Rehabilitation and Therapy Commons^™

The Correlation Between Distance Of Two Point Discrimination In Hand And Performance Of Functional Discriminative Activeity In Normal Young Adults: A Preliminary Study, Sue-May Kang, Shen-Chang Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the difference of the distance of two point discrimination between distal and proximal areas in hands and the correlation between the performance of functional discriminative activity and the distance of two point discrimination.The moving and static two point discrimination distances of bilateral hands were measured in thirty normal young college students. Each of them performed the tests of functional discriminative activity by searching red-beans mixed in a container of rice and recognizing the numbers (from zero to nine) engraved on ten rubber stamps. The results revealed that (1) The distance of two …

The Effect Of Eccentric Isokinetic Training At Various Positions On Concentric And Eccentric Strength Of The Quadriceps, Hsiou-An Hu, Choon-Khim Chong, May-Kuen Wong

Rehabilitation Practice and Science

The purpose of this study was to evaluate the effect of quadriceps isokinetic eccentric trainingprogram at the strength of both concentric and eccentric strengths, as well as for the different eccentric training positions. Fifty-two normal subjects (26 male and 26 female), aged 21-32 year, were randomly assigned to a control group and two treatment groups. The first treatment group (n=18) trained in the sitting position and the second treatment group (n=18) trained in the supine position. They received quadriceps isokinetic eccentric training 3 times/week for 8 weeks. The control group (n=16) did not train but was tested at the same …

The Investigation Of Social Outcome For Stroke Patients In Souyhern Taiwan, Jyh-Jong Chang, Tsui-Hsien Chien, Shih-Yin Chen, Young-Tso Lin

Rehabilitation Practice and Science

One hundred and fifty-six stroke patients were investigated to analyze the changes of time or frequency of performing social activities between pre-stroke and post-stroke stages. Modified (Frenchay activities index) questionnaire was used and subjects were devided into three groups by the Barthel scores. Within- subjects Wilcoxon signed-rank test was used to analyze the collected data. The results showed social activities were grossly disrupted in most patients after stroke especially in group I, group II (ADL-dependent groups), while group III (ADL-independent group) was primarily limited in outdoors social activities. Most of the stroke pa-tients spent much time in day-time sleep and …

Electrophysiological Study Of Shoulder Pain In Stroke Patients, Pao-Tsai Cheng, Chia-En Lee, Mei-Yun Liaw, May-Kuen Wong

Rehabilitation Practice and Science

A total of 50 patients, who had developed hemiplcgia or hcmiparesis as a result of a cerebral vascular disease, were collected for electrophysiologic study. All of these patients were free of peripheral nerve disorder or shoulder joint pathology.MNCV, SNCV, F latencies of bil median nerves and concentric needle eiectromyographic examination were done. The relationship between electrophysiological findings and clinical features of the patients was analyzed. A positive correlation between shoulder pain and presence of shoulder subluxation or shoulder ROM limitation was found. However, no significant correlation of shoulder pain to the severity of motor deficit, sensory impairment or spasticUy of …

Urological Surveillance And Urologic Complications In Patients With Chronic Spinal Cord Lesions, Liu-Ing Bih, Liang-Fang Chen, Jia-Jang Fuh

Rehabilitation Practice and Science

Renal failure was once the leading cause of death in patients with chronic spinal cord lesions. In western countries, dramatic improvements in urologic care enhancing patient survival have occurred in the last 25 years. Nonetheless, urological complications continue to be the major morbidity in spinal cord injured patients. The purpose of our investigation was to survey the urological complications in patients suffered from spinal cord injuries (SCI) for more than 2 years in Taiwan. Forty-nine male and 11 female patients had comprehensive urological studies prospectively. Of the 49 male patients, 32 (65.3%) had had bladder training in the acute stage. …

Vesogenic Erectile Dysfunction In Chronic Spinal Cord Injured Person: A Casereport, Ngok-Kiu Chu, Fuk-Tan Tang, Pong-Yuen Wong, Yung-Ming Lin, May-Kuen Wong, Chi-Fung Tam

