Rehabilitation and Therapy Commons^™

Functional Outcome Of Finger Flexor Tebdon Repair, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

In order to achieve good results following primary flexor tendon repair, detailed attention to post-operative rehabilitation program is essential. From February 1986 to July 1988,fifty-nine digits of thirty-one cases received primary flexor tendon repair. Among them, 25 were men, 6 were women. Ages were from 3 to 54 years old. There were 14 digits injuried at zone 2 (group A) and 45 digits injuried at zone 1, 3, 4 and 5 (gronp B). The results were evaluated by Buck-Gramacko method. It got excellent results in both groups with 71.4% in group A and 82.2% in group B. There were no …

Study Of Onset Time In Infarction Stroke, Chee-Hiang Pang, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

511 patients who were admitted to NTUH between January 1981 and June 1988 with nonprogressive cerebral infarction were studied retrospectively. They had a known time of onset, the type of activity performed, the age group, sex and anatomical location from the computed tomography.302(59.ll%)patients suffesed cesebral infarction between 6 am and 6 pm.Only 209(40.89%) patients had their infarct between 6 pm and 6 am. Besides, most of the patients were performed their daily usual activity at the time of onset of the disease. The number of male patient who surferred from cerebral infarction was slightly higher than the number of the …

Surface Temperature, Nerve Conduction And Electromyography Studies In Hemiplegia, Chinn-Dong Chung, Chorng-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

In 30 hemiplegic patients due to cerebrovascular accident, surface, motor nerve conduction velocity (MNCV), distal latency and amplitude of median and ulnar nerves were determined. After computer analysis, the data revealed that the surface temperatures of the affected side are lower than those of the unaffected side (32.2 ±0.6℃ ,33.8 ±0.9℃,P＜ 0.05), the MNCV is significantly lower in the affected side than in the unaffected side (Median:53.3±5.4m/sec,55.16.1 m/sec, P＜ 0.038.Ulnar:53.7±4.9 m/sec.56.65.6 m/sec, P＜ 0.007),both motor and sensory amplitudes of median and ulnar nerves are lower in the affected side than in the unaffected side but no significant difference in sensory …

Sexual Activities Of Stroke Patients: A Clinical Study, Long-Sang Au, May-Kuen Wong

Rehabilitation Practice and Science

The clinical features of sexual activity of stroke patients were studies and reported in 55patients(38 males.17 females) through interview at out-patient service/The mean age of all patients was 58.6± 9.6 years. Duration after stroke ranged from 6 months to 11 years. Among them,35 patients(63.6%) reported no sexual activity while20 patients (36.4%) still had sexual activity. In the sexually inactive group (24 males, 11 females), the mean age was 61.4 ± 7.2 years. The major cause for sexual inactivity was fear of further harm to their health in 20 patients (57.1%).In the sexually active group (14 males,6 females),their mean age was …

Traumatic Bone Fracture In Cva Patients, Yin-Chung Lau, May-Kuen Wong

Rehabilitation Practice and Science

CVA patients with traumatic bone fracture admitted to Chang Gung Memorial Hospital from September 1982 to September 1988 were analysed. There were 45 patients. Among them, 29 cases were female (64.4%), 16 cases were male (35.6%). The age ranged from 49 to 90 year old. The age distributions of them were old in majority, 31 cases were over 65 year old (68.8%). Fracture happened after stroke for 2 months to 20 years. There were no significant difference at side of lesion. Most of them were hemiplegic patients. The fractures usually occurred on the weakness side (77.8%), with femoral fracture in …

Clinical Experience Of A New Antispasticity Drug-Baclofen, I-Nan Lien, Su-Ching Lee

Rehabilitation Practice and Science

Baclofen,a derivative of gamma-aminobutyric acid, was introduced in 1966 as a possible treatment for spasticity due to cortico-spinal tract lesions. The previous reports suggested that it may be more effective than other spasmolytic agents, currently available. This report presents our experience with baclofen in the management of spasticity in 45 hospitalized patients of department of rehabilitation in NTUH. Among them, 25 cases were cerebral lesion (3 head injured, 22 cerebral vascular diceased),20 cases were spinal cord lesion (11 quadriplegic,9 paraplegic). 36 cases were males and 9 cases were females. The age distribution was from 13 years old to 74 years …

A Study Of Spinal Rotational Manipulation For Low Back Pain, Chorng-Sonq Chou, Li-Ming Lin, Tao-Chang Hsu

Rehabilitation Practice and Science

Twenty low back pain patients and sixteen not suffering from low back pain were taken several flexility and asymmetry tests by two different examiners. Several possible quasi-objective measures of low back pain were investigateed, eleven subjective reported relief of pain immediately following rotational manipulations of lumbar spine as described by Cyriax.The objective tests of pre-and post-manipulation were analyzied, hamstring tightness test was not particular high due to the sensivity of different examiner, but active or passive straight leg raising can be strongly recommended for assement of spinal manipulation.

