Rehabilitation and Therapy Commons^™

Lower Extremity Prostheses Related Biomechanics, Valeria Chiu, Ming-Chuan Lin

Rehabilitation Practice and Science

During heel strike, a prosthetic foot must perform ground-reaction force shock absorption, and thereafter, must provide control of the smooth-rhythm plantar flexion movement. During the midstance phase, the foot must provide the controlled advancement of the tibia. During the terminal stance, the anterior part of the foot must act as a hard rocker to provide progression and roll over the toe and to allow center of gravity switching to the opposite site as the tibia advances. The biomechanics of the four-bar linkage knee simulates the motion of the actual human knee joint. It can be discussed by analyzed by five …

Intramedullary Astrocytoma Presenting As Cervical And Upper Back Pain: A Casereport, Chao-Pin Yang, Chun-Yuan Cheng, Ying-Hsuan Li

Rehabilitation Practice and Science

Intramedullary astrocytomas are rare, accounting for 3% of all central nervous system astrocytomas. Pain is the most common clinical symptom, although symptoms can vary. These tumors typically progress over a period of months to years before the diagnosis is established. An intramedullary astrocytoma and cervical intervertebral disc herniation may coexist; the early symptoms maybe similar and an intramedullary astrocytoma might go undetected and be misdiagnosed as cervical disc herniation. This paper reports a 30-year-old male who presented with cervical and upper back pain extending to the right upper limb. Initially, the diagnosis was a cervical radiculopathy. After rehabilitation, for two …

Kneeling Leg Curl With Internal Rotation Training Improves Agility In Patients With Anterior-Posterior Laxity Of Knee, Chih-Kuan Wu, Shu-Chun Huang, Kuan-Chou Chen, Cheng-Hsiu Lai, Chia-Hua Kuo, Shih-Wei Chou

Rehabilitation Practice and Science

Objective: Whether strengthening exercises emphasizing on internal rotators of the knee are more effective in improving shuttle-run agility of the knees with anterior-posterior laxity (AP laxity). Methods: Twenty men with AP laxity of knee were randomly assigned to the three experimental groups in different strengthening modes: plate-loaded squat press (SP), plate-loaded kneeling leg curl with internal rotation (KLCIR), and kneeling leg curl (KLC). Control group with stable knees received no training. Anterior-posterior laxity, shuttle-run agility, and isokinetic strength were evaluated before and after training. Results: Those with AP laxity of knee have poorer performance in the shuttle run test than …

Sensory Integration Dysfunction Affects Effectiveness Of Speech Therapy On Children With Functional Articulation Disorders, Li-Chen Tung, Ching-I Hu, Chin-Kai Lin, Ching-Lin Hsieh, Daniel Chiung-Jui Su, Ching-Chi Chen

Rehabilitation Practice and Science

Purpose: To compare the efficacy of speech therapy on children with functional articulation disorder with and without sensory integration dysfunction. Method: 20 young children were divided into two groups, those without sensory integration dysfunction (normal group, 10 children) and those with it (abnormal group, 10 children). The Mandarin Consonant Articulation Test for Preschool Children was administered on the children before and after therapy for articulation function. The oral motor function was evaluated by the Riley Motor Problems Inventory Oral Motor Tasks. Total of treatment sessions was recorded after the therapy. Results: Differences between the two groups in terms of age, …

Effect Of Arm Spasticity Grade On Blood Pressure Measurement, Chia-Min Lin, Huei-Yu Lo, Wai-Keung Lee, Meng-Tai Chen

Rehabilitation Practice and Science

Objective: The arm spasticity in patients with stroke has been proved to affect blood pressure measurement. However, earlier studies showed inconsistent results of how the spasticity affected the measurement of blood pressure. In some cases, measurement of blood pressure in patients' involved arm is necessary, so the purpose of this study was to investigate the effect of spasticity grade on blood pressure measurement in patients with stroke.Methods: We recruited 50 patients with hemiplegia or hemiparesis after stroke. The grade of arm spasticity was assessed using the modified Ashworth scale (MAS), while the bilateral brachial artery pressure was measured using an …