Rehabilitation Practice and Science

Sexual dysfunction Wth erectile disability is a common complication in spinal cord injured males. Usually their erectile dysfunction are neurogenic in originn. We have begun to apply intra-cavernous injection of prostaglandin E1(PGE1) for management of erectile dysfunction in spinal cord injuries since 1991 and encouraging results have been achieved. We report here a case of chronic spinal cord injury with vasogenic erectile dysfunction who does not respond to intracaver-nous PGE1 injection. We want to clarify that the use of intracavernous PGE1 injection in application to cavernosography and penile blood flow study is of great value in differential diagnosis of erectile …

Antalgic Gait Of The Pelvic Girdle Dysfunction: Two Cases Report, Ching-Maw Lin, Chinn-Dong Chung, Chorng-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

The dysfunction or pathomechanics of sacroiliac joint is a common cause of low back pain. The sacroiliac joints are nonweight bearing joints that function to absorb forces from various directions. Pyogenic infection of the sacroiliac joint resulted in limited hip mobility and pain when the peivis was compressed. The first case was diagnosed as septic arthritis and reported.Infectious processes in the retroperitoneal space often involve the iliopsoas muscle. The infection usually is secondary to other intra-abdominal or intra-pelvic inflammatory processes However they rarely arise primarily within the retroperitoneum. These primary infections occur most often in younger patients and usually will …

Diagnosis And Management Of Spinal Tuberculosis: A Report Of Three Cases, Nai-Chung Huang, Ta-Sen Wei, Uei-Jyh Chen

Rehabilitation Practice and Science

The majority of tuberculosis bacillus infection is in the lung. Although the incidence of infection in the skeletal system is low, spinal tuberculosis is on important cause of hack pain in the Rehabilitation Outpatient Department because it is the most skeletal site affected.During the past year, we managed three cases of spinal tuberculosis. The characteristics of these patients were 1) backache over the thoracolum-bar junction with knocking pain, 2) fair response to analgesics and physical modalities and Paras-pinal abscess noted on MRI (Magnetic Resonance Image) examination. Chemotherapy and surgery were performed in two cases with significant neurological symptoms (weakness and …

Comparative Study Of Recording Electrode On First Donrsal Interosseous And Abductor Digiti Minimi In Cubital Tunnel Syndrome, Gii-Hsiang Hsu, Rai-Chi Chan, Tu-Bin Chu, Tao-Chang Hsu

Rehabilitation Practice and Science

Cubital tunnel syndrome is the common entrapment/compression mononeuropathy diagnosed in the electromyography (EMG) laboratory. Slowing of the elbow segment's motor conduction velocity is a primary identifier of anab normality. The purpose of this study is to compare the difference of the conduction velocity with recording in First Dorsal Interosseous (FDI) and Abductor digiti minimi in cubital tunnel syndrome (CuTS).The subjects included three groups: one study group consist of 24 upper limbs with CuTS which were diagnosed by NCS & needle EMG.. Another two control groups consist of 52 normal upper limbs which were fmther divided into older group (＞30 years …

Acute Spinal Cord Injury Complicating With Pulmonary Embolism: A Casereport, Ssu-Yuan Chen, Chun-Liang Wu, Yen-Ho Wang, Juey-Jen Hwang, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Pulmonary embolism (PE) is a life-threatening disease with variable manifestations and thus early diagnosis is difficult among the spinal cord injury (SCI) patients. There are still no clinical reports or statistical data about the PE in SCI patients in Taiwan. However, the incidence of PE in SCI patients was higher than that in general population according to the reports in western countries, and early prevention, diagnosis and treatment were documented to reduce the morbidity and mortality. So the doctor should keep alert to the possible PE in the SCI patients especially when there are new-onset symptoms or signs. Here we …

Posttramatic Precocious Puberty And Hyperphagia: Casereport, Chih-Fan Yang, Choon-Khim Chong, May-Kuen Wong

Rehabilitation Practice and Science

A case of 4 years 8 months old girl who had the brain insult was followed till 8 years 1 month old. Precocious puberty with hyperphagia was noted. Results of endocrine testing revealed normal pituitary function, but increased to pubertal level of gonadotropins. Radiological study confirmed posttramatic encephalomalacia at right hemisphere including right ventromedial hypothalamus. This report discussed the medical course of the case including rehabilitation management.

