Rehabilitation and Therapy Commons^™

Evaluation Of Lumbosacral Orthosis In Flexion And Extension Movements Of Lumbar Spine., Norazian Abd Razak

Student Works (2010-2019)

Lumbosacral orthosis (LSO) is a type of spinal orthosis that has been recommended for abdominal support, pain management, and motion or positional control. By implemented radiographic technique, objectives of this study was to evaluate the changes of lumbar lordosis in flexion and extension of trunk movements with and without wearing the LSO measured by Cobb, Centroid, and Posterior Tangent techniques and to correlate the value of lordotic angles in particular posture. Ten healthy male subjects without any history of low back pain participated and a semi-rigid LSO was utilized. Antero-posterior and lateral radiographs of spine images during neutral, flexion, and …

Using Matching Methods From Both Fisher's Experimental Design And Rubin's Causal Model To Compare Between Two Medical Facilities With Extremely Skewed Number Of Subjects, Gideon D. Bahn

Dissertations

The present study deals with the problem of comparison between a two medical facilities' with extremely skewed sample sizes from non-experimental study. The data came from a study of rehabilitation interventions with patients diagnosed with cardiac and pulmonary issues who received treatment either in inpatient rehabilitation facilities (IRFs) or in skilled nursing facilities (SNFs). Due to inclusion and exclusion criteria, however, the study had failed to recruit sufficient number of participants between two comparison groups: 319 from IRFs and 27 from SNFs. As a result, the main hypothesis of the study was not tested due to the disparity of the …

The Able Scale: The Development And Psychometric Properties Of A New Outcome Measure For The Spinal Cord Injury Population, Elizabeth Ardolino

Seton Hall University Dissertations and Theses (ETDs)

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The Effect Of An Incline Walking Surface And The Contribution Of Balance On Spatiotemporal Gait Parameters Of Older Adults, Richard A. Ferraro

Seton Hall University Dissertations and Theses (ETDs)

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The Relationship Between A Teacher Check List And Standardised Tests For Visual Perception Skills: A South African Remedial Primary School Perspective, Janet Richmond, K Holland

Research outputs pre 2011

Occupational therapy in remedial education settings has been questioned by the South African Government as they see occupational therapy as a costly service and thus has challenged occupational therapy clinicians’ approach to assessment. This study was undertaken to establish whether the results of standardised tests of visual perception skills, relate to teachers’ observations in respect of primary remedial school age children (six to eleven years) attending a short term remedial school because of low scholastic achievement despite having average or above intellectual ability. The Test of Visual Perceptual Skills – Revised, the Developmental Test of Visual Perception-2, the Jordan Left-Right …

Incorporating Rehabilitation Services Into Oncology Site-Specific Clinical Practice Guidelines, Kathleen Leies Rn, Ocn, Kathy Sevedge Rn, Ma, Aocn, Dorothy Morrone Rnc, Ms, Ocn, Stephanie Marshall Ccer, Jennifer Roeder Mspt, Mba

Department of Medicine

No abstract provided.

The Influence Of Religion And Spirituality On Rehabilitation Outcomes Among Traumatic Brain Injury Survivors, Brigid Waldron-Perrine

Wayne State University Dissertations

The long-term consequences of traumatic brain injury affect millions of Americans, many of whom report using religion and spirituality to cope. Little research, however, has investigated how various elements of the religious and spiritual belief systems affect rehabilitation outcomes. The present study sought to assess the use of specifically defined elements of religion and spirituality as coping resources in a sample of traumatically brain injured adults. Furthermore, various mechanisms by which religion and spirituality may affect outcome were explored.

The sample included 88 adults with brain injury from 1 to 20 years post injury and their knowledgeable significant others (SOs). …

Portable, Non-Invasive Fall Risk Assessment In End Stage Renal Disease Patients On Hemodialysis, Thurmon Lockhart, Adam T. Barth, Xiaoyue Zhang, Rahul Soangra, Emaad Abdel-Rahman, John Lach

Physical Therapy Faculty Articles and Research

Patients with end stage renal diseases (ESRD) on hemodialysis (HD) have high morbidity and mortality due to multiple causes, one of which is dramatically higher fall rates than the general population. The mobility mechanisms that contribute to falls in this population must be understood if adequate interventions for fall prevention are to be achieved. This study utilizes emerging noninvasive, portable gait, posture, strength, and stability assessment technologies to extract various mobility parameters that research has shown to be predictive of fall risk in the general population. As part of an ongoing human subjects study, mobility measures such as postural and …