Efficacy Of Echo-Guided Extracorporeal Shock Wave Therapy For Calcific Supraspinatus Tendinopathy: A Case Series Study, Ju-Wen Cheng, Wen-Chung Tsai, Chien-Hung Chen, Chien-Hung Chen

Rehabilitation Practice and Science

Approximately 50% of patients with calcific tendinitis of the rotator cuff experience shoulder pain. Shock wave therapy is a non-invasive alternative treatment that is effective in pain relief, function restoration, and deposit resorption. In our study, we used ultrasonography-guided shock wave therapy for the targeted treatment of calcific supraspinatus tendinopathy.We retrospectively assessed 9 patients (8 women, 1 man; age 33-57 years) who had received echo-guided extracorporeal shock wave therapy for calcific supraspinatus tendinopathy from 2006 to 2012. Pain measured by the numerical rating scale (NRS) was compared before and after therapy. The length and width of the calcification spot on …

Medical Utilization Among Patients With Cerebral Palsy, Ching-Yi Chen, Ching-Chun Lin, Jiunn-Horng Kang

Rehabilitation Practice and Science

This study aimed to investigate the differences of medical utilization between patients with cerebral palsy (CP) and patients without using a population-based database in Taiwan. Data on the sampled subjects and their medical utilization were retrieved from the ＂Longitudinal Health Insurance Database (LHID2000)＂. This study comprised of 2317 patients with CP and 6961 comparison subjects. Medical utilization was evaluated in the one-year follow-up period as follows: number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatment. A multivariate regression analysis was used to evaluate the relationship between CP and total costs of health care …

The Relationship Between Heart Rate Turning Point And Anaerobic Threshold In Patients With Cardiopulmonary Diseases, Yi-Tien Su, Su-Ying Hung, Chen-Liang Chou

Rehabilitation Practice and Science

Background: Exercise training is an efficient way to improve physical performance. Training at an intensity of a certain level of the anaerobic threshold (AT) is a successful and frequently adopted method to increase both maximal and submaximal exercise capacity. Several methods are currently used to detect the AT. Analysis of the respiratory gas exchange allows identification of the AT and is currently advocated as the ＂gold standard＂. The heart rate turning point (HRTP) is a downward or upward change from the linear HR work relationship evidenced during incremental exercise testing and has been reported to coincide with AT. Purpose: The …

Early Rehabilitation Intervention Can Reduce The Admission Duration Of Rotator Cuff Repair-Introducing The Rehabilitation Protocol, Kun Hung, Bu-Yu Han, Jian-Huang Guo, Tai-Yi Wu, Shu-Hua Lin, Chung-Sheng Ho, Yu-Ting Hsieh

Rehabilitation Practice and Science

Currently, there is no standardized rehabilitation protocol for postoperative rotator cuff repair, particularly at acute stage. The purpose of the study was to evaluate the efficiency of preoperative patient education and acute stage rehabilitation, which may contribute in constructing a suitable rehabilitation protocol. The prospective observational study was conducted in a local teaching hospital over a period of 3 months. Twenty patients including 11 men and 9 women with a history of supraspinatus tear were enrolled in this study. The rehabilitation protocol involved preoperative patient education, postoperative proper positioning, passive range of motion exercises, and the usage of continuous passive …

The Effects Of Hyaluronic Acid And Glucosamine On The Migration And Proliferation Of Tenocytes, Chien-Hung Chen, Jin-Fu Huang, Li-Lun Chen, Wen-Chung Tsai, Jong-Hwei S. Pang, Yu-Hsin Liao, Tung-Yang Yu

Rehabilitation Practice and Science

Tendinopathy or tendon rupture is a common disease. Studies have showed that hyaluronic acid and glucosamine benefit the process of tendon repair. Tendon healing requires the migration of tenocytes to the repair site, followed by the proliferation and synthesis of the extracellular matrix. However, the effects of hyaluronic acid and glucosamine on tenocytes remain to be explored. Here, we treated tenocytes from rat Achilles tendons with hyaluronic acid or glucosamine. The ability of tenocytes to migrate and proliferate was assessed by transwell filter migration assay and MTT (3-[4,5-Dimethylthiazol-2-yl]-2,5- diphenyltetrazolium bromide) assay, respectively. Results from transwell filter migration assays showed that …

