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2008

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Articles 1 - 30 of 4161

Full-Text Articles in Medicine and Health Sciences

Sonographic Appearance Of Surgically Repaired Achilles Tendons, Kao-Shang Shih, Ya-Ping Huang, Tyng-Guey Wang, Chun-Sheng Wu, Ching-Chuan Jiang Dec 2008

Sonographic Appearance Of Surgically Repaired Achilles Tendons, Kao-Shang Shih, Ya-Ping Huang, Tyng-Guey Wang, Chun-Sheng Wu, Ching-Chuan Jiang

Rehabilitation Practice and Science

Background and purpose: Ultrasonography is an accurate and non-invasive imaging tool for assessing a ruptured Achilles tendon. This study attempts to correlate the sonographic appearances of surgically repaired Achilles tendons with their clinical outcomes.Methods: Ten patients (3 men and 7 women) with surgically repaired Achilles tendons were enrolled in this study. All patients had unilateral Achilles tendon ruptures related to sports injuries. All were treated by the same orthopedic surgeon at a University Hospital, from January 1990 to September 2000. Patients had a mean age of 47.2 years (range: 22-66). Mean post-surgical duration was 6.0 years (range: 2.1-12.1). All patients …

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Ultrasound Examination Of Shoulders In Wheelchair Users With Paraplegia, Jiann-Perng Chen, Yi-Pin Chiang, Gwo-Chi Hu, Wan-Yi Shih, Kuan-Wen Chen Dec 2008

Ultrasound Examination Of Shoulders In Wheelchair Users With Paraplegia, Jiann-Perng Chen, Yi-Pin Chiang, Gwo-Chi Hu, Wan-Yi Shih, Kuan-Wen Chen

Rehabilitation Practice and Science

Due to the prolonged use of upper extremities for weight-bearing, the shoulder joints of paraplegic wheelchair-users are prone to injury. Once shoulder pain occurs, performance of activities required for daily living would thus be disturbed. In past studies, the shoulders of the spinal cord injured patients were evaluated with arthrography or magnetic resonance images and the rotator cuff injuries were found. In the current study, we used ultrasonography to detect rotator cuff injuries of paraplegic wheelchair-users. The factors associated with ultrasonographic findings were also investigated.Thirty paraplegic wheelchair-users, 26 males and 4 females, were recruited for this study. Both shoulder joints …

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Femoral Nerve Injury Following Transfemoral Angiography: A Casereport, Chien-Ching Yu, Ying-Ju Shih, Su-Ju Tsai Dec 2008

Femoral Nerve Injury Following Transfemoral Angiography: A Casereport, Chien-Ching Yu, Ying-Ju Shih, Su-Ju Tsai

Rehabilitation Practice and Science

Femoral nerve injury is a rare complication after femoral angiography. Symptoms including quadriceps weakness and atrophy, absent or reduced knee jerk and sensory impairment along the anterior thigh and medial lower leg have been found. This leads to both muscular weakness and sensory deficit, which impairs walking and interferes with quality of life. Early identification and management of femoral nerve injury could result in better prognosis.We report on the history, diagnosis and rehabilitative outcome of a 54-year-old woman with a medical history of peripheral arterial occlusion disease. She developed significant femoral neuropathy one month after angiography. Severe neurological deficits were …

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The Cost-Effectiveness Analysis Between Outreach And Hospital Rehabilitation Models, Wei-Ni Chou, Shu-Yen Huang, Shu-Chuan Jennifer Yeh, Hing-Man Wu, Ming-Yang Koe, Yi-Ru Chen Dec 2008

The Cost-Effectiveness Analysis Between Outreach And Hospital Rehabilitation Models, Wei-Ni Chou, Shu-Yen Huang, Shu-Chuan Jennifer Yeh, Hing-Man Wu, Ming-Yang Koe, Yi-Ru Chen

