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Articles 721 - 750 of 1275
Full-Text Articles in Medicine and Health Sciences
Screening For Scoliosis In Primary School, Pei-Chen Chung, Ming-Chuan Lin, Jin-Shin Lai
Screening For Scoliosis In Primary School, Pei-Chen Chung, Ming-Chuan Lin, Jin-Shin Lai
Rehabilitation Practice and Science
Idiopathic scoliosis is more frequently found in early adolescence. To prevent possible deterioration and thus, inevitable surgery, early diagnosis and treatment are strongly considered. Screening school children for scoliosis has been very popular in developed countries. The purpose of this study is to find (1) the best age to start screening and (2) the best way to screen. Using the forward bending test, one experienced physiatrist observed the backs of 5185 students from TaipeiMunicipal Dun-Hwa Primary School, which included 2618 boys and 2567 girls. Among them, 195 students had scoliosis. The prevalence rate was 3.76% which is similar to other …
Relationship Between Ventilatory Equivalent For Carbon Dioxide And Ejection Fraction Of Left Ventricle, Shun-Ping Cheng, Chen-Liang Chou, Huey-Ling Yu, Tcho-Jen Liu, Tao-Chang Hsu
Relationship Between Ventilatory Equivalent For Carbon Dioxide And Ejection Fraction Of Left Ventricle, Shun-Ping Cheng, Chen-Liang Chou, Huey-Ling Yu, Tcho-Jen Liu, Tao-Chang Hsu
Rehabilitation Practice and Science
Cardiopulmonary exercise testing is a powerful non-invasive mean for objectively assessing the exercise response of patients with cardiovascular or respiratory disease. The ventilatory equivalent for CO2(V E/V CO2)derived from gas exchange analysis is considered to be an estimate of dead space ventilation and provides an assessment of the efficiency of minute ventilation during exercise. Clark and associates showed that the V E/V CO2 ratio differentiated patients into subgroups in terms of the severity of congestive heart failure by measuring the maximal oxygen consumption and theduration of exercise time. Our study was designed to differentiate patients into subgroups by measuring the …
Electrophysiologic Study Of The Hand Ulnar - Median Nerves Anastomosis In Taiwanese, Yi-Pin Chiang, Baii-Jia Yang, Wang-Lin Su, Jiunn-Ming Wu
Electrophysiologic Study Of The Hand Ulnar - Median Nerves Anastomosis In Taiwanese, Yi-Pin Chiang, Baii-Jia Yang, Wang-Lin Su, Jiunn-Ming Wu
Rehabilitation Practice and Science
There are several variations of nerve communications between the ulnar and the median nerves in the hand, which are referred as the Riche-Cannieu anastomoses. The anatomic and clinical significances of these anastomoses have not been clarified. Because of these variations, electric stimulation may travel from the ulnar nerve, through the communications, to the median nerve impulse and thus induces the contraction of thenar muscles. When performing electrophysiologicexaminations, additional attention should be paid to the variations to avoid misinterpretations. In this study, one hundred hands of fifty normal persons were examined. The ulnar and the median nerves were stimulated, and the …
Drooling In The Children With A Neurological Deficit, Li-Rong Chen, May-Kuen Wong, Choon-Khim Chong, Chin-Man Wang
Drooling In The Children With A Neurological Deficit, Li-Rong Chen, May-Kuen Wong, Choon-Khim Chong, Chin-Man Wang
Rehabilitation Practice and Science
Drooling is a common problem among children with a neurological deficit. To establish the incidence of drooling and to determine the factors related to drooling in a population of the children with a neurological deficit, seventy-two children of Chang Gung Children Hospital were analyzed, prospectively. They were aged from 2 to 8 years. Of the seventy-two children, thirty-two children had cerebral palsy (CP), nineteen children had other neurological deficits, and nineteen children, without any neurological deficits, were used as the control group.All the children underwent two assessments for drooling: (1) the direct quantitative measurement of the amount of whole stimulated …
