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Journal

1988

Taiwan Academy of Physical Medicine and Rehabilitation

Articles 1 - 17 of 17

Full-Text Articles in Medicine and Health Sciences

Paraplegia Due To Decompression Sickness (19 Cases), Horng-Jeng Shyn Dec 1988

Paraplegia Due To Decompression Sickness (19 Cases), Horng-Jeng Shyn

Rehabilitation Practice and Science

Nineteen cases of paraplegia due to decompression sickness were experienced from May 1983 to August 1985. All were the male fishermen. Their ages ranged from twenty-three yeras to fifty yeras.There were five with complete thoracic cord injury, seven with imcomplete thoracic cord injury and one with complete lumber cord injury, six with imcomplete lumber cord injury. All the patients had received hyperbaric treatment and rehabilitation. There were six persons with severe spasticity during discharge. Others had the symptom of mild incontinence. The study shows that early treatment may reduce complication. The most frequent seasons were spring & summer. The majority …

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Psychomotor Development In Children With Congental Heart Disease, Tsui-Fen Yang, Betau Hwang, Tao-Chang Hsu Dec 1988

Psychomotor Development In Children With Congental Heart Disease, Tsui-Fen Yang, Betau Hwang, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to assess the psychomotor development in children with congenital heart disease, analyzes the degree of developmental delay and investigate the possible factors that result in psychomotor developmental delay in these cases. Form August 1986 to July 1987, 169 cases with congenital heart disease and 92 normal children as control group were studied. The Kansas Development Screening Chart, which was designed by Dr. Holmes, was used to assess the psychomotor development in these 261 children. The degree in psychomotor factors such as sex, nutritional status, cyanosis, age, number of hospitalization and history of congestive heart …

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F-Response Study In C-Spine Degenerative Joint Disease Patient, Chen-Ming Chiu, Rai-Chi Chan, Tao-Chang Hsu Dec 1988

F-Response Study In C-Spine Degenerative Joint Disease Patient, Chen-Ming Chiu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to compare the significant difference of F Response between normal and C-spine DJD groups and compare one another among different age groups. We chose 10 patients with C-spine DJD in each age groups of 50-60, 60-70, 70-80 age groups. Everyone recived Ulnar and Median N nerve conduction study with subsequent 20 times F responses.The results revealed 1) in Spine DJD with radiclopathy groups, these are prolonged F lateny & decreased F persistence compared to normal groups. 2) no significant difference in F amplitude, F spike, M amplitude, M surface and NCV between normal and …

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Functional Outcome In Digital Reconstruction With Toe Transfer: Preliminary Report, Yiu-Chung Lau, May-Kuen Wong, Fu-Chan Wei, Shin-Han Wu Dec 1988

Functional Outcome In Digital Reconstruction With Toe Transfer: Preliminary Report, Yiu-Chung Lau, May-Kuen Wong, Fu-Chan Wei, Shin-Han Wu

Rehabilitation Practice and Science

The functional outcome of 34 cases of digital ampution with toe-to-digit reconstruction in Chang-Gung Memorial hospital, from Jan 1984 to Jan 1987, were evaluated by questionaires.The age of the patients were from 16 to 48 years old, with male in majority (82.3%). Nearly all of them were occupational injury. There were 20 cases with right hand injury, most of them should change hand dominance even after reconstruction surgery (63.2%). In the patients having single thumb loss, whether the reconstruction surgery was used by big toe or second toe, there were no difference in functional deficits of precision pinch (85.7%) and …

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Prosthetic Fitting For Limb Amputee In 15 Years (1971-1985), Ming-Chuan Lin, I-Nan Lien, Tong-Tsu Chen Dec 1988

Prosthetic Fitting For Limb Amputee In 15 Years (1971-1985), Ming-Chuan Lin, I-Nan Lien, Tong-Tsu Chen

Rehabilitation Practice and Science

The prosthetic workshop of National Taiwan University Hospital was established in 1970. There were 665 amputees recieved prosthetic fitting at the workshop from the beginning of 1971 to the end of 1985. Among these amputees, 307 patients were the victims of black-foot-disease, and has ben reported previously. Therefore, the present study included the rest of 358 amputees, 278 males and 80 females with male/female ratio 3.5: 1. The site of extremity involved were 160 in right and 198 in left, which revealed no significant difference statistically (p＞0.05). In total 358 cases, there were 105 upper extremity amputees and 253 lower …

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Cauda Equina Syndrome And Lumbar Disc Herniation, Chinn-Dong Chung, Chorng-Sonq Chou, Tao-Chang Hsu Dec 1988

