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2005

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Full-Text Articles in Medicine and Health Sciences

Tobacco Control: Are We Appropriately Training Future Health Professionals, Francisco Soto Mas, Chiehwen Hsu Jan 2012

Tobacco Control: Are We Appropriately Training Future Health Professionals, Francisco Soto Mas, Chiehwen Hsu

Francisco Soto Mas

Information on how health professionals perceive tobacco use as well as their attitudes toward tobacco control is scarce. This study assessed the attitudes and perceptions of public health students toward tobacco use and tobacco control, which constitutes a necessary first step in designing effective training strategies. Although the majority of respondents agreed that tobacco use constitutes a relevant public health problem, they did not perceive tobacco control to be a public health priority. Academic institutions may not be properly training public health students, and may therefore be missing the opportunity to advance tobacco control at the national and global levels.

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The Impact Of Low Back Pain On Patient's Sexual Life, Tien-Sung Yeh, Ta-Shen Kuan, I-Ning Tang, Chia-Hui Chen, Chang-Zern Hong Dec 2005

The Impact Of Low Back Pain On Patient's Sexual Life, Tien-Sung Yeh, Ta-Shen Kuan, I-Ning Tang, Chia-Hui Chen, Chang-Zern Hong

Rehabilitation Practice and Science

Low back pain (LBP) has various adverse effects on the functional status of a patient's life, including a patient's sex life. This study evaluated the impact of LBP on the sexual life of patients. Forty-eight patients, including 27 men and 21 women, were recruited for this study. Their mean age was 44 years old. The average duration of LBP was 47.7 months. The mean visual analog scale (VAS) before the treatment of LBP was 5.9, while mean VAS at the time of the study was 3.6.Frequency of intercourse affected by LBP was noted in 60.9% of our patients. Forty percent …

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Delayed Neuropathy Due To Organophosphate Intoxication: A Casereport, Chiao-Chien Chen, Lin-Fen Hsieh Dec 2005

Delayed Neuropathy Due To Organophosphate Intoxication: A Casereport, Chiao-Chien Chen, Lin-Fen Hsieh

Rehabilitation Practice and Science

Organophosphates (OP) are inhibitors of acetylcholinesterase. OP intoxication results in an accumulation of acetylcholine. Clinical signs and symptoms of acute OP poisoning include salivation, incontinence, vomiting, muscle weakness, hypertension, palpitation, restlessness, headache, drowsiness, confusion and seizure. After the acute stage of OP intoxication some patients recover fully, but others have neurologic sequelae, including central and peripheral neuropathy. Individuals with milder cases may recover fully within several months; however, more severe cases may result in persistent sequelae.A 20-year old woman attempted suicide by drinking organophosphate pesticide in 1995. Although emergency and acute medical treatments saved her life, she developed delayed neuropathy, …

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The Bony Fractures In Patients With Chronic Spinal Cord Injury In Southern Taiwan, Liang-Shiuan Chen, Ta-Shen Kuan, Jo-Tong Chen, Wei-Jang Yen, Shu-Min Chen Dec 2005

The Bony Fractures In Patients With Chronic Spinal Cord Injury In Southern Taiwan, Liang-Shiuan Chen, Ta-Shen Kuan, Jo-Tong Chen, Wei-Jang Yen, Shu-Min Chen

Rehabilitation Practice and Science

Immobilization following spinal cord injury (SCI) is a condition known to be associated with osteoporosis, which leads to increased risk of fractures. The aim of this study was to survey the incidence of bony fractures and its associated factors among chronic SCI patients in southern Taiwan. We recruited 194 patients, including 153 men and 41 women. Their mean age was 46 years old. The average duration of SCI was 12 years. There were 110 paraplegics (56.7%) and 84 tetraplegics (43.3%). Fractures after SCI were noted in 16 of the 194 patients (8.2%). There were no significant differences in age, sex, …

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Ultrasonography Diagnosis Of A Neglected Femoral Fracture In A Child: A Casereport, Yi-Chia Yeh, Shu-Min Chen, Ta-Shen Kuan, Chii-Jeng Lin Dec 2005

Ultrasonography Diagnosis Of A Neglected Femoral Fracture In A Child: A Casereport, Yi-Chia Yeh, Shu-Min Chen, Ta-Shen Kuan, Chii-Jeng Lin

