Rehabilitation and Therapy Commons^™

Chronic Dermal Ulcer Healing Enhanced With Monophasic Pulsed Electrical Stimulation, Jeffery A. Feedar, Luther C. Kloth, Gary D. Gentzkow

Physical Therapy Faculty Research and Publications

The purposes of this randomized, double-blind, multicenter study were to compare healing of chronic dermal ulcers treated with pulsed electrical stimulation with healing of similar wounds treated with sham electrical stimulation and to evaluate patient tolerance to the therapeutic protocol. Forty-seven patients, aged 29 to 91 years, with 50 stage II, III, and IV ulcers were randomly assigned to either a treatment group (n=26) or a control (sham treatment) group (n=24). Treated wounds received 30 minutes of pulsed cathodal electrical stimulation twice daily at a pulse frequency of 128 pulses per second (pps) and a peak amplitude of 29.2 mA …

Improved Healing Of Pressure Ulcers Using Dermapulse, A New Electrical Stimulation Device, Gary D. Gentzkow, Sheldon V. Pollack, Luther C. Kloth, Harrison A. Stubbs

Physical Therapy Faculty Research and Publications

A double-blind, clinical study of pulsed electrical stimulation using the Dermapulse® device was carried out on 40 pressure ulcers, randomized to receive either active (stim) or sham treatment.

Electrodes were placed over saline-moistened gauze on the ulcers. An electrical current of 35mA was delivered to the wound tissues at a frequency of 128 pulses per second. Polarity was negative until the wound debrided, then alternated from .positive to negative every three days. Ulcers were treated for 30 minutes twice daily for four weeks, after which sham patients could cross over to active treatment, and stim patients could continue active treatment. …

An Examination Of The Long-Term Effects Of Authorized Training Programs On Injured Workers In The State Of Oregon, Grace Alice Han

Dissertations and Theses

The worth of rehabilitation programs should be measured in terms of their lasting impact on long-term employment. Vocational rehabilitation programs nationally and internationally appear to be falling short of their goal of long-term gainful employment. Competitive employment options for the injured worker appear to have leveled out, the pool of unemployed disabled workers appears to be rising, litigation and adversarial relationships are beginning to dominate the rehabilitation process, and costs of vocational rehabilitation are escalating. Increasingly, interest has focused on the long-term influence of vocational rehabilitation, particularly on the costly training programs, and on the employment and economic potential of …

Added-Purpose Versus Rote Exercise For Dynamic Standing Balance Training In Hemiplegia, Ching-Lin Hsieh

Masters Theses

Adding purpose to daily occupation in order to promote performance is a basic premise of occupational therapy. This study investigated the hypothesis that in individuals with hemiplegia, two added-purpose occupations would elicit more exercise repetitions than a rote exercise occupation. In a counterbalanced order, twenty-one hemiplegic patients aged 51 to 78 experienced all three conditions of a dynamic standing balance exercise involving bending down, reaching , standing up, and extending the arm. One condition of added purposes involved materials (small balls and a target); another prompted imagery of those materials; the third involved the same physical exercise without added purpose. …

The Academic Coordinator Of Clinical Education In Physical Therapist Educational Programs, Norene Clouten

Dissertations

In physical therapist educational programs the faculty member responsible for the clinical education portion of the curriculum is the Academic Coordinator of Clinical Education (ACCE). The factors that attract individuals to the career of ACCE and that influence them either to leave or remain in the position are of interest and concern to those planning for the future of the profession. The purpose of this study is to gather information about the career of the ACCE. The study was designed to determine the: (a) Personal characteristics and occupational status of ACCEs, (b) preparations made for the career of ACCE, (c) …

Test-Retest Reliability Of The Levels Of Rehabilitation Scale Iib, Maura Katherine Murphy

Masters Theses

The purpose of this study was to evaluate test-retest reliability of the Levels of Rehabilitation Scale IIB (LORS IIB), developed by Carey and Posavac in 1982. Reliability is an important concept when a therapist begins to assess a client's activities of daily living skills. If a test is reliable, the therapist will have a dependable means by which to measure client progress with stability and accuracy.

