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Articles 91 - 120 of 1272
Full-Text Articles in Rehabilitation and Therapy
Effect Of Balance In Home Program Training With Head And Neck Stability Device For Teenagers With Cerebral Palsy-A Preliminary Report, Shao-Chih Hsu, Yin-Chou Lin, Chia-Ying Chung, Kuo-Kuang Yeh, Wen-Yu Liu, Shu-Tin Chang, Alice Mk Wong, Chih-Kuang Chen
Effect Of Balance In Home Program Training With Head And Neck Stability Device For Teenagers With Cerebral Palsy-A Preliminary Report, Shao-Chih Hsu, Yin-Chou Lin, Chia-Ying Chung, Kuo-Kuang Yeh, Wen-Yu Liu, Shu-Tin Chang, Alice Mk Wong, Chih-Kuang Chen
Rehabilitation Practice and Science
Background and aims: Cerebral palsy (CP) is impaired development in movement and postural control due to brain damage during the fetal or early infancy stage of life. Poor control of the neck muscle affects the peripheral sensory input and central nervous signal output, inhibiting the pre-action feedback response and expected postural regulation, which might result in impaired postural stability of the head and trunk. Therefore, the main purpose of this study is to conduct head and neck vertical stabilization training for teenage students with cerebral palsy, and to examine its balance effect. Methods: In addition to maintaining regular rehabilitation training, …
Therapeutic Efficacy Of Dynamic Hand Splints In Spastic Hemiparetic Hands: A Randomized Controlled Single-Blind Trial, Yi-Ching Huang, Shih-Che Lin, Kai-Hua Chen, Chien-Min Chen, Chia-Hao Chang, Chu-Hsu Lin
Therapeutic Efficacy Of Dynamic Hand Splints In Spastic Hemiparetic Hands: A Randomized Controlled Single-Blind Trial, Yi-Ching Huang, Shih-Che Lin, Kai-Hua Chen, Chien-Min Chen, Chia-Hao Chang, Chu-Hsu Lin
Rehabilitation Practice and Science
Background: It is usually challenging to treat patients following stroke or brain injury with spastic hemiparetic upper limbs. Dynamic hand splints have been used to manage this issue for years, but evidence of their efficacy is still lacking. Objective: To investigate the treatment efficacy of dynamic hand splinting in spastic hemiparetic patients. Methods: In this randomized controlled single-blind clinical trial, patients with spastic hemiparesis lasting more than half a year after a stroke or brain injury were enrolled. They were randomly divided into a splint group and a control group, and received 1 month of task-oriented training with or without …
The Investigation Between Voiding Function Medication And The Risk Of Bladder Cancer In Patients With Spinal Cord Injury, Kai-Hua Chen, Ting-Yao Wang, Chien-Min Chen, Chuan-Pin Lee, Yao-Hsu Yang, Chu-Hsu Lin, Kuan-Yu Kung, Vincent Chin-Hung Chen
The Investigation Between Voiding Function Medication And The Risk Of Bladder Cancer In Patients With Spinal Cord Injury, Kai-Hua Chen, Ting-Yao Wang, Chien-Min Chen, Chuan-Pin Lee, Yao-Hsu Yang, Chu-Hsu Lin, Kuan-Yu Kung, Vincent Chin-Hung Chen
Rehabilitation Practice and Science
Bladder cancer (BC) is a chronic complication of spinal cord injury (SCI). Limited studies have focused on the risks of BC in SCI patients using voiding function medication for bladder dysfunction. In this retrospective, national-wide, population-based cohort study, SCI patients with registration in the National Health Insurance Research Database (NHIRD) from 1998 to 2013 were included. We investigated the risk of BC in SCI patients administered voiding function medications and other comorbidities by 2-year landmark analysis. SCI patients were divided into medication user (bethanechol, oxybutynin, or tolterodine) and non-medication user groups at landmark period. They were followed until the development …
Extracorporeal Shock Wave Therapy For Delayed Diagnosis Of Proximal Radial Head Fracture With Nonunion: A Casereport, Yi-Chen Lin, Ta-Sen Wei
Extracorporeal Shock Wave Therapy For Delayed Diagnosis Of Proximal Radial Head Fracture With Nonunion: A Casereport, Yi-Chen Lin, Ta-Sen Wei
Rehabilitation Practice and Science