The Effect Of Health Promotion With Physical Therapy And Intra-Articular Hyaluronic Acid For Knee Osteoarthritis, Chen-Liang Chou, Wen-Hsu Sung, Fu-Wei Liu, Hsuci-Chen Lee, Li-Lung Haung, Jin-Jong Chen

Rehabilitation Practice and Science

Purpose: Knee osteoarthritis (knee OA) is a common chronic disease that affects elderly. Intra-articular injection of hyaluronic acid (IAHA) and physical therapy for knee OA have been shown to have clinical benefits in randomized, clinical trials separately. However, it is generally accepted that optimal management of knee OA requires a combination of pharmacologic and nonpharmacologic treatment. Currently, few studies have directly evaluated the benefits of combining the 2 treatments for knee OA. The purpose of this study explored the efficacy of interventions in patients with knee osteoarthritis through combined IAHA and physical therapy. This study investigated the potential benefit of …

Effects Of Low Power Laser On Pain And Balance Dysfunction Caused By Periostitis Of Lower Limb: A Case Series, Hui-Yi Su, Yu-An Hu, Wei-Chun Hsu, Shih-Chi Li, Shin-Tsu Chang

Rehabilitation Practice and Science

Periostitis of the lower limb is a common problem in sports injury, and an appropriate treatment option is required for this medical issue. The purpose of this study was to assess pain reduction and functional improvement after low power laser therapy in the lower limbs with periostitis. A total of 29 adults (20-40 year-old) who had periostitis at our outpatient clinic were enrolled. The diagnosis of periostitis in the lower limbs was confirmed by skeletal scintigraphy. The treatment protocol adopted rehabilitation intervention involving low power laser treatment 3 times a day for 5 days, and a low-energy dosage of 1.4 …

The Treatment Of Pain With Heel Fat Pad Syndrome By Hyaluronic Acid Injection: A Casereport, Wei-Han Chang, Chih-Kuan Wu, Yu-Cheng Pei, Chih-Chi Chen, Alice Mk Wong

Rehabilitation Practice and Science

Plantar fasciitis and heel fat pad syndrome are two of the most common causes of plantar heel pain. Because the clinical symptoms and signs are similar, the differential diagnosis between plantar fasciitis and heel fat pad syndrome is important for proper treatment. Unfortunately, conservative treatment strategies are less effective for plantar heel pain caused by heel fat pad syndrome. We present here a 56-year-old male patient with bilateral plantar heel pain that was especially severe in the left foot. We gave him an injection of 2 ml high-concentration, cross-linked hyaluronic acid into the deep derma of the painful heel pad …

Effectiveness Of Resistance (Strength) Training For Patients With Chronic Heart Failure, Yan-Wen Chen

Rehabilitation Practice and Science

The recent advancements in cardiac disease treatments have remarkably enhanced the survival rate of patients with chronic heart failure. In patients with exercise intolerance, the accompanied peripheral myopathy plays an important role. Resistance training is beneficial for musculoskeletal function in patients with chronic heart failure. However, the left ventricular myocardial remodeling progression and the hemodynamic response are controversial. Some studies showed that for those with stable heart failure (New York Heart Association functional classes I to III level), the adequate resistance training was beneficial in improvement of aerobic capacity, muscle histology, metabolic function, and left ventricular ejection fraction. In this …

Lipoma Arborescens On Mr Imaging And The Associated Lesions: A Reviewarticle Of 78 Cases, Cheng-Yuan Lin, Cheng-Ming Chiu, Tsung-Ching Lin, Shun-Lung Li, Chia-Yi Shang, Yu-Chiang Chen