Microtumor-Studies On Clinical Manifestations Of Myofascial Pain Syndrome, Yuan-Hong Yei, Chorng-Sonq Chou

Rehabilitation Practice and Science

Myofascial pain syndrome is a common diagnosis in the outpatient department. Ciinicians often emphasize pain management and neglect the under-lying causes. This study was based on 5 cases of microtumor manifested with myofascial pain syndrome. The data were collected from April 1984 to December 1991 in Veterans General Hospital Taichung. The clinical symptoms which lasted from 1 month to 17 years, physical examination which included active, passive & resisted active ROM, painpattern, image study, operative findings and outcome will be discussed. We should pay more attention to the underlying causes of myofascial pain syndrome. This study reports the possibility of …

Inclusion Body Myositis: Report Of A Case, Chein-Wei Chang, Tien-Jye Chang, Ming-Shiang Wu, Che-Yen Chen

Rehabilitation Practice and Science

A female of age 30 years developed a muscular weakness in proximal extremities during 2 years and responded poorly to steroid treatment. Creatine kinase in isoenzymic MM form was markedly elevated according to a serum muscle enzyme test. Electromyography examination showed a myopathic feature. Histopathological tests in muscle biopsy specimens revealed prominent cytoplasmic vacuoles rimmed by basophilic granules under space optical microscopy, and abundant intranuclear filamentous inclusions in electron microscopy. These clinical features and athological especially electron microscopic findings are considered to be of paramount importance for the diagnosis of inclusion body myositis.

中華民國復健醫學會章程, N/A

Rehabilitation Practice and Science

No abstract provided.

復健科專科醫師甄審原則, N/A

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.

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

The Utility Of Magnetic Stimulation In Peripheral Nerve Study, Wang-Lin Su, Baii-Jia Yang

Rehabilitation Practice and Science

Clinically, we were occasionally asked to evaluate peripheral nerve injuries in patients whose local cutaneous conditions, such as burn wound, crushing wound, skin graft, and gauze overlying limb, were not suitable for percutaneous electrical stimulation or needle EMG. Could the magnetic stimulation be used in these conditions? How much potential deviation could be produced with this technique when the limbs were covered by gauze? Its our purpose to solve these questions.Thirteen young volunteers participated in this tudy. First, we performed the motor and sensory NCV with percutaneous electrical stimulation. Then, the magnetic stimulation was performed with Cadwell MES-10, 9cm pointed …

The Long Term Follow-Up Of Renal Function In Male Spinal Cord Injurd Patients, Min-Way Lai, Chin Lan, Jin-Shin Lai, Liu-Ing Bih, I-Nan Lien

Rehabilitation Practice and Science

The purpose of this study is to discuss the long term changes of renal function in traumatic spinal cord injured patients. This study was carried out on 45 male cases who suffered from complete traumatic spinal cord injury. As a result of injury 17 cases were quadriplegic, 28 were paraplegic. The mean age of these cases was 41.5 years (range from 21 to 60 years). The mean period of these cases since onset to receiving urodynamic study was 2 years and 4 months (range from 1 month to 14 years). All of these cases had accepted at least two urodynamic …

Investigation Of The Relationship Between Pelvic Tilt And Unilateral Sacroiliac Pain, Beth-Anne Moody Jones