Rehabilitation Practice and Science

Hospitals and clinics are usually the places where patients receive medicare. However, it is extremely inconvenient for the elderly to frequently go between the homes and hospitals/clinics for long-term medicare. With doctor-served home care, the accessibility of medical treatment would increase; the risk of trauma or infection from traveling in-between would be avoided; more prompt and timely treatment-offered effectiveness would rise. However, there has been no study on the difference between the cost effectiveness of outreach versus hospital rehabilitation. Thence, the peculiarity of the outreach rehabilitation regarding the physiatrists providing medical services and the physical therapists and occupational therapists offering …

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Effects Of Occupation On Fitness In Taiwan Adults, Ching-Fang Hu, Tieh-Cheng Fu, Cheng-Hsiu Lai, Shih-Wei Chou, Alice M. K. Wang, Chia-Lin Shu Dec 2008

Effects Of Occupation On Fitness In Taiwan Adults, Ching-Fang Hu, Tieh-Cheng Fu, Cheng-Hsiu Lai, Shih-Wei Chou, Alice M. K. Wang, Chia-Lin Shu

Rehabilitation Practice and Science

Physical fitness is the state of health measured by body composition, muscular strength and endurance, flexibility, and cardiopulmonary endurance. Occupational difference in physical fitness results in differing physical demands of working environments. This study compared occupational fitness in 32,950 Taiwan adults aging from 18 to 65 years. Volunteers were classified by gender, age and occupation. The purpose of this study was to provide information for physical fitness training.Statistical differences among various occupations were found by this research. Students, and educational workers had the lowest body mass index as well as the best flexibility and endurance in all analyzed subjects. Male …

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Investigation Of Flatfoot Screening In Developmentally Delayed Children, Li-Chen Tung, Pei-Chi Hsiao, Willy Chou, Cheng-Cheng Hsu, Wen-Chih Lin, Isbel Tou Dec 2008

Investigation Of Flatfoot Screening In Developmentally Delayed Children, Li-Chen Tung, Pei-Chi Hsiao, Willy Chou, Cheng-Cheng Hsu, Wen-Chih Lin, Isbel Tou

Rehabilitation Practice and Science

Flatfoot disease is caused by disappearance or collapse of the medial longitudinal arch of the foot. Most of patients with flatfoot disease have what is known as ”flexible flatfoot”. Flatfoot in developmentally delayed children, however, is due to muscle weakness of lower limbs, which leads to disproportionate muscle growth or joint contracture. A study conducted by Chii-Jeng Lin in 2001 indicated that flat-footedness may influence gait, single-foot standing, and jumping ability. The author considered that flat-footedness was not only a problem in skeletal structure but that it may also be a consequence of dynamic foot function. Children with developmental delays …

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The Comparison Of Volunteer Work And Regular Exercise For The Promotion Of Health Among The Aged, Wen-Ming Chang, Shih-Wei Chou, Wei-Hsien Hong, Wen-Chung Tsai, Jyh-Yuh Ke, M. K. Wong Dec 2008

The Comparison Of Volunteer Work And Regular Exercise For The Promotion Of Health Among The Aged, Wen-Ming Chang, Shih-Wei Chou, Wei-Hsien Hong, Wen-Chung Tsai, Jyh-Yuh Ke, M. K. Wong

Rehabilitation Practice and Science

The aging of Taiwan's population is creating a heavy burden on the government's public finances allocated for elderly health care. The purpose of this research is to compare health promotion behavior among the aged; these included hospital volunteers, those undertaking Tai Ji, those who swam or those who took no specific exercise.This study recruited a total of 136 subjects who lived in the community and the total included 59 males and 77 females. They could be divided into four groups: (1) the hospital volunteer group; (2) the Tai Ji group; (3) the swimming group and (4) the general elderly control …

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Ultrasound Diagnosis Of Recurrent Multiple Neurilemmomas Of Median Nerve: A Casereport, Yi-Ping Chiang, Baii-Jia Yang, Shih-Chia Liu, Kuan-Wen Chen Dec 2008

Ultrasound Diagnosis Of Recurrent Multiple Neurilemmomas Of Median Nerve: A Casereport, Yi-Ping Chiang, Baii-Jia Yang, Shih-Chia Liu, Kuan-Wen Chen