The Outcome Star: A Tool For Recovery Orientated Services; And, Exploring The Use Of The Outcome Star In A Recovery Orientated Mental Health Service, Emma-Louise Keen

Theses : Honours

Objective: The primary objective of this review was to examine the Outcome Star and its utility as a tool for use in recovery oriented mental health services. The secondary objective was to examine similar instruments and their use within mental health services. Methods: Electronic databases Psycinfo, CINAHL, Medline and Proquest were searched. Manual searches of reference lists of retrieved articles and specific journals were undertaken to identify research relevant to describing the structure and properties of the Outcome Star, and its use in mental health settings. Results: A review of the literature revealed that there is a paucity of research …

The Experience Of Retirement For Individuals With An Intellectual Disability, Megan Flowers

Theses : Honours

Retirement is a significant life transition that affects all workers; it is therefore important that individuals in the workforce are aware of the issues that can occur during the retirement years. The retirement experience has been researched in depth, however studies into the experience of retirement for individuals with an intellectual disability is severely lacking. Robert Atchley researched the factors that facilitate successful retirement adjustment for individuals in the normative population; this narrative review discusses these factors in relation to the barriers that individuals with an intellectual disability face in achieving a smooth retirement adjustment. The results found that: individuals …

Pubertal Trajectory And The Management Of Menstruation In Females With Rett Syndrome And Down Syndrome, Olivia Annelies Knight

Theses : Honours

Background: Puberty is a challenging transition for all young women and particularly so for those with an intellectual disability. Individuals with an intellectual disability often experience both cognitive and physical impairment and a wide range of comorbidities. This review explores research into the pubertal trajectory and the management of menstruation in two syndromes within intellectual disability. Rett syndrome which is a severe neurodevelopmental disorder and Down syndrome which is a chromosomal birth disorder. Aim: The purpose of this review was to identify research exploring pube1ial trajectory and menstrual management in females with Rett syndrome and Down syndrome and …

The Work Practices And Employment Patterns Of Parents Of A Child With Rett Syndrome, Jessica Coles

Theses : Honours

Objective: To review the literature examining the work practices and employment patterns of parents of a child with an intellectual disability, with a specific focus on Rett syndrome. Method: Electronic database searches of Medline, Cinahl and ISI Web of Knowledge and manual searches of reference lists were conducted. Government Reports obtained from Australian Bureau of Statistics were also examined. Quality of articles was assessed using Qualitative and Quantitative Assessment Checklists from Standard Quality Assessment Criteria for Evaluating Primary Research Papers used to assess quality of literature. Results: The work practices and employment patterns of parents of children …

Psychosocial Responses To Spinal Cord Injury As Predictors Of Pressure Sores, Hanoch Livneh, Samuel T. Gontkovsky, Dobrivoje S. Stokic, Erin Martz

Counselor Education Faculty Publications and Presentations

Pressure sores are a preventable, but common, secondary complication of a spinal cord injury (SCI). Research is limited concerning the influence of psychological factors in the development of pressure sores. The purpose of our ex post facto study was to examine the role that emotional responses and coping strategies play in moderating the relationships between demographic and SCI-related medical variables and the frequency and severity of pressure sores. Ninety-five individuals, who sustained a sudden-onset SCI, completed a self-report questionnaire sent to the population of patients that received post-injury rehabilitation services at a rehabilitation center in the southern U.S. Multiple regression …

Changes In Weight Loss, Body Composition And Cardiovascular Disease Risk After Altering Macronutrient Distributions During A Regular Exercise Program In Obese Women, C. M. Kerksick, J. Bunn, D. Fogt, A. Thomas, L. Taylor, B. Campbell, C. Wilborn, T. Harvey, P. Roberts, P. Labounty, M. Galbreath, B. Marcello, C. Rasumussen, R. Kreider

Physical Therapy

No abstract provided.

