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Rehabilitation Practice and Science

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Full-Text Articles in Rehabilitation and Therapy

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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Risk Factors Of Post-Stroke Depression In Middle-Aged Adults And The Elderly, Yuan-Yang Cheng, Chen-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan, Wen-Jang Wong Dec 2005

Risk Factors Of Post-Stroke Depression In Middle-Aged Adults And The Elderly, Yuan-Yang Cheng, Chen-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan, Wen-Jang Wong

Rehabilitation Practice and Science

In order to evaluate the prevalence and risk factors of post-stroke depression, this study collected the data of 102 stroke patients from the outpatient clinic of the neurology and rehabilitation departments in a medical center in Taipei. The patients' objective data, such as age, infarction area of the brain, duration from the stroke attack to the time of our study, number of stroke attacks, antidepressant use, and rehabilitation program, were obtained from the history chart. A questionnaire evaluation of the swallowing function, depression status, and functional independence measure was also done by interviewing the patients individually. The results showed that …

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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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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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Winging Scapula Due To Traumatic Trapezius Muscle Disuse Atrophy: A Casereport, Tsung-Ching Lin, Cheng-Liang Chou, Chen-Ming Chiu, Tcho-Jen Liu, Rai-Chi Chan, Hong-Jen Chiou Dec 2005

Winging Scapula Due To Traumatic Trapezius Muscle Disuse Atrophy: A Casereport, Tsung-Ching Lin, Cheng-Liang Chou, Chen-Ming Chiu, Tcho-Jen Liu, Rai-Chi Chan, Hong-Jen Chiou

Rehabilitation Practice and Science

Winging scapula is uncommon clinically and easily ignored. It not only leads to a limited range of motion of the upper extremities, but impairs functional activity and body appearance as well. Many etiologies can induce winging scapula, including trauma, infection, iatrogenic injury, congenital abnormality, and the impairment of periscapular nerves, muscles, bones and joints. Traumatic winging scapula is often the result of long thoracic nerve, spinal accessory nerve, or dorsal scapula nerve stretch or compression, which causes weakness and atrophy of the serratus anterior muscle, trapezius muscle, or rhomboid muscle. Winging scapula due to disuse atrophy of the traumatic trapezius …

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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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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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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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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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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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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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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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The Effects Of Education Level On Physical Fitness Among Middle-Aged Adults In Taiwan, Shih-Wei Chou, Yin-Chou Lin, Chi-Te Li, Alice M. K. Wong Dec 2004

The Effects Of Education Level On Physical Fitness Among Middle-Aged Adults In Taiwan, Shih-Wei Chou, Yin-Chou Lin, Chi-Te Li, Alice M. K. Wong

Rehabilitation Practice and Science

Health-related physical fitness can be assessed with four main attributes: body composition, muscular strength and endurance, flexibility, and cardiorespiratory endurance. Regular exercise is thought to improve physical fitness, and objective physical fitness assessment and appropriate exercise prescriptions may help unfit individuals to become fit. Assessment of physical fitness among the general population can aid the understanding of general levels of physical fitness in the community, promote healthy habits, and reduce the burden of chronic illness caused by physical inactivity. A total of 13,187 healthy adult Taiwanese citizens between 40 and 65 years of age were enrolled in this study between …

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Effect Of Temperature On Type Of Cerebrovascular Accident, Sen-Yung Liu, Ta-Sen Wei, Cheng-Hsiung Hong Dec 2004

Effect Of Temperature On Type Of Cerebrovascular Accident, Sen-Yung Liu, Ta-Sen Wei, Cheng-Hsiung Hong

Rehabilitation Practice and Science

Monthly or seasonal change of climate has been suggested to associate with the incidence and type of stroke, but this association is not conclusive owing to variation in study design and geographic area. The aim of this study was to investigate the short-term effect of temperature variation on type of cerebrovascular accident in first-time stroke patients.There were 1008 in-patients enrolled in this study, including 718 ischemic (infarct) stroke and 290 hemorrhagic stroke patients. The age was 68.9±11.0 years in the infarct and 62.9±13.6 years in the hemorrhagic group; 62%(181 cases) of the infarct group and 55%(395 cases) of the hemorrhagic …

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Acute Simultaneous Multiple Infarctions In One Cerebral Hemisphere: A Casereport, Ting-I Han, Mu-Jung Kao, Der-Yang Chou, Pey-Yu Yang Dec 2004

Acute Simultaneous Multiple Infarctions In One Cerebral Hemisphere: A Casereport, Ting-I Han, Mu-Jung Kao, Der-Yang Chou, Pey-Yu Yang