Rehabilitation Practice and Science

Ultrasonography is sensitive and reliable for detecting pediatric fractures, including incomplete fractures, clavicle fractures, and fractures in unossified bones. Ultrasonography is also a good imaging modality for pediatric bone healing.A 1-year-5-month-old boy suffered from a painful mass on the left thigh due to a traction injury. His parents brought him to the emergency room, and the initial impression was soft tissue injury. The patient presented with disabling pain and was unable to walk for a few days following the injury. Ultrasonography was scheduled and revealed cortical disruption of the femoral shaft with irregular hyperechoic materials over the area of cortical …

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The Discomfort Rating And Pain Relieving Behavior In High Heel Wearers And The Clinical Implication, Wei-Hsien Hong, Yung-Hui Lee, Fuk-Tan Tang, Chia-Ling Chen, Wen-Lung Liu, Yu-Cheng Pei Dec 2005

The Discomfort Rating And Pain Relieving Behavior In High Heel Wearers And The Clinical Implication, Wei-Hsien Hong, Yung-Hui Lee, Fuk-Tan Tang, Chia-Ling Chen, Wen-Lung Liu, Yu-Cheng Pei

Rehabilitation Practice and Science

This study aimed at the development of a questionnaire to investigate the discomfort rating and pain relieving behavior in high heel wearers and to assess any clinical implication. A sample of 317 subjects received the questionnaire. The internal consistency was 0.78-0.85 and the test-retest reliability was 0.85-0.90 (p＜0.0l), indicating the reliability of the questionnaire was adequate. With regard to the factor structure, a 5-factor modality was confirmed, made up of four domains for the comfort rating including ”foot discomfort”, ”biomechanical effect”, ”balance and safety” and ”effect on the daily living” and a final domain, ”measures to relieve pain”. Among these …

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Does Shortwave Diathermy Reduce The Intractable Spasticity Of Patients With Spinal Cord Injury?, Hung-Tzu Su, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee, Mao-Hsiung Huang Dec 2005

Does Shortwave Diathermy Reduce The Intractable Spasticity Of Patients With Spinal Cord Injury?, Hung-Tzu Su, Tien-Wen Chen, Ming-Cheng Weng, Chia-Ling Lee, Mao-Hsiung Huang

Rehabilitation Practice and Science

Spasticity is a hallmark of an upper motor neuron disorder and represents the most important impairments for individuals who care for patients with central nervous system disease. It may have an adverse effect on rehabilitation training. Shortwave diathermy is a modality that produces deep heat. It is usually used to relieve pain and stiffness, promote wound healing and relieve deep muscle spasm.In the present case, we show a 52-year-old male patient with spinal cord injury who has severe spastic hypertonia. He is disabling in motor and daily living. We have tried in vain with various physical therapy and medications. He …

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Femoral Neuropathy After Reconstruction Of A Defect Due To Buccal Cancer Excision Using A Thigh Flap: A Casereport, I-Ning Tang, Jo-Tong Chen, Chang-Zern Hong Dec 2005

Femoral Neuropathy After Reconstruction Of A Defect Due To Buccal Cancer Excision Using A Thigh Flap: A Casereport, I-Ning Tang, Jo-Tong Chen, Chang-Zern Hong

Rehabilitation Practice and Science

A case of femoral neuropathy as a complication of flap excision for reconstruction of a defect due to buccal cancer excision is presented. A 51-year-old man developed numbness over his left anteromedial thigh and medial lower leg, left quadriceps weakness, and absence of left knee jerk after a flap was obtained from his anterolateral thigh. Electromyographic examination revealed evidence of denervation in the left quadriceps. A nerve conduction study showed prolonged latency, reduced amplitude of the compound muscle action potential, decreased velocity in the left femoral nerve and prolonged latency, reduced amplitude of the sensory nerve action potential, and decreased …

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Limbus Vertebral Fracture Associated With Herniated Intervertebral Disc: A Casereport, Ching-Ming Shueh, Chen-Liang Chou, Chi-Ming Shih, Ren-Guang Liew, Wen-Chieh Tseng, Hong-Chang Chen Dec 2005

Limbus Vertebral Fracture Associated With Herniated Intervertebral Disc: A Casereport, Ching-Ming Shueh, Chen-Liang Chou, Chi-Ming Shih, Ren-Guang Liew, Wen-Chieh Tseng, Hong-Chang Chen