Does Interferential Current Benefit To Pain Relief After Back Surgery, Mei-Yun Liaw, May-Kuen Wong, Wen-Ling Cheng

Rehabilitation Practice and Science

The purpose of this study was to evaluate the effectiveness of interferential therapy for pain control of severe back or leg pain after back surgery.Twenty six patients were studied (17 males, 9 females) with mean age of 46.5 + 11.7 years. Three different groups of patients based on the time of receipt of interferential therapy after surgery were analysed. The acute group received therapy within one week, while subacute group between the second week and half an year after operation, chronic group was consisted of all other cases. Herniation of intervertebral disc was the most common cause of back pain …

Biomechanics And Rehabilitation Of Interlocking Nailing, Linr-Yue Lin, Jin-Sheng Lin, Chorng-Sonq Chou, Jin-Fu Tsai, Tu-Sheng Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

Twenty five comminuted unstable fractures of femur or tibia were treated with the Grosse-Kempf interlocking nail. The biomechanical properties of interlicking nail are quiet different from the intramedullary nail The osteosynthesis material assumes the full load in static interlicking nail, though in Kuntscher nail, the osseous cylinder itself can vear the weight. Partial weight-bearing is permitted in early stage. Full weight-bearing is allowed after the dynamization while the bridging callus are formed. Too early weight-bearing will produce bending or fracture of the nail. Excellent or good result were obtained in 88.9% of the patients of femoral fractures, and 81.3% of …

Effect Of Partial Weight Bearing In Lower Extremities By Tilting Table Elevation, Shiu-Ching Lee, Chau-Peng Leong, May-Kuen Wong, Yin-Chung Lau

Rehabilitation Practice and Science

In order to evaluate the effect of partial weight bearing in lower extremities by tilt table elevation, 15 healthy young men had been tested.This clinical study was divided into two parts: fitst, two electronic weight scales from the weight bearing machine were put on the standing broad of the tilt table, then changed the tilting angle from 15° ,30°,45°,60°,75° to 90°, recorded the weight distribution of right and left extrernities;second, elevated one extremities by wood pieces, then changed the tilting angle, recorded the different weight bearing of right and left lower extremities. The result of the first study showed that …

Evaluation Of Effects On Undergraduate Instruction In Physical Medicine And Rehabilitation, Choon-Khim Chong, May-Kuen Wong, Chau-Peng Leong

Rehabilitation Practice and Science

A total of 118 undergraduate medical students were evaluated from July 1987 to June 1988. They were divided into three groups, Group A:84 sixth year students who enrolled the training program in Physical Medicine and Rehabilitation; Group B:22 seventh year students who elected the training program and Group C:12 seventh year students who did not elect the program. Students were evaluated, by written examination, before and after the course completion. The written examination consisted of basic understanding and clinical application in Physical Medicine and Rehabilitation field. Grading was on scoring basis with 100 in full score. The results of pretest …

Clinical Application Of Growth Factor In Poor Healing Wounds: Preliminary Report, Pong-Yuen Wong, May-Kuen Wong, Chia-Chen Chen

Rehabilitation Practice and Science

Growth factor was reported to be effective in promoting wound healing, possibly through the mechanisms of stimulating DNA synthesis, chemotaxis of fibroblasts, embryogenesis, angiogenesis and enhancement of epithelialization. For investigation of the clinical result, 8 cases with poor healing wounds were treated by our own product of ointment with growth factor. They were admitted to Chang Gung Memorial Hospital from Feb. to December 1988. Among them, three were DM foot complicated with peripheral vascular disease and received below- knee amputation, three were sacrum pressure sore, and two were traumatic injury with extensive skin defect. All of these patients had received …

Manipulation Therapy In Treating Upper Back Pain: A Casereport & Introducting The Manipulation Therapy Of James Cyriax, Wen-Hong Pan, Chorng-Sonq Chou

Rehabilitation Practice and Science

A 31 y/o male adult with recurrent upper back pain was examined & diagnosed as a case of slipped disc syndrome of the upper thoracic spine. After manipulation therapy, there were both subjective & objective improvements. author also attempted to introduce to manipulation therapy to a certain extent.