Fracture of the proximal radial head is the most common elbow fracture. However, a non-displaced proximal radial head fracture may be overlooked on plain radiographs. This casereport describes a 52-year-old female patient who sustained a right elbow injury after a traffic accident, with delayed diagnosis of radial head fractures and subsequent nonunion. After 10 sessions of focal extracorporeal shock wave therapy (ESWT), the pain and range of motion improved and a sequential x-ray revealed smooth cortical bone and increased density of the proximal radial head. This report reveals that (1) non-displaced proximal radial head fractures can be overlooked on plain …
Poststroke Swallowing Rehabilitation And Recent Development, Shu-Fen Sun, Ping-Hsin Chang, Chien-Wei Hsu, I-Hsiu Liou
Poststroke Swallowing Rehabilitation And Recent Development, Shu-Fen Sun, Ping-Hsin Chang, Chien-Wei Hsu, I-Hsiu Liou
Rehabilitation Practice and Science
Dysphagia is a common poststroke complication. It is associated with aspiration, malnutrition, dehydration, and disability, and it may increase the risk of pneumonia, and even death. Early diagnosis and treatment of patients with dysphagia reduces not only the aforementioned risks, but also the length of hospitalization and overall healthcare expenditures. Patients with poststroke oropharyngeal dysphagia exhibit highly variable patterns of swallowing abnormalities, and the related symptoms remain challenging to identify clinically. Patients who have experienced stroke should be screened for dysphagia as early as possible on admission and prior to any form of oral intake. Those who fail dysphagia screening …
Reversal Of Left Ventricular Remodeling Associated With High-Intensity Interval Training Promoting Cardiorespiratory Fitness In Heart Failure Patients, Hsien-Te Chu, Tieh-Cheng Fu, Jong-Shyan Wang, Chih-Chin Hsu
Reversal Of Left Ventricular Remodeling Associated With High-Intensity Interval Training Promoting Cardiorespiratory Fitness In Heart Failure Patients, Hsien-Te Chu, Tieh-Cheng Fu, Jong-Shyan Wang, Chih-Chin Hsu
Rehabilitation Practice and Science
This study was designed to explore the high-intensity interval training (HIIT) effects on cardiorespiratory fitness as well as the reversal of left ventricle (LV) remodeling, and association between them in heart failure (HF) patients. We included HF patients under our HF care program between 2009 and 2018. The 17 HF patients enrolled in the study were further divided into in-hospital supervised HIIT (n=8) or medical care (control) (n=9) groups according to their preference. All participants underwent cardiovascular magnetic resonance imaging (CMR) examination and a cardiopulmonary exercise test (CPET) before the exercise intervention or medical care. The HIIT participants had 36 …
The Health Insurance Resources Utilization And Rehabilitation Intervention In Patients With Traumatic Spinal Cord Injury: A Pilot Study, Pao Huang, Jen-Hung Wang, Chih-Cheng Fan, Po-Ting Chen, Chung-Chao Liang
The Health Insurance Resources Utilization And Rehabilitation Intervention In Patients With Traumatic Spinal Cord Injury: A Pilot Study, Pao Huang, Jen-Hung Wang, Chih-Cheng Fan, Po-Ting Chen, Chung-Chao Liang
Rehabilitation Practice and Science
Spinal cord injury is associated with a substantial and long-term economic burden on both the patients and the national health insurance. Due to the advancements in medical techniques, the mortality rate of patients with spinal cord injury has decreased. Moreover, as the life expectancy has increased in Taiwan, patients with spinal cord injury may need long-term rehabilitation to restore their functions of daily living and prevent further complications. Nonetheless, long-term rehabilitation would increase the economic burden on the long-term care facilities, as expected. This study aimed to analyze the impact (from admission to 3-year follow-up after discharge) of medical expenses …
Celecoxib Did Not Impair Proliferation, Migration And F-Actin Formation Of Skeletal Muscle Cells, Hang-Ming Chen, Zhi-Jia Chen, Li-Ping Lin, Wen-Chung Tsai, Jong-Hwei S. Pang