Rehabilitation Practice and Science

Acute ischemic stroke is well known to be a single event. However, multiple simultaneous acute strokes involving more than one vascular territory are less studied. Large-artery disease of corresponding vessels and cardioembolism are thought to be the most important risk factors for multiple simultaneous infarctions. Diffusion-weighted imaging (DWI), which successfully discriminats acute from chronic infarct, is particularly useful in patients with multiple infarcts in more than one territory. The most common combinations of simultaneous multiple infarction in one cerebral hemisphere involve the territories of the anterior superficial middle cerebral artery (MCA) plus the posterior superficial MCA, and the territories of …

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The Pediatric Functional Performance Scales: Establishment And Preliminary Report On Taiwanese Children, Yung-Wen Hsu, Ting-Yi Li, Tsan-Hsun Huang, Nai-Wen Guo, Rong-Ju Cherng, Ta-Shen Kuan, Chii-Jeng Lin Dec 2004

The Pediatric Functional Performance Scales: Establishment And Preliminary Report On Taiwanese Children, Yung-Wen Hsu, Ting-Yi Li, Tsan-Hsun Huang, Nai-Wen Guo, Rong-Ju Cherng, Ta-Shen Kuan, Chii-Jeng Lin

Rehabilitation Practice and Science

This study planed to develop a functional performance measure in order to systematically describe and evaluate the ability and limitation of Taiwanese children in their daily life activities. This study includes two pilot studies investigating content validity of this newly developed test: The Pediatric Functional Performance Scales (PFP Scales).Parents of 49 children aged 2-12 years were interviewed face to face or through telephone in the first study. After revised, the test was administered to another 203 children aged 2-8 years. According to the result of the first pilot study, total items of the PFP Scales were increased from 14 to …

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Trauma-Related Vertebral Artery Dissection With Delayed Onset Cerebellar Infarction: A Casereport, Tsung-Ying Li, Liang-Cheng Chen, Shuu-Hai Jiang, Shiou-Ping Lin, Kao-Chung Tsai Dec 2004

Trauma-Related Vertebral Artery Dissection With Delayed Onset Cerebellar Infarction: A Casereport, Tsung-Ying Li, Liang-Cheng Chen, Shuu-Hai Jiang, Shiou-Ping Lin, Kao-Chung Tsai

Rehabilitation Practice and Science

Cerebellar stroke is uncommon in young patients. We report the case of a 22-year-old man with a delayed cerebellar infarction secondary to vertebral artery dissection caused by trauma. While riding a bicycle as part of an extreme sport, his left clavicle struck a bicycle handle. Evaluation in the emergency room led to a diagnosis of left shoulder contusion without fracture of clavicle or cervical spine. Headache, severe vomiting, and weakness of the right-sided limbs developed three days later, and he presented to emergency staff again. Head injury was initially suspected, but the diagnosis was left vertebral artery dissection with delayed-onset …

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Thickening Of Finger Extensor Tendons In Hemiplegic Hands Of Stroke Patients, Nai-Hsin Meng, Sui-Foon Lo, Ting-I Han, Yi-Fang Hu, I-Shien Tseng, Mu-Jung Kao Dec 2004

Thickening Of Finger Extensor Tendons In Hemiplegic Hands Of Stroke Patients, Nai-Hsin Meng, Sui-Foon Lo, Ting-I Han, Yi-Fang Hu, I-Shien Tseng, Mu-Jung Kao

Rehabilitation Practice and Science

Thickening of finger extensor tendons in hemiplegic hands of stroke patients has never been reported. We reported 11 patients with stroke who experienced gradual onset of a painless swelling at the dorsal aspect of the hemiplegic wrist. Soft tissue sonography revealed that the swellings were mainly composed of thickened finger extensor tendons. This thickening typically involved the tendons of the 4th dorsal extensor compartment between the proximal carpal and mid-metacarpal levels. The maximal thickness of these tendons could reach over three times that of the corresponding tendons of the contralateral hand. The synovial tissue surrounding the thickened tendon was also …

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Primary Adrenal Insufficiency Developing After Traumatic Brain Injury: A Casereport, June-Kai Chen, Tien-Wen Chen, Ming-Cheng Weng, Mao-Hsiung Huang Dec 2004

Primary Adrenal Insufficiency Developing After Traumatic Brain Injury: A Casereport, June-Kai Chen, Tien-Wen Chen, Ming-Cheng Weng, Mao-Hsiung Huang

Rehabilitation Practice and Science

There have been isolated reports in the literature of the natural history and less than complete knowledge of the epidemiology and the pathophysiology of endocrine alteration occurring after traumatic brain injury (TBI). This article describes one primarily adrenal-dysfunction patient with severe TBI who had no evidence of present or prior adrenal autoimmune disease, infection, hemorrhage, or malignancy. It is suggested that this distinct condition can be labeled as ”primary adrenal insufficiency (PAI) developing after TBI”.