Spinal Intramedullary Arteriovenous Malformations With Tetraplegia: A Casereport, Ching-Yao Yang, Shin-Liang Pan, Yen-Ho Wang, Wei-Hwa Liaw

Rehabilitation Practice and Science

Spinal arteriovenous malformations is a rare disease. The initial signs are usually in the forms of nonspecific sensory symptoms such as pains and parasthesia; therefore, it is difficult to conclusively diagnose this disease. Here, we report the case of a 30-year-old woman who suffered from a sudden weakness in the 4 limbs 15 years ago. The symptoms subsided after supportive care; she was discharged from a local hospital without further follow ups. Approximately 5 years ago, she had a sudden attack of pains in her left shoulder. The symptoms rapidly progressed to paralysis of the 4 limbs. She was sent …

Electric Stimulation For The Bladder Dysfunction In Patients With Spinal Cord Injury, Chao-Min Wang, Yen-Ho Wang

Rehabilitation Practice and Science

Bladder dysfunction makes huge impact on the patients with spinal cord injury. It not only causes inconvenience in daily living, but also leads to many complications, including life-threatening renal failure. Traditional methods had been brought into greater use for the management of bladder dysfunction, such as indwelling catheter, clean intermittent catheterization, external condom catheter, bladder augmentation and so on. Electric stimulation is an effective treatment for both bladder voiding and storage dysfunction and it can be used in many different location. The electrodes can be placed on spinal cord, nerve root, peripheral nerve, bladder and skin by surgical implantation, needle …

Quantitative Analysis Of Bladder Compliance In Healthy Subjects, Su-Ju Tsai, Tsung-Ho Ying, Yu-Lin Kao, Yu-Hui Huang, Chun-Yao Yu, Liu-Ing Bih

Rehabilitation Practice and Science

Bladder compliance expresses the relationship between bladder volume and detrusor pressure and is generally regarded as a measure of bladder stiffness or distensibility. Based on the varied selection criteria during the urodynamic study, differences in bladder compliance often exist. The objective of this study was to provide reference ranges for ”normal” variability in bladder compliance among healthy subjects.A total of twenty-four healthy subjects, twelve men and twelve women with mean age of 25.2 years and estimated maximal capacity (EMC) of 393 ml, were enrolled in this study. During the standardized procedures of urodynamic study, pairs of data on bladder volume …

Effects Of High Voltage Galvanic Stimulation On Sleep And Health-Related Quality Of Life Among Hemodialysis Patients, Min-Dauw Chung, Mu-Jung Kao, Chiu-Ching Huang, Yu-Wen Cheng, Mei-Wun Tsai

Rehabilitation Practice and Science

Background/Purpose: Disturbances in sleep and health-related quality of life (HRQL) are common in hemodialysis patients. The aim of this study was to investigate the effects of high voltage galvanic stimulation (HVGS) on blood chemistry, sleeping quality and HRQL among hemodialysis patients.Methods: This is an experimental one way repeated measure design. We enrolled 19 patients from a major hemodialysis center. All patients underwent whole body FT-9000 HVGS therapy, 20 minutes per session, three times per week, for 12 weeks. The assessments of therapeutic effectiveness including basic blood cell counts and biochemistry, Short Form-36 (SF-36) health survey, and the Pittsburgh sleep quality …

The Hemineglect And Hemianopia In Right Hemispheric Stroke Patients, Yung-Nan Hsu, Liu-Ing Bih, Chang-Zern Hong

Rehabilitation Practice and Science

This study investigated whether a stroke patient with left hemianopsia, which was confirmed by the perimetric test, may also have hemineglect. The relationship between hemineglect and hemianopia in patients with right hemispheric stroke was evaluated. Eleven subjects with left unilateral neglect underwent three testing sessions separated in time. The three test sessions, including cancellation and static perimetric tests, were performed at approximately 3 months, 4 months, and 7 months post the onset of the stroke. For the cancellation test, patients were asked to circle 60 marks on the test paper, and the number of marks correctly circled was scored. For …

Treatment Of Piriformis Myofascial Pain Syndrome Related To Lumbar Facet Lesion: A Casereport, Nai-Phon Wang, Fang-Chuan Kuo, Yueh-Ling Hsieh, Shyi-Kuen Wu, Chang-Zern Hong

Rehabilitation Practice and Science

This casereport describes a patient with chronic pain due to piriformis myofascial pain syndrome related to lumbar facet joint lesion. The purpose is to demonstrate the elimination of the underlying etiological lesion by lumbar facet joint injection with steroid suspension for a complete and effective treatment of piriformis myofascial pain syndrome in order to obtain a permanent pain relief. A 46 year-old male patient had chronic pain in the right gluteal region and right leg (with tingling) for many years. Initially, he had been treated as piriformis syndrome with oral medicine, physical therapy and local injection, and had only temporary …