Rehabilitation Practice and Science

Objective: To identify the different morphologic patterns of lipoma arborescens (LA) and the associated lesions on magnetic resonance (MR) imaging and to evaluate their clinical implication.Methods: We conducted a retrospective reviewarticle of the MR images and medical records of 78 patients diagnosed with LA of the knee (n=73) and shoulder (n=5). The diagnosis of LA was confirmed by the histologic findings in two cases and by the characteristic MR imaging features in the other 76.Results: A typical pattern of villous lipomatous proliferation of the synovium was identified on MR imaging in all cases, as a typical frond-like pattern in 38% …

The Relationships Between Using The Rating Of Perceived Exertion, Metabolic Equivalent And Maximum Heart Rate At Ventilatory Threshold Into Determine Appropriate Exercise Prescription For Intensity In Obese Diabetic Patients: A Preliminary Study, Yan-Wen Chen, Francois Liang, Sen-Wei Tsai, Shih-Yi Lin, I. T. Lee, Sheu-Chen Liu, Shin-Shan Lu

Rehabilitation Practice and Science

Background: The rating of perceived exertion (RPE), metabolic equivalent (MET) and maximum heart rate (HRmax) at ventilatory threshold (VT) are commonly used methods as physiological parameters for monitoring exercise intensity. However, the appropriate levels of training intensity for obese type 2 diabetic diabetes mellitus (type 2 DM) patients have not been established.Purpose: To examine the parameters in obese Type 2 DM patients at ventilatory threshold, the exercise capacity of obese Type 2 DM patients, and to determine the appropriate levels of exercise intensity for exercise prescription in obese type 2 DM patients was investigated.Methods: Twenty obese type 2 DM patients …

Minimal Detectable Change And Responsiveness Of The 5-Item Barthel Index In Patients With Stroke, Wen-Shian Lu, Ya-Chen Lee, Fuh-Chour Twu, Ching-Lin Hsieh

Rehabilitation Practice and Science

Background and Purpose: A concise measurement tool can be easily accepted by clinicians. The 5-item Barthel Index (BI-5) has only 5 items and thus the potential to be used routinely in clinical settings. However, the minimal detectable change (MDC) and responsiveness of the BI-5 have not been verified sufficiently, limiting the interpretability of the change scores of the BI-5. The purposes of this study were to investigate the MDC and responsiveness of the BI-5 in patients with stroke and to compare the MDC and responsiveness of the BI-5 to those of the original BI.Methods: This study used secondary data analysis. …

Abnormal Heart Rate Recovery After 6-Minute Walk Test Is Associated With Diabetic Retinopathy In Patients With Type 2 Diabetes Mellitus: A Preliminary Study, Yu-Shiang Huang, Shu-Chen Chang, Shu-Fang Lee, Meng-Shuo Shen, Huey-Jen Chen, Miao-Ming Chen

Rehabilitation Practice and Science

Diabetic retinopathy is associated with cardiac autonomic dysfunction in patients with diabetes mellitus. Abnormal heart rate recovery (HRR) after exercise can be used as a marker of reduced cardiac autonomic function in submaximal and symptom-limited exercise stress testing. The 6-minute walk test (6MWT) is considered as a submaximal test that is more appropriate to assess the capacity of performing activities of daily living, and can be applied to a variety of patients in clinical settings without the need of sophisticated equipment. The aim of the present study was to investigate the association of diabetic retinopathy with HRR after 6MWT in …

Compressive Femoral Neuropathy Caused By Iliopsoas Muscle Hematoma: A Casereport, Szu-Hung Tsao, Yu-Ting Hsieh, Tai-Yi Wu, Shu-Hua Lin

Rehabilitation Practice and Science

Femoral neuropathy is uncommon compared with other mononeuropathies. We report a case of femoral neuropathy in a 53-year-old man who has cardiovascular disease and took Coumadin for 8 years. He has left lower extremity pain and weakness because of femoral nerve and lumbar plexus compression caused by an iliopsoas hematoma, which resulted from a period of prolonged bleeding. The patient’s condition improved after surgery and rehabilitation. We also reviewarticle the anatomy and pathophysiology of the femoral nerve, the clinical presentation of femoral neuropathy, the diagnostic tools used, the treatment method, and the prognosis.

