries In Taipei, Teh-Ken Yang, Lin-Fen Hsieh
A Survey Of In-Line Skaters' Injuries In Taipei, Teh-Ken Yang, Lin-Fen Hsieh
Rehabilitation Practice and Science
In-line skating has grown to become a popular sport and recreational activity in the past few years. This study was designed to survey the sport injuries in in-line skaters and its relating factors. 240 subjects (136 males and 104 females) were sampled from two public parks in Taipei (Ta-An Park and Sun Yat-Sen Memorial Hall), which are the most representative of the in-line skaters’ population in Taipei city. Ages ranged from 3 to 50 (mean, 17) years old. 126 (52%) subjects had skated for more than one year, and 159 (66.5%) had injury while skating.Data collected revealed four most commonly …
Exercise Training During Hemodialysis For The Patients With End-Stage Renal Failure, Hang-Tan Lin, Chiu-Chu Lin, Yu-Lin Wang, Rong-Bin Hong, Meng-Huei Lin, Wen-Chun Huang, Li-Wen Hsien, Wil-Ly Chou
Exercise Training During Hemodialysis For The Patients With End-Stage Renal Failure, Hang-Tan Lin, Chiu-Chu Lin, Yu-Lin Wang, Rong-Bin Hong, Meng-Huei Lin, Wen-Chun Huang, Li-Wen Hsien, Wil-Ly Chou
Rehabilitation Practice and Science
The purposes of this study were to explore the feasibility of exercise training during hemodialysis for end-stage renal failure patients, and the effect of exercise training on cardiopulmonary endurance, blood and biochemical changes. The purposive sample was recruited from a medical center in southern Taiwan. A total of 20 hemodialysis patients underwent a 30-50 minutes stationary bicycle training ( 3 times a week for 12 weeks ) within the first two hours of the hemodialysis period. Exercise testing was administered to measure cardiopulmonary endurance and the change of blood and biochemical data before and after the 12-weeks exercise training program. …
Intramuscular Sensory Neurolysis : A New Technique To Control Spasticity, Chang-Zern Hong
Intramuscular Sensory Neurolysis : A New Technique To Control Spasticity, Chang-Zern Hong
Rehabilitation Practice and Science
This preliminary report demonstrated a new technique, “intramuscular sensory neurolysis” (IMSN), to control the muscle spasticity. Similar to myofascial trigger point (MTrP) injection, the needle were rapidly inserted, for a short distance (1 mm) each thrust, into the MTrP region (in the endplate zone) to elicit local twitch responses to identify the terminal sensory fibers for phenol injection. Immediate relief of spasticity was noticed both subjectively and objectively after IMSN. As compared with the traditional motor point block, the advantage of IMSN includes: 1) less time (usually 3-5 minutes for each MTrP region) required to perform the whole procedure in …
Correlation Between Clinical Status And Gait Performance Of Hemiplegic Stroke Patients, Ta-Shen Kuan, Fong-Chin Su
Correlation Between Clinical Status And Gait Performance Of Hemiplegic Stroke Patients, Ta-Shen Kuan, Fong-Chin Su
Rehabilitation Practice and Science
The objectives of this study were to assess the gait patterns of stroke patients, and to evaluate the correlation between gait variables and clinical status of stroke patients. A Motion Analysis System was used to collect gait data of temporal-spatial and kinematic variables from stroke patients and age-matched controls. Twenty-three ambulatory stroke patients (age 55±10 years; time since stroke 9.7±7.1 months) were analyzed. Nine age-matched healthy elderly subjects were recruited as a control group. Stroke patients had slower walking speed, increased stance period and decreased swing period in the unaffected limb. Gait symmetry was compromised. The temporal-spatial variables could not …
The Knowledge, Attitude And Behavioral Intention Of Taditional Chinese Medicine Among People With Spinal Cord Injury, Hong-Li Lee, Liu-Ing Bih, Pesus Chou
The Knowledge, Attitude And Behavioral Intention Of Taditional Chinese Medicine Among People With Spinal Cord Injury, Hong-Li Lee, Liu-Ing Bih, Pesus Chou
Rehabilitation Practice and Science