Exercise Training During Hemodialysis For End-Stage Renal Failure：A Casereport, Wil-Ly Chou, Kuang-Shin Chang, Su-Hwei Long, Mu-Jung Kao, Chen-Nan Go
Exercise Training During Hemodialysis For End-Stage Renal Failure：A Casereport, Wil-Ly Chou, Kuang-Shin Chang, Su-Hwei Long, Mu-Jung Kao, Chen-Nan Go
Rehabilitation Practice and Science
Exercise training, especially aerobic exercise, is beneficial to one's health. This is also true for end-stage renal failure patients. However, exercise programs prescribed on non-dialysis days are not usually carried out by the patients, which can decrease the expected effectiveness of exercise training.We present an uremic patient who first underwent a 3 month non-exercise control period, then immediately followed by another 3 months of exercise training during hemodialysis, with a stationary bike. We found the patient's compliance rate for exercise training was 94% (34/36). His maximal oxygen consumption increased by 37.8%, and he was able to discontinue his anti-hypertensive agents …
Distribution Of Sensitive Loci Where Localized Twitch Response Can Be Elicited In Rat Skeletal Muscle, Yu-Chang Chang, Sheng-Fen Kao, Ta-Shen Kuan, Chang-Zern Hong
Distribution Of Sensitive Loci Where Localized Twitch Response Can Be Elicited In Rat Skeletal Muscle, Yu-Chang Chang, Sheng-Fen Kao, Ta-Shen Kuan, Chang-Zern Hong
Rehabilitation Practice and Science
Myofascial trigger point (MTrP) is a quite common painful muscular disorder in clinical practice. When an MTrP is mechanically stimulated (needling or snapping palpation), a local twitch response (LTR) can be elicited, which is one of the characteristics of MTrP. Recent studies on humans and rabbits suggest that an MTrP is at the endplate zone. The purpose of this study is to map the distribution of sensitive loci from which an LTR can be elicited by mechanical stimulation of it in rat skeletal muscle. A total of 39 Sprague-Dawley rats were studied in this experiment. After general anesthesia, the biceps …
Clinical Study Of Electrical Burn, Yao-Chia Chuang, Yi-Pin Chiang
Clinical Study Of Electrical Burn, Yao-Chia Chuang, Yi-Pin Chiang
Rehabilitation Practice and Science
Electrical injuries, compared to fire or scald burns, occur infrequently but often result in amputations causing disabilities. A retrospective study was undertaken to present some statistical data and determine the correlation of serum creatinine kinase (CK) level and creatine kinase myocardial band isoenzyme (CK-MB) level with treatment, morbidity and outcome. From January 1995 to December 1996, thirty-six electrical burn patients were admitted to our hospital. Thirty-four of these patients were men and two were women, and the mean age was 31.3 years old. There were 27 high-voltage injuries and 9 low-voltage injuries. Twenty-three patients had a total of 61 surgeries, …
The Antiperspirative Effect Of The Silicon Socket：A Qualitative Study, Ming-Chuan Lin, Hsien-Ching Chiu, I-Nan Lien, Jin-Shin Lai
The Antiperspirative Effect Of The Silicon Socket：A Qualitative Study, Ming-Chuan Lin, Hsien-Ching Chiu, I-Nan Lien, Jin-Shin Lai
Rehabilitation Practice and Science
In clinical prosthetic experience, profuse sweating was a major problem when conventional sockets or inserts were used. However, the newly developed silicon suction socket could prevent that. We doubted that these differences came from the different nature of the silicon, pelite and polyethylene. So using the starch iodine sweating test, the forearm skins of the twenty normal subjects were sealed with a piece of 2cm×2cm×0.3cm silicon, pelite or polyethylene respectively. Surprisingly, not only silicon but also pelite and polyethylene could inhibit sweating. This meant that decreased sweating of the silicon suction socket might not be due to the chemical property …
