Rehabilitation and Therapy Commons^™

The Therapeutic Experience Of Electroacupuncture On Dysphagia After Brain Stem Stroke, Jinn-Ming Sheu, Chau-Peng Leong, Juh-Rong Sheu, May-Kuen Wong

Rehabilitation Practice and Science

The intracarotid sodium amytal (ISA) procedure, introduced by Wada in 1949, is used to identify cerebral dominance for language and memory function in preparation for epilepsy surgery such as unilateral temporal lobectomy . Five cases with complex partial seizure, four boys and one girl, were included in this study, Their ages of onset ranged from 3 to11 years old. Frequency of seizure ranged from 2 to3 fits per month to 50 to 60 fits per day. Four cases were right-handers, one case was left-hander. All of them had normal intelligence. MRI scan of three cases showed positive findings, In continuous …

Middle-Aged And Older Tennis Players, Yuan-Kai Liao, Jin-Shin Lai, Ching Lan

Rehabilitation Practice and Science

Objective: To evaluate the training effects of tennis on the maintenance of cardiorespiratory function in middleaged and older individualDesign: Prospective study of a cohort of older tennis players examined two years after initial examination Setting: Research project at a hospital-based exercise physiology laboratory. Participants: 15 male (mean age: 66±4 yrs, range: 52-82 yrs) and 5 female (mean age: 5O±7 yrs, range: 40-59 yrs)subject free of significant cardiovascular, pulmonary and musculoskeletal diseases completed this study. Intervention: During the study period, the subjects practiced tennis 3-7 times per week. The baseline cardiorespira tory function was recorded in the initial exercise test. Same …

Analysis Of Myoelectric Acitivity And Coactivation During Static Holding Postures, Wen-Ko Chiou, Yung-Hui Lee, Wen-Jer Chen, Ming-Yih Lee, Yang-Hua Lin, Fuk-Tan Tang

Rehabilitation Practice and Science

The object of this study is to examine co-activities of eight muscle group in various lifting conditions. A total of 40 voluntary subjects with no experience of low back pain participated in this experiment. The muscle activities of interested were bicep brachii, thoracic erector spinae, lumbar erector spinae, latissimus dorsi, external oblique, rectus abdominis, rectus femoris, and semitendinosus of the right side body. Surface EMG signals were obtained in static holding postures of 3 kneeing angles, 5 trunk flexion angles, 2 horizontal liftingdistances, and 3 loading conditions. After recording, the percentages of maximum voluntary contraction (NEMG) and relative activity level …

A Spinal Cord Injured Patient Complicated With Huge Bladder Stones And Vesico-Ureteral Reflux, Lu-Wen Chen, Liu-Ing Bih, Liang-Fang Chen, Hwa Ting

Rehabilitation Practice and Science

A 25 years old male patient suffered from L1 compression fracture with weakness of both lower extremities and neurogenic bladder dysfunction 7 years prior to admission. Motor recovery over both lower extremities developed gradually that he could walk with bilateral axillary crutches later. However, the detrusor reflex did not restore so that a transurethral catheter had been left ever since he was injured. Frequent urinary tract infection manifested with fever and cloudy urine occurred off and on in the past years. Neither regular follow up nor urinary tract imaging study had been performed. Upon admission to our hospital, 5 bladder …

Rehabilitation Of Osteogenesis Imperfecta Casereport, Wil-Ly Chow, Wei-Hwa Liaw, Mu-Jung Kao, Tyng-Guey Wang

Rehabilitation Practice and Science

Osteogenesis imperfecta is an inherited disorder of connective tissue, which affects the skeleton, ligament, skin, sclera, and dentin. It often produces multiple fractures and spinal deformities complicated with cardiopulmonary dysfunction. Osteoarthropathy, among which, will produce chronic pain, and is the main cause of functional disturbance of this kind of patients. We report a 20-year-old male patient with Osteogenesis imperfecta, who suffered from multiple long bone fractures and spinal kyphoscoliosis since his childhood. Two months before this admission, he had experienced one episode of accident with marked left hip and left elbow pain due to left hip joint dislocation and left …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

Pediatric Intracarotid Sodium Amytal (Isa) Procedure In Determiination Of Cerebral Dominance For Language And Memory Function - Preliminary Prport, Tsui-Fen Yang, Tai-Tong Wong, Shang-Yeong Kwan, Kai-Ping Chang, Ping-Wing Lui, Tao-Chang Hsu

Rehabilitation Practice and Science

The intracarotid sodium amytal (ISA) procedure, introduced by Wada in 1949, is used to identify cerebral dominance for language and memory function in preparation for epilepsy surgery such as unilateral temporal lobectomy . Five cases with complex partial seizure, four boys and one girl, were included in this study, Their ages of onset ranged from 3 to11 years old. Frequency of seizure ranged from 2 to3 fits per month to 50 to 60 fits per day. Four cases were right-handers, one case was left-hander. All of them had normal intelligence. MRI scan of three cases showed positive findings, In continuous …