Rehabilitation Practice and Science

A 31-year-old lady complained of multiple painless masses on her left arm. Two masses were clearly visible in the left palm and distal forearm, and a smaller lump was also palpable in the left antecubital area. A neurogenic tumor in the left palm was diagnosed by magnetic resonance image (MRI). Sonography demonstrated highly vascular neurilemmomas along the median nerve in the palm, distal forearm, and antecubital area. A nerve conduction velocity study of the median nerve showed prolonged distal latency of the motor nerve portion but normal sensory function. The tumors were resected, and pathology examination confirmed the diagnosis of …

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Aphasics' Needs And Performance In Functional Communication, Yu-Chen Liao, Chin-Hsing Tseng Dec 2008

Aphasics' Needs And Performance In Functional Communication, Yu-Chen Liao, Chin-Hsing Tseng

Rehabilitation Practice and Science

The purpose of the study was to find out aphasics' needs for functional communication and their performance in it. Using a functional communication activities questionnaire as tool, we investigated the needs and performance on functional communication among 32 stroke patients with aphasia and 60 normal subjects.The researcher discovers that the importance of needs for functional communication and the independence of communication performance are significantly different between the two groups. Furthermore, a significant correlation is found between the importance of needs and the performance independence in the aphasic group. Finally, the language impairment level is moderately correlated with the importance of …

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Initial Blood Glucose Level In The Emergency Department As A Prognostic Factor On Functional Outcome Of Ischemic Stroke, Yi-Min Chen, Gwo-Chi Hu, Jiann-Perng Chen, Chien-Shen Chen, Cheng-Tsong Liao, Kuan-Wen Chen Dec 2008

Initial Blood Glucose Level In The Emergency Department As A Prognostic Factor On Functional Outcome Of Ischemic Stroke, Yi-Min Chen, Gwo-Chi Hu, Jiann-Perng Chen, Chien-Shen Chen, Cheng-Tsong Liao, Kuan-Wen Chen

Rehabilitation Practice and Science

Although many studies are available in focus on prognostic factors for acute cerebral vascular disease, there are few reports to discuss the impact of the initial glucose level on the functional outcome after stroke. The initial glucose level in the emergency department is more representative of acute glucose response after stroke and is not influenced by the treatment in the emergency department. The aim of our study is to evaluate the prognostic role of the initial glucose level on the functional outcome after stroke.We recruited individuals who sustained first-ever stroke and were admitted to an inpatient stroke rehabilitation program. Patients …

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Rehabilitation And Prognosis Of Childhood Arterial Ischemic Stroke: A Casereport, Chia-Huang Dai, Wei-Jang Yen, Ta-Shen Kuan, Chang-Zern Hong Dec 2008

Rehabilitation And Prognosis Of Childhood Arterial Ischemic Stroke: A Casereport, Chia-Huang Dai, Wei-Jang Yen, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

The incidence of ischemic stroke in childhood is two to 13 per 100,000 children per year. Although the incidence is much lower than adults, strokes in children not only cause a large number of deaths, but also induce significant disabilities. Because childhood ischemic strokes are rare, multi center, controlled trials should be performed to provide evidence based data related to effectiveness of medical treatment and rehabilitation. Current studies on the management of stroke in children are mainly based on casereports, uncontrolled trials, or are adapted from adult literature.An eleven-year-old, obese boy presented to the Emergency Department with an initial presentation …

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Combining Botulinum Toxin Type A Injection And Modified Constraint-Induced Movement Therapy In A Taiwanese Patient With Spastic Hemiplegic Cerebral Palsy: A Casereport, Yi-Chen Tseng, Jui-Yun Su, Yu-Ching Lin Dec 2008

Combining Botulinum Toxin Type A Injection And Modified Constraint-Induced Movement Therapy In A Taiwanese Patient With Spastic Hemiplegic Cerebral Palsy: A Casereport, Yi-Chen Tseng, Jui-Yun Su, Yu-Ching Lin