Celecoxib Did Not Impair Proliferation, Migration And F-Actin Formation Of Skeletal Muscle Cells, Hang-Ming Chen, Zhi-Jia Chen, Li-Ping Lin, Wen-Chung Tsai, Jong-Hwei S. Pang
Rehabilitation Practice and Science
Muscle injury is the most common sport related soft-tissue injury. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used for muscle injury treatment. The newest guideline (PEACE and LOVE) from British Journal of Sports Medicine in 2019 emphasized the avoidance of anti-inflammatory modalities in acute phase for the concerning about the negative effect on long-term tissue healing. It has been investigated that NSAIDs impeded cell migration which is crucial role in muscle healing. This study was designed to determine the effects of celecoxib, one of the cyclooxygenase-2 (COX-2) inhibitor on cell proliferation and migration in skeletal muscle cells. MTT assay (3-[4,5-dimethylthiazol- 2-yl]-2,5-diphenyltetrazolium …
Unilateral Diaphragm Paralysis Secondary To Subarachnoid Hemorrhage And Ischemic Stroke With Phrenic Nerve Dysfunction: A Casereport, Shih-Shin Huang, Chien-Min Chen, Chia-Hung Lin
Unilateral Diaphragm Paralysis Secondary To Subarachnoid Hemorrhage And Ischemic Stroke With Phrenic Nerve Dysfunction: A Casereport, Shih-Shin Huang, Chien-Min Chen, Chia-Hung Lin
Rehabilitation Practice and Science
Background: Cerebrovascular accident may lead to neurological symptoms and functional defects. Impaired respiratory and swallowing function as well as limited mobility make pneumonia a common complication after stroke. The diaphragm is innervated by the phrenic nerve and is a major respiratory muscle. Phrenic nerve dysfunction can lead to diaphragm paralysis and result in abnormal respiratory function. Cerebrovascular accident of cerebral hemisphere is one of the etiologies of phrenic nerve dysfunction and can lead to respiratory symptoms. There are few discussions in current literature regarding secondary diaphragm paralysis after cerebrovascular accident of cerebral hemisphere. This casereport presents the clinical signs of …
Periarticular Dextrose Prolotherapy For Patients With Primary Knee Osteoarthritis: A Casereport And Literature Reviewarticle, Yen-Jou Ho, Yao-Jen Chen, Chi-Chung Ho, Sheng-Wei Zeng, Su-Ju Tsai, Long-Wei Dai
Periarticular Dextrose Prolotherapy For Patients With Primary Knee Osteoarthritis: A Casereport And Literature Reviewarticle, Yen-Jou Ho, Yao-Jen Chen, Chi-Chung Ho, Sheng-Wei Zeng, Su-Ju Tsai, Long-Wei Dai
Rehabilitation Practice and Science
Knee osteoarthritis (OA) is a common disease that primarily afflicts older adults. The mainstream management of knee OA involves integrative practice, including patient education, weight reduction, exercise, pharmacological therapy, and non-pharmacological modalities. However, prolotherapy with hypertonic dextrose via either intra-articular or periarticular injection, or a combination of both techniques, has become a strong evidence-based treatment or adjuvant therapy that may be used in addition to conservative management. In the literature, two studies have compared the effects of intra-articular and periarticular prolotherapy for knee OA and reveal comparable effects. In addition, the periarticular approach has fewer side effects and post-injection pain. …
The Effects Of The Rewalk^(Tm) Robotic System On Walking Capability In Paraplegic Spinal Cord Injury Patients In Taiwan, Alice Cw Tang, Shao An Lee, Albert Ck Chen, Ching Yu Wang, Wan Yu Chou, Show Chun Chen, Chih Lin Wu, Simon Fuk Tan Tang
The Effects Of The Rewalk^(Tm) Robotic System On Walking Capability In Paraplegic Spinal Cord Injury Patients In Taiwan, Alice Cw Tang, Shao An Lee, Albert Ck Chen, Ching Yu Wang, Wan Yu Chou, Show Chun Chen, Chih Lin Wu, Simon Fuk Tan Tang
Rehabilitation Practice and Science