Early Physical Therapy Intervention For A Child With Williams-Beuren's Syndrome And Presenting With Icf Model For Individual Activity And Participation: A Casereport, Shin-Mei Liu, Feng-Yin Lien, Shin-Tsu Chang, Heng-Yi Chu

Rehabilitation Practice and Science

Williams-Beuren's syndrome (W-B syndrome) is one of the genetic diseases, often comes with cardiovascular disease, abnormality of facial and teeth structure, poor motor control, delayed development of cognition and spatial sense. Here we present one child with W-B syndrome who underwent early intervention since she was 7 months old. After 20-month training, the child has made impressive progress in motor function and abilities of carrying ADL. Furthermore, by giving the parents instructions and guidelines for home programs, the relationship between the child and her parents also improved a lot. As the matter of fact, this casereport showed that the early …

台灣復健醫學雜誌通訊繼續教育測驗題, The Editors

Rehabilitation Practice and Science

No abstract provided.

Evaluation Of Pediatric Subjects With Swallowing Disorder Part Ii, Luh Karunia Wahyuni, Ming-Yen Hsiao, Hsing-Kuo Wang, Tyng-Guey Wang

Rehabilitation Practice and Science

The characteristics of pediatric swallowing, anatomical differences between pediatrics and adults, and swallowing problems in common pediatric diseases had been introduced in Part 1 of the article. The common methods for evaluation of pediatric swallowing are discussed in this part. The evaluation of swallowing function in pediatric patients is a great clinical challenge. It requires a team approach, an integration of multiple disciplines, and instrumental evaluations for establishing a diagnosis and developing an appropriate management plan. This article provides an introduction of the vital concept of clinical bedside evaluation and instrumental evaluation including the videofluoroscopic swallow study (VFSS), fibroptic endoscopic …

Cardiac Rehabilitation After Coronary Artery Bypass Graft Or Heart Valve Replacement Surgery-Experience Of A Medical Center, Ding-Hao Liu, Yi-Cheng Chen, Su-Ying Hung, Chen-Liang Chou

Rehabilitation Practice and Science

Background and Purpose: Cardiac rehabilitation (CR) is a long-term program that includes exercise prescription, education, and counseling on the limitation of physiological and psychological effects of cardiac disease and to enhance the psychosocial and vocational status of selected patients. In spite of CR being approved for patients who have experienced the consequences of coronary artery disease and for those who have had heart valve surgery, CR is widely underused. The aim of this study was to research the current status of CR for patients receiving coronary artery bypass graft (CABG) or heart valve replacement (HVR) in a medical center in …

Incidental Finding Of A Simple Dysraphic State Of A Closed Spinal Dysraphism And Tethered Cord In An Adult Patient With Low Back Pain: A Casereport, Lin-Chien Lee, Hung-Fu Lee, Fu-Kong Lieu

Rehabilitation Practice and Science

The recognition of a closed spinal dysraphism without a subcutaneous mass and cutaneous stigmata depends on the development of relevant neurological and urological symptoms and signs. It can also be an incidental finding when symptoms that do not originate from it are investigated. We describe a 39-year-old man who presented with spondylolysis-related low back pain. Plain film showed posterior spina bifida of S1 and magnetic resonance imaging of the L-spine revealed one intradural lipoma at the L5 level and cord tethering. Conservative treatment was suggested because no relevant symptoms or signs of a mass effect of the lipoma or tethered …

Investigating The Core Competencies For Rehabilitation-Related Therapists In Three Hospitals Belonging To A Medical Association In Southern Taiwan, Hing-Man Wu, Kuo-Shu Yuan, Daniel Chiung-Jui Su, Willy Chou

Rehabilitation Practice and Science

Objectives: Few studies have focused on job competency among medical-technical staff in hospitals. This study investigated the core competencies for a professional job among rehabilitation-related therapists, and examined how these competencies are applied to human resource management in hospitals, including recruitment, selection, placement, development, and promotion. Methods: A total of 113 rehabilitation-related therapists (comprising 67 physical therapists, 34 occupational therapists, and 12 speech therapists) from 3 hospitals belonging to a medical association in Southern Taiwan participated in the study. A test of competency using the ＂Nine Competencies Star＂ system developed by 1111 Job Bank was administered to the participants. The …