Rehabilitation Practice and Science

Hypertonia interferes with selective motor control and performance of activities in children with spastic cerebral palsy. At present, most therapists use traditional therapeutic techniques such as neurodevelopmental treatment or other approaches to handle the problems posed by cerebral palsy but the results are not very good. Many studies had shown that botulinum toxin type A (BTX-A) injection can control abnormal muscle tone effectively without major side effects. Constraint-induced movement therapy (CIMT) includes constraint of the sound side upper limb and intensive therapy of the affected limb. In order to reduce spasticity and enhance the use of the affected limb simultaneously, …

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Paroxysmal Nocturnal Hemoglobinuria Complicated By An Arterial Cerebral Infarction: A Casereport, Cheng-Hui Huang, Liang-Wei Huang, Mu-Jung Kao, Teh-Chen Wang, Hui-Chi Shu, Zong-Jing Wang Dec 2008

Paroxysmal Nocturnal Hemoglobinuria Complicated By An Arterial Cerebral Infarction: A Casereport, Cheng-Hui Huang, Liang-Wei Huang, Mu-Jung Kao, Teh-Chen Wang, Hui-Chi Shu, Zong-Jing Wang

Rehabilitation Practice and Science

Paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired disorder caused by a somatic mutation of the hematopoietic stem cells, which results in a loss of the complement regulatory proteins usually present on the membrane of blood cells. The outcome is an increased tendency for complement to damage the blood cells and, after a series of reactions, hemolytic and thrombotic episodes may occur. On reviewarticleing past reports, PNH-related thrombosis usually occurs in the venous system and only rarely happens in the arterial system.In our case, a male patient was found to have suffered from dark urine and anemia after each of …

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Comparison Of Bilateral Elbow Characteristics In High-Ranking Healthy Tennis Players: Neuroelectrophysiologic And Sonographic Assessment, Chao-Chang Lin, Yung-Cheng Huang, Yu-Hui Lien, Shin-Kung Wang, Sheng-Chu Su, Fu-Kong Lieu Dec 2008

Comparison Of Bilateral Elbow Characteristics In High-Ranking Healthy Tennis Players: Neuroelectrophysiologic And Sonographic Assessment, Chao-Chang Lin, Yung-Cheng Huang, Yu-Hui Lien, Shin-Kung Wang, Sheng-Chu Su, Fu-Kong Lieu

Rehabilitation Practice and Science

The purpose of this study was to investigate whether the differences in nerve conduction, soft tissues, and joint angles of the elbow exist between the bilateral arms of college tennis players and their controls. Sixteen healthy high-ranking tennis players and 15 controls without any history of pain in their upper extremities were recruited. Nerve conduction tests, ultrasonography, and X-ray evaluation were conducted on the elbows bilaterally of the players and controls.Results of the players showed that the sensory amplitudes of the ulnar nerve of the dominant arm were decreased (p=0.003). In addition, the thickness of the ulnar collateral ligament of …

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Cardiopulmonary Function And Exercise Capacity In Children With Kawasaki Disease, Yu-Ling Wang, Ai-Lun Yang, Jue-Long Wang, Chun-Han Yang, Zheng-Yu Hoe, Chien-Ming Huang, Ko-Long Lin Dec 2008

Cardiopulmonary Function And Exercise Capacity In Children With Kawasaki Disease, Yu-Ling Wang, Ai-Lun Yang, Jue-Long Wang, Chun-Han Yang, Zheng-Yu Hoe, Chien-Ming Huang, Ko-Long Lin

Rehabilitation Practice and Science

Kawasaki disease complicated by coronary artery disease is the leading cause of acquired heart disease in children. Maximal anaerobic capacity and factors of restrictive exercise capacity need to be evaluated.To study the influence of Kawasaki disease on cardiopulmonary function and exercise capacity, sixteen children were recruited for the experimental group and given a cardiopulmonary exercise stress test. Sixteen healthy children were recruited as the control group. Based on the findings, the VO2(subscript max) (8.06±2.13/10.24±2.39MET, p=0.01) and the maximal systolic blood pressure (144.19±27.39/163.40±21.64mmHg, p=0.02) demonstrated statistically significant differences between children with Kawasaki disease and healthy children, but no significant difference in …