Background: The ReWalk^(TM) system is an exoskeleton robotic device developed for ambulation assistance in patients with paraplegic spinal cord injury (SCI). The purpose of this study is to evaluate the safety and walking capability of the ReWalk^(TM) system for patients with paraplegic spinal cord injury in Taiwan. Methods: Eight patients with SCI and paraplegia were recruited for the study in a period from April 2015 to April 2016. The level of injuries ranged from T4 to T11. Assessments included the continuous walking time, the continuous walking distance, 6-minute walking test and 10-meter walking test after training for forty hours. Results: …
Closed Mallet Finger Injury Conservative Treatment - The Experience In Plastic And Reconstructive Surgery Department Of Chang Gung Memorial Hospital At Linkou, Shwu-Huei Lien, Yu-Te Lin
Closed Mallet Finger Injury Conservative Treatment - The Experience In Plastic And Reconstructive Surgery Department Of Chang Gung Memorial Hospital At Linkou, Shwu-Huei Lien, Yu-Te Lin
Rehabilitation Practice and Science
Objective: Mallet finger injury is a common injury in hand therapy. Orthoses are used as the standard method to conservatively treat simple tendon mallet finger injuries worldwide. Different types of orthoses have advantages and disadvantages. We explored the clinical outcomes of treating mallet fingers by using a series of casereports from the plastic department of Linkou Chang Gung Memorial Hospital, and we analyzed how these outcomes differed across patient characteristics, injured fingers, and clinical problems. We also compared our findings with findings from previous research. Methods: Medical records were reviewarticleed to collect the treatment results of adult patients who were …
Using A Towel For Resistance Training In Non-Exercising Elderly Women: A Cluster Controlled Trial, Yu-Hsuan Tseng, Hsiu-Hui Chen, Wen-Chi Wu, Fang-Ping Chen, Jung-Fu Chen, Jen-Wen Hung
Using A Towel For Resistance Training In Non-Exercising Elderly Women: A Cluster Controlled Trial, Yu-Hsuan Tseng, Hsiu-Hui Chen, Wen-Chi Wu, Fang-Ping Chen, Jung-Fu Chen, Jen-Wen Hung
Rehabilitation Practice and Science
Background: Aging results in deterioration of physical performance, including muscle strength, gait, and balance. Resistance training has been shown to be effective in enhancing physical function in elderlypeople. For people, who do not have regular exercise before, an easily available tool might increase their motivation to do exercise training. A towel is available for any person and it could be used in low intensity resistance training. The purpose of this study was to evaluate the effects of resistance training with a towel in community-dwelling elderly women who did not have regular exercise before. Methods: This was a cluster controlled study. …
Implemented Evidence-Based Treatment Of Parent-Esdm Enhances The Social-Communication Ability Of The Toddler, Parenting Functions And Flexibility Of Personal Phenotype: A Casereport, Sheng-Fen Fan, Sung-Hui Tseng
Implemented Evidence-Based Treatment Of Parent-Esdm Enhances The Social-Communication Ability Of The Toddler, Parenting Functions And Flexibility Of Personal Phenotype: A Casereport, Sheng-Fen Fan, Sung-Hui Tseng
Rehabilitation Practice and Science
Clinically, individuals with the autism spectrum disorder display difficulties with social communication and restricted, repetitive behaviors. The parent-implemented version of the Early Start Denver Model (P-ESDM) has proven to be an effective intervention. However, there is yet to be research on whether it is suitable for Taiwanese culture. This study aimed to increase the application of P-ESDM techniques to daily life through a case therapy report and observed whether parents can reduce their parenting stress through learning and change the way they interact with their autistic child so as to provide him or her with more learning opportunities in communication. …
The Roles Of Videofluoroscopic Swallowing Study (Vfss) And Fiberoptic Endoscopic Evaluation Of Swallowing (Fees) In The Assessment Of Dysphagia, Yi-Hsiang Chiu, Wen-Hsuan Tseng, Tyng-Guey Wang
