Rehabilitation and Therapy Commons^™

Pulmonary Dysfunction In Residents Of Chronic Care Facilities, Tyng-Guey Wang, John R. Bach

Rehabilitation Practice and Science

The study was designed to determine the extent of significant pulmonary　dysfunction in selected residents of chronic care facilities, to find out any relationhip between pulmonary dysfunction and general disability, and explore pulmonary treatment options.Thirty-six nursing facility residents over 80 year old, or with a diagnosis of chronic obstructive pulmonary disease or generalized neurological or neuromuscular disease, were surveyed for extent of disability and pulmonary dysfunction. By comparison with age, height, and sex norms, there were significant restrictive pulmonary syndrome, poor inspiratory muscle strength and endurance and inadequate airway secretion clearance mechanisms in all of the residents studied. In addition, …

The Use Of Low Tempersture Thermoplastics In Fracture Brace, Fuk-Tan Tang

Rehabilitation Practice and Science

From 1989 to 1991, five cases of humeral shaft fractures and one case of ulnar shaft pathological fracture were treated with the low temperature thermoplastic functional fracture brace, while three cases of lumbar spine fractures were treated with a　custom-made spinal brace molded by low temperature thermoplastics.All patients with humeral shaft fractures achieved bone healing within 8 to 12 weeks. There was varus angulation averaging 7°and anterior angulation averaging 8°present. The majority of patients were found to have minimal loss of range of motion in the shoulder. In the case of the patient with pathological ulnar shaft fracture, functional movement …

Static And Dynamic Balance Testing In Leg Length Discrepancy, Yung-Ming Lin, May-Kuen Wong

Rehabilitation Practice and Science

According to the previous literature, leg length discrepancy within 2.54 cm will be compensated by individual; no management is indicated. Insole modification and external shoe modification will be given for those with leg length discrepancy between 1 to 2 inches. Surgery intervention will be given for those with leg length discrepacy beyong 5 cm or 10 to 15% shorter than that of the sound leg. However, balance change in leg length discrepacy is not well studied.In this study, 63 young normal subjects without leg length discrepacy or neuromuscular disease were tested. Their age ranged from 19 to 32; body height …

The Relationship Between Magnetic Resonance Inaging And Motor Outcome Following Traumatic Brain Injury, Chinn-Dong Chung, Lance R. Stone, Angela Wang, Jang Huang

Rehabilitation Practice and Science

Thirty four adults with traumatic brain injury [TBI] who had magnetic resonance imaging [MRI] within three months were evaluated motor outcome 6 to 18 months after injury. MRI were classified into four groups according to the depth of abnormality detected and the motor function evaluated with revised Fugl-Meyer method. The results showed no positive relationship between motor outcome and the depth of lesion detected by MRI. It was different from the result of Wilson's studies which had positive finding between the depth of brain lesions detected by MRI andneuropsychological outcome. Better prognosis was found in nonparenchymal abnormality or no ventricular …

Improvements Of Stroke Patients After Discharge, Cheng-Yueh Chen, Chau-Peng Leong, Ruey-Kuen Chang, May-Kuen Wong

Rehabilitation Practice and Science

The authors followed up 208 stroke patients after their discharges from Chang Gung Memorial Hospital Kaohsiung Medical Center to examine the improvements of their ambulatory function. This study was designed to compare the difference of the ambulatory functional status between discharge and follow-up in order to identify the factors that influenced the progress during this period. It showed that most patients (44.23%) got continuous improvements in their ambulatory function after their discharges. An accepting, rather than non-accepting attitude of patients and family helped patients to get better outcome. Furthermore, the regular follow-up at the rehabilitation department also affected the outcome …