Rehabilitation Practice and Science

Limbus vertebral fracture results from the herniation of disc material into a vertebral body, and in the formation of one or more isolated bony fragments. It is mostly found in adolescents and young adults. Clinically it resembles an acute disc prolapse with low back pain and radiculopathy. Trauma plays a significant etiologic role in up to one half of cases reported in the literature. The diagnosis of limbus vertebral fracture can rarely be based on conventional radiographs. CT scan shows the fracture fragments in most cases and should be considered the most accurate procedure. Complete discectomy with removal of bony …

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Investigation Of The Magnetic Resonance Image Findings Of Neck And Shoulder Muscle Pain, Pei-Der Sheu, Jue-Long Wang, Ko-Long Lin, Chi-Chuan Shih, Shwu-Fen Sun, Kuen-Hwang Chen, Chiao-Wen Hwang Dec 2005

Investigation Of The Magnetic Resonance Image Findings Of Neck And Shoulder Muscle Pain, Pei-Der Sheu, Jue-Long Wang, Ko-Long Lin, Chi-Chuan Shih, Shwu-Fen Sun, Kuen-Hwang Chen, Chiao-Wen Hwang

Rehabilitation Practice and Science

In the rehabilitation clinic, neck and shoulder pain are mainly attributed to muscle and fascia pain. Neck and shoulder pain resulting from cervical radiculopathy, such as herniated intervertebral disk, spondylolisthesis, and neuroforamen narrowing, can be detected with nerve conduction study, electromyography, and imaging. However, no objective test is available for the diagnosis of muscle and fascia pain.Although magnetic resonance imaging (MRI) is promising for evaluation of tendon and connective tissue structure, there are no researches for application to neck and shoulder muscle pain. We administered pain questionnaires to 27 patients with soreness of the neck, shoulder, or upper back and …

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Vertebroplasty On Patients With Osteoporotic Vertebral Compression Fractures, Tsung-Ying Li, Shuu-Hai Jiang, Ho-Jui Tung, Ming-Chi Lin, Kao-Chung Tsai Dec 2005

Vertebroplasty On Patients With Osteoporotic Vertebral Compression Fractures, Tsung-Ying Li, Shuu-Hai Jiang, Ho-Jui Tung, Ming-Chi Lin, Kao-Chung Tsai

Rehabilitation Practice and Science

Introduction: There are more than three hundred thousand cases of osteoporotic vertebral compression fractures in Taiwan. To hasten the healing process and minimize the related complications of fracture, various treatments have been evolved. In 1987, the technique of percutaneous vertebroplasty was first developed in Europe by a group of radiologists. Before that, conservative treatment, rehabilitation intervention and a surgical approach had been used, with diverse outcomes, as reported in various studies. Although these methods had been developed over several years, they had rarely been compared in terms of outcome and prognosis, in our hospital. Methods: A retrospective study of treatment …

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Central Pontine And Extrapontine Myelinolysis After Surgical Removal Of Pituitary Adenoma: A Casereport, Hui-Tai Yang, Yen-Hung Chang, Hung-Chih Hsu Dec 2005

Central Pontine And Extrapontine Myelinolysis After Surgical Removal Of Pituitary Adenoma: A Casereport, Hui-Tai Yang, Yen-Hung Chang, Hung-Chih Hsu

Rehabilitation Practice and Science

Central pontine myelinolysis(CPM) and extrapontine myelinolysis(EPM), sharing the same pathology, are the same disease, although different symptoms and signs developed according to different lesion sites. The etiology and pathogenesis of CPM/EPM remain unclear, meanwhile rapid correction of the serum sodium level for hyponatremic patient has proven to be one of the major causes of CPM/EPM. Therefore an appropriate correction of the sodium level could prevent the development of CPM/EPM. The incidence of hyponatremia after surgical removal of pituitary adenoma reported varies from 8.4% to 38.8%. Most patients with symptomatic hyponatremia after the surgery recovered without neurological deficits. Only three cases …

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Bimalleolar Fracture After Spinal Cord Injury: A Casereport, Shie-Fu Shieh, Huey-Wen Liang, Wen-Hsung Hou, Yen-Ho Wang, Shih-Fong Huang Dec 2005

Bimalleolar Fracture After Spinal Cord Injury: A Casereport, Shie-Fu Shieh, Huey-Wen Liang, Wen-Hsung Hou, Yen-Ho Wang, Shih-Fong Huang