The Roles Of Videofluoroscopic Swallowing Study (Vfss) And Fiberoptic Endoscopic Evaluation Of Swallowing (Fees) In The Assessment Of Dysphagia, Yi-Hsiang Chiu, Wen-Hsuan Tseng, Tyng-Guey Wang
Rehabilitation Practice and Science
Dysphagia is a prevailing complication of various central nervous diseases and oral pharyngeal cancer. Once dysphagia occurred, it may affect a patient's physical and psychological condition and thus their quality of daily activities. Therefore, early detection and the application of appropriate treatments for patients with dysphagia is essential. Videofluoroscopic swallowing study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES) are two common instrument modalities used to evaluate swallowing function. VFSS has been acknowledged as the gold standard for the diagnosis of dysphagia by most scholars. Nevertheless, there is debate that FEES is superior to VFSS as it provides additional information …
A Systematic Reviewarticle On Discharge Destinations For Patients With Stroke, Lin-Fu Lee, Wen-Chih Lin, Willy Chou
A Systematic Reviewarticle On Discharge Destinations For Patients With Stroke, Lin-Fu Lee, Wen-Chih Lin, Willy Chou
Rehabilitation Practice and Science
Introduction: Complex and diverse factors affect the placement of patients with stroke after they are discharged from hospitals. In this study, a systematic reviewarticle of relevant literature was performed to compile related research data and explore the importance of individuals factors and the overall predictive power of multiple variables. Methods: Electronic resources from PubMed and the Cochrane Library were used along with keywords such as "stroke" and "discharge destination" to search for relevant articles published between 2005 and 2018. Only original research articles written in English were selected. Results: A total of 19 articles were selected to compile 10 factors, …
Effects Of An Anterior Ankle-Foot Orthosis On Static Standing Balance Control In Patients With Chronic Stroke Wearing The Orthosis For A Long Time, Min-Yuan Yu, Yu-Hsuan Tseng, Po-Chih Chen, Jen-Wen Hung
Effects Of An Anterior Ankle-Foot Orthosis On Static Standing Balance Control In Patients With Chronic Stroke Wearing The Orthosis For A Long Time, Min-Yuan Yu, Yu-Hsuan Tseng, Po-Chih Chen, Jen-Wen Hung
Rehabilitation Practice and Science
Aims: To investigate the effects of anterior ankle-foot orthosis (A-AFO) on static standing postural control in patients with chronic stroke wearing the A-AFO for a long time. Methods: We recruited patients with chronic stroke wearing an A-AFO for at least 5 months. Static standing balance control was evaluated using the Tetrax Balance System in eight positions: (1) eyes open on a solid surface [NO];(2) eyes closed on a solid surface [NC];(3) eyes open on a foam surface [PO];(4) eyes closed on a foam surface [PC];and head turned at 30° to (5) right [HR], (6) left [HL], (7) up [HB], and …
Rehabilitation Is Associated With Lower Mortality In Patients With Dengue Fever In Intensive Care Units: A Retrospective Study, Hsin-Han Cheng, Chin-Ming Chen, Willy Chou
Rehabilitation Is Associated With Lower Mortality In Patients With Dengue Fever In Intensive Care Units: A Retrospective Study, Hsin-Han Cheng, Chin-Ming Chen, Willy Chou
Rehabilitation Practice and Science
Objective: The study aimed to examine the effect of rehabilitation on mortality in patients with dengue in intensive care units (ICUs). Design: This was a retrospective cohort study. In this study, 142 patients with dengue from ICUs were enrolled from August to December, 2015. They were divided into two groups: patients with or without rehabilitation. The relationship between rehabilitative therapy and the risk of dengue-related mortality was assessed using a multivariate Cox regression model after adjustment for related variables. Results: Of the 142 patients, 70 (49.3%) were men, and the mean age was 69.97 ± 15.93 years. The average length …
Inter-Rater Reliability Of The Barthel Index Scoring Between Nurses And Doctors, Ying-Chao Lin, Yu-Tzu Dai, Tyng-Guey Wang