This study was conducted with eight volunteer post-stroke victims. The study found that the LORS IIB assessment was highly significant in test-retest reliability.

Self-Empowerment Among Adults With Severe Physical Disability: A Case Study, Nancy A. Brooks

The Journal of Sociology & Social Welfare

An independent living residential setting for severely physically disabled adults was studied through overt observation methods for twenty-two months. The purpose was observation of residents' council actions and expressions of group interests. The council displayed several phases of political structure and behavior. These phases were related to staff and administrative considerations as well as the residents emerging demonstrations of self-empowerment at the group level. The capacity for selfadvocacy emerges as a dynamic enterprise which is clearly related to the structure and interests of the service agency.

Disparity Between Reimbursement-Driven Practice And Humanistic Values Of Occupational Therapy., Janice P. Burke, Joanne C. Cassidy

Department of Occupational Therapy Faculty Papers

In January 1990, clinicians, educators, and researchers met at the Directions for the Future Symposium in San Diego to delineate, discuss, and debate a wide range of economic, political, and social issues that are influencing the evolution of occupational therapy practice and education. By examining these factors in an open and thorough way, therapists believe they will be able to develop proactive positions that will ensure the continued well-being of the field. In this paper, we will consider two distinctly opposing forces that dramatically affect and present considerable obstacles to occupational therapists. On the one hand, occupational therapists are taught …

1991 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1991 Touro College School of Health Sciences Yearbook

Outcome Of Severe Low Back Pain, Chii-Liang Chyuan, May-Kuen Wong

Rehabilitation Practice and Science

Low back pain is a suffering condition which frequently results in limitation of activity of daily living. The frequent recurrence of low back pain makes patient accept different therapeutic tries. The purpose of this study was to compare the effects of physical therapy and surgical therapy for severe low back pain.Sixty two patients who had been admitted to our departement of rehabilitation for severe low back pain were collected. Among Them, 41 were males. 21 were females. The major cause of low back pain was intervertebral disc herniation, about 66.6%. The most frequent precipitating factor of low back pain was …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

Back Pain And Occupation: Preliminary Report, Yiu-Chung Lau, Chau-Peng Leong, May-Kuen Wong, Kong-Kay Tseng

Rehabilitation Practice and Science

This survey was carried out for investigation in the relationship of back pain to occupation including heavy labor, light labor, and clerical workman. From the regular physical check up for Formosa Plastic employee. 1959 subjects were evaluated by questionaires.Among them, 155 had back trouble, 137 cases were male and 18 cases female. Their age ranged from 20-60 year old. Most of them were between 31 to 41 year old. The result of this sutdy showed that sciatica and lumbago were the most common back troubles. Most of them were heavy labors. But substaining sitting during working was also common posture …

Isokinetic Test Following Shoulder Hemiarthroplasty, Linr-Yue Lin, Jin-Sheng Lin, Chrong-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the muscular strength of five patients which were received shoulder hemiarthroplasty. Isokinetic test used by Lido Isokinetic Rehabilitation System included shoulder external rotation, internal rotation, abduction, adduction, flexion and extension at the speed of 60, 120, 180 and 240 degree/sec. There was significant difference (p＜0.05) between involved and non-involved shoulder on the peak torque in external rotation, internal rotation, abduction and flexion. Ther peak torque to body weight ratio also showed significant difference (p＜0.05) in internal rotation, abduction and flexiom. Analysis of spedial radiographs of humerus showed a direct relationship between peak …

Wound Healing In Diadetic Amputation, Chau-Peng Leong, May-Kuen Wong, Jin-Mann Wang, Choon-Khin Chong