The goal of this study was to explore knowledge, attitude and behavioral intention towards traditional Chinese medicine (TCM) among people with spinal cord injury (SCI). 155 valid sample questionnaires were collected and the following results were drawn from descriptive and inferential statistical analysis. The item with highest percentage being answered accurately was ”traditional Chinese drugs are made in different forms, such as boiled soup, pills, or condensed powder”. The greatest agreement regarding attitude toward positive tendency to TCM was ”agree that SCI victims are free of charge to take TCM service under the policy of health insurance”. Regarding behavioral intention …
The Effects Of Magnets On Nerve Conduction Studies In Human, Shih-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Wei-Han Chiang, Jing-Hwa Way, Cheng-Feng Chiang
The Effects Of Magnets On Nerve Conduction Studies In Human, Shih-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Wei-Han Chiang, Jing-Hwa Way, Cheng-Feng Chiang
Rehabilitation Practice and Science
Background and purpose: Magnetic fields have been widely used in diagnosis and treatment of diseases. The purpose of this study is to investigate the effects of magnets on nerve conduction studies (NCS) in human. Methods: After excluding subjects with peripheral neuropathy or diabetic neuropathy, 12 normal subjects were recruited (mean age is 30.0 ± 5.2 years old; 5 are female and 7 are male). Two magnets were individually placed on the left distal wrist crease and on the forearm 5 cm distal to the elbow crease, where the median nerve goes underneath. NCS was performed before and 15 minutes during …
Scoliosis Among The Students Of Elementary Schools In Taitung City, Yun-Sheng Chen, Chien-Feng Huang
Scoliosis Among The Students Of Elementary Schools In Taitung City, Yun-Sheng Chen, Chien-Feng Huang
Rehabilitation Practice and Science
The goal of the study is to assess the prevalence, severity, and correlation with sex and age associated with scoliosis in elementary school children in Taitung city. A total of 5,611 children were screened characteristically for scoliosis using Adam’s forward bending test. Those schoolchildren who had positive forward bending test were referred to hospital for whole spinal radiographs, so that the Cobb angle could be quantified to evaluate the severity of scoliosis. 115 children had positive signs in screening test for scoliosis; the positive rate was 2.05% (girls: 2.46%, boys: 1.68%); and the positive rate of the children above 10 …
Treatment Of Atlanto-Axial Rotatory Subluxation With Manipulation, Sen-Wei Tsai, Chomg-Sonq Chou
Treatment Of Atlanto-Axial Rotatory Subluxation With Manipulation, Sen-Wei Tsai, Chomg-Sonq Chou
Rehabilitation Practice and Science
Infantile torticollis is a common condition in rehabilitation clinics. Acute torticollis due to atlanto-axial rotatory subluxation, however, is an uncommon condition in children. The diagnosis is usually delayed due to difficulty in the evaluation of roentgenograms, as well as to clinicians’ unawareness of this disorder. Delayed unrecognized atlanto-axial subluxation may make the treatment more complicated. Here, we review three cases who had atlanto-axial rotatory subluxation successfully treated with manipulation.
"Intractable Hiccup Associated With Lateral Medullary Syndrome : A Casereport And Literature Review, Chiao-Wen Hwang, Jue-Long Wang, Shwu-Fen Sun, Yuh-Te Lin
"Intractable Hiccup Associated With Lateral Medullary Syndrome : A Casereport And Literature Review, Chiao-Wen Hwang, Jue-Long Wang, Shwu-Fen Sun, Yuh-Te Lin
Rehabilitation Practice and Science
Intractable hiccup, or chronic hiccup, is a rare manifestation. Although it is not common in the patients with cerebral infarction, the incidence of intractable hiccup seems to be higher in brainstem stroke. Because of intractable hiccup, the patients will be severely affected physically and emotionally during feeding, sleep activities, and even rehabilitation program. Intractable hiccup also results in a lot of complications, such as malnutrition, weight loss, aspiration pneumonia, myofascial pain syndrome, reflux esophagitis and sliding hernia. There are numerous therapies for intractable hiccup recommended through the years, but the effects are variable. Here we discuss more details about the …
The Exploration Of Utilization Of Traditional Chinese Medicine Among People With Spinal Cord Injury In Central Taiwan, Hong-Li Lee, Liu-Ing Bih