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Levamisole-Induced Multifocal Inflammatory Leukoencephalopathy: A Casereport, Chueh-Hung Wu, Lu Lu Dec 2008

Levamisole-Induced Multifocal Inflammatory Leukoencephalopathy: A Casereport, Chueh-Hung Wu, Lu Lu

Rehabilitation Practice and Science

Levamisole, which is the L-isomer of tetramisole, has been used as an antihelminthic agent. Due to its immunomodulating property, it has been used to treat recurrent aphthous ulcers, pemphigus vulgaris, and malignant melanoma. It also has been used along with 5-fluorouracil to treat colon cancer. The side effects are mild and include nausea, vomiting, diarrhea and metal taste. However, existing evidence suggests that levamisole can induce multifocal inflammatory leukoencephalopathy. The course of levamisole-induced multifocal inflammatory leukoencephalopathy is monophasic and progressive. Clinical symptoms include gait ataxia, dysarthria, dysphasia, conscious disturbance and weakness of the extremities (from hemiparesis to tetraplegia). The exact …

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Clinical Features And Rehabilitation Of Systemic Lupus Erythematosus Complicated With Moyamoya Syndrome: A Casereport, Wei-Chih Lien, Jo-Tong Chen, Shu-Cheng Lin, Nai-Wen Guo, Da-Shen Kuan Dec 2008

Clinical Features And Rehabilitation Of Systemic Lupus Erythematosus Complicated With Moyamoya Syndrome: A Casereport, Wei-Chih Lien, Jo-Tong Chen, Shu-Cheng Lin, Nai-Wen Guo, Da-Shen Kuan

Rehabilitation Practice and Science

Moyamoya disease is an uncommon clinical entity characterized by progressive narrowing and occlusion of the bilateral distal internal carotid arteries, as well as the proximal parts of their major branches, namely, the middle and anterior cerebral arteries. Concomitant development of prominent collateral vascularity in the basal regions of the brain results in the typical angiographic appearance of moyamoya, which literally means a wavering puff of smoke. Moyamoya syndrome refers to findings of moyamoya vasculopathy in the context of known systemic disease. We present a 26-year-old woman with systemic lupus erythematosus who had several episodes of ischemic stroke. Her cerebral angiograms …

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Delayed Diagnosis Of Spinal Arteriovenous Malformation And Management Of Its Urological Complication: A Casereport, Yuan-Jen Wang, Peir-Renn Wang, Yu-Hui Huang, Su-Ju Tsai, Liu-In Bih Dec 2008

Delayed Diagnosis Of Spinal Arteriovenous Malformation And Management Of Its Urological Complication: A Casereport, Yuan-Jen Wang, Peir-Renn Wang, Yu-Hui Huang, Su-Ju Tsai, Liu-In Bih

Rehabilitation Practice and Science

Spinal arteriovenous malformations (Spinal AVM) are a rare disorder with an estimated incidence of about 1 per million people per year. Because of the diversity of the presenting symptoms, this disorder is difficult to diagnose, despite new advances in neuronimaging. We report the case of a girl who was diagnosed at 12 years old to have spinal AVM at a high cervical level and presented with four limbs weakness and dyspnea. She was found to have extremely high voiding pressure and a rapid development of grade 2 vesicoureteral reflux (VUR), which was thought to be a chronic complication after spinal …

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Nasogastric Tube Syndrome: A Casereport, Meng-Chang Wu, Hung-Chou Chen, Jiunn-Horng Kang, Shin-Ching Chen Dec 2008

Nasogastric Tube Syndrome: A Casereport, Meng-Chang Wu, Hung-Chou Chen, Jiunn-Horng Kang, Shin-Ching Chen