Rehabilitation Practice and Science

The incidence of fracture is higher in patients with chronic spinal cord injury (SCI), particularly female and elderly patients, than in healthy people. Functional impairment due to SCI may lead to accidental falls and fractures, most of which are due to trivial injury or without known trauma. In addition, the inevitable osteoporosis in the paralyzed limbs of individuals with chronic SCI increases their risk of fracture. The lower limbs are more often involved than the upper limbs. Because of the sensory impairment associated with SCI, fractures may be difficult to diagnose, and treatment may be delayed. The treatment of fractures …

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Event-Related Potentials Of Visual Spatial Attention In Healthy Subjects, Chu-Hsu Lin, Yu-Cheng Pei, Chia-Ying Chung, Pao-Tsai Cheng, Chia-Ling Chen, Alice M.K. Wong Dec 2005

Event-Related Potentials Of Visual Spatial Attention In Healthy Subjects, Chu-Hsu Lin, Yu-Cheng Pei, Chia-Ying Chung, Pao-Tsai Cheng, Chia-Ling Chen, Alice M.K. Wong

Rehabilitation Practice and Science

Visual attention can be manipulated by temporal and spatial factors of stimuli. The purpose of this study is to investigate the underlying mechanism of visual spatial attention of healthy subjects through event-related potential (ERP) study.The subjects of the study were 17 healthy adults, mean age 23.3 years. The visual stimuli were generated by the Neurostim system and presented in groups of eight under three different conditions: cueing (valid, invalid), delay (100 ms, 800 ms) and visual field sides (right and left). ERPs were recorded by 10 Neuroscan systems electrodes placed on each subject's scalp. The latencies and amplitudes of ERPs …

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Phenomena Correlated To Stroke Patients With Pusher Syndrome, Hung-Che Wang, Ling-Fu Meng Dec 2005

Phenomena Correlated To Stroke Patients With Pusher Syndrome, Hung-Che Wang, Ling-Fu Meng

Rehabilitation Practice and Science

Stroke patients who cannot maintain a balanced sitting or standing position fall toward one specific side. There can be a strong tendency to actively use non-hemiplegic extremities to push the body away from the sound side. As well, patients may resist any attempt to correct their postures and finally fall toward the hemiplegic side. This falling asymmetry phenomenon has been termed ”Pusher syndrome.” The syndrome often occurs coincident with frequent lapses in consciousness, poor motor control, impaired sensory status, spatial neglect, and limited perceptual function. Recent observations have indicated that Pusher syndrome is strongly related to body orientation deficit and …

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Study On Treatment Effects Of Integrated Approach For Stuttering Adults, Feng-Chu Tseng, Shu-Lan Yang Dec 2005

Study On Treatment Effects Of Integrated Approach For Stuttering Adults, Feng-Chu Tseng, Shu-Lan Yang

Rehabilitation Practice and Science

There are 200 thousand stutterers in Taiwan. In addition to disfluency, they may have social or work adaptation problem. The purpose of this research is to study the efficacy of integrated approach combining stuttering modification therapy and fluency shaping therapy in stuttering adults. Seventeen stuttering adults were included in this study. The experimental group consisted of 7 males and 4 females with average age of 26.73 (SD=7.37). The average age of the control group was 26.67 (SD=7.92), which consisted of 5 males and 1 female. The members of experimental group attended a two-day stuttering workshop for 14 hours, then participated …

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Correlation Between Special Physical Testing And Soft Tissue Ultrasound Findings In Evaluation Of Shoulder Pain: Using Likehood Ratio, Shao-Li Han, Han-Shiang Ko, Yau-Wai Wai, Wai-Keung Lee Dec 2005

Correlation Between Special Physical Testing And Soft Tissue Ultrasound Findings In Evaluation Of Shoulder Pain: Using Likehood Ratio, Shao-Li Han, Han-Shiang Ko, Yau-Wai Wai, Wai-Keung Lee

Rehabilitation Practice and Science

Shoulder pain is one of the most troublesome problems evaluated in our clinic. Numerous special physical tests have been developed to localize the origin of such pain. Soft tissue ultrasound, as an ancillary procedure, offers multiple advantages in evaluation of shoulder disorders: reliability, reproducibility, no radiation exposure, and low cost. Many authors have demonstrated that a strong correlation exists between ultrasound and magnetic resonance imaging in detecting shoulder pathology. In the current study, we determined the correlation between clinical presentation, findings on special physical tests, and findings from soft tissue ultrasonography in evaluation of shoulder pain. In order to eliminate …

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復健醫學之眞義, The Editors Dec 2005

復健醫學之眞義, The Editors

Rehabilitation Practice and Science

No abstract provided.