Health-Related Quality Of Life And Hemophilic Arthropathy In Hemophilia Patients, Chih-Ya Chang, Hui-Yi Su, Yung-Tsan Wu, Yu-Chin Chen, Liang-Cheng Chen, Shin-Tsu Chang, Tsung-Ying Li

Rehabilitation Practice and Science

Introduction: Hemophilia is an X-linked recessive bleeding disorder caused by a deficiency of coagulation factor VIII (hemophilia A) or IX (hemophilia B). The prevalence of hemophilia is approximately 1 per 105 in the general population. Repeated joint bleeding leads to chronic synovitis, cartilage damage, and bone destruction, yielding reduced range of motion (ROM), painful joints, and muscle atrophy. Hemophilic arthropathy can negatively influence perceptions of health-related quality of life (HRQOL) among hemophilia patients. This study explored the correlation between hemophilic arthropathy and HRQOL among hemophilia patients in Taiwan. Methods: The participants comprised 86 patients enrolled from a hemophilia center. We …

The Teaching Self-Reflection Tool And Skills Checklist, Arlene Lorch, Otd, Otr/L, Ches

Department of Occupational Therapy Faculty Papers

OBJECTIVE.

To provide occupational therapy faculty with a collaborative system to review and improve teaching skills within the educational program.

METHOD.

Six faculty members completed a self-assessment using self-reflection tools and feedback from an interview with a fellow faculty member serving as consultant. Surveys evaluated perceptions of the experience.

RESULTS.

Survey responses indicated strong approval of the peer review process as a valuable method for faculty development. Results identified aspects of the process that needed revision, specifically, the burden of time required to complete the process.

CONCLUSION.

Findings support the need for a peer review process because it benefits faculty, …

Age-Related Modifications To The Magnitude And Periodicity Of Neuromuscular Noise, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Background: Evaluation of task related outcomes within geriatric and fall-prone populations is essential not only for identification of neuromuscular deficits, but also for effective implementation of fall prevention strategies. As most tasks and activities of daily living are performed at submaximal force levels, restoration of muscle strength often does not produce the expected benefit in functional capacity. However, it is known that muscular control plays a key role in the performance of functional tasks, but it remains unclear to what degree muscular control and the associated neuromuscular noise (NmN) is age-related, particularly in the lower-extremities.

Objectives: The aim of this …

Effects Of Thoracic Spinal Manipulative Therapy On Thoracic Spine And Shoulder Kinematics, Thoracic Spine Flexion/Extension Excursion, And Pressure Pain Sensitivity In Patients With Subacromial Pain Syndrome, Joseph Kardouni

Theses and Dissertations

EFFECTS OF THORACIC SPINAL MANIPULATIVE THERAPY ON THORACIC SPINE AND SHOULDER KINEMATICS, THORACIC SPINE FLEXION/EXTENSION EXCURSION, AND PRESSURE PAIN SENSITIVITY IN PATIENTS WITH SUBACROMIAL PAIN SYNDROME By Joseph R. Kardouni, Ph.D., PT A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy, at Virginia Commonwealth University. Virginia Commonwealth University, 2013. Major Director: Lori A. Michener, PhD, PT, ATC, Professor, Department of Physical Therapy In patients with shoulder pain, the use of manual therapy directed at the spine and shoulder have been reported to provide superior outcomes to exercise based interventions or usual care without …

Grip Strength, Multimorbidity, And Disability, Amy M. Yorke

Dissertations

The presence of two or more chronic health conditions, also known as multimorbidity, is one of the most prevalent health disorders experienced by adults. Adults with multimorbidity and functional limitations represent clinical and financial challenges to the current health care system. The purpose of this three-paper dissertation is to examine the relationship between grip strength, multimorbidity, and the prediction of disability in adults. Data from the 2008 Health and Retirement Study (HRS), a nationally representative, longitudinal study completed on Americans age 50 years and over, are used for the dissertation.

The objective of the first paper is to investigate the …