Rehabilitation Practice and Science

The nasogastric tube syndrome (NG tube syndrome) is a rare but a potentially life-threatening complication of a patient with indwelling nasogastric tube feeding. The cause of the syndrome is due to the NG tube irritation, resulting in ulceration and infection of the posterior cricoid region with subsequent dysfunction of vocal cord abduction. This dysfunction may result in complete loss of vocal cord abduction and cause serious airway obstruction. Reports of this syndrome are rare in the literature. A 64-year-old female patient with long-term NG tube feeding, suffered from serious upper airway obstruction. The patient had obvious desaturation while the tracheostomy …

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Work-Related Musculoskeletal Disorders Of The Workers In A Child Care Institution, Yi-Shiung Horng, Shih-Fu Hsieh, Hsin-Chi Wu, Chi-Tzu Feng, Ming-Chuan Lin Dec 2008

Work-Related Musculoskeletal Disorders Of The Workers In A Child Care Institution, Yi-Shiung Horng, Shih-Fu Hsieh, Hsin-Chi Wu, Chi-Tzu Feng, Ming-Chuan Lin

Rehabilitation Practice and Science

The work-related musculoskeletal disorders among the child care workers could be high given the fact that the workers frequently lift the children and conduct physical actions under inappropriate postures. The objective of this study is to survey the musculoskeletal disorders and potential ergonomic risk factors among the workers in a child care center through an on-site visit and a questionnaire survey. We also used the Chinese Health Questionnaire (CHQ) as a screening questionnaire to detect the emotional distress of the workers.There were 85 workers recruited in our study. Results showed that shoulder pain (57.0%), low back pain (54.7%) and neck …

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Hippotherapy On Gross Motor Function In A Child With Hypotonic Quadriplegic Cerebral Palsy: A 1-Year Follow-Up, Yueh-Ling Hsieh, Shu-Ya Zhan, Shyi-Kuen Wu, Chen-Chia Yang, Yu-Chun Lee, Hong-Ji Luo Dec 2008

Hippotherapy On Gross Motor Function In A Child With Hypotonic Quadriplegic Cerebral Palsy: A 1-Year Follow-Up, Yueh-Ling Hsieh, Shu-Ya Zhan, Shyi-Kuen Wu, Chen-Chia Yang, Yu-Chun Lee, Hong-Ji Luo

Rehabilitation Practice and Science

Hippotherapy is used to improve gross motor function in children with cerebral palsy (CP). However, the therapeutic effects of hippotherapy using specific position and its longitudinal improvements in children of hypotonic CP have not been thoroughly examined. A 6-year-old girl with hypotonic quadriplegic CP was noted to have generalized hypotonia and global delay in development before intervention. There was sustained improvement in gross motor function after 12-month hippotherapy. She received a 15-minute intervention twice a week for one year with two treatment positions being used, sitting backwards for the first 3 months and prone propped position for the next 9 …

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The Effect Of Taping Therapy On Patients With Myofascial Pain Syndrome: A Pilot Study, Ying-Hsuan Wang, Shu-Min Chen, Jo-Tong Chen, Wei-Chang Yen, Ta-Shen Kuan, Chang-Zern Hong Dec 2008

The Effect Of Taping Therapy On Patients With Myofascial Pain Syndrome: A Pilot Study, Ying-Hsuan Wang, Shu-Min Chen, Jo-Tong Chen, Wei-Chang Yen, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

Taping therapy has been widely used for treating soft tissue pain. It has been suggested that this therapy can provide pain relief and prevent over-contraction of the treated muscles. There are few studies about its application on the treatment of myofascial pain syndrome (MPS). The aim of this study is to investigate the therapeutic effect of taping therapy on MPS with involvement of the upper trapezius muscle.Thirty-three participants having active myofascial trigger points (MTrPs) in upper trapezius muscles were enrolled in this study. They were randomized to two groups; a Treatment Group (N=17) and a Control Group (N=16). The visual …

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Etiology And Seasonal Variation For Young Stroke Patients In Taiwan, Ying-Fang Chen, Baii-Jia Yang, Yi-Pin Chiang Dec 2008

Etiology And Seasonal Variation For Young Stroke Patients In Taiwan, Ying-Fang Chen, Baii-Jia Yang, Yi-Pin Chiang