Post-Stroke Proximal Femoral Fracture, Shih-Ching Chen, Chein-Wei Chang

Rehabilitation Practice and Science

Post-Stroke Proximal Femoral Fracture (PSPFF) is not uncommon. In the study, We had followed up 156 patients with Proximal Femoral Fracture (PFF) happened during Jul. 1987 and Dec. 1990 via OPD for 1 year to 4 and a half years. Some patients being unable to visit our clinic were followed up by phone or by the chart record. The focus was on the 28 cases with Stroke prior to the PFF.We found PSPFF is apt to happen in cases with motor status around Brunnstrom Stage III&IV. The PSPFF happened almost ipsilaterally to the side of hemiplegia or hemiparesis (84.6%). The …

Theresult Of Day Care For Combination Of Special Education And Rehabilitation To The Retarded Children, Huey-Jen Lai, Horng-Jeng Shyn, Wen-Hong Pan, Kuen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

The cooperation of Taichung Hsien Assiciation for Retarded Children and Provincial Feng-Yuan Hospital to set up the Day Center of Children Development began since Apr. 4, 1992. This center accept children before school age with psychomotor retardation or cerebral palsy. The main duty was to educate and rehabilitate these children during the day time.The evaluation one year later showed marked improvement in several aspects, including gross motor, fine motor, psychosocial development and self daily care. It influnced the family by making more free time for parents, lowering psychological pressure and improving family interaction/relationship. It had no obvious economic burden to …

Resources For Early Intervention Of The Handicapped Children In Taiwan, Huey-Jen Lai, Wen-Hong Pan, Horng-Jeng Shyn, Kuen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

The early intervention of the handicapped children should include psychological consultation of the whole family members, rehabilitation, special education, the intact program for his whole life. The resources for early intervention in Taiwan still are very few and such incomplete that parents should solve all problems that may happen to them by themself. They may go to the rehabilitation department in any hospital, or just send the child to Home or Day School-for Handicapped children. The rehabilitation departments usually give the child a set of time per week for treatment. The Home or Day School provide a living enviroment, but …

Chronic Gastrointestinal Problems In Sci Patients, Yen-Chun Wu, Jiunn-Ren Su, Tse-Chieh Hsueh

Rehabilitation Practice and Science

Spinal cord injury (SCI) patients suffered from motor and sensory impairement, as well as neurogenic bladder dysfunction and gastrointestinal (GI) problems. The pathogenesis and clinical presentation of GI problems in SCI patients are different from that of the general populations. This study is to evaluate the GI problems in SCI patients.Questionares were mailed to 52 SCI patients lived in Tainan or Chai-I from Sept 1991 to Dec 1991. Fourty-three questionares were sent back. There are 38 male and 5 female patients. The age distribution is from 18 year-old to 69 year-old. The interval of SCI is from 1 year to …

Spinal Tumor-Pitfall In Diagnosis Of Cva: Casereport, June-Liang Lu, Giin-Gi Wang, Tse-Chieh Hseuh

Rehabilitation Practice and Science

It has been reported that neurilemomas comprise approximately 30% of primary intraspinal neoplasms. Spinal cord tumors, sometimes without spinal symptoms, occasionally cause signs and symptoms of intracranial disease in the form of papilledema and/or hydrocephalus.The association of hydrocephalus with benign extramedullary spinal cord tumors is particularly rare. The incidence was only 1% to 3%. So, in the diagnosis of intraspinal tumor, the associated presentations of intracranial hypertension were as important as hydrocephalus. Especially, when some of these signs and symptoms were noted in the elderly, intraspinal lesion should also be taken into consideration in addition to the most common cause …

Rheumatoid Arthritis With Systemic Lupus Erythematosus Poliomyelitis And Bilateral Total Knee Replacement-A Casereport And Literature Review, Shie-Wei Lin, Chen-Liang Chou, Tcho-Jen Liu, Tao-Chang Hsu, Sheeng-Jung Chen

Rehabilitation Practice and Science

This is a case of 30-year-old female patient who suffered from Rheumatoid Arthritis for 8 years. She also has the problems of Systemic Lupus Erythematosus and the sequsela of Poliomyelitis. After bilateral total knee replacement, she was almost bed ridden with multiple joints pain. The best muscle power of both lower limbs was only fair then. She received oral methotrexate therapy and got moderate improvement, such as decrease in unmber of joint pain. Resting splints and anterior direct molding ankle-foot orthosis were made for her. And the education of joint protection was emphasized once again. Psychological and vocational consultations helped …