Cerebral Amyloid Angiopathy: A Common Cause Of Intracerebral Hemorrhage In The Elderly - A Casereport, Wen-Chung Tsai, Tyng-Guey Wang, Huey-Wen Liang, Jin-Shin Lai

Rehabilitation Practice and Science

Cerebral amyloid angiopathy, defined as deposition of amyloid in the walls of brain vessels, is belived to be a common cause of intracerebral hemorrhage in the elderly. It differentiates from the intracerebral hemorrhage of hypertension by its specific location of bleeding. The hematoma from cerebral amyloid angiopathy, sometimes multilobar, is always located in the brain cortices and the white matter beneath them. In the previous reports, the presence of cerebral amyloid angiopathy accounts for 5-10% of non-traumatic cerebral hemorrhage. However, it has been overlooked or misdiagnosed all the time because of the lack of tissue proof. Recurrent bleeding occurs so …

Effects Of Rote Exercise, Imagery, And A Material-Based Occupation On Postural Control In Children Ages 3-9, Robin Lengel

Masters Theses

Occupational therapy is based on the concept of enhancing motor, cognitive, sensory, and psycho-social performance through the utilization of purposeful activities. Purposeful activities are doing processes directed toward a planned or hypothesized end result, and can be naturalistic, simulated, or imagery-based (Nelson & Peterson, · 1989). This study compared the effects of a material-based occupation, imagery-based occupation, and rote exercise on the quality and duration of maintaining prone extension in children aged three to nine.· The quality of maintaining the posture was analyzed using the prone extension postural test (Gregory-Flock & Yerxa, 1984). Duration of prone extension for each child …

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

The Effect Of Scalp Electroacupuncture On Motor Neuron Excitability Of Stroke Patients, Hsiang Wei, Simon F. T. Tang, Alice M. K. Wong

Rehabilitation Practice and Science

The effect of scalp acupuncture with or without electrical stimulation has been used for years on improving the ambulation of stroke patients. However, the mechanism remains unclear. In this study, the changes in spinal motor neuron excitability of stroke patient were measured before and after scalp electroacupuncture. Thirty subjects with first stroke resulting in spastic hemiparesis or hemiplegia were studied. Two scalp acupuncture regions, the motor area and the motor-sensory area of foot, were inserted with a 1.5 inch scalp needle on both sides respectively. Each subject was stimulated with an electric current, from 7 mA to 12 mA at …

Cardiopulmonary Stress Testing In Children With Congenital Heart Disease After Surgery - A Preliminary Report, Chen-Liang Chou, Huey-Ling Yu, Tacho-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

Most children with congenital heart disease (CHD) were restricted in their daily activities, which can affect their normal psychosocial development. In this study, we used cardiopulmonary stress testing to evaluate the cardiopulmonary responses of children with congenital heart disease surgery.The result showed that the pulmonary function was within normal limit. Though the incidence rate of abnormal ECG during exercise test was 54%, most of the subjects were asymptomatic. The percentage of functional aerobic impairment (FAI) was 22%, but is clinically insignifieant. It is concluded that children with CHD after surgery should not be restricted in their exercise activities, so they …

A Survey Of Urological Problems Of Chronic Spinal Cord Injuries, Mu-Jung Kao, Kwan-Hwa Lin, Yen-Ho Wang, Chy-Ching Chuang, Jui-Ling Lin, I-Nan Lien

Rehabilitation Practice and Science

A survey of urological problems in island-wide chronic spinal cord injuries was done by questionnaires and telephone from December 1992 to June 1993. Four hundred and three responses (48.26% of total samples) were collected for data analysis.There were 343 males and 60 females in this study. Their ages ranged from 14 to 71 years old with the mean age 37.4±10.7years old. About 89.8% of the subjects ad had spinal cord injury for more than one year. The content of questionnaire in chronic spinal cord injured was urinary incontinence (60.5 %); (2) 46.1 % had troubles in daily life related to …

Pulmonary Function Following Cervical Cord Injury, Pao-Tsai Cheng, Mei-Yun Liaw, Meng-Chih Lin

Rehabilitation Practice and Science

Traumatic cervical cord injury with quadriplegia generally causes respiratory dysfunction. A total of 50 cervical cord injured patients were collected for study of their pulmonary function. They were divided into two groups. Twenty-six cases with complete motor paralysis below lesion site (Frankel A or B) were placed in Group A, the other 24 cases with incomplete motor function (Frankel C or D) were placed in Group B. Pulmonary function test was done by using spirometer at 1 month, 6 months and 12 months following cervical cord injury.The pulmonary function was significantly worse in Group A than in Group B. Lesion …