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The Relation Between Pre-And Postoperative Anxiety And Uncertainty In Orthopaedic Surgical Patients, Kuang-Chi Huang, Shing-Sheng Wu, Jane Liang, Kao-Chung Tsai Dec 2005

The Relation Between Pre-And Postoperative Anxiety And Uncertainty In Orthopaedic Surgical Patients, Kuang-Chi Huang, Shing-Sheng Wu, Jane Liang, Kao-Chung Tsai

Rehabilitation Practice and Science

To understand the concerns of orthopaedic surgical patients and to enhance the quality of nursing care, the pre-and postoperative anxiety and uncertainty levels of orthopaedic surgical patients were determined and the relations among these factors explored. A descriptive correlation design was used and 44 adult orthopaedic surgical patients were selected by convenience sampling from a medical center in Taipei. Data were collected through structured questionnaires to obtain relevant demographic variables, the State-Trait Anxiety Inventory (STAI), and Mishel's Uncertainty in Illness Scale (MUIS). The main results included: (1) Mean scores of pre-and postoperative anxiety of 40.68 (SD=13.39) and 37.94 (SD=9.87), respectively; …

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Down Syndrome With Os Odontoideum And Spinal Cord Injury: A Casereport, Li-Chen Tung, Yu-Lin Wang, Chen-Yu Chou, Hui-Chun Juan, I-Hsien Wu, Willy Chou Dec 2005

Down Syndrome With Os Odontoideum And Spinal Cord Injury: A Casereport, Li-Chen Tung, Yu-Lin Wang, Chen-Yu Chou, Hui-Chun Juan, I-Hsien Wu, Willy Chou

Rehabilitation Practice and Science

Down syndrome is a genetic disorder caused by trisomy on chromosome 21 that occurs in 1 of every 800 live births. Down syndrome can involve skeletal malformations that include patella or hip dislocation, genu valgus and atlanto-axial instability (AAI). Prompt recognition and treatment of the latter is important. This casereport describes an odontoid fracture due to AAI in a seven-year-old with Down syndrome.
Since October 2000, the child had involved in robust activities including floor tumbling and hand stands. Beginning in April 2001, the right extremities showed signs of weakness and there was an unsteady gait. Upon physical examination, AAI …

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The Trapezius Reflex: A New Reflex For Bilateral Motor Control, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Chia-Hui Chen, Chang-Zern Hong Dec 2005

The Trapezius Reflex: A New Reflex For Bilateral Motor Control, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Chia-Hui Chen, Chang-Zern Hong

Rehabilitation Practice and Science

Close links between the bilateral trapezii are essential for the stability and coordination of neck and shoulder movements. However, there is no direct neurophysiological evidence to support such a bilateral motor control mechanism. Our study is the first to use an electrodiagnostic method to prove the existence of this reflex. In this study, we have identified a new uniform or standardized technique, named the trapezius reflex (TR), which is able to evaluate proximal shoulder motor function. The TR is defined as an electrically elicited reflex that originates from the synchronized activation of both trapezii by electric stimulation of the accessory …

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Reliability And Measurement Error In Using A Tape Measure To Determine Limb Circumference, Ching-Yi Wang, Chin-Lin Hsieh, Sheng-Kuang Wu, Chu-Kuei Chang, Chiew-Ju Hsish, Chien-Fen Lin Dec 2005

Reliability And Measurement Error In Using A Tape Measure To Determine Limb Circumference, Ching-Yi Wang, Chin-Lin Hsieh, Sheng-Kuang Wu, Chu-Kuei Chang, Chiew-Ju Hsish, Chien-Fen Lin

Rehabilitation Practice and Science

The purposes of this study were (1) to test the inter-rater and intra-rater reliability of using a tape measure to determine limb circumferences and (2) to report the 95% CI of standard error of measurement (SEM) of repeated measures by the same tester to determine whether a clinically important change has occurred.Forty-six college students (6 men, 40 women) with a mean age of 20 years old volunteered to participate in this study. Subjects reported no neuro-musculo-skeletal diseases or disorders in their upper or lower extremities. To determine the inter-rater reliability, two testers measured the circumference of 4 locations on the …