Rehabilitation Practice and Science

The foot of the diabetic is most susceptible to the diabetic complications of neuropathy and angiopathy. In such condition, any trauma may quickly lead to ulceration, infection, gangrene and finally, amputation. It is hard to make a decision to the level of amputation due to hostile, and uncoop erative of patient and family, so, postoperative wound healing are different in many cases.This study is a retrospective study, 97 cases due to diabetic ,ammputation who admitted to Chang Gung Memorial Hospital from January, 1978 to December, 1987, were followed up by questionnares and telephone. The patients comprised of 59 males and …

Ankylosing Spondylitis Associated With High Serum Alkaline Phosphatase And Intractable Neck Pain: A Casereport, Pao-Tsai Cheng, Yung-Ming Lin

Rehabilitation Practice and Science

Ankylosing spondylitis presents various clinical symptoms and signs. It is classified as a seronegative spondyloarthropathy.The diagnosis is based upon radiographic sacroiliitis in the presence of clinical symptoms and signs. Although symptoms may occur anywhere in the spine including the neck, they are usually maximal in the lumbosacral area. Ankylosing spondylitis with its onset from the cervical spine is rare. A typical patient with ankylosing spondylitis develops back pain during the early 20s and the onset is insidious. Here we presents an unusual case with cervical spine involvement initially and relative late onset according to his age. A 40 years old …

A Study Of Menstruation In Young Chinese Female Athletes, Choon-Khim Chong, May-Kuen Wong

Rehabilitation Practice and Science

In order to investigate the problem of menstrual dysfunction among young female athletes in the Chinese population.152 female athletes participating in the 1988 Taiwan Area Athletic Meet (TAAM) were surveyed via questionnaire. Among the athletes who were younger than 18 years, those who were premenarchetrained had delayed menarche (13.7±1.1 years), which was statistically significant, when compared with the postmenarche-trained group (13.0±1.4 years)and the college students in general population(12.8±1.0 years) (p＜0.05 and p＜0.0001,respectively).For the problem of irregular menstrual pattern,athletes who were trained after menarche were studied. It was found that the percentage of athletes with regular menstrual cycle declined from 78% …

Clinical Application Of The Preschool Language Scale-Chinese Version, Yu-Mei Chung, Tao-Chung Hsu

Rehabilitation Practice and Science

Preschool Language Scale (1979) was revised for use under the title of Preschool Language Scale-Chinese Version (PLS-C) in 1986. During the past three years, PLS-C has been used at the Taipei Veterans General Hospital to appraise children's language development, to evaluate their maturational lags. strengths and deficiencies. This report is to discuss the clinical use of PLS-C. and six different types of cases who have received long-term speech-language intervention are reported.It has been found that PLS-C is clinically useful for each type of speech-language delayed children. The PLS-C results are good measures of children's progress. The PLS-C results of pure …

The Effects Of Different Weight Bearing On Spasticity During Exercise In Stroke Patients, Sue-May Kang, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the effects of different weight bearing on reducing spasticity in stroke patients. Quantity of spasticity was defined as level of associated reaction during exercise. It can be measured by surface integrated EMG levels.Thirty cerebrovascular accident patients (Brunnstrom's stage II-V in upper extremity) performed forward target-touching exercise in sitting position. The exercise was performed with affected shoulder flexion and keeping elbow straight while the associated reaction in same side biceps brachii was monitored by integrated EMG levels and the weight bearing of both feet was measured by 2 weights. All factors influencing spasticity …

Differences In Values And Goals Of Occupational Therapy Students, Margaret A. Danka

Masters Theses

This study compared professional values and goals of three levels of occupational therapy students: (1) seniors in baccalaureate programs (n = 337), (2) students in professional master's programs (n = 95), and (3) students in post-professional master's programs (n = 62). Demographic characteristics and factors influencing career choice were also examined.