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Metatarsal Stress Fracture: A Casereport, Chwan-Chin Leu, Chorng-Song Chou, Chin-Teng Chung, Chun-Fu Wang Dec 2004

Metatarsal Stress Fracture: A Casereport, Chwan-Chin Leu, Chorng-Song Chou, Chin-Teng Chung, Chun-Fu Wang

Rehabilitation Practice and Science

A stress fracture is defined as a partial or complete fracture of bone due to the inability to withstand non-violent stress applied in a rhythmic, repeated, subthreshold manner. It could occur in any kind of sport. However, it usually occurs in running-based sports and running or jogging. Initial diagnosis of stress fracture is difficult. A careful study of the patient's history amd physical examination combined with appropriate radiographic examination, or if indicated, scintigraphy, provides a highly accurate diagnosis.A 19-year-old male athlete suffered from insidious onset of pain in the right forefoot after judo training. This focal pain eventually precluded any …

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Market Analysis For The Need Of Individualized Assisted Device In Patients With Physical-Mental Disabilities, Chau-Peng Leong, Shih-Wei Chou, Tsong-Hwa Lin, Jen-Li Pan, Yu-Cheng Pei, Ngok-Kiu Chu, Kin-Chung Lai, Kuo-Hsien Tu, Simon F.T. Tang Dec 2004

Market Analysis For The Need Of Individualized Assisted Device In Patients With Physical-Mental Disabilities, Chau-Peng Leong, Shih-Wei Chou, Tsong-Hwa Lin, Jen-Li Pan, Yu-Cheng Pei, Ngok-Kiu Chu, Kin-Chung Lai, Kuo-Hsien Tu, Simon F.T. Tang

Rehabilitation Practice and Science

The number of people with physical-mental disabilities in Taiwan was 711,064 in the year 2000. The difficulties in performing activities of daily lives and social function handicaps in these people can often be alleviate with the proper application of assisted device. The individualized need of assisted device in people with physical-mental disabilities was never investigated in Taiwan. Therefore, the objectives in this investigation were to: 1. understand the need of assisted device in people with physical-mental disabilities, 2. understand the need of individualized assisted device in people with physical-mental disabilities, 3. observe the similarities and differences in the need for …

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A Comparison Between The Patellofemoral Function Scale And The Lequesne Index In Patients With Knee Osteoarthritis, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Mao-Huan Hung, Chang-Zern Hong Dec 2004

A Comparison Between The Patellofemoral Function Scale And The Lequesne Index In Patients With Knee Osteoarthritis, Wei-Jang Yen, Tzy-Fang Chu, Ta-Shen Kuan, Mao-Huan Hung, Chang-Zern Hong

Rehabilitation Practice and Science

Numerous therapeutic approaches are currently used to treat knee osteoarthritis. The relative efficacy of these approaches to the treatment of individual knees with osteoarthritis is not well understood. The main reason is that therapeutic outcome studies in osteoarthritis had been impeded by the lack of an objective, reproducible method for grading osteoarthritis of individual knee in order to compare the severity of the osteoarthritis between the two different sides. The Lequesne index has been used in most therapeutic trials on osteoarthritis of weight bearing joints. However, the ability of the Lequesne index to assess the status of individual knees with …

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Orthoses Utilization And Daily Functional Status In Patients With High Level Cervical Cord Injury, Yao-Ting Wu, Chin-Hung Tseng, Ming-Shun Wu, Chia-Li Chen, Chi-Ming Shih, Liu-Ing Bih Dec 2004

Orthoses Utilization And Daily Functional Status In Patients With High Level Cervical Cord Injury, Yao-Ting Wu, Chin-Hung Tseng, Ming-Shun Wu, Chia-Li Chen, Chi-Ming Shih, Liu-Ing Bih

Rehabilitation Practice and Science

Patients with high-level cervical cord injuries are dependent in most activities of daily living (ADL) because they possess very little residual motor function. The utilization of appropriate assistive devices could enhance their independence and improve their quality of life.A prospective study was conducted with 11 male tetraplegic patients between 22 to 51 years of age (mean, 32.0±10.0 years), living in central Taiwan, with C4 or C5 cord injuries; the duration of their injuries ranged between 16 to 125 months (mean, 56.8±28.6 months). After a home visit and an individual interview, we found that these patients could perform 1 to 8 …

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Sustained Pelvic Traction With Prone Position In The Treatment Of Sciatica, Baii-Jia Yang, Si-Huei Lee, Yun-Sheng Chen Dec 2004