Cauda Equina Syndrome And Lumbar Disc Herniation, Chinn-Dong Chung, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Hearniation of lumbar disc (HIVD) causing compression of the cauda equina is rare but needs urgent diagnosis and surgical treatment. Cauda equina syndrome (CES) has been described as a complex of low back pain, bilateral or unilateral sciatica, saddle anesthesia and motor weakness in the lower extremities that may progress to paraplegia with bowel and urinary bladder incontinence. The onset of bladder and rectal paralysis with saddle anesthesia should be viewed with a high index of suspicion in a patient with backache and sciatica. Three C.E.S. cases out of 169 H.I.V.D. cases who had been operated in our hospital were …

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Functional Evaluation Of The Cervical Orthosis, May-Kuen Wong, Choon-Khim Chong, Yau-Yau Wai Dec 1988

Functional Evaluation Of The Cervical Orthosis, May-Kuen Wong, Choon-Khim Chong, Yau-Yau Wai

Rehabilitation Practice and Science

For investigation of the effectiveness of 5 cervical orthoses which were made in Taiwan, cervical motion was evaluated quantitatively by using roentgenograms and overhead goniometry. Thirty normal young men were divided into five groups for the study of normal control, soft collar, rigid collar, 4 poster brace, Somi brace, which another 5 cases of cervical fracture were studied with Halo vest application.The subject was immobilized in a straight back chair to eliminate trunk motion, lateral cervical spine films were taken in neutral, flexion and extension without or with each orthosis; anterioposteral film for lateral bending and overhead goniometry for rotation …

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The Facet Joint And Low Back Pain: A Clinical Study, Chorng-Sonq Chou, Tao-Chang Hsu Dec 1988

The Facet Joint And Low Back Pain: A Clinical Study, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Therapeutic injection of facet joints is now widely practised, but Chinese experience has been infrequently reported. 21patients with suffering from the ”facet syndrome” have been taken from OPD patients, Our series including total 30 intra-articular injections C 2% Xylocaine & Kenacort A preparation provide a diagnostic-therapeutic block; Certainty of joint penetration can be ensured only by the routine use of joint arthrography ￠ Metrazamide. Results indicate that immediate effective is 61.9% for releiving pain. It means this block is a good diagnostic-therapeutic procedure in low back pain patients.

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Functional Evaluation Of The Knees In The Patients After Total Knee Replacement, Rou-Zin Shai, Jau-Yih Tsauo, Jin-Shin Lai, I-Nan Lien Dec 1988

Functional Evaluation Of The Knees In The Patients After Total Knee Replacement, Rou-Zin Shai, Jau-Yih Tsauo, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

The Total Knee Replacement (TKR) is getting more important for management of severe knee joint disorder. In order to understand the changes of knee function after TKR and evaluate the benefits for patient, this research was designed to compare them before operation, three months, six months and twelve months after operation who received TKR operation at Orthopedic Department of National Taiwan University Hospital from Jan to Sep 1986.According to the assessment of 11 patients who were traced for six months and five patients who were traced for twelve months, it indicated that TKR was definitely helpful for those patients with …

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Erb's Palsy: Etiology And Prognosis, Yau-Wai Wai, Chue-Fun Chen Dec 1988

Erb's Palsy: Etiology And Prognosis, Yau-Wai Wai, Chue-Fun Chen

Rehabilitation Practice and Science

This study was carried out on 67 children with obstetric palsy in the Department of physical Medicine and Rehabilition of the National Taiwan. University. It revealed that birth weight of more than 3500 gm would have higher prevalence of the palsy. There was no significant evidence to support the palsy had any relationship to patient's sex, presentation, parity, mode of delivery and lateralization of the lesion.The follow up intervals ranged from 3 months to 6 years, with the mean 2 years and 3 months. The recovery rate of these children was rather satisfactory. One year after the injury the ratio …

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Thoracic Outlet Syndrome: A Casereport, Ling-Yue Lin, Chorng-Sonq Chou, Tao-Chang Hsu Dec 1988

Thoracic Outlet Syndrome: A Casereport, Ling-Yue Lin, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

The thoracic outlet syndrome (TOS) is a entrapment syndrome of the neurovascular bundle supplying the upper extremity. There are many disorders have been associated with TOS. We can divide TOS into vascular types and neurogenic types according to it's component parts.the classic type of neurogenic TOS is uncommon. This case has abduction contracture of left shoulder. The electrodiagnostic findings showed typical of neurogenic TOS. Conservative treatment programs were given and the symptoms were subsided after one week.