Significant differences were found among the three student groups for three professional goals: (1) contributing to theory, (2) doing research, and (3) educating occupational therapy students, and four professional values: (1) intellectual stimulation, (2) exciting life, (3) comfortable life, and (4) helpfulness. The demographic differences among the three student …

F Wave Frequency: Its Value In The Diagnosis Of Lumbar Radiculopathy: Preliminary Report, Yau-Wai Wai

Rehabilitation Practice and Science

The purpose of this paper was to find F wave frequency in normal subjects and patients with sciatica, in order to know if there any significant difference in appearance between them, whether this kind of examination could provid a noninvasive methoid in the diagnosis of lumbar radiculopathy.Among the 22 volunteered normal subjects, there was no significiant difference between bilateral lower extremities for the mininal, mean and maximal values of tibial and deep peroneal F-wave latency and their F-frequencies. Of the 16 patients who have sciatica symptoms, 14 of them have received spinal computerized tomography examination. It was showed that herniated …

Comparison Of Motor Unit Action Potential Recorded From Disposable And Reusable Monopolar Eeg Needle Electrodes, Helen Sheau-Ping Pan, Jennifer Chu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The usage of disposable needle electrodes is a safe way to prevent severe infectious diseases, especially AIDS, in EMG laboratories. The purposes of this study were (1) to compare disposable with reusable monopolar needle electrodes physiologically by recording motor unit action potentials (MUAPs), and (2) to determine the stability of the disposable monopolar needle electrodes (DMNE).Computer-aided measurements were used to compare 60 MUAPs recorded with reusable monopo;ar needle electrodes (RMNE) and 60 MUAPs recorded from the same muscle (Tibialis anterior) with DMNE at the first (new), second (used). and sith(old) electrode usage. There wase no significant difference among the amplitude, …

Distal Sensory Latency Of Median Nerve In Poliomyelitis Patients, Ming-Chuan Lin, Chein-Wei Chang, Chue-Fun Chen, I-Nan Lien

Rehabilitation Practice and Science

It has benn recognized that overuse of wrist may induce abnormal median nerve. Most of the poliomyelitis patients compensate the weakness of the lower extremities by overusing their upper extremities, so that they were expected to have a higher incidence of abnormal median nerve.Totally 70 cases including 24 men and 46 women attended for this study. They were divided into three groups: group I , 34 poliomyelitis patients who used crutches; group II ,15 poliomyelitis patients who did not use crutches; group III , 21 normal control. The mean ages were 27.6 years in group I , 26.5 years in …

Electromyographic Change In Disuse Muscle Atrophy, I-Ping Liu, Cheng-Ming Chiu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

Twenty persons suffered from cruciate ligment rupture of unilateral knee were Participated in our electromyographic studies from Oct. 1988 to July 1989. All subjects were found to have disuse muscle atrophy of vastus medialis after operation and cast fixation for about 3 weeksThe clinical study was divided into two steps. 1. To evaluate the change in parameters of compound muscle action potentials (CMAPs) obtained by stimulating the femoral nerve and recording both in atrophic and sound vastus medialis muscles. 2. To evaluate the change in parameters of automatic decomposition electromyography (ADEMG) by maximum voluntary contraction in vastus medialis with muscle …

Quantitative Analysis Of Elbow Flexor And Elbow Extensor In Hemiplegic Patients, Tsu-Sheng Shiau, Hwei-Rong Tseng, Tao-Chang Hsu

Rehabilitation Practice and Science

Subjective semi-quantitative method is often used to evaluate the severity of spasticity in clinical condition. The purpose of this study is to develope an objective and quantitative model to evaluate the severity of spasticity for hemiplegic patients. We utilize Kin-Corn III isokinetic machine to evaluate 16 hemiplegic patients with 8 velocities from 5 to 210 degrees per second. The elbow joints of subjects are pulled when subjects totally relaxed and under no influence of gravity. The curve of resistance force was recorded and analyzed. We found 150 degrees per second is the best velocity for the evluation. And for elbow …

Analysis Of Muscular Quantitative Evaluation And Functional Status Of Stroke Patients, Mei-Lan Chang, Sheau-Ping Pan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purposes of this study were to quantitatively evaluate the muscular strength and spasticity of stroke patients and to find out the significant relationships between different functions and torques of muscle groups in mode and speed specificity of isokinetic evaluation.This study was to use isokinetic hydralic drive machine (GGT-3000, The Medizin-Electronic System, GmbH, West Germany) to measure quantitatively muscular activities of elbow and knee flexor and extensor muscular groups of 53 patients. Affected side was measured in passive motion at speed 10°/s, 120°/s and concentric contraction and eccentric contraction motion at speed 60°/s. Sound side was measured in concentric and …