Brachmann-De Lange Syndrome: Casereport And Clinical Review, Huey-Jen Lay, Chia-Chen Hsu

Rehabilitation Practice and Science

The diagnostic criteria of Brachmann-de Lange syndrome includes: 1. congenital malformations; 2. growth retardation; 3. neurodevelopmental delay. The prevalence estimated by Beck(1976) was 0.5/100,000, but as much as fivefold byOpitz(1985). The etiology remains unknown. Although a few cases had evidence of genetic origin, the majorities were sporadic. Here we reported is a case with classic Brachmann-de Lange syndrome. He has classic facial features including synophrys, long eyelashes, log philtrum, thin upper lip and downturned corners of the mouth. Flexion contracture over bilateral elbow and hands are noted The head circomference, height and body weight and body weight are all below …

Periodic Paralysis With Thyrotoxicosis Casereport And Review Of Literature, Kuo-Chen Tseng, Chung-Miu Kaw, Yi-Shin Chen

Rehabilitation Practice and Science

Periodic paralysis is a repetitive, transient muscle weakness syndrome. It lasts from minutes to several hours even for days. It often involves proximal and trunk muscle groups, but rare in ocular, bulbar muscles. There is a striking predilection for young males. EMG studies reveal relationships between periodic paralysis and muscle membrane deplarization, and there is compound muscle action potential decrease after vigorous exercise. Potassium imbalance between intracelluar space and serum is the probable reason for this phenomenon. About 2-30% periodic paralysis has connections with thyrotoxicosis. Hyperthyroidism victim is more easiler to affect periodic paralysis than normal one. As some symptoms …

The Influence Of Trace Anesthetic Gas On Standing Balance Of Nurses At Recovery Room, Meao-Ming Chen, Fuk-Tan Tang, Robin Ka-Shun Cheng, Ming-Yih Lee, May-Kuen Wong

Rehabilitation Practice and Science

The purpose of this study is to investigate whether the waste anesthetic gas has influence on the standing balance of nurses working at the recovery room. The experimental group consisted of 26 nurses at the recovery room and the control group was 25 nurses in the ordinary ward. The sway index, anterior-posterior and lateral maximal sway distance of center of pressure were recorded before and after working eight hours under the following four conditions: 1. eye opened with stable plateform, 2. eye closed with stable plateform, 3. eye opened with tilting plateform, 4. eye closed with tilting plateform. Besides, the …

Meningioma Associated With Lumbar Hivd-Casereport, Yung-Szu Huang, Sau-Chin Mei, I-Ping Liu

Rehabilitation Practice and Science

Spinal meningioma is a well circumscribed benign tumor. It grows slowly and acounts for about 25% of primary spinal cord tumors. It occurs predominantly in women and in thoracic region. Sometimes, we mistook its early symptoms for another problems such as arthritis, arachnoiditis, peripheral nerve disease, or motor neuron disease etc. Fortunately, Patient with severe motor deficit less than two months may get satisfactory improvements after surgery. The recurrent rate of spinal meningioma is much lower than that of intracranial meningioma. We reported a case of spinal meningioma at T4 level. He was diagnosed initially as lumbar disc herniation and …

Data On Gait Characteristics Of Four, Five, And Six Year Old Children Using Three Dimensional Video Motion Analysis, Donna Soave Nichols

Rehabilitation Sciences Theses & Dissertations

The purpose of this study resulted from a need to gather and analyze data on gait characteristics of normal children using the Peak Performance Technologies, Incorporated system, initiate a data base for the Motion Analysis Center at Old Dominion University and compare a computerized motion analysis system to studies using different methods. Fifteen children, aged four to six, were evaluated during gait using a video-based computerized motion analysis system manufactured by Peak Performance Technologies, Incorporated. The gait characteristics studied were stride length, cadence, angular displacements and angular velocities of the pelvis, hips, knees and ankles. The results showed that methods …

Computer-Assisted Instruction As A Learning Resource For Applied Anatomy And Kinesiology In The Occupational Therapy Curriculum., Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

OBJECTIVES: The purpose of these studies was to examine the learning outcomes of a computer-assisted instruction (CAI) tutorial in applied anatomy and kinesiology for occupational therapy students and to determine its applicability for use in two university settings.