The Correlation Between Locations Of Brain Lesions And Motor Recovery In Stroke Patients, Chia-Ying Chung, Chia-Ling Chen, May-Kuen Wong, Yau-Yau Wai, Fuk-Tan Tang, Pao-Tsai Cheng
The Correlation Between Locations Of Brain Lesions And Motor Recovery In Stroke Patients, Chia-Ying Chung, Chia-Ling Chen, May-Kuen Wong, Yau-Yau Wai, Fuk-Tan Tang, Pao-Tsai Cheng
Rehabilitation Practice and Science
Cerebrovascular accidents often produce alterations in the ability to control movement. Recovery of impaired motor function varies with the individual. We studied the correlation between the location as well as the size of lesions and the prognosis for motor recovery. Magnetic Resonance Images (MRI) of the brain were done in stroke patients with cortical, or subcortical infarcts or hemorrhage within 0.5 to 1.5 (mean 0.9±0.25) months after a stroke. The muscle tone, motor recovery and activities of daily living of the patients were assessed by a modified Ashworth scale, Brunnstrom’s recovery stage and functional independence measure (FIM) respectively. According to …
The Accessory Deep Peroneal Nerve In Taiwanese：Detected By Electrodiagnostic Study, Wang-Lin Su, Yi-Pin Chiang, Jiunn-Ming Wu, Baii-Jia Yang
The Accessory Deep Peroneal Nerve In Taiwanese：Detected By Electrodiagnostic Study, Wang-Lin Su, Yi-Pin Chiang, Jiunn-Ming Wu, Baii-Jia Yang
Rehabilitation Practice and Science
The accessory deep peroneal nerve is a common anatomical variation in innervating the extensor digitorum brevis (EDB) muscle of the foot. Awareness of this anomaly is important in electrodiagnostic study of peroneal nerve lesions. One hundred healthy Taiwanese, including 50 men and 50 women, were tested for the presence of an accessory deep peroneal nerve by an electrodiagnostic method. The presence of a visible EDB twitch and an amplitude of the evoked muscle action potential of 0.2 mV or greater upon stimulation of the accessory deep peroneal nerve were taken as positive findings. This study showed that the EDB is …
Custom-Made Total Contact Body Jacket For Thoracolumbar Compression Fracture Patients:A Casereport, Fuk-Tan Tang, Ming-Der Chen, Ngok-Kiu Chu, Pong-Yeun Wong
Custom-Made Total Contact Body Jacket For Thoracolumbar Compression Fracture Patients:A Casereport, Fuk-Tan Tang, Ming-Der Chen, Ngok-Kiu Chu, Pong-Yeun Wong
Rehabilitation Practice and Science
Osteoporosis in post-menopausal woman is a common cause of vertebrae compression fracture, which causes pain, activity limitation, even prolonged bed rest and total dependenty activities for daily life. Treatment of osteoporosis induced fracture includes NSAIDs for pain relief, body jacket for support and supplements of vitamin D, calcium, calcitonin or hormone replacement therapy.This is a casereport of a female with osteoporosis related T11 and L2 compression fracture with a 60° kyphosis at the thoracic vertebrae region and 40° lordosis at the lumbar vertebrae region which makes the ordinary Taylor brace unsatisfactory to give this patient adequate support for ambulation. So, …
Facet Injection To Control The Recurrent Myofascial Trigger Points : A Casereport, Pei-Hsin Lee, Poi-Wei Lin, Lin-Fen Hsieh, Chang-Zern Hong
Facet Injection To Control The Recurrent Myofascial Trigger Points : A Casereport, Pei-Hsin Lee, Poi-Wei Lin, Lin-Fen Hsieh, Chang-Zern Hong
Rehabilitation Practice and Science