Inter-Rater Reliability Of The Barthel Index Scoring Between Nurses And Doctors, Ying-Chao Lin, Yu-Tzu Dai, Tyng-Guey Wang
Rehabilitation Practice and Science
The Barthel Index is not only used to assess the status of activities of daily living and the planning of rehabilitation program but also to hire foreign health aids as a qualification standard for patients in Taiwan. However, studies on the inter-rater reliability of the Barthel Index are lacking between nurses and doctors, who are common specialties in evaluating the Barthel Index in Taiwan. The present study evaluates the inter-rater reliability of the Barthel Index and related influential factors of assessment. This study was conducted in a rehabilitation ward of a medical center in the northern part of Taiwan from …
Increased Risk Of Arrhythmia In Patients With Cervical Spinal Cord Injury: A Nationwide Population-Based Matched Cohort Study, Chia-Hsuan Lin, Yan-Yuh Lee, Chun-En Kuo, Po-Cheng Chen
Increased Risk Of Arrhythmia In Patients With Cervical Spinal Cord Injury: A Nationwide Population-Based Matched Cohort Study, Chia-Hsuan Lin, Yan-Yuh Lee, Chun-En Kuo, Po-Cheng Chen
Rehabilitation Practice and Science
Objective: To investigate the risk of cardiac arrhythmias among adults with spinal cord injury (SCI). Methods: This is a retrospective population-based matched cohort study. Data were derived from the National Health Insurance Research Database. This study identified all patients diagnosed with SCI from January 1, 2000 to December 31, 2013. Patients with SCI were categorized into the cervical SCI (C-SCI) and other SCI (O-SCI) groups according to the level of injury. The cumulative incidence of cardiac arrhythmias was compared between patients with C-SCI, those with O-SCI, and those without SCI. Cox proportional hazards regression model was used to assess the …
Kienböck's Disease In A Patient With Hemiparetic Stroke: A Casereport, Pao-Sheng Wu, Yen-Ting Cho
Kienböck's Disease In A Patient With Hemiparetic Stroke: A Casereport, Pao-Sheng Wu, Yen-Ting Cho
Rehabilitation Practice and Science
Kienböck's disease of the wrist is a multifactorial, progressive osteonecrosis of the lunate bone. Patients with this disease often complain of dorsal wrist pain and other wrist dysfunctions. Image studies are usually required for definite diagnosis; however, careful history taking and physical examination are also necessary. Treatment varies according to the stage of the disease; although surgery is needed in most of the cases, rehabilitation after the surgery seems helpful as well. Kienböck's disease is rarely seen in our daily practice, and even though we do recognize the disease, diagnosing it correctly in patients with comorbidities such as stroke is …
A Rare Presentation Of Myelopathy In Novice Surfers: A Casereport And Literature Reviewarticle, Ming-Hsuan Huang, Shu-Fen Sun, Min-Hui Li, Ping-Hong Lai
A Rare Presentation Of Myelopathy In Novice Surfers: A Casereport And Literature Reviewarticle, Ming-Hsuan Huang, Shu-Fen Sun, Min-Hui Li, Ping-Hong Lai
Rehabilitation Practice and Science
Introduction: Surfer's myelopathy is a nontraumatic, ischemic spinal cord injury that predominantly affects the lower thoracic cord. Owing to its clinical rarity, its pathophysiology and treatment protocol remain controversial. Frequently discussed hypotheses regarding its cause include ischemic change due to trunk hyperextension and the Valsalva maneuver, leading to back pain, weakness in the lower extremities, and bowel and bladder dysfunction. The prognosis varies widely, ranging from full recovery to paraplegia. casereport: We report the case of a 22-year-old female patient experiencing progressive loss of strength in the lower extremities and soreness in her lower back while surfing for the first …
Coinstantaneous Brachial Plexus Injuries In A 55-Year-Old Man With Traumatic Spinal Cord Injury: A Casereport And Literature Reviewarticle, Hong-Yi Lin, Jia-Yin Guo, Su-Ju Tsai