Myotonia Dystrophica In A Victim Of Traumatic Brain Injury: A Casereport, Jeng-Yi Shieh, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Myotonia dystrophica is one of the common adult-onset muscular dystrophies. It is characterized by its multisystemic involvement as compared with other myotonic disorders. We report here a 33-year-old man with myotonia dystrophica who was diagnosed after transfer to the rehabilitation department for the sequelae of traumatic brain injury, The clinical, electrophysiological and histopathological findings supported the existence of myotonia dystrophica. The presentation of myotonia did not change in association with his central paralysis.

Spinal Epidural Abscess Presenting As Lower Back Pain: A Casereport And Literature Review, Tso-Liang Wang, Hsin-Ying Chen, Young-Shung Shen

Rehabilitation Practice and Science

Spinal epidural abscess (SEA) is a rare infectious disorder often subject to a delayed diagnosis. In two United States hospitals, the incidence was between 0.2 and 1.2 per 10000 admissions. There are still no reports about the incidence of SEA in Taiwan. In this report, we present a 57-year-old diabetic woman who suffered from severe lower back pain for one week prior to admission. Neither physical infectious signs nor obvious neutrophilia was apparent.The responses to electrotherapy and nonsteroidal anti-inflammatory drugs were poor. The result of magnetic resonance imaging (MRI) study demondtrated an epidural soft tissue mass extemding from the L3-4 …

Cerebral Infarction Due To Blunt Neck Trauma-Report Of A Case And Review Of The Literature, Jeng-Yi Shieh, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Traumatic common carotid artery (CCA) injury with subsequent cerebral infarction is a rare cause among stroke patients. we report a male aged 33 years who suffered from weakness of left limbs about 12 hours after blunt neck trauma. About 48 hours later, computerized tomography (CT) of the head revealed a low-density lesion over the territory of the right middle cerebral artery (MCA). Carotid Doppler ultrasound examination showed two thrombi within the right proximal CCA. Angiography revealed a long segment of narrowed right CCA with gradual tapering of the right internal carotid artery (ICA). Delayed diagnosis might have adversely influenced his …

Cervical Cord Injury With Parasite Caused Abdomen Problem: Casereport, Yued-Cheng Chen, Yiu-Chung Lau, Chen-Peng Leong, May-Kuen Wong

Rehabilitation Practice and Science

Abdominal fullness, vomiting & local ileus are complicated in Spinal Cord Injured patients. Most of these problems are due to neurogenic cause, but we cannot neglect other causative factors like: Metabolism, parasitic infestation, food induced., otherwise we may get caught in the dilemma of medicat treatment.Cordially we present a case of parasitic infestation in a Cervical spine injured patient who developed unknown fever, abdominal fullness & problem of vomiting for your reference.

Lumbosacral Perineurial Cysts Caused Cauda Equina Syndrome Which Temporarily Relieved By Pelivic Traction: Casereport, Chui-Lee Wong, Mei-Hue Hsu

Rehabilitation Practice and Science

Sacral perineurial cyst is an uncommon entity. It can be the cause of a sciatica or cauda equina syndrome. Reportd here is a case of multiple lumbosacral perineurial cysts with cauda equina syndrome, who experienced remarkable improvement of symptoms after each course of pelvic traction which was initially prescribed under the impression of lumbar spondylosis. Pelvic traction may probably serve as a palliative treatment temporarily for some patients with only mild symptoms or patients whose general condition is not suitable for surgery.