Sustained Pelvic Traction With Prone Position In The Treatment Of Sciatica, Baii-Jia Yang, Si-Huei Lee, Yun-Sheng Chen

Rehabilitation Practice and Science

Sciatica due to herniated disc or degenerative disc disease is one of the most common problems in modern society. Management of the pain and disability with supine intermittent or sustained pelvic traction has long been used. However, some patients with severe back and referred leg pain cannot tolerate traction in a supine position. In this study, we applied sustained prone position pelvic traction to 14 patients with severe back and referred leg pain who were unable to tolerate supine position traction. Magnetic resonance imaging and electromyography studies revealed positive findings. Sustained prone position pelvic traction was set with one third …

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Long-Term Treatment Of Hemifacial Spasm With Type A Botulinum Toxin, Yu-Ching Llin Dec 2004

Long-Term Treatment Of Hemifacial Spasm With Type A Botulinum Toxin, Yu-Ching Llin

Rehabilitation Practice and Science

Hemifacial spasm is a rare movement disorder. It is characterized by recurrent, involuntary tonic or clonic contraction of the muscles innervated by unilateral facial nerve. It may affect patient’s vision and has great cosmetic or psychological impacts. Oral drugs including anticonvulsants, baclofen and benzodiazepines often have little effect. Surgery has potentially serious complications. After numerous clinical studies, botulinum toxin is now recommended as the primary treatment of choice for most hemifacial spasm cases.The purpose of this study is to retrospectively evaluate the dose, effect and side effects of long-term treatment of hemifacial spasm with type A botulinum toxin. Between November …

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Ankylosing Spondylitis Complicating With Spinal Epidural Hematoma: A Casereport, Hui-Lin Lin, Yen-Ho Wang, Huey-Wen Liang, Chi-Kai Chang Dec 2004

Ankylosing Spondylitis Complicating With Spinal Epidural Hematoma: A Casereport, Hui-Lin Lin, Yen-Ho Wang, Huey-Wen Liang, Chi-Kai Chang

Rehabilitation Practice and Science

Ankylosing spondylitis (AS) is an inflammatory disease that most commonly affects vertebral and pelvic joints. It is characterized by ossification of all spinal ligaments, articular joints, and intervertebral discs in association with osteoporosis of the vertebral bodies, thus, rendering the spine prone to trauma, which, even if minimal, may cause serious neurologic complications.Spinal epidural hematoma (SEH) is a rare clinical condition. Etiologically, it may be traumatic or nontraumatic. Spontaneous SEHs occur more frequently than traumatic SEHs. Although rare, posttraumatic SEH occurs frequently in patients with AS. We report the case of a 71-year-old male patient who suffered from AS for …

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Anti-Myelin-Associated Glycoprotein Antibody Neuropathy: A Casereport, Hsin-I Wu, Cheng-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan Dec 2004

Anti-Myelin-Associated Glycoprotein Antibody Neuropathy: A Casereport, Hsin-I Wu, Cheng-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

Polyneuropathy is common in the field of rehabilitation medicine. Its symptoms include sensory impairment in the distal limbs, ataxia, tremor, and pinch weakness. Electrophysiology will show multiple neuropathies with distal involvement first. Sensory nerve impairment usually appears earlier than motor nerve impairment. In severe cases, muscle atrophy can also be seen.Due to the multiple etiologies of polyneuropathy, the treatments vary. We report a rare case of anti-MAG neuropathy. The patient is a 88-year-old retired veteran, who complained of bilateral lower leg weakness and numbness in the distal part of all limbs. He visited the neurology OPD and was diagnosed with …

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Growth And Body Composition Analysis In Children With Cerebral Palsy, Tsui-Fen Yang, Pei-Hsin Lin, Chueh-Lien Yang, Rai-Chi Chan, Nien-Tzu Kao Dec 2004

Growth And Body Composition Analysis In Children With Cerebral Palsy, Tsui-Fen Yang, Pei-Hsin Lin, Chueh-Lien Yang, Rai-Chi Chan, Nien-Tzu Kao

Rehabilitation Practice and Science

The objective of the present study was to investigate the growth and body composition of younger children with cerebral palsy, using anthropometric measures and bioelectrical impedance analysis (BIA). We also looked into the relative strength and consistency between different measurements in analyzing body composition. Thirty-nine patients, aged 3 to 13, with an established diagnosis of cerebral palsy, and age- and sex-matched control subjects, were recruited for this study. Distribution of height-by-age and weight-by-age percentiles differed significantly between the study and the control groups, whereby the subjects of cerebral palsy grew shorter and lighter than normal subjects. The body fat percentage …

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