Recurrent myofascial trigger points (MTrPs) may be caused by or associated with chronic soft tissue lesion(s) which can not be easily identified. We hereby report a case of recurrent myofascial trigger points in the upper back muscles, which were successfully controlled after one treatment of cervical facet injection.This patient was a 40-year-old man who had suffered from chronic left upper back pain and soreness with tingling sensation and back stiffness for six months. He had active MTrPs in the left levator scapulae, left rhomboid major and minor, left upper trapezius, and left serratus posterior superior muscles. Spurling sign was negative. …
Electrodiagnosis Of Median-To-Ulnar Nerve Anastomosis And Anomalous Innervation Of The Intrinsic Hand Muscles, Chih-Liang Wu, Huann Chang, Pi-Chang Sun, Su-Fen Liao, Rai-Chi Chan
Electrodiagnosis Of Median-To-Ulnar Nerve Anastomosis And Anomalous Innervation Of The Intrinsic Hand Muscles, Chih-Liang Wu, Huann Chang, Pi-Chang Sun, Su-Fen Liao, Rai-Chi Chan
Rehabilitation Practice and Science
Communication between the median and ulnar nerves is a common anomaly in the forearm (Martin-Gruber anastomosis, MGA). The knowledge of these anastomoses and the resulting anomalous innervation patterns is of crucial importance to the clinicians and electromyographers in the performance of nerve conduction and electromyographic studies in normal patients and those with peripheral nerve lesions. One hundred forearms (fifty cases) were examined for median-to-ulnar or ulnar-to-median nerve anastomoses using surface electrodes. We found a motor median-to-ulnar nerve anastomosis occurring in 12% of forearms studied. The incidence of innervation of the different intrinsic hand muscles: abductor pollicis brevis (APB) 17%; abductor …
Predicting Respiratory Status In Patients With Duchenne Muscular Dystrophy, Rong-Bin Hong, Tyng-Guey Wang, Chih-Whei Lu, Jin-Shin Lai, I-Nan Lien
Predicting Respiratory Status In Patients With Duchenne Muscular Dystrophy, Rong-Bin Hong, Tyng-Guey Wang, Chih-Whei Lu, Jin-Shin Lai, I-Nan Lien
Rehabilitation Practice and Science
The life expectancy of individuals with untreated Duchenne muscular dystrophy(DMD) is around 18-19 years. The cause of their death is mostly from respiratory complications. Early detection of respiratory function will provide the opportunity of early management and prolong their life span.This study included 30 patients with DMD in a period of three years and took a cross-section design. All the data were obtained by telephone interview with the patients or their family. Nineteen of 30 patients accepted functional evaluation in Brooke’s grading scale and pulmonary function test(PFT). Ten of these 19 patients received nocturnal breathing monitor including O2 saturation and …
Medical Care And Rehabilitation Services Providing To Children With Cerebral Palsy In Northern Taiwan, Hua-Fang Liao, Shwu-Chong Wu, Suh-Fang Jeng, Pen-Jung Wong, Su-Ching Lee, Wen-Po Chow
Medical Care And Rehabilitation Services Providing To Children With Cerebral Palsy In Northern Taiwan, Hua-Fang Liao, Shwu-Chong Wu, Suh-Fang Jeng, Pen-Jung Wong, Su-Ching Lee, Wen-Po Chow
Rehabilitation Practice and Science
The condition of medical and rehabilitation services for children with cerebal palsy（CP）in Taiwan has rarely been investigated. Such information is crucial for the health services planning. To understand the current status of medical and rehabilitation cares of CP children and related influencing factors, we sent 2435 copies of questionnaires to the main caregivers of possible CP children in the northern Taiwan. Six hundred and eighty-nine copies (28%) were returned. Four hundred and twenty-six copies were of CP children younger than 18 years of age（17.5%）. Their data were analyzed for this report. In 6-month period prior to this investigation, three hundred …
The Kinetic Assessment Of Sit-To-Stand In Stroke Patients And Its Relationship To Fall, Pao-Tsai Cheng, Shu-Hsia Wu, Mei-Yun Liaw, Pay-Shin Lin, May-Kuen Wong, Hsieh-Ching Chen, Fuk-Tan Tang