Coinstantaneous Brachial Plexus Injuries In A 55-Year-Old Man With Traumatic Spinal Cord Injury: A Casereport And Literature Reviewarticle, Hong-Yi Lin, Jia-Yin Guo, Su-Ju Tsai
Rehabilitation Practice and Science
脊髓損傷合併臂神經叢損傷臨床上少見且不易診斷與處置。過去研究的報告發生率約為0.6%到1.8%。在脊髓損傷的病人處置時,通常優先處理危及生命的傷害,且臂神經叢損傷的臨床表現也可能歸因於脊髓損傷而被忽略。本文報告一名55歲因車禍意外導致第四節脊髓損傷的男性病人,根據病人的身體檢查、神經學檢查發現右上肢深肌腱反射無反應,以及明顯不對稱的右上肢與左上肢肌力,經過神經傳導檢查及肌電圖檢查,確定該名病人為脊髓損傷合併臂神經叢損傷。同時罹患脊髓損傷及臂神經叢損傷的病人數量可能被低估,治療計畫及復健也更為複雜,早期診斷與適當治療是此類病人上肢功能恢復的重要關鍵。除了詳細探查脊髓損傷病人的臨床症狀、身體檢查、神經學檢查之外,電學診斷對於合併臂神經叢損傷的確診最有效益。
Role Of High Intensity Laser Therapy On A Child With Atlantoaxial Rotatory Fixation-Casereport, Li-Yun Teng, Ko-Long Lin, Sheng-Hui Tuan, Shu-Fen Sun, Min-Hui Li, I-Hsiu Liou
Role Of High Intensity Laser Therapy On A Child With Atlantoaxial Rotatory Fixation-Casereport, Li-Yun Teng, Ko-Long Lin, Sheng-Hui Tuan, Shu-Fen Sun, Min-Hui Li, I-Hsiu Liou
Rehabilitation Practice and Science
After wearing a hairpin for the entire evening during her sleep, 8-year-old girl experienced acute onset of torticollis and neck pain after walking up the next morning. She was brought to our outpatient department. Her head was tilted to the left, with tenderness over the left neck region. Imaging studies revealed atlantoaxial rotatory fixation. She initially received a combination of soft neck collar and medications with muscle relaxants as well as anti-inflammatory agents. However, these treatments had limited effects. Then, she received high-intensity laser therapy on the left posterior deep neck muscles, which greatly improved the range of motion of …
Plantar Fasciopathy At Unusual Location: A Report Of Two Cases, Chia-Hua Lee, Feng-Cheng Tang, Yao-Jen Chen, Long-Wei Dai, Su-Ju Tsai, Chi-Chung Ho
Plantar Fasciopathy At Unusual Location: A Report Of Two Cases, Chia-Hua Lee, Feng-Cheng Tang, Yao-Jen Chen, Long-Wei Dai, Su-Ju Tsai, Chi-Chung Ho
Rehabilitation Practice and Science
Plantar fasciopathy is a common problem in the general population involving the proximal area of the central cord of the plantar aponeurosis. Few studies have discussed plantar fasciopathy distal to the calcaneus. In article reviewarticles, plantar fasciopathy distal to the calcaneus occurred in only 12% of the cases. In the casereport, including two cases in which fasciopathy were involved in the central part of the plantar fascia, the incidence was obviously less than that mentioned above. These two cases were atypical diseases of plantar fasciopathy over the plantar arch. They both received one to several sessions of prolotherapy, but no …
Evaluation Of Clinical Morbidities And Their Influence On Quality Of Life In Patients With Oral Cavity Cancer After Radiotherapy, Hao-Wei Tang, Tung-Hao Chang, Kuan-Lin Chen, Kuo-Yang Tsai, Su-Fen Liao, Wei-Te Wang
Evaluation Of Clinical Morbidities And Their Influence On Quality Of Life In Patients With Oral Cavity Cancer After Radiotherapy, Hao-Wei Tang, Tung-Hao Chang, Kuan-Lin Chen, Kuo-Yang Tsai, Su-Fen Liao, Wei-Te Wang
Rehabilitation Practice and Science
Background: Oral cavity cancer is the most common cancer in middle-aged men in Taiwan. Radiation fibrosis syndrome and lymphedema are the leading side effects in patients with oral cavity cancer, and can deteriorate their quality of life (QOL). The aim of this study was to prospectively evaluate common morbidities and their influences on QOL in patients with oral cavity cancer. Methods: 27 patients with oral cavity cancer who received surgery and radiotherapy (RT) were recruited. Clinical evaluations of each patient included the VAS pain scale, the lymphedema scale, facial distance measurement for lymphedema, maximal interincisal distance (MID), range of motion …
Effect Of Kinesio Taping On Knee Symptoms In Patients With Hemophilia: A Prospective Study, Yen-Liang Ke, Cih-En Huang, Sheng-Lung Hsu, Chih-Cheng Chen, Yi-Hsuan Lai, Chih-Ying Wu, Chien-Min Chen
Effect Of Kinesio Taping On Knee Symptoms In Patients With Hemophilia: A Prospective Study, Yen-Liang Ke, Cih-En Huang, Sheng-Lung Hsu, Chih-Cheng Chen, Yi-Hsuan Lai, Chih-Ying Wu, Chien-Min Chen