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Spontaneous Spinal Epidural Hematoma: A Casereport, Shiou-Ping Lin, Da-Tong Ju, Kao-Chung Tsai, Ming-Fu Hsieh Dec 2005

Spontaneous Spinal Epidural Hematoma: A Casereport, Shiou-Ping Lin, Da-Tong Ju, Kao-Chung Tsai, Ming-Fu Hsieh

Rehabilitation Practice and Science

Spontaneous spinal epidural hematoma (SSEH) refers to a spinal epidural hematoma that is not secondary to trauma, incidental, and iatrogenic (such as lumbar puncture or spinal anesthesia). SSEH represents 0.3%-0.9% of spinal epidural space-occupying lesions. It is a rare spinal emergency, yet a diagnostic challenge. We reported a 21-year-old young male who was admitted with sudden weakness of bilateral lower limbs and difficulty in urination. The cervical epidural hematoma was noted by spinal magnetic resonance imaging examination. After emergency decompressive operation and postoperative rehabilitation, the patient had gradual improvement of neurological function, yet the presence of slight neurogenic bladder dysfunction. …

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Design And Application Of Integrated Pointing Device Apparatus, Hsieh-Ching Chen, Yung-Ping Liu, Chia-Ling Chen, Chih-Yong Chen Dec 2005

Design And Application Of Integrated Pointing Device Apparatus, Hsieh-Ching Chen, Yung-Ping Liu, Chia-Ling Chen, Chih-Yong Chen

Rehabilitation Practice and Science

Despite the great number of computer input devices available commercially, many disabled persons still rely on special equipment to operate computers. Providing those persons with an adequate human-computer interface should improve their productivity and efficiency. However, the specialized equipment needed is usually expensive, difficult to obtain and difficult to maintain. This study developed an economical apparatus that, flexibly integrated commercial computer mice and trackballs to tailor them for individual needs. This led to improved individual performance and resolved the problems of cost and poor maintainability of special equipment. The apparatus conforms to and work on a standard USB 1.1 interface …

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Using Fitts' Law To Evaluate Functional Performance Of Operating Computer Input Devices In Patients With Cervical Cord Injury, Chien-Hsiu Liu, Shu-Chun Liu, Hsu-Tung Chu, Chi-Ming Shin, Yung-Wen Tang, Liu-Ing Bih Dec 2005

Using Fitts' Law To Evaluate Functional Performance Of Operating Computer Input Devices In Patients With Cervical Cord Injury, Chien-Hsiu Liu, Shu-Chun Liu, Hsu-Tung Chu, Chi-Ming Shin, Yung-Wen Tang, Liu-Ing Bih

Rehabilitation Practice and Science

Due to the recent development of the assistive technology, patients with cervical cord injury may use an adapted computer input system to participate in various computer related activities, and as a result patients improve their quality of daily living and leisure activities. Fitts' Law is a reliable reference to compare the performance of normal persons using an input device like a mouse. The purpose of this study is to apply Fitts' Law to understanding the functional performance of patients with cervical cord injury when operating a mouse, trackball, and sip-and-puff controller.Twenty-five subjects were included in this study. The controls consisted …

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Intraarticular Injection Of Sodium Hyaluronate In Adhesive Capsulitis Of The Shoulder, Shu-Fen Sun, Chiao-Wen Hwang, Pei-Te Hsu, Ya-Wen Hsu, Shin-Lung Tsai, Jue-Long Wang, Chien-Wei Hsu, Yi-Jiun Chou Dec 2005

Intraarticular Injection Of Sodium Hyaluronate In Adhesive Capsulitis Of The Shoulder, Shu-Fen Sun, Chiao-Wen Hwang, Pei-Te Hsu, Ya-Wen Hsu, Shin-Lung Tsai, Jue-Long Wang, Chien-Wei Hsu, Yi-Jiun Chou

Rehabilitation Practice and Science

The etiology and natural history of adhesive capsulitis remain obscure, which limited subsequent management. Traditional treatments include conservative medical therapy and physical therapy, but severe shoulder pain may constitute an obstacle to joint mobilization. Local steroid injection into or around the shoulder joint has been shown to alleviate pain in early stages of the disease. Late disease appears less responsive and there are many known risks of complications. Many different protocols to treat the disease have been reported, but the results are generally unsatisfatcory and difficult to compare.Our goal was to determine the efficacy of a combined treatment-intraarticular injection of …