The Kinetic Assessment Of Sit-To-Stand In Stroke Patients And Its Relationship To Fall, Pao-Tsai Cheng, Shu-Hsia Wu, Mei-Yun Liaw, Pay-Shin Lin, May-Kuen Wong, Hsieh-Ching Chen, Fuk-Tan Tang
Rehabilitation Practice and Science
Fall has been reported as a major cause of morbidity, hospitalization and mortality of older people. Stroke patients are more prone to fall than non-stroke subjects, because of the pathological conditions inposing upon the physiological aging process. Since fall is so frequent, fall prevention strategies should therefore be developed and included in rehabilitation programs.Falls are associated with many physical and environmental factors. Excluding tripping, many of the falls in stroke patients occurred during the patients changing their positions, such as standing up, sitting down or initiation of steps. Therefore, the purpose of this study is focus on the kinetic analysis …
The Comparison Between Selective Posterior Rhizotomy And Phenol Intramuscular Neurolysis On The Treatment Of Children With Cerebral Palsy: Preliminary Report, May-Kuen Wong, Chia-Ling Chen, Tai-Ngar Lui, Wei-Pin Hwang, Hsing-Jung Tsai, Fuk-Tan Tang
The Comparison Between Selective Posterior Rhizotomy And Phenol Intramuscular Neurolysis On The Treatment Of Children With Cerebral Palsy: Preliminary Report, May-Kuen Wong, Chia-Ling Chen, Tai-Ngar Lui, Wei-Pin Hwang, Hsing-Jung Tsai, Fuk-Tan Tang
Rehabilitation Practice and Science
Severe spasticity often causes functional impairment in children with cerebral palsy. It is theissue that professionals have been working on to reduce the spasticity effectively and permanently. This study wants to find out the comparative effectiveness between the selective posterior rhizotomy and phenol intramuscular neurolysis on the treatment of the children with cerebral palsy. We collected 31 children with spastic cerebral palsy, aged 3 to 17, and divided the children into three groups. Group A received selective posterior rhizotomy and rehabilitation. Group B received phenol intramuscular neurolysis and rehabilitation. Group C received rehabilitation only. The preoperative evaluations included muscle tone …
Finite Element Contact Stress Analysis Of The Diabetic Foot And Orthosis - A Two-Dimensional Analysis, Weng-Pin Chen, Yueh-Yun Hsieh, Fuk-Tan Tang
Finite Element Contact Stress Analysis Of The Diabetic Foot And Orthosis - A Two-Dimensional Analysis, Weng-Pin Chen, Yueh-Yun Hsieh, Fuk-Tan Tang
Rehabilitation Practice and Science
The objective of this research is to utilize the finite element method to analyze the contact stress between a diabetic plantar and the orthosis used in treating ulcers. It is desirable to understand the stress distributions between the plantar and the ordinary insole or the total contact insole made of three different insole materials. In this research, finite element models of the foot in contact with an ordinary insole and with a custom total contact insole were built and a commercial finite element analysis package - MARC was used to investigate the contact pressure distributions at the plantar. Deformable contact …
Lower Limb Length Discrepancy Caused By Lumbar Epidural Lipomatosis-- A Casereport And Review Of Literature, Mei-Hui Kuo, Chau-Peng Leong
Lower Limb Length Discrepancy Caused By Lumbar Epidural Lipomatosis-- A Casereport And Review Of Literature, Mei-Hui Kuo, Chau-Peng Leong
Rehabilitation Practice and Science
Epidural lipomatosis is resulted from abnormal accumulation of unencapsulated fat in the epidural space. A case with idiopathic spinal lipomatosis is commonly seen in the following situations: steroid treatment, endocrinopathy, and obesity. Interestingly, a young male without the previous three conditions developed idiopathic spinal epidural lipomatosis. He was observed with lower limb length discrepancy and functional scoliosis.This patient was diagnosed by the method of magnetic resonance imaging and later received a variety of treatments according to his symptoms. Since there was no progressive neurological deficit, his problem of functional scoliosis was corrected by elevating his left heel by 2 cm. …