C2 Neurilemmoma: Originally Misapprehended As Psychogenic Headache And Nuchalgia-Casereport, Chui-Lee Wong, Mei-Hue Hsu

Rehabilitation Practice and Science

A patient with headache and nuchalgia for three years was initially diagnosed as psychogenic origin. Spinal cord compression syndrome was unrecognized until motor evoked potential study showing abnormal findings. Excision of a nearly 3x2x2 cm dumbbell extra-and intradural tumor, which arose from the right C2 root, was performed after MRI documentation. Histologic diagnosis was neurilemmoma. Motor evoked potential study is useful in spinal cord diagnostics. The particular value of complete history-taking and exact neurological examination should not be underestimated.

Heterotopic Ossification Complicated With Vascular Compression In A Spinal Cord Iniury Patient - A Casereport, Cheu-Wen Wang, Ming-Teh Cheng

Rehabilitation Practice and Science

A 32 year-old male patient fell down from 4th floor and T12 paraplegia developped. Three months after injury, right thigh swelling and pain were noted. Range of motion of right hip joint was also limited. X-ray of right hip joint didn't reveal any abnormal finding. But Tc 99m-methylene diphosphonate (MDP) three phase bone scan showed estra-osseous accumulation anterior-medial to greater trochancter of right femur bone. The serum alkaline phosphatase was also increased. Indomethacin 25 mg Tid was given and passive range of motion exercises were performed. Ten days later, theX-ray demonstrated abnormal calcification around right hip. Two more weeks later, …

The Acute Effect Of Aerobic Exercise On Anxiety Levels, Toni Devolder

Masters Theses & Specialist Projects

The present study sought to determine whether or not state anxiety levels were significantly reduced when individuals participated in aerobic dance workouts of 15 minutes and 30 minutes. Undergraduate university students and faculty enrolled in an aerobic dance class were volunteers in this study. As hypothesized, subjects in the aerobic dance classes did reduce anxiety acutely following both their 15 minute and 30 minute workout as assessed by the STAI (Y-Form State Anxiety). Thus, results indicate that state anxiety may be reduced through aerobic dance with similar situations and individuals. In addition, the study also looked at the posttest state …

The Use Of Activity Analysis By Occupational Therapists In Treatment Decisions, Hiromi Yoshikawa

Masters Theses

The use of activity analysis in occupational therapy daily practice was examined by survey. One hundred occupational therapists who serve as fieldwork educations received survey forms with thirty seven usable questionnaires being returned. The study found that all therapists were doing activity analysis as a mental process; however, only 2 therapists were using a written activity analysis form in their daily practice. Most subjects indicated that activity analysis is important to occupational therapy but that formal activity analysis is too time consuming. Several therapists recognized the benefits of completing formal activity analysis. The respondents identified selecting activities for treatment which …

Attitudes Of Occupational Therapy Students Toward The Mentally Disabled, Patricia Mccarthy

Masters Theses

Thirty-nine undergraduate occupational therapy and fifty-seven entry-level graduate occupational therapy students from eight randomly selected academic programs were surveyed using the Opinions About Mental Illness Scales ([OMI], Cohen and Struening, 1959) and the Mental Health Information Questionnaire ([MHIQ], Nunnally, 1961). Results revealed that both student groups’ knowledge toward the mentally disabled was more similar to the general public’s knowledge. Using a one-tailed t-test to compare the MHIQ factors revealed there was no statistically significant difference between the occupational therapy student groups.

Both student groups’ OMI factor scores were similar to an expert group for Factors A B, and D; however, …

A Curriculum Based On Systems Theory., Ruth L. Schemm, Mary Corcoran, Ellen Kolodner, Roseann C Schaaf

Department of Occupational Therapy Faculty Papers

This paper describes an entry-level curriculum based on systems theory that was designed to promote integrated thinking and a shared image of practice among all of the members of an educational community that included students, faculty, and clinicians. Initiated in 1983, the program integrates occupational therapy theory, critical thinking, and knowledge about person-environmental transactions with traditional medical, biological, psychological, and sociological course work to create a unique educational experience. The curriculum model is based on a spiral learning process that encourages integrated thinking. Furthermore, all concepts are systematically tied to the occupation core, the central theme of the program. Fieldwork …