Effects Of Hip And Knee Angle To Kenn Flexion And Extension Torque In Isometric And Isokinetic Exercises, Shiu-Ching Lee, May-Kuen Wong, Yang-Hua Lin, Ho-Hsin Chey

Rehabilitation Practice and Science

In order to study the effects of hip and knee angle to knee flexion and extension torque and other measurements obtained from Cybex 340 isokinetic dynamometer in isometric and isokinetic exercises, twenty normal young adults were tested at various hip position(SITTING:hip 85°,SEMIRECLINED:hip 135°, SUPINE: hip 180°) and different speeds (ISOMETRIC:0° /sec, LOW SPEED ISOKINETIC:60°/sec, HIGH SPEED ISOKINETIC:180°/sec). Adequate warm-up exercise and rest was requested between each test in this study.In isometric flexion exercises, the greatest torque value was obtained at supine position. The torque value was decreasing as knee flexion angle increasing. In isometric extension exercises, there was no significant …

The Trunk Extension And Flexion Torque Assessment, Giin-Gi Wang, Tsai-Hua Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to use the KINEMETIC COMMUNICATOR KIN-COM III (a computer controlled dynamometer) in the isometric mode to estabilish flexion and extension guidelines for a trunk rehabilitation exercise program.Trunk activity was assessed in 33 young normal adults without LBP history. L5 was taken as the trunk flexion / extension center and the semi-sitting erect position was used to eliminate the gravity effect. We found that the trunk flexion and extension torques were positively related to the height and weight. The Extenision: Flexion ratio was approximately 2:l(mean 2.051 + 0.315). This data may be use as a …

Rehabilitation After Reconstruction Of The Anterior Cruciate Ligament, Ching-Long Chou, Jiunn-Jer Wu, Tao-Chang Hsu

Rehabilitation Practice and Science

The technique of diagnosis and concepts in management of anterior cruciate ligament injury patient have been improving tremendously in the past few years. The postoperative care for the patients who have received ACL reconstruction has been a great concern to physicians, therapists and patients themselves. The purpose of this paper is to present a suggested rehabilitation protocol which is safe and effective and also to report the prognosis of our patients following this protocol. Among the 182 patients who had been operated at our hospital during 1984 to 1987. we collected 73 patients who had completed our rehabilitation program and …

Investigation Of The Effects Of Chinese Shadow-Boxing On Physical Performance, May-Kuen Wong, Jin-Shin Lai, Ching Lan, Choon-Khim Chong

Rehabilitation Practice and Science

Chinese shadow-boxing (Tai Chi Chuan) is a representative traditional exercise for health promotion. It has been developed for many dynasties, and well established in its own model at the end of Ming Dynasty(AC 1644). It consists many fundamental postures with slow graceful movements in addition to the proper rhythm of deep breathing and mind concentration.In order to evaluate the effects of Tai Chi Chuan, 110 cases were divided into 2 groups in this study. The middle age group aged from 52 to 65 included 35 Tai Chi Chuan practitioners (15 male and 20 female), compared with 33 sedentary subjects(15 male …

Chronic Neck Injury Of The Athletes, Wen-Hong Pan, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Much has been done about the severe acute cervical neurotrauma resulting from athletic participations such as football, water sports, gymnastics, rugby and ice hocky. In this paper, we present some aspects of the chronic cervical neurotrauma which is mainly resulted from the repetitive micro-trauma to the cervical spine.4 cases with chief complaint of chronic neck pain were evaluated by various image studies and definite pathology of their cervical spine was found later. We also surveyed the concepts about sports injury of 86 students study in a junior college of gymnastics and found that there exists something requesting our attention, that …