METHOD: Two separate pilot studies were conducted at two universities. In each study, the learning outcomes of an experimental group of occupational therapy students using a CAI program and a control group using books to study the same material were compared. Learning outcomes were assessed with post-test achievement test scores on an applied anatomy and kinesiology test and responses to an attitude …

Impact Of Spinal Cord Injury On The Life Roles Of Women., M Claire Quigley

Department of Occupational Therapy Faculty Papers

This qualitative study was conducted to explore and describe the role experience of five women whose lives were disrupted by a traumatic spinal cord injury and who later returned to their communities after completing intensive rehabilitation programs. In-depth interviews and participant observations were used to examine the experiences of these women. The findings exemplify how the women's use of adaptation and negotiation and the development of a new role as self-advocate facilitated the reestablishment of their life roles. As the women's occupational roles were redefined, the processes of adaptation and negotiation were evident in three aspects of their lives: daily …

Health Beliefs And Adherence To Cardiac Exercise Following A Cardiac Event, Marianne Foster

Masters Theses

The purpose of this study was to examine the relationship of cardiac patients' health beliefs regarding exercise and their adherence to an exercise program following a documented cardiac event. A sample of 90 subjects, recovering from a recent cardiac event, was selected from two acute care medical centers in southwestern Michigan and northwestern Michigan. Each subject responded to a mailed questionnaire six to eight weeks post hospitalization which assessed perceived benefits, perceived barriers and self-efficacy as they related to a regular, aerobic exercise program.; Descriptive statistics, along with t-test and chi-square were used to analyze the data. Findings include (a) …

Trends Of Residency Training Programs In Physical Medicine And Rehabilitation In The United States, Jen Yu

Rehabilitation Practice and Science

No abstract provided.

Rehabilitation Of Chronic Disease, May-Kuen Wong

Rehabilitation Practice and Science

No abstract provided.

Neurobiological Basis Of Rehabilitation Medicine, Jen Yu

Rehabilitation Practice and Science

No abstract provided.

Cerebrovascular Accideut Complicated With Convulsive Syncope Casereport, Yi-Jung Hsin, Chau-Peng Leong, Fang-Yi Wu, Sarah Chau, Alice May-Kuen Wong

Rehabilitation Practice and Science

Seizure is one of the complications after cerebrovascular accidents, but not all convulsions are epilepsy. Many other diseases such as vasovagal syncope, hypoglycemia and arrhythmia may cause seizure-like episodes. So, we must identify the actual cause to prevent inappropriate treatment.We report a 69 year-old male patient who was asmitted to rehabilitation department due to recurrent cerebrovascular accident with right hemiplegia. Loss of consciousness, myoclonic rhythmic jerk of left arm, upward gazing were noted frequently in upright and sitting position. After return to the lying position, the above symptoms and signs would disappear in few seconds. Antiepileptic dru as given to …

Low Back Pain In Chinese Pregnant Women, Ta-Shen Kuan, Tzung-Cheng Kuo, Kuo-Chuan Kuo, Tse-Chieh Hsueh

Rehabilitation Practice and Science

This study is aimed at assessing ””Low back pain of pregnant women”” which had been neglected for a long time.Among 755 effective questionnaires, 452 (58.3% of the cases) suffered from low back pain during pregnancy. The average age was 28 +4.2 years. The severity of back pain, which was evaluated according to Visual Analogue Scale (VAS), lay mostly between 2 degree to 6 degree. The most frequent back pain pattern was soreness. As for location of back pain, low back took the most part, the buttock the second and the thigh the least. Related factors of backache included age, weeks …

Correlation Between Albumin Level And Rehabilitation Outcome In Stroke Patients, Ta-Sen Wei, Jong-Jer Lin, Jeng-Hang Lin, Chih-Cheng Lin

Rehabilitation Practice and Science

The aim of this study is to determine the effect of serum albumin level on the rehabilitation outcome in stroke patients. The criterias of patient studied included first stroke, unilateral weakness, length of stay greater than 2 weeks and free of uncontrolled medical problems (hypertensin, diabetes mellitus, cardiac disease) or major musculoskeletal disorders (contracture, amputation).75 patients with avarage age of 65-year-old completed this study. We checked the albumin level and functional status of the patients including Brunnstrom stage, trunk control and Barthel index score. Assessments were performed on admission and discharge to identify the correlation between albumin level and functional …

Predicting Intentions Of Physical Therapy Students To Practice Primary Prevention, Sharon Potter Anderson

Loma Linda University Electronic Theses, Dissertations & Projects

Physical therapy (PT) has traditionally been a hands-on, tertiary-care field. Although the American Physical Therapy Association has mandated a broader perspective, little primary prevention is yet being reported in the U. S. An attitude change toward prevention must occur if physical therapists can be expected to become involved in preventive physical therapy. The purpose of this project was to determine predictors of physical therapy student intention to perform primary prevention with a questionnaire based on Ajzen's Theory of Planned Behavior. The theory uses attitude, subjective norm and perceived control to predict intention based on beliefs and strength of beliefs in …

Present Status And Future Rehabilitation Trends In The United States, Joel A. Delisa

Rehabilitation Practice and Science

No abstract provided.