Rehabilitation Practice and Science
Background: Kinesio Taping is effective for treating knee symptoms in various diseases. However, the outcome of using this method in hemophilia patients with knee symptoms has not been previously studied. Objective: To evaluate the therapeutic effects of Kinesio Taping on the knee symptoms in patients with hemophilia who had knee symptoms in the previous year. Methods: Kinesio Tape was applied on the anterior thigh and knee in all subjects. To measure the outcome, we collected the visual analogue scale (VAS) score of the knee during walking, knee-flexion and knee-extension muscle strength, active knee-flexion and knee-extension range of motion, Hemophilia Joint …
A Pilot Study Of Group-Based Computer-Assisted Cognitive Rehabilitation For Patients With Cognitive Impairment, Wan-Ling Hsu, Tzu-Wei Liao, Yi-Chun Lu, Hsin-Man Chien, I-Shiang Tzeng
A Pilot Study Of Group-Based Computer-Assisted Cognitive Rehabilitation For Patients With Cognitive Impairment, Wan-Ling Hsu, Tzu-Wei Liao, Yi-Chun Lu, Hsin-Man Chien, I-Shiang Tzeng
Rehabilitation Practice and Science
Objective: This study attempted to investigate effects of group-based computer-assisted cognitive rehabilitation for patients with cognitive impairment. Methods: A total of 11 patients with cognitive impairment were included in the study. Cognitive impairment and activities of daily living were assessed using Mini Mental State Exam (MMSE), Montreal Cognitive Assessment (MoCA), Cognitive Abilities. Screening Instrument (CASI C-2.0), Digit Span subtest (DS), Trail Making Test part A (TMT-A), Color Trail Making Test (CTT), Functional Independence Measure (FIM), and Instrumental Activities of Daily Living scale (IADLs) at the beginning of the study, soon after receiving the intervention. Treatment was scheduled for 2 hours …
Secondary Syringomyelia After Subarachnoid Hemorrhage: A Casereport, Shih-Shin Huang, Yen-Liang Ke, Wei-Chi Hsieh, Hung-Chih Hsu, Chien-Min Chen
Secondary Syringomyelia After Subarachnoid Hemorrhage: A Casereport, Shih-Shin Huang, Yen-Liang Ke, Wei-Chi Hsieh, Hung-Chih Hsu, Chien-Min Chen
Rehabilitation Practice and Science
Background: Cerebral artery aneurysm rupture is one of the common causes of subarachnoid hemorrhage. Patients with subarachnoid hemorrhage may have some degree of neurological defects and impairment on activity of daily living. Syringomyelia refer to the cavity formation in spinal cord. Possible etiologies may include congenital and acquired types. Patients with syringomyelia may suffer from limb pain and paresthesia. According to previous studies, secondary syringomyelia due to subarachnoid hemorrhage was not common. Hence, a case with syringomyelia secondary to subarachnoid hemorrhage was presented by introducing the clinical signs and image findings. Moreover, current literatures about syringomyelia secondary to subarachnoid hemorrhage …
Bedside Thyroid Palpation Technique As Indicator For Penetration/Aspiration Risk In Stroke Patients, Yung-Chun Chi, Mu-Hung Tsai, Jerry Tsung-Kai Lin, Yi-Chen Yu, Shih-Chung Chang
Bedside Thyroid Palpation Technique As Indicator For Penetration/Aspiration Risk In Stroke Patients, Yung-Chun Chi, Mu-Hung Tsai, Jerry Tsung-Kai Lin, Yi-Chen Yu, Shih-Chung Chang
Rehabilitation Practice and Science
Background: Bedside thyroid cartilage palpation technique is a quick and non-invasive swallowing screening test. However, the correlation between thyroid cartilage movement and penetration/aspiration risks in stroke patients has not been conclusive to date. Therefore, we compared the result of videofluoroscopic swallowing study (VFSS) and bedside thyroid cartilage palpation to determine the penetration/ aspiration risks in stroke patients. Material and methods: Our study included 53 patients admitted to a medical center for rehabilitation within 6-months of stroke onset. We recorded penetration-aspiration scale by VFSS and compared it with a bedside thyroid cartilage palpation technique. Results: Our results show significant higher rates …