Rehabilitation Practice and Science

Over a 3-year period, 3852 patients with the first stroke were admitted to a medical center in Taiwan, of whom 227 (5.89%) were 15 to 45 years old. The diagnosis of stroke was confirmed by either MRI or CT scan. The incidence was skewed toward the older end of the age range, and men predominated (153/227, 67.4%). The stroke was the hemorrhagic type in 56.3% (128/227) versus the infarction type in 43.7% (99/227), a reversal of the ratio usually seen in patients over 45 years with infarction 64.9% (2500) versus hemorrhage 35.1% (1352). The case-fatality rate was 13.2% (30/227), including …

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Spontaneous Spinal Epidural Hemorrhage With Shoulder And Neck Pain As Initial Presentation: A Casereport, Yu-Min Kuo, Wai-Keung Lee, Cheng-Chih Liao, Li-Rong Chen Dec 2008

Spontaneous Spinal Epidural Hemorrhage With Shoulder And Neck Pain As Initial Presentation: A Casereport, Yu-Min Kuo, Wai-Keung Lee, Cheng-Chih Liao, Li-Rong Chen

Rehabilitation Practice and Science

Spontaneous spinal epidural hemorrhage is a very rare disease, with an annual incidence estimated at one per million. Emergency surgery is indicated for a good prognosis, without which the death rate would be higher. Although the initial symptoms of cervical, thoracic, and back pain make it difficult to differentiate spontaneous spinal epidural hemorrhage from other common disease with similar symptoms, magnetic resonance imaging (MRI) is a highly sensitive diagnostic method.We report the case of a 22-year-old male patient who initially complained of pain over the left shoulder and left cervical area. After nine days, numbness was noted in his left …

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Myofascial Low Back Pain, Mu-Jung Kao, Ta-Shen Kuan,, Yueh-Ling Hsieh, Jeng-Feng Yang, Chang-Zern Hong Dec 2008

Myofascial Low Back Pain, Mu-Jung Kao, Ta-Shen Kuan,, Yueh-Ling Hsieh, Jeng-Feng Yang, Chang-Zern Hong

Rehabilitation Practice and Science

Objective: This reviewarticle article describes the etiology, pathogenesis, clinical characters and management of low back pain (LBP) caused by myofascial trigger points (MTrPs), i.e. myofascial low back pain.Findings: Based on the currently available knowledge and our clinical experience, we analyzed the basic and clinical aspects of myofascial LBP. Most cases of myofascial LBP are related to injuries, either current or previous. Active MTrPs that cause LBP are usually activated as a consequence of other etiological lesions. Therefore, it is important to determine and treat the underlying pathological lesions in order to avoid recurrence of myofascial LBP. If the underlying pathological …

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Injection Of Remote Myofascial Trigger Points For Pain Control: A Casereport, Chung-Li Tseng, Mu-Jung Kao, Li-Wei Chou, Chang-Zern Hong Dec 2008

Injection Of Remote Myofascial Trigger Points For Pain Control: A Casereport, Chung-Li Tseng, Mu-Jung Kao, Li-Wei Chou, Chang-Zern Hong

Rehabilitation Practice and Science

The purpose of this casereport is to demonstrate the remote effect of myofascial trigger point (MTrP) injection for pain control. It describes a patient suffering from chronic pain due to MTrPs in bilateral upper trapezius muscle with poor results to direct MTrP injection to upper trapezius. After injection to the MTrPs in bilateral extensor carpi radialis longus, extensor indicis, and first dorsal interosseous muscles, the effectiveness of MTrP injection to bilateral upper trapezius muscles remarkably enhanced. This patient finally became almost pain free. The reason for poor relief of pain immediately after the first MTrP injection (directly on the upper …

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A Pilot Trial Of A Telephone-Linked Patient Service System: Spinal Cord Injury Patients As An Example, Tsung-Yu Wei, Shao-Li Han, Wen-Hsien Tseng, Fong-Bin Yan, Kwan-Yu Chan, Polun Chang, Wai-Keung Lee Dec 2008