Pathophysiology Of Reflex Sympathetic Dystrophy, Jo-Yong Chen, Chang-Zern Hong
Pathophysiology Of Reflex Sympathetic Dystrophy, Jo-Yong Chen, Chang-Zern Hong
Rehabilitation Practice and Science
Reflex sympathetic dystrophy (RSD) usually develops in a limb after an injury. It is characterized by constant burning pain, allodynia, hyperalgesia, swelling, vasomotor and sudomotor changes. Once RSD is established, successful outcome depends upon early recognition and therapy. The therapies include sympathetic blockade, myofascial trigger point injection, physical therapy, oral corticosteroid, etc. Many hypotheses have been proposed to explain the mechanism responsible for RSD. However, no single hypothesis proposed to date explains all of the features of RSD. It has been recognized for decades that pain may in certain instances be dependent on sympathetic innervation of the area afflicted with …
A Study Of Quality Oriented Model For Hospital Accreditation In Department Of Rehabilitation, Mu-Jung Kao, Mei-Wun Tsai, I-Nan Lien, Kai-Yuan Tang, Yen-Ho Wang
A Study Of Quality Oriented Model For Hospital Accreditation In Department Of Rehabilitation, Mu-Jung Kao, Mei-Wun Tsai, I-Nan Lien, Kai-Yuan Tang, Yen-Ho Wang
Rehabilitation Practice and Science
The present hospital accreditation in Department of Rehabilitation in Taiwan is emphasized in assessing hospital structure instead of total quality consideration.The purpose of this study is to establish a new quality oriented model for hospital accreditatin in department of rehabilitation according to the quality assurance model by Donabedian including structure, process and outcome basis. In this study , an assessment questionnaire for accreditation was designed by Delphi method. The author suggests that hospital accreditation for Department of Rehabilitation should include process and outcome components in addition to structure, and a wide survey of hospital accreditation in Department of Rehabilitation should …
Mixed Nerve Conduction Study Of Brachial Plexus And Its Application On The Diagnosis Of Brachial Plexus Lesion, Jo-Tong Chen, Shu-Min Chen, Thy-Sheng Lin, Ta Shen Kuan, Chang-Zern Hong
Mixed Nerve Conduction Study Of Brachial Plexus And Its Application On The Diagnosis Of Brachial Plexus Lesion, Jo-Tong Chen, Shu-Min Chen, Thy-Sheng Lin, Ta Shen Kuan, Chang-Zern Hong
Rehabilitation Practice and Science
This study demonstrates a technique to measure the mixed nerve conduction velocity (MNCV) of the ulnar and median component of the brachial plexus and its application on the diagnosis of brachial plexus lesion. Twenty patients with clinically confirmed pectoralis minor syndrome (Group I) and ten patients with traumatic brachial plexus injury due to traffic accident (Group II) were studied. The ulnar nerve was stimulated at the ulnar groove and the median nerve stimulated at the antecubital fossa of the elbow. The averaged nerve action potentials were simultaneously recorded from both axilla and Erb’s point with surface recording electrodes. MNCV of …
The Influence Of National Health Insurance Policy On Rehabilitation Medicine ---- Current Resource Distribution And Perspectives In Rehabilitation Medicine In Central Taiwan Area, Liu-Ing Bih, I-Nan Lien
The Influence Of National Health Insurance Policy On Rehabilitation Medicine ---- Current Resource Distribution And Perspectives In Rehabilitation Medicine In Central Taiwan Area, Liu-Ing Bih, I-Nan Lien
Rehabilitation Practice and Science
