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Journal

2003

Rehabilitation and Therapy

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Articles 1 - 30 of 32

Full-Text Articles in Medicine and Health Sciences

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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

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

Rehabilitation Practice and Science

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

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Caudal Epidural Block For Patients With Acute Low Back Pain, Sen-Wei Tsai, Chorng-Sonq Chou, Wei-Chih Chen, Chin-Teng Chung, Chun-Fu Wang Jun 2003

Caudal Epidural Block For Patients With Acute Low Back Pain, Sen-Wei Tsai, Chorng-Sonq Chou, Wei-Chih Chen, Chin-Teng Chung, Chun-Fu Wang

Rehabilitation Practice and Science

Acute low back pain is a very common disease in Rehabilitation clinics. Although acute low back pain can be successfully treated with epidural block, there is few researches for the efficacy of caudal epidural block on acute low back pain. Seventeen patients with acute low back pain were included and managed with caudal epidural block. The therapeutic effect was evaluated with a 5-point pain rating scale.Pain scale of the seventeen patients reduced from mean 4.59 to 2.12 one hour after CEB. One months later, 7 patients had complete pain relief, 4 patients had 4 points pain scale, 2 patients had …

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Spontaneous Intracranial Hypotension: A Casereport, I-Chou Wang, Jue-Long Wang, Yuk-Keung Lo, Sung-Lin Yu, Shwu-Fen Sun Jun 2003

Spontaneous Intracranial Hypotension: A Casereport, I-Chou Wang, Jue-Long Wang, Yuk-Keung Lo, Sung-Lin Yu, Shwu-Fen Sun

Rehabilitation Practice and Science

Spontaneous intracranial hypotension (SIH) is a syndrome with feature of low cerebrospinal fluid pressure (CSF) resulting from CSF leakage without any history of dural puncture, surgery, or penetrating trauma. The most characteristic feature of the syndrome is a postural headache. The headache is accentuated when the patient is in the upright position and relieved in the recumbent position. Associated symptoms include stiff neck, nausea, vomiting, tinnitus, hyperacusis, deafness, photophobia, diplopia, nystagmus, visual loss, vertigo, anorexia, malaise, and cranial nerves palsy. SIH is treated by bedrest with fluid supplementation, oral caffeine, intrathecal saline infusion or epidural blood patch. If postural headache …

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The Prevalence Of Scoliosis In The Institutionalized Non-Cerebral Palsy Mentally Retarded Patients, Chi-Hung Chiu, Li-Wen Liao, Young-Hue Yu, I-Chiun Lu, Ming-Fong Tsai, Chien-Hui Li Jun 2003

The Prevalence Of Scoliosis In The Institutionalized Non-Cerebral Palsy Mentally Retarded Patients, Chi-Hung Chiu, Li-Wen Liao, Young-Hue Yu, I-Chiun Lu, Ming-Fong Tsai, Chien-Hui Li

Rehabilitation Practice and Science

This study aimed to assess the prevalence, severity, and correlation between non-cerebral palsy mental retardation and scoliosis in a special education institute in Taipei. Adam's forward bending test was used to clinically screen 237 mental retardation non-cerebral palsy patients for scoliosis. Those patients with positive forward bending tests were referred for standing spinal radiographs, so that the Cobb angle could be quantified to allow evaluation of the severity of the scoliosis. Of the 237 students, 41 (17.3%) had positive signs in the screening test (female:16.19%, male:18.18%). All 41 patients then underwent standing spinal radiographs and the results revealed a scoliosis …

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The Influence Of Bolus Volume, Temperature, And Viscosity To Swallowing Function By A Self-Designed Phagometer: A Preliminary Study, Chih-Ming Li, Ming-Feng Li, Po-Lin Kuo, Tyng-Guey Wang, I-Nan Lien Jun 2003

The Influence Of Bolus Volume, Temperature, And Viscosity To Swallowing Function By A Self-Designed Phagometer: A Preliminary Study, Chih-Ming Li, Ming-Feng Li, Po-Lin Kuo, Tyng-Guey Wang, I-Nan Lien

Rehabilitation Practice and Science

”The study aimed to depict the influence of bolus temperature, volume, and viscosity in swallowing function by a self-designed phagometer. Two micro switches were used to detect submental muscle activity and pharyngeal motion. They were anchored on a posterior-type cervicothoracic orthosis with multiple adjustable joints to ensure the well contact between the switch and the skin. The signals detected by micro switches were amplified and recorded. The duration between two waves was defined as swallowing trigger time and used to represent the swallowing function.Ten normal male subjects without clinical evidence of dysphagia were enrolled in this study. The average age …

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The Correlation Of Clinical Course And Magnetic Resonance Image Findings Of Radiation Myelopathy:A Casereport, Jiunn-Horng Kang, Yen-Ho Wang, Kou-Mou Huang Jun 2003

The Correlation Of Clinical Course And Magnetic Resonance Image Findings Of Radiation Myelopathy:A Casereport, Jiunn-Horng Kang, Yen-Ho Wang, Kou-Mou Huang