The Exploration Of Utilization Of Traditional Chinese Medicine Among People With Spinal Cord Injury In Central Taiwan, Hong-Li Lee, Liu-Ing Bih
Rehabilitation Practice and Science
People with spinal cord injury often asked help to manage the symptoms such as spasticity, inco-ntinence of sphincter or paresthesia with combination of Western medicine and traditional Chinese medicine. In order to explore the popularization of, perceived effectiveness of traditional Chinese medicine, and difficulty to be faced when utilizing traditional Chinese medicine among people with spinal cord injury in central Taiwan, we collected and analyzed 115 effective questionnaires of them who had ever used Chinese medicine after injury. The results showed: the ways utilizing traditional Chinese medicine most were prescribed Chinese herbs (27.4%), acupuncture (25.6%) and Chinese massage (20.0%), the …
The Urological Management Of Voiding Dysfunction In Chronic Spinal Cord Injury, Hann-Chorng Kuo
The Urological Management Of Voiding Dysfunction In Chronic Spinal Cord Injury, Hann-Chorng Kuo
Rehabilitation Practice and Science
Chronic spinal cord injury (SCI) results in various dysfunctions of the urinary bladder and urethra. These neurological deteriorations after SCI cause varying urological symptoms and complications. Early detection of high risk SCI patients is important. Regular determination of intravesical pressure, residual urine and leak point pressure can provide information to avoid upper tract deterioration. Agg-ressive urological management can reduce the mortality rate from urinary tract infection (UTI) and a better quality of life can thus ensue. In the management of urological sequalae of SCI, preservation of renal function, freedom from UTI, freedom from indwelling catheter, and continence should be the …
F-Wave Studies In L5 Radiculopathic Patients Receiving Automated Percutaneous Lumbar Disectomy, Chien-Hung Lai, Ming-Shium Hsieh, Wei-Han Chiang, Sung-Hui Tseng, Chao-Jung Chen, Shih-Ching Chen
F-Wave Studies In L5 Radiculopathic Patients Receiving Automated Percutaneous Lumbar Disectomy, Chien-Hung Lai, Ming-Shium Hsieh, Wei-Han Chiang, Sung-Hui Tseng, Chao-Jung Chen, Shih-Ching Chen
Rehabilitation Practice and Science
Background and purpose: Herniated intervertebral disc with radiculopathy may prolong F-latency and reduce F-persistence. The aim of this study was to investigate changes of F-waves in patients with L5 radiculopathy before and after automated percutaneous lumbar disectomy (APLD).Methods: Eight patients (aged 26 to 39 years) with L5 radiculopathy were recruited. The L5 radiculopathy was diagnosed by radicular pain and motor/sensory deficit and was confirmed by MRI. F-latency and persistence of the deep peroneal nerve were measured before and after APLD. To enhance the F-wave response, a stimulus duration of 0.3 ms was used, and patients were asked to contract the …
Analysis Of Cane-Assisted Gait In Patients With Hemiplegic Stroke, Chia-Ling Chen, Hsieh-Ching Chen, Fuk-Tan Tang, Kuo-Dai Hou, Wei-Hsien Hong, Rong-Shun Chen, Bel-Wen Lu, May-Kuen Wong
Analysis Of Cane-Assisted Gait In Patients With Hemiplegic Stroke, Chia-Ling Chen, Hsieh-Ching Chen, Fuk-Tan Tang, Kuo-Dai Hou, Wei-Hsien Hong, Rong-Shun Chen, Bel-Wen Lu, May-Kuen Wong
Rehabilitation Practice and Science
The purpose of this study is first to analyze the temporal-stride parameters and forces applied on the cane, and both feet in stroke patients walking with cane-assistance. Three force plates, six cam-eras, and an instrumented cane were integrated to conduct an analysis of the cane-assisted gait of 15 hemiplegic patients. Temporal-stride parameters, and peak vertical, anterior (propulsive)-posterior (braking) and lateral shear forces, and propulsive-breaking impulses, were analyzed.All patients walked with a relatively slow walking speed, the average is 16.1 cm/sec, ranging from 4.2 to 35.8 cm/s. The average step length is 38.2 cm. The triple and double support occupied most …
Assessment Of Anthropometric Factors Of Hand And Wrist In Patients With Carpal Tunnel Syndrome, Hui-Wen Chen, Chein-Wei Chang, Yi-Jane Wu, Keng-Yu Chao
Assessment Of Anthropometric Factors Of Hand And Wrist In Patients With Carpal Tunnel Syndrome, Hui-Wen Chen, Chein-Wei Chang, Yi-Jane Wu, Keng-Yu Chao
Rehabilitation Practice and Science