Occupational Therapy In Early Intervention: A Family-Centered Approach., Roseann C. Schaaf, L L. Mulrooney

Department of Occupational Therapy Faculty Papers

This article describes a framework for occupational therapy service provision in early intervention settings and presents pilot data aimed at examining the framework's effectiveness. The Family-Centered Framework for Early Intervention is a synthesis of concepts from the Model of Human Occupation (Kielhofner & Burke, 1980) and from the literature on play. It encompasses a systematic, holistic approach that considers the child and the family within the context of their life environments. In this framework, play is used both as an evaluative tool and as an intervention modality that addresses the volition, habituation, and performance of the child and family as …

Reliability And Validity Of The Body Mechanics Obstacle Course Evaluation, Louise Sinclair-Eastman

Masters Theses

A review of the literature suggests that the way in which an individual performs activities, or body mechanics, can affect the amount of stress placed on the low back. Several clinical programs treat patients with low back pain by teaching proper body mechanics. Although body mechanics obstacle course evaluations are used by occupational therapists to assess patients, there has been no published information regarding the reliability and validity of these evaluations. The purpose of this study was to establish the validity and reliability of one version, the Body Mechanics Obstacle Course (BMOC).

Content validity was established by reviewing the literature …

Brags And Baggage, Mary Margaret (Peggy) Wright

DLPS Faculty Publications

Report on setting up three libraries in Belize during the summer of 1989. Includes photos of Stella Maris Home/School for the Mentally and Physically Handicapped.

An Analysis Of Motivation As A Predictor Of Vocational Rehabilitation Outcomes, Cheryl Antoinette Marshall

Theses Digitization Project

No abstract provided.

Age-Related Differences In The Movement Patterns Of Adolescents 11, 14, And 17 Years Of Age Rising To Standing From Supine On A Bed, Jeanne O'Neil Mccoy

Theses and Dissertations

The purposes of this study were to determine: 1) if movement patterns (MP5) described for young adults rising from bed depict adolescents' MP5, 2) if there are age-related differences in MP5 adolescents use to perform this task, 3) most common MP combinations (MCMPCs) of each age group, and 4) if individuals are likely to progress through proposed sequences in the same order.

Sixty 11-, 14-, or 17-year-olds were videotaped during 10 trials of rising. MP5 demonstrated in each of four body regions were classified, and MP frequencies and MCMPCs were determined.

One new "near" arm MP was observed. Age-related MP …

Human-Environment Process: Replication And Refinement Of A Study Of Rogers' Principle Of Integrality, Virginia Susan Meggitt

Theses : Honours

The purpose of this study was to test Rogers' principle of integrality by asking: Does a varied harmonic auditory environment increase the perceived restfulness of patients, who are hospitalised in order to heal following surgery? This study modified a previous study (Smith, 1986) which showed that varied harmonic sound had a more positive effect on the perceived restfulness of healthy subjects than did quiet ambience. This experimental study tested 22 post-operative inpatients, using a non-equivalent control group design with pretest and posttest. Varied harmonic sound was provided by audiotaped sequences of music and narrative; quiet ambience was achieved by maintaining …

An Evaluation Of Drama Therapy As A Form Of Secondary Prevention For Children With Social Skills Deficits, Myra Kosidoy

Theses and Dissertations (Comprehensive)

The following study investigated the effectiveness of an intervention that was based on creative drama designed to improve the social skills of school age children identified as deficient in social-emotional development. The intervention, termed the structured fantasy approach, combines theoretical principals from psychodynamic theory, social learning theory, and creative drama. The study was conducted at a public school in the Kitchener-Waterloo area. Eight students from the third to sixth grade participated in a ten-week social skills program, while seven students from first to third grade participated in a similar program. Five first to third graders and four third to six …

Investigation Of The Optimal Load-Bearing Characteristics Of Patellar Tendon Bearing (Ptb) Prostheses, Rahamim Seliktar, Theerasakdi Vachranukunkiet, Marcus P. Besser, Denise Kuenzig, A. Esquenazi

Department of Physical Therapy Faculty Papers

The long term goal of the research team is to automate the construction of the lower limb prostheses using Computer Integrated Manufacturing (CIM) techniques.

Muscle Stress And The Use Of Body Mechanics, Kathleen Ann Keeler

Masters Theses

The purpose of this study was to examine the amount of lower back muscle stress produced during lifting tasks, using variations in weight and postures. Electromyographic activity of the erector spinae muscles at the L4-5 vertebral level was measured.

Thirty healthy female subjects participated in the study. Each subject lifted loads of two given weights using both the stooped and squat lifting postures. Electromyographic activity was recorded and averaged throughout each lift.