A Pilot Trial Of A Telephone-Linked Patient Service System: Spinal Cord Injury Patients As An Example, Tsung-Yu Wei, Shao-Li Han, Wen-Hsien Tseng, Fong-Bin Yan, Kwan-Yu Chan, Polun Chang, Wai-Keung Lee

Rehabilitation Practice and Science

The pressure of lack of enough resources on our National Health Insurance program and an increasing population of the aged and chronic patients has made the tele-home care technology an important choice. The tele-home care service is also regarded by our government as one of the core new service businesses for 2008. In this study, a prototype Tele-Home Care system, composed of Telephone-linked Care (TLC), Automatic Speech Recognition (ASR), Text-To-Speech (TTS) and automatic questionnaire recognition, was developed and evaluated for spinal cord injury patient care.The prototype systems included a personal computer with an EASYTAPI voice card, a Fax card and …

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Rehabilitation In A Patient With Delayed Post-Hypoxic Encephalopathy: A Casereport, Yao-Jen Chen, Su-Ju Tsai, Yueh-Lin Tsai Dec 2008

Rehabilitation In A Patient With Delayed Post-Hypoxic Encephalopathy: A Casereport, Yao-Jen Chen, Su-Ju Tsai, Yueh-Lin Tsai

Rehabilitation Practice and Science

Carbon monoxide poisoning from accidents or suicide attempts often result in delayed post-hypoxic encephalopathy. Patients with delayed post-hypoxic encephalopathy typically present with recurrent apathy, confusion, agitation, and/or progressive neurological deficits, despite apparent transient recovery. Autopsy reports often reveal diffuse demyelination of subcortical white matter, but the exact pathogenesis is not clear. While comprehensive physical examination and history taking is necessary in diagnosing delayed post-hypoxic encephalopathy, magnetic resonance imaging can be very helpful in the diagnostic work-up. Rehabilitation for severe post-hypoxic encephalopathy can prevent complications such as immobilization and can improve patients' functional status.We report the history, diagnosis, and rehabilitative outcome …

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Comparison Of Motor Performance Between Elderly Patients With Mild Alzheimer And Vascular Dementia In Motion Analysis, Jing-Jung Chen, Hen-Yu Lien, Wei-Hsien Hong, Chin-Chang Huang, Wen-Chun Hsu, Alice Mk Wong Dec 2008

Comparison Of Motor Performance Between Elderly Patients With Mild Alzheimer And Vascular Dementia In Motion Analysis, Jing-Jung Chen, Hen-Yu Lien, Wei-Hsien Hong, Chin-Chang Huang, Wen-Chun Hsu, Alice Mk Wong

Rehabilitation Practice and Science

In the past research, most factors caused motor and gait impairment in patients with dementia were related to the lesions of different areas and lobes. However, patients with different types of dementia may have distinct motor impairment features because of different neuropsychological dysfunction that may result in different motor features. At present time, clinical diagnosis of dementia patients were depended on subjective rating scales, but lack of objective measurement. The purpose of this study was to compare the patients with mild Alzheimer's dementia (AD) and patients with mild vascular dementia (VaD) in motion analysis of gait and upper limbs function …

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Ultrasonographic Features Of Schwannoma Of The Lower Limb: Two Casereports, Hsiao-Wei Lin, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang Dec 2008

Ultrasonographic Features Of Schwannoma Of The Lower Limb: Two Casereports, Hsiao-Wei Lin, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang

Rehabilitation Practice and Science

Schwannoma is a benign encapsulated nerve sheath tumor. It typically develops in middle age with unknown cause and usually involves spinal root and peripheral nerves. We report two cases of schwannoma presenting as palpable mass over lower limbs. Both masses had heterogeneous hypoechogenicity, faint posterior enhancement, and were located eccentric to a nerve fascicle. Preoperative sonography revealed both patients had nerve tumors derived from nerve fascicles. These cases illustrate how sonographic information about the relationship between mass and surrounding structures can facilitate surgical planning.

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