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Rehabilitation Therapy For Women With Urinary Incontinence, Ted Fang, Yi-Hui Lu, Jan-Wei Chiu, Tsui-Fen Yang, Ling-Chun Chang, Rai-Chi Chan, Kem-Jem Yu Dec 2005

Rehabilitation Therapy For Women With Urinary Incontinence, Ted Fang, Yi-Hui Lu, Jan-Wei Chiu, Tsui-Fen Yang, Ling-Chun Chang, Rai-Chi Chan, Kem-Jem Yu

Rehabilitation Practice and Science

Urinary incontinence is a very common but also very debilitating problem for older women. It has been estimated that the incidence of urinary incontinence among women older than 65 of age is about 30-60%. The management includes surgical therapy and conservative treatment such as drug therapy and rehabilitation. Rehabilitation therapy offers an alternative intervention for patients who are afraid of invasive surgery or experience intolerable side effects from drugs.This study evaluated the clinical efficacy of rehabilitation therapy for urinary incontinence. We collected a total of 30 patients. Fifteen had stress urinary incontinence, 2 had urge urinary incontinence, 5 had mixed …

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Critical Illness Polyneuropathy: A Casereport, Chin-Man Wang, Li-Fang Lee, Chu-Chi Chen, Alice M.K. Wang, Fuk-Tan Tang, Pao-Tsai Cheng Dec 2005

Critical Illness Polyneuropathy: A Casereport, Chin-Man Wang, Li-Fang Lee, Chu-Chi Chen, Alice M.K. Wang, Fuk-Tan Tang, Pao-Tsai Cheng

Rehabilitation Practice and Science

It is often difficult to isolate the etiology of acute weakness in the critically ill population because of multiple etiologies. Recently, critical illness polyneuropathy (CIP), a syndrome of unknown etiology was added to the differential diagnosis. The frequency of CIP is approximately 50-70% in patient with sepsis and/or systemic inflammatory response syndrome and multiple organ dysfunction syndrome. This casereport presents a 66 year-old male who has diabetic mellitus for five years. He suffered from distal limbs numbness without muscle atrophy for nearly two years. Prior to admission, he was treated as muscle strain over right thigh in another hospital repeatedly, …

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Intraspinal Tumor Associated With Hydrocephalus: A Casereport, Sheng-Hsiang Su, Kuo-Sheng Hung, Jen-Wen Hung Dec 2005

Intraspinal Tumor Associated With Hydrocephalus: A Casereport, Sheng-Hsiang Su, Kuo-Sheng Hung, Jen-Wen Hung

Rehabilitation Practice and Science

Intraspinal tumor associated with hydrocephalus is a well known but uncommon phenomenon. It is difficult to diagnose accurately if clinical hydrocephalus symptoms are presented, comprising unsteady gait, urinary incontinence, dementia, headache and papilledema. The patient in this study was a 77 years old male whose main problems included impaired walking, dementia and delirium. He received V-P shunt because of brain CT disclosing communicating hydrocephalus. Patient consciousness improved following operation, but bilateral lower limb weakness became worse. Following spinal MRI examination, an intraspinal tumor at L1 level was noted. The patient underwent laminectomy and partial tumor removal, but metastatic intraspinal adenocarcinoma …

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A Ganglion Cyst Of Posterior Cruciate Ligament Detected By Ultrasonographic Examination: A Casereport, Yu-Chou Hung, Jeng-Yi Shieh, Tyng-Guey Wang, Chein-Wei Chang Dec 2005

A Ganglion Cyst Of Posterior Cruciate Ligament Detected By Ultrasonographic Examination: A Casereport, Yu-Chou Hung, Jeng-Yi Shieh, Tyng-Guey Wang, Chein-Wei Chang

Rehabilitation Practice and Science

A ganglion cyst of the posterior cruciate ligament (PCL) is a rare condition and it is usually an incidental finding of magnetic resonance imaging (MRI) or arthroscopy. Recent advances in ultrasound technology and the development of high-resolution transducers have enabled detailed imaging of musculoskeletal structures. We describe a 21-year-old female who complained of left knee pain after a slip and fall. A sonogram showed an echo-free, multilocular lesion with posterior enhancement, just posterior to the PCL. A ganglion cyst of the PCL was suspected, and the diagnosis was subsequently confirmed by MRI. To the best of our knowledge, this is …

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