Huge Retroperitoneal Liposarcoma As The Initial Presentation Of Sciatica: A Casereport, Li-Ling Lin, Ssu-Yuan Chen, Chi-Lun Rau, Shin-Liang Pan, Yu-Wen Tien

Rehabilitation Practice and Science

Background: Retroperitoneal liposarcoma is one of the common soft-tissue tumors that occur in the retroperitoneal cavity. It often invades adjacent structures and causes symptoms of gastrointestinal or urinary tract infection. However, it rarely causes sciatica by compressing the lumbosarcral nerve roots. A recent reviewarticle of the domestic literatures revealed that this is the first casereport on sciatica caused by retroperitoneal liposarcoma.Case: We present the case of a 29-year-old man who complained of left knee pain for half a year. The pain gradually progressed to his left lateral calf. Sciatica was suspected based on his clinical symptoms and electrodiagnostic studies. However, …

The Effect Of A Health Promotion Program On Overweight Polio Survivors, Yen-Nung Lin, Chi-Yang Hsu, Chyan-Yeong Wang, Kwang-Hwa Chang, Tsan-Hon Liou

Rehabilitation Practice and Science

Although health promotion issues specific to people with physical disabilities have received much attention in the last ten years, related clinical trials studying the efficacy and viability of these programs are lacking. In this pilot study, we implemented a short-term health promotion intervention for overweight/obese post-polio survivors. The study design included a three-month intervention containing exercise, diet education and health behavior modification, a before-and-after comparison, and a 12-month follow-up.Thirty one subjects were enrolled. They were divided into three groups by their mobility ability. Group 1 was comprised of those who could walk independently without an orthosis; group 2 subjects walked …

The Characteristics Of Visual Perception In Children With Diplegic Cerebral Palsy, Fang-Ling Wang, Ling-Fu Meng, Wan-Ju Tu

Rehabilitation Practice and Science

Visual perception is the ability to manipulate and integrate the visual information received by brain. Early damage involving the structures of visual perception in the brain will give rise to visual perceptual impairment. The periventricular area is one of those structures related to visual perception. Nearly all preterm infants with spastic diplegia exhibit cystic periventricular leukomalacia. Therefore, it has been wondered if children with diplegic cerebral palsy were at risk of visual perceptual impairment. In fact, behavioral studies have shown that many children with diplegic cerebral palsy demonstrate weakness in some subtests of visual perceptual evaluation. Visual closure, figure-ground, and …

Effects Of Modified Constraint-Induced Therapy Versus Bilateral Movement Training On Upper Extremity Performance In Patients With Chronic Stroke: A Kinematic Analysis, Ya-Fen Chang, Wen-Chung Tsai, Chia-Ying Chung, Yin-Chou Lin, Yueh-Tsen Chen, Ching-Yi Wu, Ken-Chung Lin

Rehabilitation Practice and Science

Background and Objective: Several evidence-based treatment programs for improving upper extremity functions such as constraint-induced therapy (CIT)/modified CIT (mCIT) and bilateral movement training (BMT) have been developed recently. The mCIT program combines restraint of the unaffected hand with intensive training of the affected hand, and BMT involves intensive bilateral training with symmetrical functional training. In this study, the relative efficacy of mCIT vs. BMT was compared by a kinematic analysis that quantitatively assessed motor control in high functioning stroke patients when performing unilateral and bilateral functional tasks.Methods: In a pretest-posttest, randomized controlled trial, twenty-three stroke patients were randomly allocated to …

Occurrence Of Segmental Zoster Paresis In The Right Arm Of An Adult With Multiple Sclerosis: A Casereport, Shih-Han Lin, Wen-Shiang Chen

Rehabilitation Practice and Science

Segmental zoster paresis is a rare complication of cutaneous herpes zoster. Clinical diagnosis of segmental zoster paresis depends upon a history of painful vesicular eruptions in a dermatomal distribution, followed by muscle weakness in the related myotomes. We report the case of a 45-year-old woman with opticospinal type multiple sclerosis with recent cutaneous herpes zoster and right shoulder girdle weakness. Differential diagnosis included multiple sclerosis relapse, zoster myelitis, segmental zoster shoulder paresis, cervical radiculopathy, and shoulder joint or soft-tissue disorders. MRI with gadolinium enhancement of the spinal cord 1 week after the onset of symptoms showed neither new multiple sclerosis …