Rehabilitation Practice and Science

We described a case of radiation myelopathy (RM). The correlations of evolutional changes in magnetic resonance image (MRI) findings in three years with clinical symptoms and treatment responses in different stages of the disease were discussed. We also describe some special rehabilitative consideration for RM patients. Cord enlargement with contrast-enhancement showed in MRI findings corresponding to rapid neurological deterioration. Some neurological improvement after anti-coagulation and I steroid therapy was observed in this stage. Cord atrophy without contrast-enhancement was showed in following MRI. The neurological deficits still progressed slowly in this stage and almost did not response to the treatment. We …

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Combined Femoral Ncuropathy And Obturator Neuropathy In Rheumatoid Arthritis With Cervical Subluxation After Operation, Chen-Lin Kao, Yen-Ho Wang, Shun-Ping Cheng, Yu-Gin Na, Chen-Liang Chou Jun 2003

Combined Femoral Ncuropathy And Obturator Neuropathy In Rheumatoid Arthritis With Cervical Subluxation After Operation, Chen-Lin Kao, Yen-Ho Wang, Shun-Ping Cheng, Yu-Gin Na, Chen-Liang Chou

Rehabilitation Practice and Science

Rheumatoid arthritis is a chronic inflammatory disease. Although it primarily affects joints, systemic involvement is frequent. Lung, skin, blood, cardiovascular system and nerve are often affected. Indeed, involvement of the peripheral nervous system may occur with a variety of clinical patterns.A 67-year-old woman suffered from rheumatoid arthritis for 10 years with regular medical control. Due to bilateral distal parts of hands and feet numbness, and gait disturbance for about 2 months, she was diagnosed of rheumatoid arthritis with C1-C2 subluxation by neurosurgeon. C1-C2 posterior spinal fusion was performed. But, the patient felt left lower extremity weaker than right one then. …

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The Management For Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen Jun 2003

The Management For Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen

Rehabilitation Practice and Science

Myofascial pain syndrome is very common in clinical practice. It is characterized by the existence of myofascial trigger points (MTrPs), which is a hypersensitive spot in a taut band of skeletal muscle fibers. In general, active MTrPs should be treated conservatively (non-invasive treatments including physical therapy) prior to the consideration of aggressive therapy (invasive treatments including injection and surgery). The most important strategy of MTrP therapy is to find out the etiological lesion that causes the activation of MTrPs and to treat the underlying pathology. If the treatment of underlying etiological lesion is not appropriate, the MTrP cannot be inactivated …

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Vessels Occlusion After Wasp Stings: A Casereport And Literature Review, Chi-Chuan Shih, Jue-Long Wang, Shwu-Fen Sun, Po-Tsang Lee, Pei-Der Sheu Jun 2003

Vessels Occlusion After Wasp Stings: A Casereport And Literature Review, Chi-Chuan Shih, Jue-Long Wang, Shwu-Fen Sun, Po-Tsang Lee, Pei-Der Sheu

Rehabilitation Practice and Science

Allergic reactions to wasp stings range from large local reactions to life-threatening anaphylaxis. Of the anaphylactic shock occurring outside the hospital, wasp stings was concluded to be the second cause following drug allergy. Cerebral infarction and transient ischemic attack have been reported in the setting of acute anaphylactic shock due to wasp stings. However, there are fewer reports about the presentation of large vessels occlusion outside the brain after wasp stings. Here we report on a woman suffering from a stroke and right above-knee amputation after a severe wasp sting. We had a literature review in the light of the …

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Diagnosis Of Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen Mar 2003

Diagnosis Of Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen

Rehabilitation Practice and Science

In this review article, we have described the clinical approach in detecting and confirming myofascial trigger points (MTrPs) that elicit clinical complaints. In the last decade, the pathophysiology of MTrPs has been much clarified based on clinical and basic science research work. An MTrP is a hyperirritable spot in a taut band of skeletal muscle fibers with characteristics related to central sensitization in the spinal cord. The pathological diagnosis should include: (1) the electromyographic (EMG) recording and ultrasound imaging of local twitch responses (LTRs), (2) the EMG recording of spontaneous electrical activity (endplate noise) at multiple active loci in the …

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The Immediate Effects Of Oblique Acupuncture In Myofascial Pain Syndrome:Evidence Of Improvement In Physical Parameters And Of Size Change In The Trapezius Muscle, Tony H. C. Hsu, Shih-Wei Chou, Chau-Peng Leong, Pong-Yuen Wong, Chin-Man Wang, Alice M. K. Wong Mar 2003

The Immediate Effects Of Oblique Acupuncture In Myofascial Pain Syndrome:Evidence Of Improvement In Physical Parameters And Of Size Change In The Trapezius Muscle, Tony H. C. Hsu, Shih-Wei Chou, Chau-Peng Leong, Pong-Yuen Wong, Chin-Man Wang, Alice M. K. Wong