Rehabilitation Sciences Theses & Dissertations

Low back pain is the nation's leading cause of disability. Differential diagnosis of a low back injwy can be complicated and uncommon disorders can be overlooked. Many of the signs and symptoms related to low back pain may in fact be caused by sacroiliac dysfunction. Reliability of the current clinical tests for detection of sacroiliac involvement has been of concern. Recently more focus has been given to the use of pelvic tilt measurement as a source of clinical information on the sacroiliac joint. The purpose of this study was to examine the correlation of unilateral sacroiliac dysfunction with asymmetrical changes …

Bridging Conflicting Ideologies: The Origins Of American And British Occupational Therapy., Ruth L. Schemm

Department of Occupational Therapy Faculty Papers

Occupational therapy practice has bridged two contradictory value systems for more than 100 years. This article describes the origins of practice ideas in both the United States and Britain and demonstrates that founding members of the occupational therapy profession all shared a core of humanistic beliefs while embracing the emerging paradigm of scientific medicine. The result has been an intellectual tension between the biological and the psychosocial aspects of practice. For more than 75 years, occupational therapists struggled to balance the art and science of patient care; recent debates on modalities, practice domains, and research priorities indicate that the unifying …

Biofeedback Gait Training Auditory Vs. Visual Techniques, Timothy D. Hiemenz

Electrical & Computer Engineering Theses & Dissertations

Training lower extremity amputees to walk normally is quite a difficult task. Amputees must wear a prosthesis so they can walk at all. This allows them some mobility, but their walking pattern may be unnatural. If their gait is temporally asymmetric, they need to exert more energy to move about. This research was initiated to help lower extremity amputees to walk more efficiently using biofeedback gait training. Two types of feedback were developed and tested to determine which method gave the most understandable feedback, validating its use in a clinical setting.

A normal gait cycle uses the lower limbs to …

Correlation Between Hamstring Spasticity And Range Of Motion And Selected Gait Parameters In Pediatric Clients With Spastic Diplegia, Erin Mccain Glace

Rehabilitation Sciences Theses & Dissertations

Spasticity is often considered the primary limitation to function in children with spastic cerebral palsy. The purpose of this study was to study the relationship between hamstring spasticity and a functional activity, specifically gait. The gait parameters chosen were step length, stride length and velocity. A secondary purpose was to study the relationship between hamstring contracture and the same gait parameters. Reliability data were calculated for tone and ROM measurements. Eleven subjects (8 male and 3 female) between the ages of three years and fifteen years with a primary diagnosis of spastic diplegia were recruited for this study.

Hamstring spasticity …

Electrophysiologic Evaluation Of Muscle Spasticity In Stroke Patients, Yu-Hui Cheng, Rai-Chi Chan, Ning Chiang, Tao-Chang Hsu

Rehabilitation Practice and Science

”Clinically,there is still no ideal measurement to grade the spasticity caused by varying causes-The method mostly used such as Ashworth scale is for subjective and gross evaluation. The purpose of this study is to develop a more objective and quantitative test for muscle spasticity in stroke patients.The study recruits 20 cases of stroke patients with spastic hemiplegia whose Brunnstrom stage is graded at 2 to 4, the Ashworth grading is also at 2 to 4. The muscles tested are bilateral biceps brachialis and quadriceps femoris muscles. The following items are proceeded: I, Muscle activity while in rest, 2. Activity maintained …

The Effects Of Russian Stimulation To Muscle Power: Comparison Of Cmap And Muscle Strength Test, Huann Chang, Rai-Chi Chan, Chou-Jong Chen, Chi-Han Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

The purposes of this study are 1. To monitor the improvement of muscle performance following Russian stimulation training by muscle strength test and compound muscle action potential (CMAP) recording. 2. To investigate the place of quantitative CMAP recording technique in evaluation of muscle power. the APB and ADQ muscles from 20 healthy volunteer were included. Muscle strength was recorded by strain gauge, and CMAP of both muscles were recorded by Viking EMG following supramaximal electrical stimulation at wrist. Two evaluation sequences were done before and after Russian stimulation training of APB and ADQ muscles for 1 month. Results disclosed that, …