Carpal tunnel syndrome is a common entrapment neuropathy. It has been associated with many conditions, including age, gender, work and body mass index etc. The aim of the study is trying to ass-ess the anthropometric factors and range of motion of hand and wrist in patients with carpal tunnel syndrome. Twenty-one patients with carpal tunnel syndrome approved by clinical and electrophysiol-ogical studies, and eighteen normal controls attended this study. Anthropometric factors includling hand width, hand length, palmar length, palmar thickness, wrist width, wrist thickness and range of motion of wrist joints were assessed in the patient and control groups.The results …
The Effects Of Exercise Training On Cardiopulmonary Endurance And Depression Status Of Hemodialysis Patients, Shu-Hua Liu, Wil-Ly Chou, Yu-Lin Wang, Hang-Tan Ling, Wen-Chun Huang, Jing-Tz Shen
The Effects Of Exercise Training On Cardiopulmonary Endurance And Depression Status Of Hemodialysis Patients, Shu-Hua Liu, Wil-Ly Chou, Yu-Lin Wang, Hang-Tan Ling, Wen-Chun Huang, Jing-Tz Shen
Rehabilitation Practice and Science
The purpose of the study was to explore the effects of exercise training on cardiopulmonary endurance and depression status of hemodialysis patients. The purposive sample was recruited from a medical center in southern Taiwan. A total of forty hemodialysis patients were assigned into the experimental and control groups. Twenty patients in the experimental group underwent a 30-50 minutes, three times a week, stationary bicycle training during off-dialysis period for eight weeks. Twenty patients in the control group did not receive any exercise. The exercise test was administered to measure the cardiopulmonary endurance and the Beck Depression Scale was used to …
Coma Reversal And Functional Recovery After Hyperbaric Oxygen Therapy And Rehabilitation In The Subacute Phase Of Carbon Monoxide Poisoning: A Casereport And Literature Review, Chun-Hui Wang, Fook-Cheung Wan
Coma Reversal And Functional Recovery After Hyperbaric Oxygen Therapy And Rehabilitation In The Subacute Phase Of Carbon Monoxide Poisoning: A Casereport And Literature Review, Chun-Hui Wang, Fook-Cheung Wan
Rehabilitation Practice and Science
Hyperbaric oxygen (HBO) effectively decreases the morbidity and mortality of carbon monoxide poisoning . Immediate HBO treatment is indicated as it yields a more rapid and greater neuropsychological recovery. HBO significantly decreases the half life of carboxy hemoglobin (COHb) and increases the tissue clearance of residual carbon monoxide, thus decreasing the neuropsychological deficit. HBO enhances the outcome even in the subacute phase of CO poisoning as in this case. A thirteen year old girl was admitted to our hospital in a deep coma after severe CO poisoning from gas leakage and was referred for HBO treatment one month after carbon …
Posttraumatic Spinal Cord Cyst：Three Cases Report And Literature Review, Nai-Chiung Huang, Ta-Sen Wei
Posttraumatic Spinal Cord Cyst：Three Cases Report And Literature Review, Nai-Chiung Huang, Ta-Sen Wei
Rehabilitation Practice and Science
Posttraumatic spinal cord cyst is a late sequelae of spinal cord injury. The cyst has no or little inf-luence on the patient’s neurological functions. We report three patients of spinal cord injury complica-ted with posttraumatic spinal cord cyst whose motor functions were compromized due to increased spasticity. The incidence of the cyst may be up to 50%. The cyst may come from liquefaction of the cord tissue after local edema, necrosis and hematoma, or a myelomalacia due to local ischemia. The best choice of the diagnostic tool is magnetic resonance imaging. All subjects regained their ambulation function after comprehensive rehabilitation …
Percutaneous Endoscopic Gastrostomy: An Alternative For Long-Term Tube Feeding Individuals, Hao-Pai Ni, Tzong-Hsi Lee, Tyng-Guey Wang
Percutaneous Endoscopic Gastrostomy: An Alternative For Long-Term Tube Feeding Individuals, Hao-Pai Ni, Tzong-Hsi Lee, Tyng-Guey Wang
Rehabilitation Practice and Science