The objective of this study is to determine the distribution of medical resources for rehabilitation in the central Taiwan area (including three counties and one provincial city) and foresee the possible influence of National Health Insurance policy on rehabilitation medicine.The subjects of this study were sixty-two hospitals or clinics in the central Taiwan area that instituted rehabilitation outpatient and/or inpatient medical services in June of 1995. Among them, four provided comprehensive rehabilitation medical services for inpatients as well as outpatients; nine had outpatient physical, occupational, and/or speech therapy departments; twelve employed full-time physiatrists but provided physical therapy only; seventeen employed …
The Study On Cognitive Function In Stroke Patients, Shih-Pin Chao, Shich-Fu Wu
The Study On Cognitive Function In Stroke Patients, Shih-Pin Chao, Shich-Fu Wu
Rehabilitation Practice and Science
Mini-Mental State Examination (MMSE) is a simple and effective bed-side screening test for cognitive function. Cognitive defect is frequently encountered clinically in stroke patients, but several sophisticated cognitive function tests are not proper for them. MMSE is used as a tool to investigate the correlation between cognitive function and the severity of brain damage of the stroke patient. A total of 65 patients, who had developed hemiplegia, hemiparesis or cerebellar dysfunction as a result of cerebral vascular disease, were collected in this study. All patients had received MMSE, motor status examination of affected limbs, and brain CT within 3 weeks …
Subclinical Superficial Peroneal Sensory Neuropathy In Cyclists In South Taiwan, Shu-Mon Chen, Jo-Tong Chen, Thy-Sheng Lin, Chang-Zern Hong
Subclinical Superficial Peroneal Sensory Neuropathy In Cyclists In South Taiwan, Shu-Mon Chen, Jo-Tong Chen, Thy-Sheng Lin, Chang-Zern Hong
Rehabilitation Practice and Science
The purpose of this study is designed to assess the superficial peroneal sensory nerve conduction of bicyclists since some bicyclists experience tingling or numbness over the dorsum of the foot during prolonged bicycling. Bilateral superficial peroneal nerve conduction studies were performed on 17 bicyclists compared with 20 normal subjects. Compound nerve action potentials were recorded with surface electrodes over the medial and intermediate dorsal cutaneous branches of the superficial peroneal nerves located at the anterior aspect of the ankle. The superficial peroneal nerve (SPN) was stimulated at the anterolateral aspect of the leg 12 cm proximal to the site of …
Videofluoroscopic Examination As An Objective Evaluation Tool In Multiple Sclerosis Individuals With Dysphagia --- Casereport, Mei-Li Cheng, Tyng-Guey Wang, Yeun-Chung Chang, Chi-Fen Chang, Jin-Shin Lai, I-Nan Lien
Videofluoroscopic Examination As An Objective Evaluation Tool In Multiple Sclerosis Individuals With Dysphagia --- Casereport, Mei-Li Cheng, Tyng-Guey Wang, Yeun-Chung Chang, Chi-Fen Chang, Jin-Shin Lai, I-Nan Lien
Rehabilitation Practice and Science
Multiple sclerosis (MS) may involve different part of central nervous system and is characterized by remission and relapse clinically. However, dysphagia does not happen regularly. The incidence of dysphagia in MS is still in debate. It ranges from 3% to to 33% in limited reports. It could be a persistent or a intermittent symptom with various severity. In previous literature, the evaluation of this disorder was limited in clinical examination and lack of an objective method. We presented a 62-year-old man with MS and dysphagia. He underwent videofluoroscopic examination (VFE) and intensive swallowing training. The VFE demonstrated that the major …
Non-Invasive Respirator - An Alternative In Patients With Neuromuscular Disease, Tyng-Guey Wang, Rong-Bin Hong, Mei-Li Cheng, Jin-Shin Lai, I-Nan Lien
Non-Invasive Respirator - An Alternative In Patients With Neuromuscular Disease, Tyng-Guey Wang, Rong-Bin Hong, Mei-Li Cheng, Jin-Shin Lai, I-Nan Lien