Functional Outcomes Of Workman's Compensation Patients With Sub-Acute Mechanical Low Back Pain: A Descriptive Retrospective Study With Post-Treatment Follow-Up, Dan Peterson, Kirk Randall, Rex Holden

Masters Theses

This study used functional outcomes of workman's compensation (WC) patients with low back pain (LBP) to examine the efficacy of physical therapy (PT) treatments within a Functional Restoration Program (FRP). Of the 46 possible participants, 16 patients (10 males and 6 females) with mean ages of 43.2 and 39 years respectively, returned the questionnaire with information pertaining to current working status, patient preferred treatments, management of pain, psychosocial issues, work simulation, home exercise program compliance and back care education among others. Due to the pausity of subjects, the data is not clinically applicable. However, the results of this study appear …

Isokinetic Measurement Of Sagittal Plane Trunk Strength In Older Adults, Ralph L. Bidwell, Jill E. Thauvette, Patrick A. Townshend

Masters Theses

The purpose of this study was to collect normal flexion and extension trunk strength values for a population of individuals between the ages of 50 and 70 years of age. Twelve female and eight male volunteers in generally good health were tested in a seated position using a Biodex isokinetic dynamometer. Each performed five reciprocal maximal efforts of concentric flexion-extension cycles at the three isokinetic speeds of 60, 120 and 180{dollar}\sp\circ{dollar}/s. Raw and body weight adjusted data for peak torque and total work were analyzed. Results suggest strength decreases with age and that extension strength is greater than flexion strength. …

Lounge Chair Criteria For The Elderly, Edna M. I. Bosco

Masters Theses

This study investigated relationships between lounge chair design, functional positioning and comfort for the elderly. Thirty-five elderly residents from two local congregate living residences were assessed utilizing lounge chairs located at the residence. Measurements of the chairs were taken, coded and compared to specific norms established by Harris and Mayfield (1983b). Measurements consisted of armrest dimensions, seat depth and height, seat slope, and backrest dimensions. Each chair was scored based on the number of recommended standards for comfort met in the Harris and Mayfield research (1983b).

Frequency counts were taken and descriptive data collected and analyzed to determine relationships between …

A Model To Promote Activity Competence In Elders., Ruth E. Levine, Laura N. Gitlin

Department of Occupational Therapy Faculty Papers

This paper describes an occupational therapy home-based intervention in which purposeful activities were used to promote adaptation and competence in older adults with chronic disabilities. Seven home care therapists visited 17 randomly selected, community-living elders who were chronically disabled and who volunteered to participate in the program. The number of visits ranged from 3 to 10 and occurred over a 3-month period according to clients' needs and wishes. Therapists enhanced their ability to enter the client's social and cultural system by using participant-observation techniques and collaboratively identified activities. Therapists documented each home visit with a structured fieldnote form. An analysis …

1993 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1993 Touro College School of Health Sciences Yearbook

Anatomical Study Of Vastus Medialis Obliquus Orientation In Relation To The Superior Pole Of The Patella, Wade A. Burd

Physical Therapy Scholarly Projects

Purpose. The purpose of this study was to determine an optimal electrode site of the vastus medialis obliquus (VMO) from a predetermined landmark on the patella.

Subjects. Twelve cadavers (6 male, 6 female), aged 30 to 86 years (x = 66.3), from Anatomy: PT 322 lab were utilized for data collection.

Methods. The following three measurements were taken on the lower extremities of the cadavers using a transparent double axis grid: 1) distance from the superior patellar pole to the adductor magnus tendon 2) distance from the superior patellar pole to the center point of the VMO and 3) the …

A Job Search Skills Curriculum For Individuals With Visual Disabilities In Fiji, Mohammed Irshad Ali

Theses Digitization Project

No abstract provided.

Current Needs And Practices Of Rehabilitation In Fiji And Pakistan, Anjum Masood

Theses Digitization Project

No abstract provided.