Dysphagia is a common problem in rehabilitation service. Tube feeding is mandatory for patients unable to achieve the goal of oral feeding despite comprehensive rehabilitation training. Percutaneous endoscopic gastrostomy (PEG) has been widely used for patients requiring tube feeding in the past 20 years; however, its long-term complications and satisfaction have seldom been mentioned in Taiwan. The purpose of this study was to investigate the acute complications and long-term problems in pat-ients who received PEG. The result might provide the clinicians valuable information in managing the patients requiring long-term tube feeding. This study was a retrospective case note analysis and …
Gait Analysis By Measuring Ground Reaction Forces In Children Aged From Three To Twelve, Chia-Ling Chen, Wei-Hsien Hong, Hsieh-Ching Chen, Ching-Yi Wu, Chin-Man Wang, May-Kuen Wong, Fuk-Tan Tang
Gait Analysis By Measuring Ground Reaction Forces In Children Aged From Three To Twelve, Chia-Ling Chen, Wei-Hsien Hong, Hsieh-Ching Chen, Ching-Yi Wu, Chin-Man Wang, May-Kuen Wong, Fuk-Tan Tang
Rehabilitation Practice and Science
The study analyzed the kinematic parameters, symmetry and consistency as well as the force distribution during walking in the children aged 3 to 12 years old in order to assess the development of the matured gait. One hundred and four children (50 boys, 54 girls) were divided into five groups based on age, with group A aged 3 to 4 years, group B aged 5 to 6 years, group C aged 7 to 8 years, group D aged 9 to 10 years, and group E aged 11 to 12 years old. In this study, we used a computer dynography (CDG) …
Spinal Dural Arteriovenous Fistula : A Casereport, Hsiu-Fang Hsueh, Po-Hong Chen, Jo-Tong Chen, Ta-Shen Kuan
Spinal Dural Arteriovenous Fistula : A Casereport, Hsiu-Fang Hsueh, Po-Hong Chen, Jo-Tong Chen, Ta-Shen Kuan
Rehabilitation Practice and Science
A case of delayed diagnosis of spinal dural arteriovenous fistula is presented. A 65-year-old male presented to our clinic for progressive stiffness and numbness over bilateral lower limbs for 6 months. Neurological examination was suggestive of thoracic spinal cord lesion with signs of both upper and lower motor neuron disorders. Electromyographic examination showed evidence of denervation and re-innervation in the bilateral paraspinal muscles of middle thoracic level. Magnetic resonance imaging (MRI) of the spine revealed trivial changes, but they were neglected initially. Because of clinical fluctuation and progressive deterioration, he was treated as early parkinsonism, stroke, amyotrophic lateral sclerosis, transverse …
Low Back Pain Caused By Scheuermann's Disease: A Casereport, Ming-Chi Lin, Shin-Tsu Chang, Kao-Chung Tsai
Low Back Pain Caused By Scheuermann's Disease: A Casereport, Ming-Chi Lin, Shin-Tsu Chang, Kao-Chung Tsai
Rehabilitation Practice and Science
Scheuermann's disease is one of the common causes of structural abnormality in the thoracic or thoracolumbar spines. Many theories have been proposed for the etiologies of Scheuermann's disease, but the true etiology remains unclear. The disease has a strong familial tendency which may be inh-erited in an autosomal dominant mode. This article describes a 21-year-old male patient who was suff-ering from low back pain for 2 years. The patient was initially diagnosed as having a scoliosis of the thoracolumbar spine. There was no symptomatic alleviation after initial rehabilitation therapy. Patient then received series of examinations, which revealed anterior wedge deformity …
Clinical Experience In Rehabilitation Of Ankylosing Spondylitis Associated With Spinal Cord Injury, Li-Chen Tung, Chih-Hsiang Ho, Liu-Ing Bih
Clinical Experience In Rehabilitation Of Ankylosing Spondylitis Associated With Spinal Cord Injury, Li-Chen Tung, Chih-Hsiang Ho, Liu-Ing Bih
Rehabilitation Practice and Science
Ankylosing spondylitis is an inflammatory disease of the axial skeleton. Spinal ankylosis reduces vertebral flexibility, exacerbates osteoporotic change, and leads to a loss of the biomechanical function of the spine. Thus, even small impacts might cause vertebral fracture or damage of the spinal cord in the patients with ankylosing spondylitis.This retrospective study included 11 patients with ankylosing spondylitis who were admitted to a hos-pital between 1991 and 1999 for rehabilitative service after spinal cord injury. Of these patients, 10 were male, and one female. Average age was 46.3 ± 14.3 years. Falls accounted for injuries in six patients, traffic accidents …