Results indicated that increased weight resulted in increased stress on the erector spinae muscles, regardless of posture. The squat lifting posture was found to be more stressful on …

Prosthetic Fitting For Limb Amputee In 15 Years (1971-1985), Ming-Chuan Lin, I-Nan Lien, Tong-Tsu Chen

Rehabilitation Practice and Science

The prosthetic workshop of National Taiwan University Hospital was established in 1970. There were 665 amputees recieved prosthetic fitting at the workshop from the beginning of 1971 to the end of 1985. Among these amputees, 307 patients were the victims of black-foot-disease, and has ben reported previously. Therefore, the present study included the rest of 358 amputees, 278 males and 80 females with male/female ratio 3.5: 1. The site of extremity involved were 160 in right and 198 in left, which revealed no significant difference statistically (p＞0.05). In total 358 cases, there were 105 upper extremity amputees and 253 lower …

Treatment Of Chronic Intractable Pain By Non-Biofeedback Relaxation Technique: An Experience Report, Guo-Wei Chen

Rehabilitation Practice and Science

From January, 1986 through April, 1998, a total 42 patients with chronic intractable pain, age between 25 and 60 years, were treated by non-biofeed back relaxation technique including progressive relaxation, autogenic phrase, Benson's meditation and visual imagery. All patients had ever received medical, surgical and physical treatments but in vein at all.Twenty-eight of 42 patients (66.6%)reported getting apparent to slight improvement after relaxation training. Patients in non-specific pain syndrome group had a higher successful result than those in failed back surgery syndrome, cervical syndrome, and low back syndrome groups. Fourteen of 42 patients failing to get improvement reported some discomfort …

The Facet Joint And Low Back Pain: A Clinical Study, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Therapeutic injection of facet joints is now widely practised, but Chinese experience has been infrequently reported. 21patients with suffering from the ”facet syndrome” have been taken from OPD patients, Our series including total 30 intra-articular injections C 2% Xylocaine & Kenacort A preparation provide a diagnostic-therapeutic block; Certainty of joint penetration can be ensured only by the routine use of joint arthrography ￠ Metrazamide. Results indicate that immediate effective is 61.9% for releiving pain. It means this block is a good diagnostic-therapeutic procedure in low back pain patients.

F-Response Study In C-Spine Degenerative Joint Disease Patient, Chen-Ming Chiu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to compare the significant difference of F Response between normal and C-spine DJD groups and compare one another among different age groups. We chose 10 patients with C-spine DJD in each age groups of 50-60, 60-70, 70-80 age groups. Everyone recived Ulnar and Median N nerve conduction study with subsequent 20 times F responses.The results revealed 1) in Spine DJD with radiclopathy groups, these are prolonged F lateny & decreased F persistence compared to normal groups. 2) no significant difference in F amplitude, F spike, M amplitude, M surface and NCV between normal and …

Isokinetic And Isometric Contraction Of The Quadriceps And Hamstring Muscles In Normal Young Adults, Lin-Fen Hsieh, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Summary In order to establish normal data of the isokinetic (IK) and isometric (IM) contraction of the quadriceps (Q) and hamstring (H) muscles, 22 normal young men and 24 normal young women were tested with a Cybex II Isokinetic Dynamometer at the speed of 0,5,10,20,and 30 rpm (0 rpm= isometric contraction). The IM contraction was tested at 45, 60, and 90 degrees of knee flexion in the Q muscles, and at 30, 45, and 60 degrees in the H muscles. Peak IK and IM torque of Q and H were obtained from both sexes. The peak IK torque values were …

Erb's Palsy: Etiology And Prognosis, Yau-Wai Wai, Chue-Fun Chen

Rehabilitation Practice and Science

This study was carried out on 67 children with obstetric palsy in the Department of physical Medicine and Rehabilition of the National Taiwan. University. It revealed that birth weight of more than 3500 gm would have higher prevalence of the palsy. There was no significant evidence to support the palsy had any relationship to patient's sex, presentation, parity, mode of delivery and lateralization of the lesion.The follow up intervals ranged from 3 months to 6 years, with the mean 2 years and 3 months. The recovery rate of these children was rather satisfactory. One year after the injury the ratio …

Functional Evaluation Of The Knees In The Patients After Total Knee Replacement, Rou-Zin Shai, Jau-Yih Tsauo, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

The Total Knee Replacement (TKR) is getting more important for management of severe knee joint disorder. In order to understand the changes of knee function after TKR and evaluate the benefits for patient, this research was designed to compare them before operation, three months, six months and twelve months after operation who received TKR operation at Orthopedic Department of National Taiwan University Hospital from Jan to Sep 1986.According to the assessment of 11 patients who were traced for six months and five patients who were traced for twelve months, it indicated that TKR was definitely helpful for those patients with …

Functional Evaluation Of The Cervical Orthosis, May-Kuen Wong, Choon-Khim Chong, Yau-Yau Wai

Rehabilitation Practice and Science

For investigation of the effectiveness of 5 cervical orthoses which were made in Taiwan, cervical motion was evaluated quantitatively by using roentgenograms and overhead goniometry. Thirty normal young men were divided into five groups for the study of normal control, soft collar, rigid collar, 4 poster brace, Somi brace, which another 5 cases of cervical fracture were studied with Halo vest application.The subject was immobilized in a straight back chair to eliminate trunk motion, lateral cervical spine films were taken in neutral, flexion and extension without or with each orthosis; anterioposteral film for lateral bending and overhead goniometry for rotation …