Rehabilitation Practice and Science
Fifteen individuals with neuromuscular disease and ventilatory insufficiency received non-invasive respirator(NIR)for their respiratory failure, severe sleep disordered breathing, or respiratory distress. By providing the NIR, thirteen patients successfully maintained their ventilation for a mean duration of 13.5:t 11.8 months (range: 2 to 36); ten of them still used NIR effectively at .he time of report. The four patients failed in using NIR were all motor neuron disease. The reason for discontinuing NJR was difficulty in handling pulmonary secretions. After inducing NIR, the blood gas of our patients returned to normal limit (PaO2 67.2:t10.2 mmHg elevated to 90.7:t9.3 mmHg and PaCO2 …
Clinical Aspects And Risk Factors Of Low Compliance Bladder, Tsz-Ching Hsu, Tyng-Guey Wang, Yen-Ho Wang, Jin-Shin Lai, I-Nan Lien
Clinical Aspects And Risk Factors Of Low Compliance Bladder, Tsz-Ching Hsu, Tyng-Guey Wang, Yen-Ho Wang, Jin-Shin Lai, I-Nan Lien
Rehabilitation Practice and Science
To determine the prevalence of low compliance bladder and its effects on the upper urinary tract, 431 persons with neurogenic bladder have been evaluated over the past 3 years. Among them, 34 persons (7.9%) had low compliance bladder. Thirty-two persons who had lower motor neuron type neurogenic bladder served as controls. Bladder capacity (280 ml vs. 420 ml; P ＜ 0.05) and creatinine clearance rate (53 ml/min vs. 83 ml/min; P ＜ 0.05) of the low compliance bladder group were significantly lower than those of controls. The chance of urinary tract infection was greater and the post-injury duration was longer …
A Survey About The Causes Of Delay Diagnosis And Prognosis In Spinal Tumors, Yi-Hsi Hsieh, Baii-Ja Yang
A Survey About The Causes Of Delay Diagnosis And Prognosis In Spinal Tumors, Yi-Hsi Hsieh, Baii-Ja Yang
Rehabilitation Practice and Science
Fifty patients with primary spinal tumors operated in Mackay memorial hospital between 1985 and 1995 were reviewed retrospectively. The commonest diagnoses were nerve sheath cell tumors (neurilemmomas and schwannoma) and meningioma. The mean delay in diagnosis was 1.32 years (range: half month to 7 years).The commonest intial symptoms were back pain and numbness over limbs, but later muscle weakness and sphincter disturbances came to predominate. Most patients visited orthopaedic surgeons and neurologist at beginning, and were initially diagnosed as spondylosis or herniated intervertebral disc. Six patients had been received physical therapy under the diagnosis of HIVD or spondylosis before the …
A Survey Of Quality Oriented Model For Hospital Accreditation Of Department Of Rehabilitation In Northern Taiwan, Mu-Jung Kao, Mei-Wun Tasi, Yen-Ho Wang, Ytng-Guey Wang, I-Nan Lien, Jin Shin Lai, Kai-Yuan Tang
A Survey Of Quality Oriented Model For Hospital Accreditation Of Department Of Rehabilitation In Northern Taiwan, Mu-Jung Kao, Mei-Wun Tasi, Yen-Ho Wang, Ytng-Guey Wang, I-Nan Lien, Jin Shin Lai, Kai-Yuan Tang
Rehabilitation Practice and Science
The purpose of this study was to compare medical quality of department of rehabilitation in Northern Taiwan area by using a new evaluation form designed by quality-oriented model for hospital accreditation. In this study, the questionnaire was mailed to twenty-six teaching hospitals in this area and was responsed from twenty-three hospitals including seven medical centers, eleven regional teaching hospitals and five district teaching hospitals (responsible rate 88.5%). Comparison was done among medical center, regional teaching hospitals and district teaching hospitals, and was also done between board-certified physiatrist training hospitals and non-training hospitals. The results showed that:(1) medical center and regional …