Rehabilitation Practice and Science

To evaluate the immediate effects of acupuncture therapy in myofascial pain syndrome (MPS), 13 subjects (11 females and 2 males), aged from 34 to 59 years old were recruited and all had suffered MPS anywhere from 1 to 180 months. The oblique insertion of an acupuncture needle was performed at an Ah's point (trigger point, TrP) and through the associated taut band without any twirling. The needle was removed anywhere from several seconds to 2 to 3 minutes after insertion whenever the needle sensation disappeared. Clinical evaluations included measurements of a range of motions (ROM) of the neck by an …

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Dtretch Reflex Dynamics Of The Voluntarily Activated Quadriceps Muscle In Subjects With Hypotonia, Normotonia Or Hypertonia, Yen-Hung Chang, Shih-Wei Chou, Jou-Hsien Chen, Ching-Sung Lu, Fuk-Tan Tang, Alice M. K. Wong Mar 2003

Dtretch Reflex Dynamics Of The Voluntarily Activated Quadriceps Muscle In Subjects With Hypotonia, Normotonia Or Hypertonia, Yen-Hung Chang, Shih-Wei Chou, Jou-Hsien Chen, Ching-Sung Lu, Fuk-Tan Tang, Alice M. K. Wong

Rehabilitation Practice and Science

Stretch reflex dynamics, including assessment of reflex threshold angle (RTA) and reflex threshold velocity (RTV), has been used for quantitative evaluation for spastic hypertonia. However, neither a reliable clinical scale nor objective instrumental measurement had been developed to quantify clinical hypotonia. The purpose of the present study is to assess stretch reflex dynamics in subjects with different muscle tones, in terms of RTA and RTV to the voluntarily contracted quadriceps femoris muscle .Twenty-four subjects were classified into 3 groups (hypotonic, ”normotonic” or normal, and hypertonic) according to clinical presentation of the muscle tone. Each group consisted of 8 subjects. The …

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Evaluation Of Bio-Electrical Impedance And Body Composition In The Poliomyelitis Patients, Yeong-Jeng Huang, Hsing-Kuo Wang, Fu-Kong Lieu, Jiunn-Jong Chen Mar 2003

Evaluation Of Bio-Electrical Impedance And Body Composition In The Poliomyelitis Patients, Yeong-Jeng Huang, Hsing-Kuo Wang, Fu-Kong Lieu, Jiunn-Jong Chen

Rehabilitation Practice and Science

Body composition is one of the important indicators for the health. Body composition can be evaluated by bio-electrical impedance analysis (BIA). Furthermore, distribution of body fluid can also be quantitated by bio-electrical impedance measurement.Adult disabled people have unique body compositions and body shapes because of their diseases. Data regarding body composition of disabled Taiwanese people is lacking and needed. The aim of this research is to establish a standard of measurement condition for obtaining accurate, precise, rapid and reproducible body composition in adult disabled people. In this study, poliomyelitis patients and healthy people (control group) were recruited for measuring their …

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Bacteremia Complicated Simultaneously With Cervical Epidural Abscess And Pericardial Effusion: A Casereport, Chung-Yao Chen, Pong-Yuen Wong, Chih-Kuang Chen, Sung-Yi Pei, Ngok-Kiu Chu Mar 2003

Bacteremia Complicated Simultaneously With Cervical Epidural Abscess And Pericardial Effusion: A Casereport, Chung-Yao Chen, Pong-Yuen Wong, Chih-Kuang Chen, Sung-Yi Pei, Ngok-Kiu Chu

Rehabilitation Practice and Science

Despite advances in neuroimaging technology and neurosurgical treatment, spinal epidural abscess remains a challenging problem. Early diagnosis is difficult and thus treatment is often too late to prevent severe neuro- logical sequelae.A 46 years old male was admitted to our emergency department due to fever and general weakness. Under the impression of sepsis due to Staphylococcus aureus, he was admitted for further antibiotic treatment. Fever subsided one day after parenteral antibiotic usage. Unfortunately, fever recurred three weeks later accompaning with neck pain, cough, dypsnea and skin rash. Chest roentgenogram revealed rapid progressive cardiomegaly. Cardiac ultrasonographic examination noted large amount of …

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Cardiac Myxoma Complicated With Ischemic Stroke: A Casereport, Tung-Chou Li, Chun-Chieh Wu Mar 2003

Cardiac Myxoma Complicated With Ischemic Stroke: A Casereport, Tung-Chou Li, Chun-Chieh Wu

Rehabilitation Practice and Science

Myxoma is a rare cardiac tumor and also an unusual cause of cerebrovascular accident, which may result in significant permanent neurological deficit. There was no age preference for the development of myxoma. Most of the reported cases in the past were diagnosed between 20 and 50 years of age, and some of them were complicated by young (＜45 y/o) stroke. We presented a 44 y/o man who had ischemic stroke with initial manifestation of left hemiparesis. A cardiac myxoma at left atrium was later detected by transthorasic echocardiography. Total recovery of his neurological dysfunction was achieved after surgical resection of …

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