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Spinal Cord Injury With Perforated Ileum: Casereport, Ching-Yang Lin, Min-Teh Cheng Dec 1988

Spinal Cord Injury With Perforated Ileum: Casereport, Ching-Yang Lin, Min-Teh Cheng

Rehabilitation Practice and Science

The patient with a spinal cord lesion may not have the early signs of peritonitis such as pain, local tenderness and local muscular rigidity, therefore it is extremely difficult to make an early diagnosis of an acute abdominal lesion. Important clues to the underlying lesion may be found in referred pain, local or systemic spasticity, blood pressure and temperature variation, sweating patterns, changing abdominal sign.This was a 37 years old female who had hospitalized following a car accident which resulted in c7 complete quadriplegiac7 Two years later, she was admitted because of severe nausea, vomitting, profused sweating, poor appetite, general …

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Treatment Of Chronic Intractable Pain By Non-Biofeedback Relaxation Technique: An Experience Report, Guo-Wei Chen Dec 1988

Treatment Of Chronic Intractable Pain By Non-Biofeedback Relaxation Technique: An Experience Report, Guo-Wei Chen

Rehabilitation Practice and Science

From January, 1986 through April, 1998, a total 42 patients with chronic intractable pain, age between 25 and 60 years, were treated by non-biofeed back relaxation technique including progressive relaxation, autogenic phrase, Benson's meditation and visual imagery. All patients had ever received medical, surgical and physical treatments but in vein at all.Twenty-eight of 42 patients (66.6%)reported getting apparent to slight improvement after relaxation training. Patients in non-specific pain syndrome group had a higher successful result than those in failed back surgery syndrome, cervical syndrome, and low back syndrome groups. Fourteen of 42 patients failing to get improvement reported some discomfort …

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Isokinetic And Isometric Contraction Of The Quadriceps And Hamstring Muscles In Normal Young Adults, Lin-Fen Hsieh, Jin-Shin Lai, I-Nan Lien Dec 1988

Isokinetic And Isometric Contraction Of The Quadriceps And Hamstring Muscles In Normal Young Adults, Lin-Fen Hsieh, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Summary In order to establish normal data of the isokinetic (IK) and isometric (IM) contraction of the quadriceps (Q) and hamstring (H) muscles, 22 normal young men and 24 normal young women were tested with a Cybex II Isokinetic Dynamometer at the speed of 0,5,10,20,and 30 rpm (0 rpm= isometric contraction). The IM contraction was tested at 45, 60, and 90 degrees of knee flexion in the Q muscles, and at 30, 45, and 60 degrees in the H muscles. Peak IK and IM torque of Q and H were obtained from both sexes. The peak IK torque values were …

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Clinical Trial Of Pneumatic Pylon In Early Amputation, Fuk-Tan Tang, May-Kuen Wong Dec 1988

Clinical Trial Of Pneumatic Pylon In Early Amputation, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

Pneumatic pylon is used for the lower extremity amputees to allow early ambulation and to reduce stump edema postoperatively. The results of pneumatic pylon was studied in 10 patients who received lower extremity amputation form May 1987 to October 1987 at Chang Gung Memorial Hospital.Among them, two cases received above-knee amputation and eight cases received below-knee amputation. No stump pain and skin break-down was noted in all cases studied. Phantom sensation was improved in eight patients. Nine patientshowed complete confidence in the future fitting of permanent prosthesis. They needed shorter training time using permanent prosthesis. Wound infection is high in …

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Motor Unit Number Index: Estimation Of The Number Of Motor Units In The First Dorsal Interosseous Muscle Of Normal Subjects, Rai-Chi Chan, Tao-Chang Hsu Dec 1988

Motor Unit Number Index: Estimation Of The Number Of Motor Units In The First Dorsal Interosseous Muscle Of Normal Subjects, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to estimate the number of motor unit in the first dorsal interosseous muscle by using the routine electrodiagnostic techniques. 34 young adult volunteers was included in this study, each subject recevied the following procedures on the first dorsal interosseous muscle: 1. Surface recording of the total surface area, the area under the negative phase, peak amplitude and the base line to negative peak amplitude of the maximal evoked muscle action potential. 2. Same recording parameters but change the recording electrode to concentric needle. 3. Motor unit potential analysis with concentric needle to get the …

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Chinese Version And Norms Of The Mini-Mental State Examination, Nai-Wen Guo, Hsiu-Chih Liu, Pai-Fan Wong, Kwong-Kun Liao, Sui-Hing Yan, Kong-Ping Lin, Cho-Yu Chang, Tao-Chang Hsu Dec 1988

Chinese Version And Norms Of The Mini-Mental State Examination, Nai-Wen Guo, Hsiu-Chih Liu, Pai-Fan Wong, Kwong-Kun Liao, Sui-Hing Yan, Kong-Ping Lin, Cho-Yu Chang, Tao-Chang Hsu

Rehabilitation Practice and Science

Since M. F. Folstein & S. E. Folstein (1975) designed the Mini-Mental State Examination (MMSE) for grading evaluation of patients with cognitive impairement, the MMSE test has become the most popularly used test instrument both in clinical and epithological studies. We standiaried the Chinese form of MMSE, this paper reports the norms, and outlines the importances of using different criteria depending on pt's education level. The Chinese MMSE has all the terms and components of the origenal MMSE, namely: time & place orientation, registration, attention & calculation, recall, language & constructional ability, but we increased the total score from 30 …

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