The Different Temperture Effects On Median And Ulnar Conduction Velocities In Patients With Carpal Tunnel Synrome, Shyh-Jen Yu, Sheau-Ping Helen Pan, Shyh-Fu Wu

Rehabilitation Practice and Science

”The purpose of this study is to compare the different nerve conduction responses of median nerve (MN) and Ulanr nerve (UN) in patients with carpal tunnel syndrome (CTS) after changing the temperature of hands.Thirty hands of CTS group were evaluated and compared to those of normal subjects by exposing the hands for 20 minutes to (1) room temperature (25℃). (2) cold water (15℃), and (3) hot packing (70℃). Then we measured the temperature, motor and sensory nerve conduction latencies of those hands immediately after each exposure. When comparing with room temperature, the distal latencies (DL) of both MN and UN …

A Survey Of Traumatic Hand Injuries In Tao-Yuan Area, Sau-Kwan Fok, Yau-Wai Wai, Shean-Yu Lin

Rehabilitation Practice and Science

926 cases of hand injuries attending the Reha-bilitation Department or Emergency Service of Provincial Taoyuan Hospital from the period between Jan 1990 to May 1992 were studied either through interview (37). telephone (153) or chart review (736). Their pattern and severity of injuries, contributing causes- the present status of recovery and efficacy of rehabilitation were assessed. 78.9% of these injuries were job-related. 63.1% were injured directly by machines. Index finger was the most frequently injured site: middle finger ranked second. for job-relaied injuries. 14.5% of them need hospitalization and they hospitalization for 20.3 (2-180) days on the average. Among 357 …

The Study Related To Muscle Power Of Knee Extensor And Flexor In Normal People, Chinn-Dong Chung, Chorng-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Isokinetic exercise is performed at a constant speed throughout the range of motion. As the muscle is appiied by force, it encounters a proportional opposing resistance so as to keep the speed of movement eonslanl. Where the muscle is tronger, the resistance increases. The distinct advantage of isokinetic exercise is that it permits the muscle work fully throughout its range of motion.There are many advantages for isokinetic test. They inciude safty, efficiency, accomodating resistance, accuracy and reliability of test data, permanent objective recording and accomodaiion to pain.Thirty gentlemen and twenty ladies arc tested by LIDOACT in our study. The purposes …

Upper Extremity Pain In Spinal Cord Cord Injured Patients Post-Rehabilitation: A Preliminary Report, Kai-Ping Tseng, Alice M. K. Wong

Rehabilitation Practice and Science

This study followed up 59 spinal cord injure(SCI)patients , including 33 quadriplegic and 26 paraplegic.There're 50.8%(30/59) of SCI patients reported upper extremity (UE)pain , most common ar the shoulder . The prevalence of UE pain in male SCI is slightly higher than in famale SCI patients. Separately speaking , there're 72.7%(24/33) quadriplegic with UE pain and risk factors including(1) injure period＜2 years(2)age＞30 years old. There're 23.1% (6/26) paraplegic with UE pain and risk factors including(1)no pressure sore (2) injured period ＞ 9 months (3)traumatic injured (4) fracture-dislocation injured (5) lower activity(6)male. The prevalence of UE pain in quadriplegic is significant …

Antibacterial Effects Of A Silver Electrode Carrying Microamperage Direct Current In Vitro, Poh Chye Young, Luther C. Kloth, Linda Jean Laatsch-Lybeck

Physical Therapy Faculty Research and Publications

Currently, electrical stimulation is an accepted method used clinically to promote chronic wound healing. A literature review revealed that similar therapeutic current has been shown to suppress growth of common wound pathogens in vitro and in vivo. To date, little has been reported on the factors contributing to the antibacterial effects of microamperage direct current (μADC) stimulation. The purpose of this project was to investigate the role of electric field strength, current density, pH, and type of electrode used in vitro, to gain a better understanding of how these factors contribute to inhibiting growth of select wound pathogens. …