Rehabilitation and Therapy Commons^™

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 …

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 …

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 …

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.

The Development Of Non-Invasive Lumbar Spinal Mobility Transformation Model And Assessment Tools For Clinical Applications, My Lee, Wk Chiou, Yh Lee, Wj Chen, Yh Lin

Rehabilitation Practice and Science

Lumbar spinal flexion and extension motion was measured radiographically and from the back surface curvature (using motion analysis system) for evaluating lumbar spinal mobility (LSM). Twenty-four volunteers participated in this study and underwent lateral spinal radiographs and photographs in three postures (neutral, flexion and extension). The lumbar sacral angles (LSA) and the angles of each vertebral segment were obtained both from skin surface curvature and picture of X-ray. The results showed that the LSA and LSM remained the same either calculated based on Cobb angle or overly angle definition. To transform skin marker coordinates into corresponding vertebral body coordinates, a …

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.

National Health Insurance And Rehabilitation Medicine, Yu-Mei Yu Chao

Rehabilitation Practice and Science

No abstract provided.

Medicine In Taiwan: Towards The Future, Tzu-Min Kao

Rehabilitation Practice and Science

No abstract provided.

Development Of Rehabilitation Medicine In Taiwan During Past Three Decades, I-Nan Lien

Rehabilitation Practice and Science

No abstract provided.

Rehabilitation Of Patients With Adult Motor Neuron Disease, Joel A. Delisa

Rehabilitation Practice and Science

No abstract provided.

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

Is The Motor Point Better In Reproducibility Of Surface Emg Signal?, Alice May-Kuen Wong, Fuk-Tan Tang, Shiu-Ching Lee, Wen-Ko Chiou

Rehabilitation Practice and Science

The EMG signals acquired from acupoint Fu Tu (a motor point in rectus femoris) were reported to be more stable and reproducible than those from the middle point between greater trochanter to tibio-femoral junction of knee in standing position. It was different from the concept of better surface EMG signal from muscle belly than motor point.For studying whether the motor point is a better surface electrode location for stability and reproducibility of EMG signal, 6 normal subjects were examined at right quadriceps in isometric and isokinetic contractions by Cybex 340 dynamometer. The active electrodes of surface electromyography (S-EMG) were placed …

Cervical Spondylosis With Unilateral Symmptomatic Radiculopathy And Radiculopathy On The Asymptomatic Side, Hwa-Lin Shou, Shei-Song Hsu, Rai-Chi Chan, Tao-Chan Hsu

Rehabilitation Practice and Science

This study has the following purposes: (1) to inquire the incidence of radiculopathy on the asymptomatic side in the cervical spondylotic patients with unilateral symptomatic radiculopathy. (2) to inquire the relationship between asymptomatic side and symptomatic side in the unilateral symptomatic radiculopathic patients due to cervical spondylosis. All subjects has been studied by motor and sensory nerve conduction test, and electromyography (EMG) for muscles supplied by roots from C-5 to T-l levels bilaterally. The results showed that the incidence of radiculopathy and the EMG abnormalities on the asymptomatic side correlated well with the EMG abnormalities on the symptomatic side, but …

H-Reflex Study In Patients With C7 Radiculopathy, Sau-Chin Mei, I-Ping Liu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

H-reflexes of the flexor carpi radialis muscle were studied in 60 controls and 42 patients with C7 radiculopathy. Reflex parameters were compared to normal standards and correlated with clinical evaluations, radiologic and other electrophysiologic findings. The surface recording technique used was similar to that described in the previous report for the study of normal subjects.The present data reveled: 1) Patients with C7 radiculopathy showed an abnormally prolonged latency of the FCR H-reflex. It increased from an average of 16.8±1.9 msec in normal subjects to 22.4±1.7 msec, p＜0.05. 2) The peak-to-peak amplitude of the H-reflex was significantly decreased from a normal …

Urinary Retention After Stroke, Jen-Wen Hung, Tsu-Kung Lin, Chau-Peng Leong, May-Kuen Wong

Rehabilitation Practice and Science

The major voiding problems in patients with CVA are urinary incontinence, frequency, urgency and retention. We tend to regard the stroke patients who have spontaneous voiding as being “normal”, however, some of these patients have occult incomplete emptying or silent urinary retention would not have been discovered until complication developed.We prospectively evaluated the bladder emptying status in stroke patients, and collected the data of brain CT or MRI, functional status, motor status, posture of urination and so on, to define the characteristics and risk factors of urinary retention after stoke. Eighty-six stroke patients, admitted to the rehabilitation department of CGMH …

Electrical Stimulation Versus Conventional Exercise In Strengthening Quadriceps After Lower Leg Injury, Rong-Fong John, Yun-Er Wang, Yen-Chun Wu, Wen-Ling Chen, Tse-Chieh Hsueh

Rehabilitation Practice and Science

The purpose of this study was to investigate the treatment effect of Russian's electrical stimulative training program versus conventional exercise in muscle strengthening of quadriceps. Seventeen patients who had undergone surgery for fracture of lower leg or ACL, PCL reconstruction or repairment, were randomly divided into two groups; 7 patients served as a control group underwent isometric contraction of quadriceps, another 10 patients served as a study group underwent with maximal tolerable isometric contraction induced by Russian's E.S.. The parameter of Russian's E.S.consisted of 2500 Hz median frequency modulated at 50 bursts per second (50 pps) 10 times Russian's E.S. …