Acute Renal Failure After Ingestion Of Polyethylene Glycol Electrolyte Lavage Solution For Bowel Preparation In A Chronic Spinal Cord Injury Patient: A Casereport, Ping-Hsin Ko, Ya-Ling Huang, Yen-Ho Wang, Huey-Wen Liang, Shin-Liang Pan

Rehabilitation Practice and Science

Intravenous pyelography (IVP) is a common tool for evaluating the upper urinary tract in spinal cord injury patients. To obtain a proper image, bowel preparation is required. Among the regimens for bowel preparation, polyethylene glycol (PEG) electrolyte lavage solution has a good cleansing quality and fewer side effects. Nonetheless, adverse effects of the regimen, though rare, have been reported. We describe a spinal cord injury patient who suffered from acute renal failure as a result of PEG-related toxicity, after taking oral PEG electrolyte lavage solution for bowel preparation. A 57-year-old woman who had sustained spinal cord injury for 11 years …

Conversion Paraplegia: A Casereport, Chin-Feng Yu Cheng, Shih-Ching Chen, Jiunn-Horng Kang

Rehabilitation Practice and Science

A 21-year-old man had progressive weakness and numbness of bilateral lower extremities and sphincter dysfunction after a traffic accident. The image and electrodiagnostic study showed no significant abnormal findings. Conversion paraplegia was suspected due to unusual clinical presentation, which cannot be explained by neuropathologic lesions. After intensive rehabilitation, patient's functional performance improved significantly and he could walk independently without device. But later, a fibrous dysplasia lesion was found at left sphenoid greater wing. He received an operation to remove it. The relationship between his benign brain tumor and conversion disorder is unknown, but the tumor that compressed temporal lobe might …

Voiding Dysfunction In Cerebellar Stroke: A Casereport, Chi-Chung Ho, Yu-Hui Huang, Su-Ju Tsai, Ko-Shin Jian, Yung-Liang Kao, Liu-Ing Bih

Rehabilitation Practice and Science

Animal studies have suggested that the cerebellum plays an inhibitory role in the collecting phase and a facilitatory role in the emptying phase of the voiding reflex in the micturition cycle.A 12 year old girl was admitted who complained of a headache and had a disturbance in consciousness after running in school. An emergent brain computed tomography scan showed massive bleeding over bilateral cerebellum hemispheres, vermis, and ventricles. An occipital craniotomy was performed to remove the hematoma. Simultaneously, an arterio-venous malformation was found and excised. She regained consciousness 3 weeks later, thereafter urine retention was noted as well as trunkal …

The Wilson Disease: A Casereport, Nai-Chiung Huang, Ta-Sen Wei, Yen-Chung Chen, Wei-Chen Liang, Peng-Ta Liu

Rehabilitation Practice and Science

Wilson disease is a rare autosomal recessive inherited disorder of copper metabolism. The genetic defect, localized to chromosome arm 13q, has been shown to affect the copper-transporting adenosine triphosphatase gene. The major pathology is excessive deposition of copper in the liver, brain, and other tissues. The most common presenting neurological features are tremor, dystonia and ataxia that influence the motor control and gait. The diagnosis is confirmed by measurement of serum ceruloplasmin, urinary copper excretion and hepatic copper content as well as the detection of Kayser-Fleischer rings.The subject in our case study is a 25-year-old, female patient with Wilson disease. …

Assessment Of Individual Activities Of Daily Living And Its Association With Self-Rated Health Status In Elderly People, Yu-Ning Hu, Chin-Ching Li, Chia Lee, Rung-Huei Lin, Gwo-Chi Hu

Rehabilitation Practice and Science

Health-related quality-of-life in the elderly generally encompasses freedom from disease, good physical and psycho-social well-being, and preventing the loss of function in activities of daily living (ADL). Some indices of ADL, such as basic ADL and instrumental ADL, are considered to be measures of functional status in the elderly. However, in most studies, functional status is evaluated by either the summed ADL score or disability score in one or more ADLs. No studies have investigated the association between an individual's ADL function and self-rated health status. The purpose of this study was to investigate the relationship of functional status (i.e., …